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Understanding Cancer at the Molecular Level

How genetic and epigenetic changes — oncogenes, tumor suppressors and DNA repair defects — turn normal cells into cancer.

Genes That Control Growth

Oncogenes

Mutated growth-promoting genes stuck in the ON position — e.g., KRAS, MYC, HER2.

Tumor Suppressor Genes

Brakes on cell growth that, when lost, let cells divide freely — e.g., TP53, RB1, APC.

DNA Repair Genes

BRCA1/2 and mismatch-repair genes; defects accelerate mutation.

Epigenetic Changes

Chemical tags that silence or activate genes without changing DNA sequence.

Hallmarks of Cancer

  • Sustained growth signaling
  • Evading growth suppressors
  • Resisting cell death
  • Unlimited replication
  • Inducing blood-vessel growth (angiogenesis)
  • Invasion and metastasis
  • Reprogrammed metabolism
  • Evading immune destruction

Why It Matters for Treatment

Molecular profiling identifies drivers that targeted therapies can block and features that predict immunotherapy response. See Targeted Therapy and Genetic Testing.

Medically reviewed content for education only — not a substitute for advice from your oncology team.