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Cancer-related genes refer to a broad and diverse group of genomic sequences whose alterations—such as mutations, amplifications, or deletions—drive the initiation, progression, and maintenance of malignancy [6, 12]. These genes are fundamentally classified into three functional categories: oncogenes, which promote uncontrolled cell growth when activated; tumor suppressor genes, which normally inhibit cell division or induce apoptosis but lose function in cancer; and DNA repair (or stability) genes, which maintain genomic integrity [1, 2]. Oncogenes like KRAS and MYC often act as 'gas pedals' for cell division, while tumor suppressors like TP53 and RB1 act as 'brakes' [7, 8]. In modern oncology, these genes serve as the foundation for precision medicine, acting as both therapeutic targets for small molecules and monoclonal antibodies and as critical biomarkers for patient stratification [3, 9]. For example, drugs like imatinib target the BCR-ABL fusion protein, while olaparib exploits deficiencies in BRCA1/2 through synthetic lethality [13, 15]. Because the term 'Cancer-related genes' describes a functional class of thousands of distinct molecular entities rather than a single specific protein or receptor, it is categorized as a generic grouping rather than a discrete therapeutic target [10, 11]. Identifying these genes through genomic profiling allows clinicians to tailor treatments to the specific molecular drivers of an individual's tumor [10]. However, challenges such as acquired drug resistance and the difficulty of restoring function to inactivated tumor suppressors remain significant hurdles in the field [9, 11].
Various mechanisms including kinase inhibition, monoclonal antibody binding, immune checkpoint blockade, and synthetic lethality (e.g., PARP inhibition) depending on the specific gene product [9, 13, 15].
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