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Review
. 2024 Sep;1879(5):189123.
doi: 10.1016/j.bbcan.2024.189123. Epub 2024 May 26.

Epigenetic changes associated with Bacillus Calmette-Guerin (BCG) treatment in bladder cancer

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Free article
Review

Epigenetic changes associated with Bacillus Calmette-Guerin (BCG) treatment in bladder cancer

Lucy C Picard et al. Biochim Biophys Acta Rev Cancer. 2024 Sep.
Free article

Abstract

Bacillus Calmette-Guérin (BCG) treatment for non-muscle invasive bladder cancer (NMIBC) is an established immunotherapeutic, however, a significant portion of patients do not respond to treatment. Despite extensive research into the therapeutic mechanism of BCG, gaps remain in our understanding. This review specifically focuses on the epigenomic contributions in the immune microenvironment, in the context of BCG treatment for NMIBC. We also summarise the current understanding of NMIBC epigenetic characteristics, and discuss how future targeted strategies for BCG therapy should incorporate epigenomic biomarkers in conjunction with genomic biomarkers.

Keywords: BCG; Bacillus Calmette-Guérin; Bladder cancer; Cancer; Cancer diagnostics; DNA methylation; Epigenetics; Immunology.

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Conflict of interest statement

Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.

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