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Table 3 The roles of ecDNA in cancer progression

From: Extrachromosomal circular DNA: a new potential role in cancer progression

Cancer

Oncogene amplification via ecDNA

The connection between ecDNA and tumorigenesis

Neuroblastoma

n-myc

Remodeling the chromosomal genome, amplifying n-myc, promoting the expression of TERT and inhibiting the expression of DCLK1

Glioblastoma

EGFR, PDGFRA, ERBB2, KIT

Amplifying a variety of oncogenes, affecting tumor invasiveness, radiation resistance and drug resistance

Colorectal carcinoma

DHFR

Amplifying DHFR to develop drug resistance

Ovarian cancer

n-myc, EIF5A2

Influencing the expression of ecDNA through MARS

Breast cancer

HER2

Amplifying HER2 to affect tumor drug resistance