Epigenetic attire in ovarian cancer: The Emperor's new clothes

Daniela Matei*, Kenneth P. Nephew*

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

42 Scopus citations

Abstract

Ovarian cancer is an aggressive epithelial tumor that remains a major cause of cancer morbidity and mortality in women. Epigenetic alterations including DNA methylation and histone modifications are being characterized in ovarian cancer and have been functionally linked to processes involved in tumor initiation, chemotherapy resistance, cancer stem cell survival, and tumor metastasis. The epigenetic traits of cancer cells and of associated tumor microenvironment components have been shown to promote an immunosuppressive tumor milieu. However, DNA methylation and histone modifications are reversible, and therapies targeting the epigenome have been implicated in potential reinvigoration of the antitumor immunity. In this review, we provide an overview specifically of DNA methylation and histone modifications as "clothes of the ovarian cancer genome" in relationship to their functional effects and highlight recent developments in the field. We also address the clinical implications of therapeutic strategies to remove or alter specific articles of genomic "clothing" and restore normal cellular function. As the clothes of the genome continue to be deciphered, we envision that the epigenome will become an important therapeutic target for cancer.

Original languageEnglish (US)
Pages (from-to)3775-3785
Number of pages11
JournalCancer Research
Volume80
Issue number18
DOIs
StatePublished - Sep 15 2020

Funding

The authors thank Dr. Fang Fang and Xingyue Zong for help with the article preparation. This work was funded in part by the NCI Award CA182832-01, V Foundation for Cancer Research, and the Ovarian Cancer Research Alliance (to D. Matei and K.P. Nephew). The figures in this article were created using BioRender.com Received December 9, 2019; revised April 1, 2020; accepted May 4, 2020; published first May 7, 2020.

ASJC Scopus subject areas

  • Oncology
  • Cancer Research

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