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Repressing Gene Transcription by Redirecting Cellular Machinery with Chemical Epigenetic Modifiers
Published on: September 20, 2018
Re-Sensitizing Tumor Cells to Cancer Drugs with Epigenetic Regulators
Stefanie Rauscher1, Richard Greil1, Roland Geisberger1
1Department of Internal Medicine III with Haematology, Medical Oncology, Haemostaseology, Infectiology and Rheumatology, Oncologic Center, Salzburg Cancer Research Institute - Laboratory for Immunological and Molecular Cancer Research (SCRI-LIMCR), Paracelsus Medical University, Salzburg, Austria, Cancer Cluster Salzburg, 5020Salzburg, Austria.
Abstract:
Cancer drug resistance is a major problem for cancer therapy. While many drugs can be effective in first-line treatments, cancer cells can become resistant due to genetic (mutations and chromosomal aberrations) but also epigenetic changes. Hence, many research studies addressed epigenetic drugs in circumventing resistance to conventional therapeutics in different tumor entities and in increasing the efficiency of immune checkpoint therapies. Furthermore, repositioning of already approved drugs in combination with epigenetic modifiers could potentiate their efficacy and thus could be an attractive strategy for cancer treatment. Summarizing, we recapitulate current data on epigenetic drugs and their targets in modulating sensitivity towards conventional and immune therapies, providing evidence that altering expression profiles by epigenetic modifiers holds great potential to improve the clinical outcome of cancer patients.
Insights
Epigenetic drugs can overcome cancer drug resistance by altering gene expression. Combining these modifiers with conventional or immune therapies shows promise for improving patient outcomes.
Area of Science:
- Oncology
- Epigenetics
- Cancer Therapeutics
Background:
- Cancer drug resistance, driven by genetic and epigenetic alterations, limits treatment efficacy.
- Epigenetic modifications play a crucial role in the development of resistance to conventional cancer therapies.
- Immune checkpoint therapies can also be affected by epigenetic changes in cancer cells.
Purpose of the Study:
- To review current data on epigenetic drugs and their targets in cancer therapy.
- To evaluate the potential of epigenetic modifiers in overcoming resistance to conventional and immune therapies.
- To explore drug repositioning strategies involving epigenetic modifiers for enhanced cancer treatment.
Main Methods:
- Literature review of studies on epigenetic drugs in cancer.
- Analysis of epigenetic mechanisms contributing to drug resistance.
- Examination of clinical data on epigenetic therapies and combinations.
- Evaluation of drug repositioning potential in conjunction with epigenetic modifiers.
Main Results:
- Epigenetic drugs modulate gene expression profiles, impacting cancer cell sensitivity.
- Combinations of epigenetic modifiers with conventional drugs can potentiate therapeutic effects.
- Epigenetic drugs can enhance the efficacy of immune checkpoint therapies.
- Repositioning approved drugs with epigenetic modifiers offers a viable treatment strategy.
Conclusions:
- Altering gene expression through epigenetic modifiers holds significant potential for improving cancer treatment outcomes.
- Epigenetic therapies represent a promising approach to circumventing drug resistance in various cancer types.
- Combination strategies involving epigenetic drugs are crucial for maximizing therapeutic benefits and improving patient survival.
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