Decoding Cancer: How Genomics is Changing Public Health
"A deep dive into how genomic research is reshaping cancer prevention, diagnosis, and treatment for a healthier future."
For decades, cancer has been a formidable public health challenge, ranking as the second leading cause of death worldwide. While claims suggest a decline in cancer death rates due to increased awareness, early detection, and improved treatments, the reality is that cancer remains a major concern. It accounts for 23% of total deaths, marginally behind heart disease at 24%.
Lung, breast, prostate, and colorectal cancers are the most prevalent, collectively contributing to nearly half of all cancer-related deaths. Among these, lung cancer is particularly devastating, responsible for over a quarter of all cancer fatalities. Interestingly, men generally experience higher cancer mortality rates than women, except in specific age groups.
The interplay between lifestyle factors (diet, hormone exposure, physical activity) environmental risks (radiation, chemicals) and human genomics is critical in understanding cancer epidemiology. In 2010, a staggering 43% of cancer cases and approximately 50% of cancer deaths were attributed to lifestyle and environmental factors, highlighting the potential for prevention and personalized intervention strategies.
The Genomic Revolution in Cancer Care

The special issue "Cancer Genomics and Public Health" compiles systematic reviews, perspectives, and original research articles that delve into the intersection of cancer genomics and public health. The research explores informatics, knowledge bases, new technologies and strategies to fight cancer.
- Personalized Medicine: Schütte and colleagues advocate for personalized medicine strategies in cancer drug therapy, emphasizing comprehensive analyses of patient and tumor DNA and RNA.
- PDX Models: Perales-Patón and collaborators explore patient-derived xenograft (PDX) mouse models to tailor treatments for pancreatic ductal adenocarcinoma (PDAC), offering a way to test treatments and select therapies.
- Early Detection: Malats and coworkers underscore the importance of genomics in cancer prevention and early detection, identifying genetic markers for high-risk populations.
Turning Data into Action: The Future of Cancer Genomics
The surge in high-throughput data necessitates functional in silico analysis. Martín-Antoniano and colleagues introduce DoriTool, a user-friendly pipeline integrating biological data from various functional tools, facilitating the extraction of biologically meaningful insights.
Bhat and coworkers present 1-CMDb, a comprehensive database of genomic elements within one-carbon metabolism pathways. This database aims to facilitate the integration of information into large-scale network analyses, fostering a deeper understanding of tissue homeostasis.
Ultimately, this special issue on cancer genomics aims to underscore the significance of new technologies and information tools in improving outcomes for cancer patients. The hope is that the included articles will stimulate synergies, transforming information growth into knowledge growth and, ultimately, practical clinical implementation and beyond.