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Updated: May 27, 2026

Testing Targeted Therapies in Cancer using Structural DNA Alteration Analysis and Patient-Derived Xenografts
Published on: July 25, 2020
Epigenetic targets in human neoplasms
1Division of Hematologic Malignancies, The Sidney Kimmel Comprehensive Cancer Center, Johns Hopkins University, 1650 Orleans Street, Baltimore, MD 21231, USA.
Abstract:
Epigenetic silencing of tumor suppressor genes is a salient feature of tumor cells. Re-expression of epigenetically silenced genes is a feasible and achievable strategy for cancer treatment. DNA methylation is the most characterized epigenetic silencing mechanism and the reversal of DNA methylation, genetically or pharmacologically, induces gene re-expression and proliferation arrest in tumor cells. Other epigenetic targets, such as histone acetylation and methylation, are also rational drug targets, and several small-molecule modulators of histone acetylation and methylation are currently under development or already in clinical trials. Epigenetic deregulation of miRNAs induces aberrant expression of miRNAs, which have been associated with the development and progression of cancer. The reversal of DNA methylation can induce the re-expression of miRNAs, and oligonucleotides can silence aberrantly expressed miRNAs. Evaluating the combination of different epigenetic modifiers and ensuring their optimization are the next challenges towards the establishment of epigenetic therapy.
Insights
Epigenetic silencing of genes drives cancer. Reversing this silencing through DNA methylation reversal or targeting histone modifications offers a promising cancer treatment strategy by re-expressing tumor suppressor genes and miRNAs.
Area of Science:
- Oncology
- Epigenetics
- Molecular Biology
Background:
- Epigenetic silencing of tumor suppressor genes is a hallmark of cancer.
- Re-expressing these silenced genes is a viable therapeutic strategy.
- DNA methylation is a key epigenetic mechanism for gene silencing in tumors.
Purpose of the Study:
- To explore epigenetic modifications as targets for cancer therapy.
- To investigate the potential of reversing epigenetic silencing for cancer treatment.
- To highlight the role of DNA methylation, histone modifications, and miRNAs in cancer epigenetics.
Main Methods:
- Pharmacological and genetic reversal of DNA methylation to induce gene re-expression.
- Targeting histone acetylation and methylation with small-molecule modulators.
- Utilizing oligonucleotides to silence aberrantly expressed microRNAs (miRNAs).
Main Results:
- Reversal of DNA methylation leads to re-expression of silenced genes and proliferation arrest in tumor cells.
- Small-molecule modulators of histone acetylation and methylation are in clinical development.
- Epigenetic deregulation of miRNAs contributes to cancer development and progression, with potential for therapeutic intervention.
Conclusions:
- Epigenetic therapy, targeting DNA methylation, histone modifications, and miRNAs, holds significant promise for cancer treatment.
- Combination therapy with different epigenetic modifiers requires further evaluation and optimization.
- Developing effective epigenetic therapies is crucial for advancing cancer treatment strategies.
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