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      Implications of Genetic and Epigenetic Alterations of CDKN2A (p16 INK4a) in Cancer

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          Abstract

          Aberrant gene silencing is highly associated with altered cell cycle regulation during carcinogenesis. In particular, silencing of the CDKN2A tumor suppressor gene, which encodes the p16 INK4a protein, has a causal link with several different types of cancers. The p16 INK4a protein plays an executional role in cell cycle and senescence through the regulation of the cyclin-dependent kinase (CDK) 4/6 and cyclin D complexes. Several genetic and epigenetic aberrations of CDKN2A lead to enhanced tumorigenesis and metastasis with recurrence of cancer and poor prognosis. In these cases, the restoration of genetic and epigenetic reactivation of CDKN2A is a practical approach for the prevention and therapy of cancer. This review highlights the genetic status of CDKN2A as a prognostic and predictive biomarker in various cancers.

          Highlights

          • The status of CDKN2A provides epigenetic/genetic information for the cancer patient.

          • The correlation of p16 INK4a and related biomarkers should be considered for prognosis of cancers.

          • Epigenetic/genetic modulation of changes in CDKN2A might be a promising cancer preventive/therapeutic strategy.

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          Most cited references74

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          Ovarian cancer

          Epithelial ovarian cancer is the commonest cause of gynaecological cancer-associated death. The disease typically presents in postmenopausal women, with a few months of abdominal pain and distension. Most women have advanced disease (International Federation of Gynecology and Obstetrics [FIGO] stage III), for which the standard of care remains surgery and platinum-based cytotoxic chemotherapy. Although this treatment can be curative for most patients with early stage disease, most women with advanced disease will develop many episodes of recurrent disease with progressively shorter disease-free intervals. These episodes culminate in chemoresistance and ultimately bowel obstruction, the most frequent cause of death. For women whose disease continues to respond to platinum-based drugs, the disease can often be controlled for 5 years or more. Targeted treatments such as antiangiogenic drugs or poly (ADP-ribose) polymerase inhibitors offer potential for improved survival. The efficacy of screening, designed to detect the disease at an earlier and curable stage remains unproven, with key results expected in 2015. Copyright © 2014 Elsevier Ltd. All rights reserved.
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            Molecular interplay of the noncoding RNA ANRIL and methylated histone H3 lysine 27 by polycomb CBX7 in transcriptional silencing of INK4a.

            Expression of the INK4b/ARF/INK4a tumor suppressor locus in normal and cancerous cell growth is controlled by methylation of histone H3 at lysine 27 (H3K27me) as directed by the Polycomb group proteins. The antisense noncoding RNA ANRIL of the INK4b/ARF/INK4a locus is also important for expression of the protein-coding genes in cis, but its mechanism has remained elusive. Here we report that chromobox 7 (CBX7) within the polycomb repressive complex 1 binds to ANRIL, and both CBX7 and ANRIL are found at elevated levels in prostate cancer tissues. In concert with H3K27me recognition, binding to RNA contributes to CBX7 function, and disruption of either interaction impacts the ability of CBX7 to repress the INK4b/ARF/INK4a locus and control senescence. Structure-guided analysis reveals the molecular interplay between noncoding RNA and H3K27me as mediated by the conserved chromodomain. Our study suggests a mechanism by which noncoding RNA participates directly in epigenetic transcriptional repression. Copyright (c) 2010 Elsevier Inc. All rights reserved.
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              The Polycomb group proteins bind throughout the INK4A-ARF locus and are disassociated in senescent cells.

              The p16INK4A and p14ARF proteins, encoded by the INK4A-ARF locus, are key regulators of cellular senescence, yet the mechanisms triggering their up-regulation are not well understood. Here, we show that the ability of the oncogene BMI1 to repress the INK4A-ARF locus requires its direct association and is dependent on the continued presence of the EZH2-containing Polycomb-Repressive Complex 2 (PRC2) complex. Significantly, EZH2 is down-regulated in stressed and senescing populations of cells, coinciding with decreased levels of associated H3K27me3, displacement of BMI1, and activation of transcription. These results provide a model for how the INK4A-ARF locus is activated and how Polycombs contribute to cancer.
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                Author and article information

                Contributors
                Journal
                EBioMedicine
                EBioMedicine
                EBioMedicine
                Elsevier
                2352-3964
                03 May 2016
                June 2016
                03 May 2016
                : 8
                : 30-39
                Affiliations
                [a ]China-US (Henan) Hormel Cancer Institute, No.127, Dongming Road, Jinshui District, Zhengzhou, Henan 450008, China
                [b ]Department of Pharmaceutical Science and Engineering, Seowon University, Cheongju 361-742, South Korea
                [c ]The Hormel Institute, University of Minnesota, Austin, MN 55912, USA
                Author notes
                [* ]Correspondence to: M.-H. Lee, China-US (Henan) Hormel Cancer Institute, No.127, Dongming Road, Jinshui District, Zhengzhou, Henan 450008, China.China-US (Henan) Hormel Cancer InstituteNo.127, Dongming RoadJinshui DistrictZhengzhouHenan450008China mhlee@ 123456hci-cn.org
                [** ]Correspondence to: Z. Dong. The Hormel Institute, University of Minnesota, 801 16 th Ave NE, Austin MN55912, USA.The Hormel InstituteUniversity of Minnesota801 16 th Ave NEAustinMN55912USA zgdong@ 123456hi.umn.edu
                Article
                S2352-3964(16)30152-9
                10.1016/j.ebiom.2016.04.017
                4919535
                27428416
                93b674c8-179f-4843-8e76-8d7b976bfc38
                © 2016 The Authors

                This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

                History
                : 10 February 2016
                : 1 April 2016
                : 14 April 2016
                Categories
                Review

                cdkn2a,p16ink4a,genetic alterations,epigenetic alterations,cancer

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