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Researchers have been investigating how to control the transcriptional activation of gene expression in cancer. Identifying how a transcription factor binds, or a pathway that activates where a gene can be turned off, has led to new drugs and new ways to treat cancer. In breast cancer, for example, many proteins are overexpressed. This can lead to increased phosphorylation of key transcription factors that increase transcription. One such example is the overexpression of the epidermal growth factor receptor (EGFR) in a subset of breast cancers. The EGFR pathway activates many protein kinases that, in turn, activate many transcription factors that control genes involved in cell growth. New drugs that prevent the activation of EGFR have been developed and are used to treat these cancers.

Cancer and post-transcriptional control

Changes in the post-transcriptional control of a gene can also result in cancer. Recently, several groups of researchers have shown that specific cancers have altered expression of miRNAs. Because miRNAs bind to the 3' UTR of RNA molecules to degrade them, overexpression of these miRNAs could be detrimental to normal cellular activity. Too many miRNAs could dramatically decrease the RNA population leading to a decrease in protein expression. Several studies have demonstrated a change in the miRNA population in specific cancer types. It appears that the subset of miRNAs expressed in breast cancer cells is quite different from the subset expressed in lung cancer cells or even from normal breast cells. This suggests that alterations in miRNA activity can contribute to the growth of breast cancer cells. These types of studies also suggest that if some miRNAs are specifically expressed only in cancer cells, they could be potential drug targets. It would, therefore, be conceivable that new drugs that turn off miRNA expression in cancer could be an effective method to treat cancer.

Cancer and translational/post-translational control

There are many examples of how translational or post-translational modifications of proteins arise in cancer. Modifications are found in cancer cells from the increased translation of a protein to changes in protein phosphorylation to alternative splice variants of a protein. An example of how the expression of an alternative form of a protein can have dramatically different outcomes is seen in colon cancer cells. The c-Flip protein, a protein involved in mediating the cell death pathway, comes in two forms: long (c-FLIPL) and short (c-FLIPS). Both forms appear to be involved in initiating controlled cell death mechanisms in normal cells. However, in colon cancer cells, expression of the long form results in increased cell growth instead of cell death. Clearly, the expression of the wrong protein dramatically alters cell function and contributes to the development of cancer.

New drugs to combat cancer: targeted therapies

Scientists are using what is known about the regulation of gene expression in disease states, including cancer, to develop new ways to treat and prevent disease development. Many scientists are designing drugs on the basis of the gene expression patterns within individual tumors. This idea, that therapy and medicines can be tailored to an individual, has given rise to the field of personalized medicine. With an increased understanding of gene regulation and gene function, medicines can be designed to specifically target diseased cells without harming healthy cells. Some new medicines, called targeted therapies, have exploited the overexpression of a specific protein or the mutation of a gene to develop a new medication to treat disease. One such example is the use of anti-EGF receptor medications to treat the subset of breast cancer tumors that have very high levels of the EGF protein. Undoubtedly, more targeted therapies will be developed as scientists learn more about how gene expression changes can cause cancer.

Career connection

Clinical trial coordinator

A clinical trial coordinator is the person managing the proceedings of the clinical trial. This job includes coordinating patient schedules and appointments, maintaining detailed notes, building the database to track patients (especially for long-term follow-up studies), ensuring proper documentation has been acquired and accepted, and working with the nurses and doctors to facilitate the trial and publication of the results. A clinical trial coordinator may have a science background, like a nursing degree, or other certification. People who have worked in science labs or in clinical offices are also qualified to become a clinical trial coordinator. These jobs are generally in hospitals; however, some clinics and doctor’s offices also conduct clinical trials and may hire a coordinator.

Section summary

Cancer can be described as a disease of altered gene expression. Changes at every level of eukaryotic gene expression can be detected in some form of cancer at some point in time. In order to understand how changes to gene expression can cause cancer, it is critical to understand how each stage of gene regulation works in normal cells. By understanding the mechanisms of control in normal, non-diseased cells, it will be easier for scientists to understand what goes wrong in disease states including complex ones like cancer.

Questions & Answers

there are 3 trimester in human pregnancy
ROHIN Reply
I don't know answer of this question can u help me
ROHIN
yes
Bisa
what is a cell
Fatima Reply
what is genetic
Janet Reply
I join
Janet
what are the branchas of biology
Prisca Reply
zoology, ecology
Millicent
biochemistry,cytology,herpetology...etc
R0se
genetics, microbiology,botany and embryology
Muhammad
what is a cell
Kulunbawi Reply
cell is smallest unit of life. cells are often cell the building blocks of life...
Muhammad
the first twenty element
Orapinega Reply
what are the characteristics of living things?
R0se
growth,respiration,nutrition,sensitivity, movement,irritability, excretion,death.
Obinna
What is the difference between adaptation and competition in animals
Adeyemi Reply
What is biology
Adeyemi
it is a natural science stadey about living things
Zamiil
Biology is the bronch of science which deals with the study of life is called biology
Aziz
what is the x in 300 stands for?
Ogbudu Reply
the properties of life
Clarinda Reply
response to the environment, reproduction, homeostasis, growth,energy processing etc.....
Pushpam
hello.
Daniela
hi
MacPeter
Good
Thomas
what is reproduction
Tims
Reproduction is a fundamental feature of all known life,each individual organism exist as a result of re production.....or else Multiplying...
R0se
a complete virus particle known as
Darlington Reply
These are formed from identical protein subunitscalled capsomeres.
Pushpam
fabace family plant name
Pushpam Reply
in eukaryotes ...protein channel name which transport protein ...
Pushpam Reply
in bacteria ...chromosomal dna duplicate structure called
Pushpam
what is a prokaryotic cell and a eukaryotic cell
Matilda Reply
There are two types of cells. Eukaryotic and Prokaryotic cells. Prokaryotic cells don't have a nucleus or membrane enclosed organelles (little organs within that cell). They do however carry genetic material but it's not maintained in the nucleus. Prokaryotic cells are also one celled.
juanita
Prokaryotic cells are one celled (single celled).
juanita
Prokaryotic cells are Bacteria and Archea
juanita
Prokaryotic cells are smaller than Eukaryotic cells.
juanita
Eukaryotic cells are more complex. They are much bigger than Prokaryotic cells.
juanita
Eukaryotic cells have a nucleus and membrane bound organelles.
juanita
Eukaryotic cells are animals cells which also includes us.
juanita
Eukaryotic cells are also multicellular.
juanita
nice explaination
Amna
eukaryotic cells are individual cells .. but eukaryotes are multicellular organisms which consist of many different types of eukaryotic cells
Will
also eukaryotic cells have mitochondria. prokaryotic cells do not
Will
Good
John
in prokaryotes only ribosomes are present... in eukaryotes mitochondria ...glogi bodies ..epidermis .....prokaryotes one envelop but eukaryotes compartment envelop....envelop mean membrane bound organelles......
Pushpam
prokaryotic cell are cells dat have no true nuclei i.e no cell membrane while eukaryotic cell are cell dat have true nuclei i.e have cell membrane
Divine
grt
Thomas
we have 46 pair of somatic cell and 23 pair of chromosomes in our body, pls can someone explain it to me. pls
Matilda Reply
we have 22 pairs of somatic chromosomes and one pair of sex chromosome
Amna
thanks
Matilda
we have 23 pairs of chromosomes,22 pairs of somatic and one pair of sex chromosomes
Amna
23 chromosomes from dad & 23 chromosomes from mom 23 +23=46 total chromosomes
juanita
X & Y chromosomes are called sex cells, the very presence of a Y chromosome means the person is Male.
juanita
XX Female XY Male
juanita
If a Karyotype has more than 46 Chromosomes then nondisjunction occured. For example, having an extra chromosome 21 will cause Down Syndrome.
juanita
in mammal state the different vertebrae and their location in the body
Igbinigie Reply

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Source:  OpenStax, Biology. OpenStax CNX. Feb 29, 2016 Download for free at http://cnx.org/content/col11448/1.10
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