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Combination Therapy and Dual-Target Inhibitors Based on LSD1: New Emerging Tools in Cancer Therapy
Liang Shen1, Bo Wang1, Shao-Peng Wang1
1Key Lab of Advanced Drug Preparation Technologies, Ministry of Education of China; State Key Laboratory of Esophageal Cancer Prevention & Treatment; Key Laboratory of Henan Province for Drug Quality and Evaluation; Institute of Drug Discovery and Development; School of Pharmaceutical Sciences, Zhengzhou University, 100 Kexue Avenue, Zhengzhou 450001, Henan, China.
Abstract:
Lysine specific demethylase 1 (LSD1), a transcriptional modulator that represses or activates target gene expression, is overexpressed in many cancer and causes imbalance in the expression of normal gene networks. Over two decades, numerous LSD1 inhibitors have been reported, especially some of which have entered clinical trials, including eight irreversible inhibitors (TCP, ORY-1001, GSK-2879552, INCB059872, IMG-7289, ORY-2001, TAK-418, and LH-1802) and two reversible inhibitors (CC-90011 and SP-2577). Most clinical LSD1 inhibitors demonstrated enhanced efficacy in combination with other agents. LSD1 multitarget inhibitors have also been reported, exampled by clinical dual LSD1/histone deacetylases (HDACs) inhibitors 4SC-202 and JBI-802. Herein, we present a comprehensive overview of the combination of LSD1 inhibitors with various antitumor agents, as well as LSD1 multitarget inhibitors. Additionally, the challenges and future research directionsare also discussed, and we hope this review will provide new insight into the development of LSD1-targeted anticancer agents.
Insights
Lysine specific demethylase 1 (LSD1) inhibitors show promise in cancer therapy, with many entering clinical trials. Combining LSD1 inhibitors with other agents or developing multitarget inhibitors may enhance anti-cancer efficacy.
Area of Science:
- Oncology
- Molecular Biology
- Drug Discovery
Background:
- Lysine specific demethylase 1 (LSD1) is a transcriptional modulator overexpressed in many cancers, disrupting normal gene expression.
- LSD1's role in cancer necessitates the development of targeted therapeutic strategies.
Purpose of the Study:
- To provide a comprehensive overview of LSD1 inhibitors in cancer therapy.
- To explore the combination of LSD1 inhibitors with other antitumor agents.
- To discuss LSD1 multitarget inhibitors and future research directions.
Main Methods:
- Review of published literature on LSD1 inhibitors and their clinical applications.
- Analysis of existing and emerging LSD1-targeted therapies.
- Discussion of combination strategies and multitargeting approaches.
Main Results:
- Numerous irreversible and reversible LSD1 inhibitors have been developed, with several in clinical trials.
- Combination therapies involving LSD1 inhibitors show enhanced efficacy.
- Dual LSD1/histone deacetylase (HDAC) inhibitors represent a multitargeting strategy.
Conclusions:
- LSD1 inhibitors are a promising class of anticancer agents.
- Combination therapies and multitargeting strategies hold significant potential for improving cancer treatment outcomes.
- Further research into LSD1-targeted agents is warranted.
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