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Updated: Jun 6, 2026

Testing Targeted Therapies in Cancer using Structural DNA Alteration Analysis and Patient-Derived Xenografts
Published on: July 25, 2020
Epigenetic cancer therapy: Proof of concept and remaining challenges
1Global Drug Discovery, Research and Development, Bayer Schering Pharma, Berlin, Germany.
Abstract:
Over the past few years several drugs that target epigenetic modifications have shown clinical benefits, thus seemingly validating epigenetic cancer therapy. More recently, however, it has become clear that these drugs are either characterized by low specificity or that their target enzymes have low substrate specificity. As such, clinical proof-of-concept for epigenetic cancer therapies remains to be established. Human cancers are characterized by widespread changes in their genomic DNA methylation and histone modification patterns. Epigenetic cancer therapy aims to restore normal epigenetic modification patterns through the inhibition of epigenetic modifier enzymes. In this review, we provide an overview about the known functional roles of DNA methyltransferases, histone deacetylases, histone methyltransferases, and demethylases in cancer development. The available data identify several examples that warrant further consideration as drug targets. Future research should be directed toward targeted enzyme inhibition and toward exploring interactions between epigenetic pathways to maximize cancer specificity.
Insights
Epigenetic cancer therapies show promise but lack specificity. Further research into targeted enzyme inhibition and pathway interactions is needed to establish clinical proof-of-concept for these epigenetic drugs.
Area of Science:
- Oncology
- Epigenetics
- Pharmacology
Background:
- Epigenetic modifications, including DNA methylation and histone alterations, are hallmarks of human cancers.
- Epigenetic cancer therapy aims to reverse these aberrant patterns by inhibiting key enzymes.
- Current epigenetic drugs exhibit limited specificity, hindering clinical validation.
Purpose of the Study:
- To review the functional roles of major epigenetic modifier enzymes in cancer development.
- To identify potential drug targets within epigenetic pathways.
- To discuss strategies for enhancing the specificity of epigenetic cancer therapies.
Main Methods:
- Literature review of DNA methyltransferases, histone deacetylases, histone methyltransferases, and demethylases.
- Analysis of existing data on the role of these enzymes in cancer.
- Synthesis of information regarding drug specificity and therapeutic potential.
Main Results:
- DNA methyltransferases, histone deacetylases, histone methyltransferases, and demethylases play significant roles in cancer progression.
- Several epigenetic modifier enzymes present viable targets for novel cancer therapies.
- Lack of specificity in current drugs is a major challenge for clinical application.
Conclusions:
- Clinical proof-of-concept for epigenetic cancer therapies is not yet established due to drug specificity issues.
- Targeted inhibition of specific epigenetic enzymes is crucial for therapeutic success.
- Exploring interactions between epigenetic pathways may improve cancer-specific targeting and treatment outcomes.
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