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Updated: May 16, 2026

Assays for Validating Histone Acetyltransferase Inhibitors
Published on: August 6, 2020
Tasquinimod Is an Allosteric Modulator of HDAC4 survival signaling within the compromised cancer microenvironment
John T Isaacs1, Lizamma Antony, Susan L Dalrymple
1Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins, The Johns Hopkins University, 1650 Orleans St., Baltimore, MD 21287, USA. isaacjo@jhmi.edu
Abstract:
Tasquinimod is an orally active antiangiogenic drug that is currently in phase III clinical trials for the treatment of castration-resistant prostate cancer. However, the target of this drug has remained unclear. In this study, we applied diverse strategies to identify the histone deacetylase HDAC4 as a target for the antiangiogenic activity of tasquinimod. Our comprehensive analysis revealed allosteric binding (Kd 10-30 nmol/L) to the regulatory Zn(2+) binding domain of HDAC4 that locks the protein in a conformation preventing HDAC4/N-CoR/HDAC3 complex formation. This binding inhibited colocalization of N-CoR/HDAC3, thereby inhibiting deacetylation of histones and HDAC4 client transcription factors, such as HIF-1α, which are bound at promoter/enhancers where epigenetic reprogramming is required for cancer cell survival and angiogenic response. Through this mechanism, tasquinimod is effective as a monotherapeutic agent against human prostate, breast, bladder, and colon tumor xenografts, where its efficacy could be further enhanced in combination with a targeted thapsigargin prodrug (G202) that selectively kills tumor endothelial cells. Together, our findings define a mechanism of action of tasquinimod and offer a perspective on how its clinical activity might be leveraged in combination with other drugs that target the tumor microenvironment. Cancer Res; 73(4); 1386-99. ©2012 AACR.
Insights
Tasquinimod targets histone deacetylase HDAC4, inhibiting cancer cell survival and angiogenesis. This antiangiogenic drug
Area of Science:
- Pharmacology
- Molecular Biology
- Cancer Research
Background:
- Tasquinimod is an oral antiangiogenic drug in Phase III trials for castration-resistant prostate cancer.
- The precise molecular target of tasquinimod's antiangiogenic activity remained unidentified.
Purpose of the Study:
- To identify the molecular target responsible for tasquinimod's antiangiogenic effects.
- To elucidate the mechanism of action of tasquinimod.
Main Methods:
- Diverse biochemical and cellular assays were employed.
- Allosteric binding studies to identify target interaction.
- Analysis of protein complex formation and histone deacetylation.
- In vivo xenograft studies in mouse models.
Main Results:
- Histone deacetylase HDAC4 was identified as a direct target of tasquinimod.
- Tasquinimod allosterically binds to HDAC4, preventing the formation of the HDAC4/N-CoR/HDAC3 complex.
- This inhibition disrupts histone deacetylation and downregulates pro-angiogenic factors like HIF-1α.
- Tasquinimod demonstrated efficacy against various tumor xenografts and enhanced efficacy with G202.
Conclusions:
- Tasquinimod's antiangiogenic mechanism involves the inhibition of HDAC4.
- This action impacts epigenetic reprogramming crucial for tumor survival and angiogenesis.
- Findings support combination therapies targeting the tumor microenvironment.
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