2021
DOI: 10.3390/cancers13164072
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Epigenetic Alterations Upstream and Downstream of p53 Signaling in Colorectal Carcinoma

Abstract: Colorectal cancer (CRC) belongs to the most common tumor types, and half of all CRC harbor missense mutations in the TP53 tumor suppressor gene. In addition to genetically caused loss of function of p53, epigenetic alterations (DNA methylation, histone modifications, micro-RNAs) contribute to CRC development. In this review, we focused on epigenetic alterations related to the entire p53 signaling pathway upstream and downstream of p53. Methylation of genes which activate p53 function has been reported, and met… Show more

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Cited by 13 publications
(4 citation statements)
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“…Tumors whose methylation status was intermediate were more linked to post‐progression survival than hypermethylated ones. One possible explanation is that the presence of hypermethylated promoters and a probable lower expression of MGMT favors the accumulation of other DNA lesions that could confer a worse prognosis compared to the group of lesions classified as “intermediate methylation.” As an example, it has been shown that epigenetic inactivation of the MGMT gene can facilitate the appearance of mutations in TP53 and other genes implicated in the process of tumorigenesis or disease progression, 19,20 even though this may be again influenced by other factors such as the limited size of our study group.…”
Section: Discussionmentioning
confidence: 94%
“…Tumors whose methylation status was intermediate were more linked to post‐progression survival than hypermethylated ones. One possible explanation is that the presence of hypermethylated promoters and a probable lower expression of MGMT favors the accumulation of other DNA lesions that could confer a worse prognosis compared to the group of lesions classified as “intermediate methylation.” As an example, it has been shown that epigenetic inactivation of the MGMT gene can facilitate the appearance of mutations in TP53 and other genes implicated in the process of tumorigenesis or disease progression, 19,20 even though this may be again influenced by other factors such as the limited size of our study group.…”
Section: Discussionmentioning
confidence: 94%
“…The activation of oncogenes and inhibition of tumor suppressor genes lead to tumor growth and progression [52,53]. There is ample evidence that oncogenic kinases and tumor suppressors do not only contribute to drug resistance but also to cancer progression and worse outcomes for patients [54][55][56][57][58]. Thus, we investigated the prognostic value of the five top inhibited kinases for the overall survival time of human tumors.…”
Section: Discussionmentioning
confidence: 99%
“…Immune cell infiltration is important for tumor progression; however, it is an underrated factor for evaluating the efficacy of ICI treatment ( 29 ). Increasing evidence has shown that the interaction between tumors and the microenvironment is critical for the progression of CRC and effectiveness of immunotherapy ( 30 ). Therefore, we assessed the relative proportions of 22 immune cells in the high- and low-risk subgroups of CRC samples, including immune cell infiltration and immune function scores and the roles of various immune cells to explain the low response to ICI in patients with CRC.…”
Section: Discussionmentioning
confidence: 99%