The Promise of Epigenetics Research in the Treatment of Appendiceal Neoplasms
Appendiceal cancers (AC) are a rare and heterogeneous group of malignancies. Historically, appendiceal neoplasms have been grouped with colorectal cancers (CRC), and treatment strategies have been modeled after CRC management guidelines due to their structural similarities and anatomical proximity....
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2023-07-01
|
| Series: | Cells |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2073-4409/12/15/1962 |
| _version_ | 1797586975575769088 |
|---|---|
| author | Luisa Ladel Wan Ying Tan Thanushiya Jeyakanthan Bethsebie Sailo Anup Sharma Nita Ahuja |
| author_facet | Luisa Ladel Wan Ying Tan Thanushiya Jeyakanthan Bethsebie Sailo Anup Sharma Nita Ahuja |
| author_sort | Luisa Ladel |
| collection | DOAJ |
| description | Appendiceal cancers (AC) are a rare and heterogeneous group of malignancies. Historically, appendiceal neoplasms have been grouped with colorectal cancers (CRC), and treatment strategies have been modeled after CRC management guidelines due to their structural similarities and anatomical proximity. However, the two have marked differences in biological behavior and treatment response, and evidence suggests significant discrepancies in their respective genetic profiles. In addition, while the WHO classification for appendiceal cancers is currently based on traditional histopathological criteria, studies have demonstrated that histomorphology does not correlate with survival or treatment response in AC. Due to their rarity, appendiceal cancers have not been studied as extensively as other gastrointestinal cancers. However, their incidence has been increasing steadily over the past decade, making it crucial to identify new and more effective strategies for detection and treatment. Recent efforts to map and understand the molecular landscape of appendiceal cancers have unearthed a wealth of information that has made it evident that appendiceal cancers possess a unique molecular profile, distinct from other gastrointestinal cancers. This review focuses on the epigenetic landscape of epithelial appendiceal cancers and aims to provide a comprehensive overview of the current state of knowledge of epigenetic changes across different appendiceal cancer subtypes, highlighting the challenges as well as the promise of employing epigenetics in the quest for the detection of biomarkers, therapeutic targets, surveillance markers, and predictors of treatment response and survival in epithelial appendiceal neoplasms. |
| first_indexed | 2024-03-11T00:30:48Z |
| format | Article |
| id | doaj.art-d6a9fa65ef5c4ea89dd331000ef92a82 |
| institution | Directory Open Access Journal |
| issn | 2073-4409 |
| language | English |
| last_indexed | 2024-03-11T00:30:48Z |
| publishDate | 2023-07-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Cells |
| spelling | doaj.art-d6a9fa65ef5c4ea89dd331000ef92a822023-11-18T22:44:59ZengMDPI AGCells2073-44092023-07-011215196210.3390/cells12151962The Promise of Epigenetics Research in the Treatment of Appendiceal NeoplasmsLuisa Ladel0Wan Ying Tan1Thanushiya Jeyakanthan2Bethsebie Sailo3Anup Sharma4Nita Ahuja5Surgical Oncology Research Laboratories, Division of Surgical Oncology, Department of Surgery, Yale School of Medicine, Yale University, New Haven, CT 06519, USASurgical Oncology Research Laboratories, Division of Surgical Oncology, Department of Surgery, Yale School of Medicine, Yale University, New Haven, CT 06519, USASurgical Oncology Research Laboratories, Division of Surgical Oncology, Department of Surgery, Yale School of Medicine, Yale University, New Haven, CT 06519, USASurgical Oncology Research Laboratories, Division of Surgical Oncology, Department of Surgery, Yale School of Medicine, Yale University, New Haven, CT 06519, USASurgical Oncology Research Laboratories, Division of Surgical Oncology, Department of Surgery, Yale School of Medicine, Yale University, New Haven, CT 06519, USASurgical Oncology Research Laboratories, Division of Surgical Oncology, Department of Surgery, Yale School of Medicine, Yale University, New Haven, CT 06519, USAAppendiceal cancers (AC) are a rare and heterogeneous group of malignancies. Historically, appendiceal neoplasms have been grouped with colorectal cancers (CRC), and treatment strategies have been modeled after CRC management guidelines due to their structural similarities and anatomical proximity. However, the two have marked differences in biological behavior and treatment response, and evidence suggests significant discrepancies in their respective genetic profiles. In addition, while the WHO classification for appendiceal cancers is currently based on traditional histopathological criteria, studies have demonstrated that histomorphology does not correlate with survival or treatment response in AC. Due to their rarity, appendiceal cancers have not been studied as extensively as other gastrointestinal cancers. However, their incidence has been increasing steadily over the past decade, making it crucial to identify new and more effective strategies for detection and treatment. Recent efforts to map and understand the molecular landscape of appendiceal cancers have unearthed a wealth of information that has made it evident that appendiceal cancers possess a unique molecular profile, distinct from other gastrointestinal cancers. This review focuses on the epigenetic landscape of epithelial appendiceal cancers and aims to provide a comprehensive overview of the current state of knowledge of epigenetic changes across different appendiceal cancer subtypes, highlighting the challenges as well as the promise of employing epigenetics in the quest for the detection of biomarkers, therapeutic targets, surveillance markers, and predictors of treatment response and survival in epithelial appendiceal neoplasms.https://www.mdpi.com/2073-4409/12/15/1962appendiceal cancerepigeneticstranslational researchcancer biomarkersgastrointestinal cancerprecision oncology |
| spellingShingle | Luisa Ladel Wan Ying Tan Thanushiya Jeyakanthan Bethsebie Sailo Anup Sharma Nita Ahuja The Promise of Epigenetics Research in the Treatment of Appendiceal Neoplasms Cells appendiceal cancer epigenetics translational research cancer biomarkers gastrointestinal cancer precision oncology |
| title | The Promise of Epigenetics Research in the Treatment of Appendiceal Neoplasms |
| title_full | The Promise of Epigenetics Research in the Treatment of Appendiceal Neoplasms |
| title_fullStr | The Promise of Epigenetics Research in the Treatment of Appendiceal Neoplasms |
| title_full_unstemmed | The Promise of Epigenetics Research in the Treatment of Appendiceal Neoplasms |
| title_short | The Promise of Epigenetics Research in the Treatment of Appendiceal Neoplasms |
| title_sort | promise of epigenetics research in the treatment of appendiceal neoplasms |
| topic | appendiceal cancer epigenetics translational research cancer biomarkers gastrointestinal cancer precision oncology |
| url | https://www.mdpi.com/2073-4409/12/15/1962 |
| work_keys_str_mv | AT luisaladel thepromiseofepigeneticsresearchinthetreatmentofappendicealneoplasms AT wanyingtan thepromiseofepigeneticsresearchinthetreatmentofappendicealneoplasms AT thanushiyajeyakanthan thepromiseofepigeneticsresearchinthetreatmentofappendicealneoplasms AT bethsebiesailo thepromiseofepigeneticsresearchinthetreatmentofappendicealneoplasms AT anupsharma thepromiseofepigeneticsresearchinthetreatmentofappendicealneoplasms AT nitaahuja thepromiseofepigeneticsresearchinthetreatmentofappendicealneoplasms AT luisaladel promiseofepigeneticsresearchinthetreatmentofappendicealneoplasms AT wanyingtan promiseofepigeneticsresearchinthetreatmentofappendicealneoplasms AT thanushiyajeyakanthan promiseofepigeneticsresearchinthetreatmentofappendicealneoplasms AT bethsebiesailo promiseofepigeneticsresearchinthetreatmentofappendicealneoplasms AT anupsharma promiseofepigeneticsresearchinthetreatmentofappendicealneoplasms AT nitaahuja promiseofepigeneticsresearchinthetreatmentofappendicealneoplasms |