Histone deacetylase inhibitors and anticancer therapy

G Kouraklis1, S Theocharis

  • 1Second Department of Propedeutic Surgery, Medical School University of Athens, Athens, Greece. gkouraklis@hotmail.com

Current Medicinal Chemistry. Anti-Cancer Agents
|April 8, 2003
PubMed

Insights

Histone deacetylase (HDAC) inhibitors show promise as cancer treatments by altering chromatin structure. Further research is needed to optimize dosage and combination therapies for enhanced efficacy.

Area of Science:

  • Epigenetics
  • Cancer Pharmacology
  • Chromatin Biology

Background:

  • Histone deacetylase (HDAC) inhibitors modulate chromatin remodeling, impacting gene transcription.
  • Aberrant histone acetylation is linked to dysregulation of cell cycle, differentiation, and apoptosis pathways in cancer.
  • Dimethyl sulfoxide was an early identified inducer of transformed cell differentiation.

Purpose of the Study:

  • To review the potential of histone deacetylase (HDAC) inhibitors as a cancer treatment strategy.
  • To highlight various classes and examples of HDAC inhibitors.
  • To discuss the clinical implications and future directions for HDAC inhibitor therapy.

Main Methods:

  • Review of recent reports and clinical studies on HDAC inhibitors.
  • Categorization of HDAC inhibitors by chemical class (e.g., short-chain fatty acids, hydroxamic acids, cyclic tetrapeptides, benzamides).
  • Analysis of safety and efficacy data from early clinical trials.

Main Results:

  • HDAC inhibitors represent a promising class of anticancer agents.
  • Clinical studies demonstrate that histone hyperacetylation can be safely achieved in humans.
  • Various HDAC inhibitors, including SAHA, trichostatin A, and MS-275, are under investigation.

Conclusions:

  • Pharmacological manipulation of chromatin remodeling via HDAC inhibitors offers a potent strategy for cancer treatment.
  • HDAC inhibitors are emerging as a significant class of novel anticancer agents.
  • Further studies are required to determine optimal dosing, duration, and synergistic combinations for HDAC inhibitor therapy.

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