Abstract
Since 1950, a large number of models tried to represent the tumorigenesis process; numerous theories have overlapped and have been changed or improved along the way. Recently the significant role of epigenetics has emerged. These dynamic modifications are strongly linked to genetic and environmental factors and are involved in cancer development. The chapter highlights the contribution of the epigenetics in the multi-hit process of carcinogenesis, focusing on tumors with the highest incidence and mortality. Moreover the complex interplay between genetics and epigenetics will be discussed, such as the link between DNMT mutations and aberrant promoter methylation in several critical genes. Lifestyle factors such as smoking, alcohol and fat consumption, and stress have definitely an important role in carcinogenesis, and may act through epigenetic mechanisms. However numerous questions remain still unresolved, and continuous experimental researches are required.
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Migheli, F., Migliore, L. (2014). Epigenetic Perturbations in the Context of the Multi-hit Hypothesis of Carcinogenesis. In: Maulik, N., Karagiannis, T. (eds) Molecular mechanisms and physiology of disease. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-0706-9_14
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