New discoveries about cancer-causing genetic mutations may lead to improved ways of predicting and treating the disease.

Cancer is the second-leading cause of death in the world, including in the United States. In fact, according to the CDC 1.7 million Americans are diagnosed with cancer and 600,000 people die from it each year. Moreover, 1 in 3 people will have cancer in their lifetime. It is a disease caused by an abnormal overgrowth of cells. Now, researchers from the Salk Institute in La Jolla, California have zeroed in on specific mechanisms that activate oncogenes, which are altered genes that can cause normal cells to become cancer cells.

Genetic mutations can cause cancer, yet the impact of specific types, such as structural variants that break and rejoin DNA, can vary widely. Published in the journal Nature on December 7, 2022, the findings show that the activity of those mutations depends on the distance between a particular gene and the sequences that regulate the gene, as well as on the level of activity of the regulatory sequences involved.

"If we can better understand why a person has cancer, and what particular genetic mutations are driving it, we can better assess risk and pursue new treatments," says Salk physician-scientist Jesse Dixon, senior author of the paper and an assistant professor in the Gene Expression Laboratory.

Most genetic mutations have no impact on a cancer and the molecular incidents that lead to oncogene activation are relatively rare. Dixon's lab studies how genomes are organized in 3D space and seeks to understand why these changes happen in some, but not the majority, of circumstances. The team also wants to identify factors that might distinguish where and when these events occur.

"A gene is like a light and what regulates it are like the light switches," says Dixon. "We are seeing that, because of structural variants in cancer genomes, there are a lot of switches that can potentially turn 'on' a particular gene."

"Our next move is to test whether there are other factors in the genome that contribute to the activation of oncogenes," says Zhichao Xu, a postdoctoral fellow at Salk and the paper's co-first author. "We are also excited about a new CRISPR genome editing technology we are developing to make this type of genome engineering work much more efficient."