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Updated: Feb 22, 2026

Repressing Gene Transcription by Redirecting Cellular Machinery with Chemical Epigenetic Modifiers
Published on: September 20, 2018
Drug Discovery and Chemical Biology of Cancer Epigenetics
Scott Ribich1, Darren Harvey1, Robert A Copeland1
1Epizyme, Inc., 400 Technology Square, Cambridge, MA 02139, USA.
Abstract:
Comprehensive whole-exome sequencing, DNA copy-number determination, and transcriptomic analyses of diverse cancers have greatly expanded our understanding of the biology of many tumor types. In addition to mutations in the common cell-of-origin specific driver mutations, these studies have also revealed a large number of loss-of-function and gain-of-function mutations in chromatin-modifying proteins (CMPs). This has revealed that epigenetic dysregulation is a common feature of most pediatric and adult cancers. Many specific and potent inhibitors have been developed for multiple CMP classes, which have assisted in elucidating the role of epigenetics as well as epigenetic vulnerabilities in these cancer types. Clinical trials with numerous CMP inhibitors are also currently in progress to evaluate the therapeutic potential of epigenetic inhibitors. In this review, we aim to provide a summary of genetic mutations in epigenetic genes and a review of CMP inhibitors suitable for preclinical studies or currently in clinical trials. Additionally, we highlight the CMPs for which potent inhibitors have not been developed and additional research focus should be dedicated.
Insights
Epigenetic dysregulation is common in cancers due to mutations in chromatin-modifying proteins (CMPs). This review summarizes CMP mutations and inhibitors, highlighting therapeutic potential and research needs.
Area of Science:
- Oncology
- Epigenetics
- Genomics
Background:
- Comprehensive genomic and transcriptomic analyses reveal widespread mutations in chromatin-modifying proteins (CMPs) across diverse cancers.
- Epigenetic dysregulation, driven by CMP mutations, is a common hallmark of both pediatric and adult malignancies.
Purpose of the Study:
- To review genetic mutations in epigenetic genes.
- To summarize chromatin-modifying protein (CMP) inhibitors relevant for preclinical and clinical cancer studies.
- To identify CMPs lacking potent inhibitors, guiding future research efforts.
Main Methods:
- Review of existing literature on genetic mutations in epigenetic genes.
- Compilation of data on chromatin-modifying protein (CMP) inhibitors currently in preclinical or clinical development.
- Analysis of CMPs with identified mutations but lacking targeted inhibitors.
Main Results:
- Genetic mutations in epigenetic genes, particularly CMPs, are prevalent in various cancer types.
- Numerous potent inhibitors targeting various CMP classes have been developed, aiding the study of epigenetic roles and vulnerabilities.
- Several CMPs with significant roles in cancer lack developed inhibitors, indicating areas for future therapeutic development.
Conclusions:
- Epigenetic dysregulation is a critical factor in cancer development and progression.
- Targeted inhibition of CMPs represents a promising therapeutic strategy for a wide range of cancers.
- Further research into novel CMP inhibitors is warranted to address unmet clinical needs in epigenetic cancer therapy.
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