Current paradigms in epigenetic anticancer therapeutics and future challenges

Manoj Singh1, Vikas Kumar1, Nirmala Sehrawat1

  • 1Department of Biotechnology, Maharishi Markandeshwar (Deemed to be University), Mullana-Ambala, 133207, Haryana, India.

Insights

Epigenetic alterations drive cancer development. This review explores reversing these changes with epigenetic drugs for effective cancer treatment, focusing on challenges and future strategies.

Area of Science:

  • Oncology
  • Epigenetics
  • Molecular Biology

Background:

  • Genetic and epigenetic alterations are key drivers of tumorigenesis and cancer development.
  • Epigenetic modifications, including DNA methylation and histone modifications, play crucial roles in gene transcription.
  • Reversing epigenetic alterations in tumors offers a promising avenue for developing effective epigenetic cancer treatments.

Purpose of the Study:

  • To review epigenetic alterations in cancer.
  • To discuss strategies for utilizing these alterations for therapeutic benefit.
  • To highlight challenges and future directions in epigenetic cancer therapy.

Main Methods:

  • Review of current literature on epigenetic alterations in cancer.
  • Analysis of epigenetic drugs targeting DNA methyltransferase (DNMT) and histone deacetylases (HDACs).
  • Discussion of clinical studies involving epigenetic inhibitors like FK228, SAHA, and MS-275.

Main Results:

  • Epigenetic drugs targeting DNMT and HDACs are FDA-approved and show promise in clinical studies.
  • Despite progress, challenges remain in developing specific, effective inhibitors with minimal side effects.
  • Deeper understanding of tumor pathology and epigenetic alterations is needed for optimized therapy.

Conclusions:

  • Epigenetic therapy holds significant potential for cancer treatment by reversing aberrant epigenetic modifications.
  • Further research is required to overcome challenges related to inhibitor specificity, efficacy, and understanding tumor-specific epigenetic landscapes.
  • Developing more targeted and effective epigenetic strategies is crucial for advancing cancer therapy.

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