Metabolomics and the Multi-Omics View of Cancer

Cancer is widely regarded to be a genetic disease. Indeed, over the past five decades, the genomic perspective on cancer has come to almost completely dominate the field. However, this genome-only view is incomplete and tends to portray cancer as a disease that is highly heritable, driven by hundred...

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Main Author: David Wishart
Format: Article
Language:English
Published: MDPI AG 2022-02-01
Series:Metabolites
Subjects:
Online Access:https://www.mdpi.com/2218-1989/12/2/154
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author David Wishart
author_facet David Wishart
author_sort David Wishart
collection DOAJ
description Cancer is widely regarded to be a genetic disease. Indeed, over the past five decades, the genomic perspective on cancer has come to almost completely dominate the field. However, this genome-only view is incomplete and tends to portray cancer as a disease that is highly heritable, driven by hundreds of complex genetic interactions and, consequently, difficult to prevent or treat. New evidence suggests that cancer is not as heritable or purely genetic as once thought and that it really is a multi-omics disease. As highlighted in this review, the genome, the exposome, and the metabolome all play roles in cancer’s development and manifestation. The data presented here show that >90% of cancers are initiated by environmental exposures (the exposome) which lead to cancer-inducing genetic changes. The resulting genetic changes are, then, propagated through the altered DNA of the proliferating cancer cells (the genome). Finally, the dividing cancer cells are nourished and sustained by genetically reprogrammed, cancer-specific metabolism (the metabolome). As shown in this review, all three “omes” play roles in initiating cancer. Likewise, all three “omes” interact closely, often providing feedback to each other to sustain or enhance tumor development. Thanks to metabolomics, these multi-omics feedback loops are now much more evident and their roles in explaining the hallmarks of cancer are much better understood. Importantly, this more holistic, multi-omics view portrays cancer as a disease that is much more preventable, easier to understand, and potentially, far more treatable.
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spelling doaj.art-47ef395fa731486fb00f9bcf7f1a89502023-11-23T21:05:15ZengMDPI AGMetabolites2218-19892022-02-0112215410.3390/metabo12020154Metabolomics and the Multi-Omics View of CancerDavid Wishart0Department of Biological Sciences, University of Alberta, Edmonton, AB T6G 2E9, CanadaCancer is widely regarded to be a genetic disease. Indeed, over the past five decades, the genomic perspective on cancer has come to almost completely dominate the field. However, this genome-only view is incomplete and tends to portray cancer as a disease that is highly heritable, driven by hundreds of complex genetic interactions and, consequently, difficult to prevent or treat. New evidence suggests that cancer is not as heritable or purely genetic as once thought and that it really is a multi-omics disease. As highlighted in this review, the genome, the exposome, and the metabolome all play roles in cancer’s development and manifestation. The data presented here show that >90% of cancers are initiated by environmental exposures (the exposome) which lead to cancer-inducing genetic changes. The resulting genetic changes are, then, propagated through the altered DNA of the proliferating cancer cells (the genome). Finally, the dividing cancer cells are nourished and sustained by genetically reprogrammed, cancer-specific metabolism (the metabolome). As shown in this review, all three “omes” play roles in initiating cancer. Likewise, all three “omes” interact closely, often providing feedback to each other to sustain or enhance tumor development. Thanks to metabolomics, these multi-omics feedback loops are now much more evident and their roles in explaining the hallmarks of cancer are much better understood. Importantly, this more holistic, multi-omics view portrays cancer as a disease that is much more preventable, easier to understand, and potentially, far more treatable.https://www.mdpi.com/2218-1989/12/2/154cancermetabolomicsexposomegenomemetabolomemetabotypes
spellingShingle David Wishart
Metabolomics and the Multi-Omics View of Cancer
Metabolites
cancer
metabolomics
exposome
genome
metabolome
metabotypes
title Metabolomics and the Multi-Omics View of Cancer
title_full Metabolomics and the Multi-Omics View of Cancer
title_fullStr Metabolomics and the Multi-Omics View of Cancer
title_full_unstemmed Metabolomics and the Multi-Omics View of Cancer
title_short Metabolomics and the Multi-Omics View of Cancer
title_sort metabolomics and the multi omics view of cancer
topic cancer
metabolomics
exposome
genome
metabolome
metabotypes
url https://www.mdpi.com/2218-1989/12/2/154
work_keys_str_mv AT davidwishart metabolomicsandthemultiomicsviewofcancer