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Updated: May 16, 2026

Repressing Gene Transcription by Redirecting Cellular Machinery with Chemical Epigenetic Modifiers
Published on: September 20, 2018
Drugging the undruggable: transcription therapy for cancer
1Center for Cell Biology and Cancer Research, Albany Medical College, MC-165, 47 New Scotland Avenue, Albany, NY 12208, USA. yanc@mail.amc.edu
Abstract:
Transcriptional regulation is often the convergence point of oncogenic signaling. It is not surprising, therefore, that aberrant gene expression is a hallmark of cancer. Transformed cells often develop a dependency on such a reprogramming highlighting the therapeutic potential of rectifying cancer-associated transcriptional abnormalities in malignant cells. Although transcription is traditionally considered as undruggable, agents have been developed that target various levels of transcriptional regulation including DNA binding by transcription factors, protein-protein interactions, and epigenetic alterations. Some of these agents have been approved for clinical use or entered clinical trials. While artificial transcription factors have been developed that can theoretically modulate expression of any given gene, the emergence of reliable reporter assays greatly facilitates the search for transcription-targeted agents. This review provides a comprehensive overview of these developments, and discusses various strategies applicable for developing transcription-targeted therapeutic agents.
Insights
Cancer cells rely on altered gene expression, making transcriptional regulation a key therapeutic target. New agents targeting transcription factors and epigenetic changes offer promising cancer treatment strategies.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Aberrant gene expression is a hallmark of cancer, driven by oncogenic signaling pathways.
- Cancer cells often become dependent on this altered transcriptional landscape for survival and proliferation.
- Transcription, traditionally viewed as 'undruggable,' is increasingly recognized as a viable therapeutic target.
Purpose of the Study:
- To provide a comprehensive overview of targeting transcriptional regulation for cancer therapy.
- To discuss strategies for developing transcription-targeted therapeutic agents.
- To highlight the potential of rectifying cancer-associated transcriptional abnormalities.
Main Methods:
- Review of existing literature on transcriptional regulation in cancer.
- Analysis of therapeutic agents targeting DNA binding, protein-protein interactions, and epigenetic modifications.
- Discussion of artificial transcription factors and reporter assays for drug discovery.
Main Results:
- Development of agents targeting various levels of transcriptional regulation.
- Clinical approval or trial entry for several transcription-targeted agents.
- Advancements in reporter assays facilitating the discovery of new therapeutic agents.
Conclusions:
- Targeting transcriptional regulation represents a promising therapeutic avenue for cancer treatment.
- A range of strategies and agents are emerging to address 'undruggable' targets.
- Further development of transcription-targeted therapies holds significant potential for clinical application.
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