Trend of histone deacetylase inhibitors in cancer therapy: isoform selectivity or multitargeted strategy
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Updated: Apr 30, 2026

Assays for Validating Histone Acetyltransferase Inhibitors
Published on: August 6, 2020
Lei Zhang1, Yantao Han, Qixiao Jiang
1Department of Medicinal Chemistry, School of Pharmacy, Qingdao University, Qingdao, Shandong, China.
Abstract:
Pharmacological inhibition of histone deacetylases (HDACs) has been successfully applied in the treatment of a wide range of disorders, including Parkinson's disease, infection, cardiac diseases, inflammation, and especially cancer. HDAC inhibitors (HDACIs) have been proved to be effective antitumor agents by various stages of investigation. At present, there are two opposite focuses of HDACI design in the cancer therapy, highly selective inhibitor strategy and dual- or multitargeted inhibitors. The former method, which is supposed to elucidate the function of individual HDAC and provide candidate inhibitors with fewer side effects, has been widely accepted by the inhibitor developer. The latter approach, though less practiced, has promising potential for the antitumor therapy based on HDACIs. Effective HDACIs, some of which are in clinic anticancer research, have been developed by both methods. In order to gain insight into HDACI design, the strategies and achievements of the two diverse methods are reviewed.
Insights
Histone deacetylase inhibitors (HDACIs) are effective in treating various diseases, particularly cancer. This review examines two main strategies for designing HDAC inhibitors: highly selective and multitargeted approaches for cancer therapy.
Area of Science:
- Biochemistry and Molecular Biology
- Pharmacology and Drug Discovery
- Oncology
Background:
- Pharmacological inhibition of histone deacetylases (HDACs) is a validated therapeutic strategy across multiple disease areas.
- Histone deacetylase inhibitors (HDACIs) demonstrate significant efficacy as antitumor agents in preclinical and clinical investigations.
- HDACs play crucial roles in gene regulation, making them attractive targets for therapeutic intervention.
Purpose of the Study:
- To review and compare two distinct strategies for designing HDAC inhibitors (HDACIs) in cancer therapy.
- To provide insights into the development of selective versus dual/multitargeted HDACIs.
- To analyze the achievements and potential of different HDACI design approaches for anticancer applications.
Main Methods:
- Literature review of existing strategies for HDACI design.
- Analysis of research focusing on highly selective HDACIs.
- Evaluation of studies investigating dual- or multitargeted HDACIs.
Main Results:
- Both highly selective and multitargeted HDACI design strategies have yielded effective antitumor agents.
- Selective inhibitors aim to elucidate individual HDAC functions and minimize side effects.
- Multitargeted inhibitors, though less explored, show promising potential for enhanced antitumor efficacy.
Conclusions:
- Effective HDACIs have been developed through both selective and multitargeted design approaches.
- The choice of strategy depends on the specific therapeutic goals and understanding of HDAC functions.
- Continued research into both strategies is crucial for advancing HDACI-based cancer therapy.
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