pharmaceuticals Review Targeting Loss of Heterozygosity: A Novel Paradigm for Cancer Therapy Xiaonan Zhang and Tobias Sjöblom * Science for Life Laboratory, Department of Immunology, Genetics and Pathology, Uppsala University, SE-75185 Uppsala, Sweden;
[email protected] * Correspondence:
[email protected] Abstract: Loss of heterozygosity (LOH) is a common genetic event in the development of cancer. In certain tumor types, LOH can affect more than 20% of the genome, entailing loss of allelic variation in thousands of genes. This reduction of heterozygosity creates genetic differences between tumor and normal cells, providing opportunities for development of novel cancer therapies. Here, we review and summarize (1) mutations associated with LOH on chromosomes which have been shown to be promising biomarkers of cancer risk or the prediction of clinical outcomes in certain types of tumors; (2) loci undergoing LOH that can be targeted for development of novel anticancer drugs as well as (3) LOH in tumors provides up-and-coming possibilities to understand the underlying mechanisms of cancer evolution and to discover novel cancer vulnerabilities which are worth a further investigation in the near future. Keywords: loss of heterozygosity; cancer therapy; drug development and cancer evolution 1. Introduction Several different somatic genetic and epigenetic processes contribute to the develop- ment of cancer, including copy number alterations, deletions, rearrangements or transloca- Citation: Zhang, X.; Sjöblom, T. tions of certain genes, somatic point mutations, and hypermethylation of promoters [1]. Targeting Loss of Heterozygosity: A Loss of heterozygosity (LOH) was originally discovered using polymorphic markers which Novel Paradigm for Cancer Therapy. were heterozygous in germline DNA but homozygous in the tumor, and is common in the Pharmaceuticals 2021, 14, 57.