Histone deacetylase inhibitors for cancer therapy: An evolutionarily ancient resistance response may explain their

John A Halsall1, Bryan M Turner2

  • 1Chromatin and Gene Expression Group, Institute of Cancer and Genomic Sciences, University of Birmingham, Birmingham, UK.

Insights

Human cells possess a defense mechanism against histone deacetylase inhibitors (HDACi), mitigating their toxic effects. Cancers may be sensitive to HDACi if this resistance response is impaired by mutations.

Area of Science:

  • Oncology
  • Molecular Biology
  • Biochemistry

Background:

  • Histone deacetylase inhibitors (HDACi) show promise in cancer therapy but have mixed results in solid tumors.
  • The mechanisms underlying differential cancer cell sensitivity and normal cell tolerance to HDACi are not fully understood.

Purpose of the Study:

  • To investigate the cellular response to HDACi that confers tolerance.
  • To propose a hypothetical signaling system mediating this resistance.
  • To explore the evolutionary basis of HDACi resistance and its implications for cancer treatment.

Main Methods:

  • Review of recent findings on cellular responses to HDACi.
  • Hypothetical modeling of a signaling system for resistance.
  • Analysis of evolutionary pressures and cancer mutations.

Main Results:

  • Human cells exhibit a coordinated transcriptional response to HDACi, mitigating toxicity.
  • A hypothetical signaling pathway is proposed to mediate this resistance.
  • Environmental exposure to HDACi likely drove the evolution of this resistance response in human cells.

Conclusions:

  • Cancer cell sensitivity to HDACi may be linked to defects in the cellular resistance response.
  • Identifying mutations compromising this response could guide targeted HDACi therapy to susceptible cancers.
  • Understanding the resistance mechanism is crucial for optimizing HDACi efficacy in oncology.

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