How Does Cancer Affect Transcription? Whether in the human body or the plant kingdom, transcription is an essential process in the life cycle of a cell. A disease such as cancer can affect the production of a cell's genes, and if it is not managed correctly, the cells may not function properly. However, there are ways to combat cancer by targeting specific gene sequences, known as 'targeted therapies. During cancer development, transcription factors, such as the epithelial to mesenchymal transition, regulate cell fate decisions. Dysregulation of these factors can lead to abnormal cell differentiation, carcinogenesis, and metastasis. This review aims to summarize the current knowledge of the transcription factor functions in cancer. Specifically, the main goal is to highlight the differences in how these proteins are controlled during tumor development. A linear regression approach was used to determine the associations between TFs and drug classes using various sources. Significant correlations were found between the TFs and drugs for most cancer types studied. The area algorithm from VIPER was used to estimate the relative activity of each TF. The eBay test obtained the corresponding nominal P values. This is a partial list of TFs. The table shows a summary of the most significant TF-related associations. These include oncogenic TFs, drugs for the ERK-MAPK pathway, and drugs targeting cytotoxic pathways. ETFs are also shown to be involved in immune functions in AMLs. A subset of TF regulons, namely, E2F, FOS, and DAF, has been reported to be increased in some cancers. These regulons are believed to be critical nodal oncogenic drivers. However, these regulons are difficult to circumvent by secondary genetic alterations. Several epigenetic mechanisms affect gene expression during cancer development and progression. Among these are DNA methylation and posttranslational histone modifications. These epigenetic changes alter the chromatin structure and result in global dysregulation of gene expression profiles. These changes can also promote tumorigenesis by regulating the activity of tumor suppressor genes and oncogenes. There are four main categories of epigenetic mechanisms, namely: (i) DNA methylation, (ii) histone acetylation, (iii) posttranslational histone modification, and (iv) regulation of non-coding RNAs. These epigenetic processes are reversible and can be reversed by pharmaceuticals. They may be used as complementary or primary treatment options. In addition to gene regulation, chromatin also plays a role in maintaining cellular functions. It consists of 146 base pairs of DNA wrapped around the octamer of four core histone proteins. During development and growth, these histone proteins undergo several posttranslational