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Profile of panobinostat and its potential for treatment in solid tumors: an update
Madhurima Anne1, Daniel Sammartino, Myra F Barginear
1Monter Cancer Center, Hofstra North Shore-LIJ School of Medicine, Lake Success, NY, USA.
Abstract:
The histone deacetylase (HDAC) inhibitors have emerged as novel therapies for cancer. Panobinostat (LBH 589, Novartis Pharmaceuticals) is a pan-deacetylase inhibitor that is being evaluated in both intravenous and oral formulations across multiple tumor types. Comparable to the other HDACs, panobinostat leads to hyperacetylation of histones and other intracellular proteins, allowing for the expression of otherwise repressed genes, leading to inhibition of cellular proliferation and induction of apoptosis in malignant cells. Panobinostat, analogous to other HDAC inhibitors, also induces apoptosis by directly activating cellular death receptor pathways. Preclinical data suggests that panobinostat has inhibitory activity at nanomolar concentrations and appears to be the most potent clinically available HDAC inhibitor. Here we review the current status of panobinostat and discuss its role in the treatment of solid tumors.
Insights
Panobinostat, a potent histone deacetylase (HDAC) inhibitor, shows promise in cancer therapy by inhibiting cell proliferation and inducing apoptosis. Its efficacy in solid tumors is under investigation.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Histone deacetylase (HDAC) inhibitors are emerging as novel cancer therapies.
- Panobinostat (LBH 589) is a pan-deacetylase inhibitor evaluated in various formulations and tumor types.
Purpose of the Study:
- To review the current status of panobinostat.
- To discuss the role of panobinostat in treating solid tumors.
Main Methods:
- Review of preclinical data on panobinostat's efficacy.
- Analysis of panobinostat's mechanism of action, including histone hyperacetylation and apoptosis induction.
- Evaluation of clinical trial data for panobinostat in solid tumors.
Main Results:
- Panobinostat induces hyperacetylation of histones and other proteins, leading to repressed gene expression, inhibited cellular proliferation, and apoptosis.
- Panobinostat activates cellular death receptor pathways, contributing to apoptosis.
- Preclinical data indicate potent inhibitory activity at nanomolar concentrations, positioning it as a highly potent HDAC inhibitor.
Conclusions:
- Panobinostat demonstrates significant preclinical potency and a dual mechanism for inducing cancer cell death.
- Further investigation into panobinostat's role in solid tumor treatment is warranted.
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