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Ch. 19 - Epigenetics
Chapter 18, Problem 17

How can the role of epigenetics in cancer be reconciled with the idea that cancer is caused by the accumulation of genetic mutations in tumor-suppressor genes and proto-oncogenes?

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1
Understand that cancer is traditionally viewed as a genetic disease caused by mutations in tumor-suppressor genes and proto-oncogenes, leading to uncontrolled cell growth.
Recognize that epigenetics involves changes in gene expression without altering the DNA sequence, often through mechanisms like DNA methylation and histone modification.
Consider how epigenetic changes can silence tumor-suppressor genes or activate proto-oncogenes, contributing to cancer development similarly to genetic mutations.
Explore the interplay between genetic mutations and epigenetic modifications, where mutations can lead to epigenetic changes and vice versa, creating a complex network influencing cancer progression.
Acknowledge that both genetic and epigenetic factors are crucial in understanding cancer, as they can work together to disrupt normal cellular functions and promote tumorigenesis.

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Key Concepts

Here are the essential concepts you must grasp in order to answer the question correctly.

Epigenetics

Epigenetics refers to the study of changes in gene expression that do not involve alterations to the underlying DNA sequence. These changes can be influenced by environmental factors and can affect how genes are turned on or off. In cancer, epigenetic modifications can lead to the silencing of tumor-suppressor genes or the activation of oncogenes, contributing to tumor development.
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Genetic Mutations

Genetic mutations are permanent alterations in the DNA sequence that can lead to changes in protein function. In cancer, mutations often occur in tumor-suppressor genes, which normally prevent uncontrolled cell growth, or in proto-oncogenes, which promote cell division. The accumulation of these mutations is a key factor in the progression of cancer, leading to the transformation of normal cells into malignant ones.
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Tumor-Suppressor Genes and Proto-Oncogenes

Tumor-suppressor genes are responsible for regulating cell division and preventing tumor formation, while proto-oncogenes promote cell growth and division. When mutations occur in these genes, they can disrupt normal cellular functions, leading to cancer. Understanding the interplay between genetic mutations in these genes and epigenetic modifications is crucial for comprehending the multifaceted nature of cancer development.
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