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The role of fusion genes in cancer development and treatment

25 Jun 2025
The role of fusion genes in cancer development and treatment

Fusion genes, arising from abnormal chromosomal rearrangements, are gaining recognition as pivotal players in cancer development.

These genetic alterations result in the creation of hybrid genes with altered functions, often driving tumour progression.

The latest review highlights their significant role across various cancers, including haematological malignancies, lung cancer, thyroid cancer, and prostate cancer.

As researchers deepen their understanding of these genetic mechanisms, new avenues for precision cancer therapies are emerging.

The review underscores the biological impact of fusion genes on tumour formation.

By disrupting normal cellular processes, these genetic alterations lead to uncontrolled proliferation, evasion of cell death, and enhanced metastatic potential.

BCR-ABL, EML4-ALK, and PML-RARα are among the most studied fusion genes, each playing a crucial role in specific cancer types.

The presence of these genes has revolutionised cancer diagnostics, allowing for more precise classification and prognostic assessments.

From a therapeutic standpoint, fusion genes represent valuable targets for drug development.

The introduction of targeted therapies has transformed treatment outcomes, particularly in cancers such as chronic myeloid leukaemia and non-small cell lung cancer.

Drugs designed to inhibit aberrant fusion proteins have significantly improved survival rates and reduced side effects compared to traditional chemotherapy.

However, challenges remain, including the emergence of resistance mechanisms that can diminish drug efficacy.

Advancements in genomic sequencing technologies have accelerated the detection of fusion genes, enabling the identification of previously unknown genetic alterations.

Techniques such as RNA sequencing and liquid biopsy provide non-invasive methods for detecting these genes, paving the way for real-time monitoring of tumour evolution.

Such innovations enhance the potential for early intervention and personalised treatment strategies.

Despite these breakthroughs, researchers emphasise the need to overcome key challenges in fusion gene research.

Understanding the functional diversity of fusion genes, their interactions with tumour microenvironments, and their role in treatment resistance remains crucial.

Future efforts aim to refine therapeutic strategies by developing next-generation inhibitors and combination therapies tailored to specific genetic alterations.

As the landscape of cancer treatment evolves, fusion genes stand at the forefront of precision medicine, offering new hope for patients.

With continuous advancements in genomic research and targeted drug development, the potential to turn these genetic anomalies into therapeutic opportunities is greater than ever.

Journal: Genes & Diseases

Source: Compuscript Ltd