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L and warrants further study. 3.3. The RNA world Less than 2 of our SC144 web order Aprotinin genome accounts for our 21,000 protein-coding genes. However, it is estimated that the human genome also encodes 9,000 small RNAs and 10?2,000 long noncoding RNAs and contains 11,000 pseudogenes [121]. The most studied class of small noncoding RNAs are the microRNAs, single-stranded mRNA sequences that are 19?5 nucleotides in length [122]. This RNA species functions mainly to repress protein translation. The first evidence showing a relationship between miRNAs and cancer came when Croce and Calin identified miR-15 and miR-16-1 as tumor suppressors in CML [123]. Since then, miRNAs have been associated with cancer etiology, progression and prognosis in multiple cancer types [47,124?34]. De-regulation of miRNA expression has been observed in premalignant conditions. For example, miR-21 is detected in DCIS [135] and adenomas [136], making it possible that such signatures could be used to detect cancer early and in premalignant stages. Indeed, a miRNA classifier has been identified that discriminates between benign and malignant lung lesions detected by low dose CT screening [137]. Moreover, as clinical trials are now underway targeting miRNAs, such as miR-21 [138], it is possible that such molecules could be targets of treatment in premalignant conditions that overexpress these “oncomiRs”. As with the genome, the RNA world of early and premalignant conditions is largely unexplored; therefore, how the RNA landscape of these lesions compares with invasive cancers is not fully known. As mentioned above, the RNAome includes much more than miRNAs and RNA sequencing has led to a rapid rise in the discovery of new RNA species.Author Manuscript Author Manuscript Author Manuscript Author ManuscriptSemin Oncol. Author manuscript; available in PMC 2017 February 01.Ryan and Faupel-BadgerPageIts potential translation to the detection of early cancers and premalignant conditions, however, lags behind. There are many parallels between the genome and RNAome, yet it is worth remembering one key distinction. The genome has a relatively stable architecture. Profiles of RNAs–and indeed of microbes, epigenetics, metabolites and proteins–are variable with time [139]. This does not nullify their exploration or their potential value–temporal complexity is likely to increase the amount of information encoded in these profiles–but it does warrant additional caution when designing and interpreting studies of such entities. 3.4. Transgenerational inheritance and epigenetic modification In this time of exponential growth in sequencing technologies, the field of epigenetics has also expanded and evolved. Recent reports that the establishment of epigenetic states can be altered by the environment, combined with the idea that epigenetic states can be inherited across generations, has generated interest in the hypothesis that epigenetic traits influenced by the environment and/or lifestyle may persist and subsequently be inherited across generations. Unlike DNA, which from a heritability perspective is relatively stable, epigenetic marks are “erased” across the genome, initially following fertilization of the egg and secondly during the formation of germ cells. This is to remove imprints and epimutations and to ensure totipotency in early embryonic development. Thus, for transgenerational inheritance to occur at a specific locus, this reprogramming must somehow be bypassed. Some of the clearest evide.L and warrants further study. 3.3. The RNA world Less than 2 of our genome accounts for our 21,000 protein-coding genes. However, it is estimated that the human genome also encodes 9,000 small RNAs and 10?2,000 long noncoding RNAs and contains 11,000 pseudogenes [121]. The most studied class of small noncoding RNAs are the microRNAs, single-stranded mRNA sequences that are 19?5 nucleotides in length [122]. This RNA species functions mainly to repress protein translation. The first evidence showing a relationship between miRNAs and cancer came when Croce and Calin identified miR-15 and miR-16-1 as tumor suppressors in CML [123]. Since then, miRNAs have been associated with cancer etiology, progression and prognosis in multiple cancer types [47,124?34]. De-regulation of miRNA expression has been observed in premalignant conditions. For example, miR-21 is detected in DCIS [135] and adenomas [136], making it possible that such signatures could be used to detect cancer early and in premalignant stages. Indeed, a miRNA classifier has been identified that discriminates between benign and malignant lung lesions detected by low dose CT screening [137]. Moreover, as clinical trials are now underway targeting miRNAs, such as miR-21 [138], it is possible that such molecules could be targets of treatment in premalignant conditions that overexpress these “oncomiRs”. As with the genome, the RNA world of early and premalignant conditions is largely unexplored; therefore, how the RNA landscape of these lesions compares with invasive cancers is not fully known. As mentioned above, the RNAome includes much more than miRNAs and RNA sequencing has led to a rapid rise in the discovery of new RNA species.Author Manuscript Author Manuscript Author Manuscript Author ManuscriptSemin Oncol. Author manuscript; available in PMC 2017 February 01.Ryan and Faupel-BadgerPageIts potential translation to the detection of early cancers and premalignant conditions, however, lags behind. There are many parallels between the genome and RNAome, yet it is worth remembering one key distinction. The genome has a relatively stable architecture. Profiles of RNAs–and indeed of microbes, epigenetics, metabolites and proteins–are variable with time [139]. This does not nullify their exploration or their potential value–temporal complexity is likely to increase the amount of information encoded in these profiles–but it does warrant additional caution when designing and interpreting studies of such entities. 3.4. Transgenerational inheritance and epigenetic modification In this time of exponential growth in sequencing technologies, the field of epigenetics has also expanded and evolved. Recent reports that the establishment of epigenetic states can be altered by the environment, combined with the idea that epigenetic states can be inherited across generations, has generated interest in the hypothesis that epigenetic traits influenced by the environment and/or lifestyle may persist and subsequently be inherited across generations. Unlike DNA, which from a heritability perspective is relatively stable, epigenetic marks are “erased” across the genome, initially following fertilization of the egg and secondly during the formation of germ cells. This is to remove imprints and epimutations and to ensure totipotency in early embryonic development. Thus, for transgenerational inheritance to occur at a specific locus, this reprogramming must somehow be bypassed. Some of the clearest evide.

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