Hallmarks of cancer-the new testament.

Open Biol

Centre for Tumour Biology, Barts Cancer Institute, Queen Mary University of London, London EC1M 6BQ, UK.

Published: January 2021

AI Article Synopsis

  • An understanding of cancer's underlying mechanisms is crucial for effective diagnosis and treatment, highlighting the complex transformation of normal cells into cancerous ones.
  • Historical perspectives on cancer have shifted from viewing it as a curse to recognizing single-cell heterogeneity, resulting in significant challenges in therapy.
  • The original 'Hallmarks of Cancer' framework has been expanded to include four new hallmarks, emphasizing cellular regression, epigenetic changes, and the influences of microorganisms and neuronal signaling, which can lead to novel therapeutic strategies.

Article Abstract

Diagnosis and treatment of disease demand a sound understanding of the underlying mechanisms, determining any Achilles' heel that can be targeted in effective therapies. Throughout history, this endeavour to decipher the origin and mechanism of transformation of a normal cell into cancer has led to various theories-from cancer as a curse to an understanding at the level of single-cell heterogeneity, meaning even among a single sub-type of cancer there are myriad molecular challenges to overcome. With increasing insight into cancer genetics and biology, the disease has become ever more complex to understand. The complexity of cancer as a disease was distilled into key traits by Hanahan and Weinberg in their seminal 'Hallmarks of Cancer' reviews. This lucid conceptualization of complex cancer biology is widely accepted and has helped advance cancer therapeutics by targeting the various hallmarks but, with the advancement in technologies, there is greater granularity in how we view cancer as a disease, and the additional understanding over the past decade requires us to revisit the hallmarks of cancer. Based on extensive study of the cancer research literature, we propose four novel hallmarks of cancer, namely, the ability of cells to regress from a specific specialized functional state, epigenetic changes that can affect gene expression, the role of microorganisms and neuronal signalling, to be included in the hallmark conceptualization along with evidence of various means to exploit them therapeutically.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7881179PMC
http://dx.doi.org/10.1098/rsob.200358DOI Listing

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