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Epigenetics in CLL

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Semin Oncol. 2006 Apr;33(2):157-66.

Epigenetics in chronic lymphocytic leukemia.

Raval A, Byrd JC, Plass C.

Department of Molecular Virology, Immunology, and Medical

Genetics, Division of Human Cancer Genetics, The Ohio State

University, Columbus, OH.

Enormous evidence has accumulated in the past decades that

establishes the importance of epigenetic modifications* in cancer and

has resulted in shifting the focus from entirely genetic-based studies

to integrated studies involving both genetic and epigenetic

alterations. Chronic lymphocytic leukemia (CLL) is one such example

where studies involving epigenetic aberrations have accelerated the

search for affected genes, which was initially restricted to commonly

deleted chromosomal regions.

Many novel genes that are epigenetically silenced in CLL have been

identified. Advances in the understanding of post-translational

histone modifications and DNA methylation in normal and in CLL cells

have proven to be extremely beneficial in finding powerful diagnostic

markers, as well as in exploring novel therapies.

At present, the field of epigenetics is at an evolving stage, but

there is no doubt that further unraveling of its cause and effects in

transformed cells will bring a new revolution in cancer therapeutics.

PMID: 16616062 [PubMed - in process]

*Changes in DNA expression that don't include changes in the base

pairs of DNA. An example would be DNA methylation.

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