Intracellular vorinostat accumulation and its relationship to histone deacetylase activity in soft tissue sarcoma

Jürgen Burhenne1, Lu Liu2, Christoph E Heilig3

  • 1Department of Clinical Pharmacology and Pharmacoepidemiology, Heidelberg University Hospital, Im Neuenheimer Feld 410, 69120, Heidelberg, Germany. juergen.burhenne@med.uni-heidelberg.de.

Abstract

Insights

Vorinostat, an HDAC inhibitor, accumulates intracellularly in patients, but its epigenetic effects are short-lived. This may explain its limited efficacy in solid tumors, despite effective HDAC inhibition.

Area of Science:

  • Pharmacology
  • Epigenetics
  • Oncology

Background:

  • Histone deacetylases (HDACs) regulate chromatin structure and gene expression.
  • HDAC inhibitors like vorinostat are crucial for epigenetic modulation.
  • Intracellular access of vorinostat is key to its epigenetic effects.

Purpose of the Study:

  • To quantify vorinostat concentrations in plasma and PBMCs.
  • To determine intracellular and extracellular pharmacokinetic data.
  • To establish concentration-response relationships between vorinostat levels and HDAC inhibition.

Main Methods:

  • LC/MS/MS assays for vorinostat quantification in plasma and PBMCs.
  • Fluorogenic assay for cellular HDAC activity evaluation.
  • Pharmacokinetic analysis including AUC and T1/2 determination.

Main Results:

  • Vorinostat showed intracellular accumulation and prolonged elimination in PBMCs.
  • HDAC inhibition correlated with intracellular and plasma vorinostat concentrations.
  • Effective HDAC inhibition required specific vorinostat concentrations in plasma and PBMCs.

Conclusions:

  • HDAC inhibition closely mirrors intracellular vorinostat levels.
  • The short-lasting nature of HDAC inhibition may limit vorinostat's efficacy in solid tumors.

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