Pseudogenes in Cancer: State of the Art

SIMPLE SUMMARY: Out of the billions of nucleotides comprising the human DNA, a substantial proportion (98%) represents non-coding DNA, meaning DNA that is not translated into proteins. Among the various types of non-coding DNA, pseudogenes stand out as duplicates of protein-coding genes that have undergone multiple alterations, rendering them unable to produce the protein they originally encoded. Despite their inability to generate functional proteins, recent studies have revealed the involvement of pseudogenes in several diseases, including cancer. In this review, we aim to provide a comprehensive overview of pseudogene formation, the mechanisms governing their expression, and the potential roles they may play in promoting tumorigenesis. ABSTRACT: Pseudogenes are duplicates of protein-coding genes that have accumulated multiple detrimental alterations, rendering them unable to produce the protein they encode. Initially disregarded as “junk DNA” due to their perceived lack of functionality, research on their biological roles has been hindered by this assumption. Nevertheless, recent focus has shifted towards these molecules due to their abnormal expression in cancer phenotypes. In this review, our objective is to provide a thorough overview of the current understanding of pseudogene formation, the mechanisms governing their expression, and the roles they may play in promoting tumorigenesis.