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Updated: Oct 14, 2025

Repressing Gene Transcription by Redirecting Cellular Machinery with Chemical Epigenetic Modifiers
Published on: September 20, 2018
Drug discovery for epigenetics targets
Geoffrey A Holdgate1, Catherine Bardelle1, Alice Lanne1
1High-throughput Screening, Discovery Sciences, BioPharmaceuticals R&D, AstraZeneca, Alderley Park, UK.
Abstract:
Dysregulation of the epigenome is associated with the onset and progression of several diseases, including cancer, autoimmune, cardiovascular, and neurological disorders. Members from the three families of epigenetic proteins (readers, writers, and erasers) have been shown to be druggable using small-molecule inhibitors. Increasing knowledge of the role of epigenetics in disease and the reversibility of these modifications explain why pharmacological intervention is an attractive strategy for tackling epigenetic-based disease. In this review, we provide an overview of epigenetics drug targets, focus on approaches used for initial hit identification, and describe the subsequent role of structure-guided chemistry optimisation of initial hits to clinical candidates. We also highlight current challenges and future potential for epigenetics-based therapies.
Insights
Epigenetic drug targets offer a promising therapeutic strategy for diseases like cancer and neurological disorders. This review details drug development, from target identification to clinical candidates, highlighting future potential.
Area of Science:
- Biochemistry
- Pharmacology
- Genetics
Background:
- Epigenetic dysregulation is implicated in major diseases, including cancer, autoimmune, cardiovascular, and neurological disorders.
- Epigenetic proteins (readers, writers, erasers) are druggable targets for small-molecule inhibitors.
- The reversible nature of epigenetic modifications makes pharmacological intervention an attractive therapeutic strategy.
Purpose of the Study:
- To provide an overview of epigenetics drug targets.
- To focus on approaches for initial hit identification in drug discovery.
- To describe the role of structure-guided chemistry in optimizing drug candidates and highlight challenges and future potential for epigenetics-based therapies.
Main Methods:
- Literature review of epigenetics drug targets and development strategies.
- Analysis of approaches for initial hit identification.
- Discussion of structure-guided chemistry optimization for clinical candidates.
Main Results:
- Epigenetic drug targets are viable for therapeutic intervention across various diseases.
- Small-molecule inhibitors targeting epigenetic proteins are a key focus in drug development.
- Structure-guided chemistry plays a crucial role in advancing initial hits to clinical candidates.
Conclusions:
- Epigenetics-based therapies represent a significant and evolving area in pharmaceutical research.
- Continued research into epigenetic drug targets and development pathways holds substantial promise for treating complex diseases.
- Overcoming current challenges is essential for realizing the full potential of epigenetics-based treatments.
Related Concept Videos
Drug Discovery: Overview
Epigenetic Regulation
Histone Modification

