Cellular Epigenetic Targets and Epidrugs in Breast Cancer Therapy: Mechanisms, Challenges, and Future Perspectives

Ibrahim S Alalhareth1, Saleh M Alyami1, Ali H Alshareef2

  • 1College of Pharmacy, Najran University, Najran 66256, Saudi Arabia.

PubMed

Insights

Epigenetic modifications play a crucial role in breast cancer development and drug resistance. Reprogramming the epigenome with epidrugs offers a promising therapeutic strategy, especially in combination with immune checkpoint inhibitors.

Area of Science:

  • Oncology
  • Epigenetics
  • Molecular Biology

Background:

  • Breast cancer is a heterogeneous malignancy influenced by diverse molecular characteristics.
  • Epigenetic modifications, including DNA methylation and histone alterations, are increasingly recognized in breast cancer pathogenesis, impacting drug resistance and progression.
  • These modifications offer potential as diagnostic/prognostic markers and therapeutic targets.

Purpose of the Study:

  • To review the role of aberrant epigenetic regulation in breast cancer initiation and progression.
  • To examine existing and emerging epidrugs for breast cancer treatment.
  • To explore combination therapies involving epidrugs.

Main Methods:

  • Literature review focusing on epigenetic modifications in breast cancer.
  • Analysis of studies on DNA methylation and histone modifications (acetylation, methylation, demethylation).
  • Examination of epidrugs targeting these modifications and their clinical applications.

Main Results:

  • Epigenetic reprogramming is a viable strategy to overcome drug resistance in breast cancer.
  • Epidrugs targeting DNA methylation and histone modifications show therapeutic potential.
  • Combination therapies, particularly epidrugs with immune checkpoint inhibitors, are highly promising.

Conclusions:

  • Aberrant epigenetic regulation is central to breast cancer progression and drug resistance.
  • Epidrugs represent a novel therapeutic avenue for breast cancer, with combination therapies showing significant promise.
  • Further research is needed to overcome obstacles in the clinical application of epidrugs.

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