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Updated: Mar 19, 2026

Extraction of Histones from Clinical Specimens for Epigenetic Profiling by Mass Spectrometry
Published on: November 21, 2025
Targeting histone methylation for cancer therapy: enzymes, inhibitors, biological activity and perspectives
Yongcheng Song1,2, Fangrui Wu3, Jingyu Wu3
1Department of Pharmacology, Baylor College of Medicine, 1 Baylor Plaza, Houston, TX, 77030, USA. ysong@bcm.edu.
Abstract:
Post-translational methylation of histone lysine or arginine residues plays important roles in gene regulation and other physiological processes. Aberrant histone methylation caused by a gene mutation, translocation, or overexpression can often lead to initiation of a disease such as cancer. Small molecule inhibitors of such histone modifying enzymes that correct the abnormal methylation could be used as novel therapeutics for these diseases, or as chemical probes for investigation of epigenetics. Discovery and development of histone methylation modulators are in an early stage and undergo a rapid expansion in the past few years. A number of highly potent and selective compounds have been reported, together with extensive preclinical studies of their biological activity. Several compounds have been in clinical trials for safety, pharmacokinetics, and efficacy, targeting several types of cancer. This review summarizes the biochemistry, structures, and biology of cancer-relevant histone methylation modifying enzymes, small molecule inhibitors and their preclinical and clinical antitumor activities. Perspectives for targeting histone methylation for cancer therapy are also discussed.
Insights
Small molecule inhibitors targeting aberrant histone methylation show promise for cancer therapy. These compounds correct abnormal gene regulation, with several now in clinical trials for various cancers.
Area of Science:
- Epigenetics and Molecular Biology
- Cancer Therapeutics
Background:
- Post-translational methylation of histones regulates gene expression.
- Aberrant histone methylation is linked to cancer development.
- Histone methylation modulators are emerging as potential therapeutic agents.
Purpose of the Study:
- To review cancer-relevant histone methylation enzymes.
- To summarize small molecule inhibitors targeting these enzymes.
- To discuss preclinical and clinical antitumor activities and future perspectives.
Main Methods:
- Literature review of biochemistry, structures, and biology of histone methylation enzymes.
- Analysis of small molecule inhibitors' development and activity.
- Summary of preclinical and clinical data for cancer therapy.
Main Results:
- Numerous potent and selective histone methylation inhibitors have been developed.
- Extensive preclinical studies demonstrate biological activity.
- Several compounds are in clinical trials for safety, pharmacokinetics, and efficacy in cancer patients.
Conclusions:
- Small molecule inhibitors offer a novel therapeutic strategy for cancer.
- Targeting histone methylation is a rapidly expanding field with significant clinical potential.
- Further research and clinical development are ongoing for these epigenetic therapies.
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