Neoplasia and Cancer Biology · USMLE Step 1

Which of the following best explains how epigenetic changes (non-mutational) can contribute to cancer development?

  1. By causing chromosomal translocations only
  2. By permanently activating proto-oncogenes
  3. By silencing tumor suppressor genes via promoter methylation
  4. By lengthening telomeres to immortalize cells
Show answer and explanation

Correct answer: By silencing tumor suppressor genes via promoter methylation

Epigenetic alterations such as DNA methylation can silence tumor suppressor gene expression without mutation, removing growth control and contributing to oncogenesis.

Difficulty: Medium Question 15 of 20

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