2017
DOI: 10.1007/s10555-017-9662-4
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Precision medicine driven by cancer systems biology

Abstract: Molecular insights from genome and systems biology are influencing how cancer is diagnosed and treated. We critically evaluate big data challenges in precision medicine. The melanoma research community has identified distinct subtypes involving chronic sun-induced damage and the mitogen-activated protein kinase driver pathway. In addition, despite low mutation burden, non-genomic mitogen-activated protein kinase melanoma drivers are found in membrane receptors, metabolism, or epigenetic signaling with the abil… Show more

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Cited by 40 publications
(38 citation statements)
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“…Although surgically curable at early stages, late-stage melanoma is difficult to treat due to genomic tumor variability and therapy resistance (3). The constitutive activation of the mitogen-activated protein kinase pathway is frequently altered in melanoma and initially responsive to targeted treatment (4). However, disease relapse and tumor progression impedes long-term survival (5).…”
Section: Introductionmentioning
confidence: 99%
“…Although surgically curable at early stages, late-stage melanoma is difficult to treat due to genomic tumor variability and therapy resistance (3). The constitutive activation of the mitogen-activated protein kinase pathway is frequently altered in melanoma and initially responsive to targeted treatment (4). However, disease relapse and tumor progression impedes long-term survival (5).…”
Section: Introductionmentioning
confidence: 99%
“…The discovery of the specific role of KDM3A in the interplay between a tissue specific steroid receptor transcription factor and metabolic signaling provides a foundation for rational design of combination approaches where metabolic, epigenetic, and hormone-deprivation therapies may synergize. Our integrated multi-platform analysis reveals a complex molecular landscape of epigenomic and transcriptomic cooperation in cancer, providing avenues for precision medicine 34 . A close teamwork of the transcriptional and epigenomic machinery was discovered, in which one component opens the chromatin, another recognizes gene-specific DNA motifs, and others scaffold between histones, cofactors, and the transcriptional complex.…”
Section: Resultsmentioning
confidence: 99%
“…Genomic sequencing has facilitated the understanding of acquired resistance mechanisms to MAPKis [14,35,36,15,37,16,38]. Detected genetic aberrations included mutations in NRAS, MAPK1/2, phosphatidylinositol-4,5-bisphosphate 3-kinase catalytic subunit alpha (PIK3CA, Gene ID: 5290), and phosphatase and tensin homolog (PTEN, Gene ID: 5728).…”
Section: Discussionmentioning
confidence: 99%