Histone deacetylase inhibitors as a new anticancer option: How far can we go with expectations? delivery systems

Anna Garmpi1, Nikolaos Garmpis, Christos Damaskos

  • 1Internal Medicine Department, "Laiko" General Hospital, Medical School, National and Kapodistrian University of Athens, Athens, Greece.

Insights

Histone deacetylase inhibitors (HDACIs) show promise in cancer treatment by inducing cell death and modulating immune responses. Approved HDACIs treat certain lymphomas and myeloma, with others in clinical trials for various malignancies.

Area of Science:

  • Epigenetics
  • Molecular Biology
  • Cancer Research

Background:

  • Histone acetylation is crucial for epigenetic gene regulation.
  • Histone deacetylases (HDACs) and histone acetyltransferases maintain this balance.
  • Histone deacetylase inhibitors (HDACIs) disrupt this balance, impacting cancer cell behavior.

Purpose of the Study:

  • To explore the anticancer mechanisms of HDACIs.
  • To review the therapeutic potential of HDACIs in various malignancies.
  • To summarize the current clinical applications and ongoing trials of HDACIs.

Main Methods:

  • Review of scientific literature on HDACIs and their anticancer effects.
  • Analysis of approved HDACIs and their indications.
  • Summary of ongoing clinical trials involving HDACIs for hematological and solid tumors.

Main Results:

  • HDACIs induce cancer cell cycle arrest, differentiation, and apoptosis.
  • HDACIs can inhibit angiogenesis and modulate the immune system.
  • Vorinostat, romidepsin, belinostat, and panobinostat are approved for specific hematological cancers.
  • Numerous HDACIs are under investigation in clinical trials for diverse cancers.

Conclusions:

  • HDACIs represent a promising class of drugs for cancer therapy.
  • While current results are encouraging, larger clinical studies are necessary to fully establish their efficacy and safety across various malignancies.

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