[Epigenetics as a novel therapeutic target of cancer]
Toshikazu Ushijima1, Hideyuki Takeshima
1Division of Epigenomics, National Cancer Center Research Institute.
Abstract:
Epigenetic therapy is highly anticipated as a next player to molecular target drugs. Epigenetic abnormalities are maintained even after a somatic cell division, and can be causally involved in carcinogenesis. Recent cancer genome analysis revealed that a significant fraction of cancers cannot be accounted for only by mutations of known protein-coding genes, and that mutations of epigenetic genes are unexpectedly frequent. DNA demethylating drugs and histone deacetylase inhibitors are already approved, and many next-generation epigenetic drugs are under development. Application of epigenetic therapies to solid tumors is being attempted, and a promising result is available for non-small cell lung cancers. Right patients, right doses, and right combinations are key to further success, and can be done based on recent progresses in mechanistic analyses.
Insights
Epigenetic therapies offer a promising new avenue for cancer treatment, targeting abnormalities in gene expression. Research highlights the importance of personalized approaches for effective application in solid tumors, particularly non-small cell lung cancer.
Area of Science:
- Oncology
- Epigenetics
- Molecular Biology
Context:
- Epigenetic abnormalities play a crucial role in carcinogenesis and persist through cell division.
- Cancer genome analyses reveal frequent mutations in epigenetic genes, beyond protein-coding genes.
- Approved epigenetic drugs include DNA demethylating agents and histone deacetylase inhibitors.
Purpose:
- To review the current landscape and future potential of epigenetic therapies in cancer treatment.
- To highlight the significance of epigenetic gene mutations in cancer development.
- To discuss the application and promising results of epigenetic therapies in solid tumors.
Summary:
- Epigenetic therapy is emerging as a key strategy alongside molecularly targeted drugs.
- Mutations in epigenetic genes are common in cancers not explained by protein-coding gene mutations.
- Next-generation epigenetic drugs are in development, with promising results seen in non-small cell lung cancers.
Impact:
- Epigenetic therapies represent a significant advancement in cancer treatment strategies.
- Understanding epigenetic mechanisms is crucial for developing effective cancer therapies.
- Personalized approaches (right patient, dose, combination) are essential for maximizing the success of epigenetic treatments.
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