Mutations involve
changes in the arrangement of the bases that make up a gene. Even a change in just one base among the thousands of bases that make up a gene can have a major effect. A gene
mutation can affect the cell in many ways. Some mutations stop a protein from being made at all. A gene mutation is
a permanent alteration in the DNA sequence that makes up a gene, such that the sequence differs
from what is found in most people. Mutations range
in size; they can affect anywhere from a single DNA building block (base pair)
to a large segment of a chromosome that includes multiple DNAs.
A mutation therefore is
a change that occurs in our DNA sequence, either due to mistakes when the DNA is copied
or as the result of
environmental factors such as UV light and cigarette smoke.
These changes
are often caused by perturbed activity of proteins involved in transcriptional
control. ... The effects of such mutations are directly
attributable to the altered regulation of direct and
indirect target genes, as shown
extensively for regulation by MYC — a
transcription factor often mutated in cancer.
A genome-wide analysis of DNA and RNA
sequences, gene expression and DNA modifications in 200 samples of acute
myeloid leukaemia sets the stage for data integration and verification that
will enhance our understanding of this cancer.
Acute myeloid leukaemia
exhibits variable genetics, presentation and clinical outcome. Writing in
the New England Journal of Medicine, Ley and colleagues1 from the
Cancer Genome Comprehensive genome-wide analysis of DNA sequences, transcribed
messenger RNA and microRNA molecules, and DNA modification by methylation, in
200 cases of adult acute myeloid leukaemia (AML). The data, which are publicly
available, provide unprecedented insight into the molecular genetics of this
cancer and its influence on treatment responses. Although the challenge of
integrating and functionally verifying these data remains, the findings are
expected to help to explain the biology of AML, and could lead to the
development of therapeutic strategies.
Historically, the
identification and characterization of individual genetic modifications, such as chromosomal translocations,
gene fusions and gene mutations, have fuelled our understanding of the onset
and progression of AML.
More recently,
whole-genome and whole-exome sequencing studies have further refined this view,
identifying mutations in genes in which they were not expected, such as DNMT3A, IDH1, PHF6 and SMC3.
The exome is the portion of the genome comprising exon sequences — those that
form mature mRNA molecules.
Now that our knowledge of DNA-sequence
mutations in AML has advanced, it is time for greater integration of this
information with data on gene expression.
Deregulation of gene
expression is central to cancer development. For example, many cancer-related
mutations result in reduced expression of genes that are associated with
apoptotic cell death or cell senescence, or alter the expression of genes involved
in cell proliferation and differentiation. These changes are often caused by
perturbed activity of proteins involved in transcriptional control.
Understanding the role of gene expression in cancer will require analysis of
epigenetic modifications (structural and chemical genomic changes, such as DNA
methylation, that do not change the DNA sequence) and structural changes in
chromatin (the complex of DNA and associated histone proteins).
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