Choosing pan-HDAC or selective HDAC inhibitors for anticancer therapy

Shabir Ahmad Ganai1, Mahreen Bhat1, Shahid Ahmad Padder1

  • 1Division of Basic Sciences & Humanities, FoH, SKUAST-Kashmir, Shalimar, Srinagar, Jammu & Kashmir 190025, India.

Drug Discovery Today
|November 15, 2025
PubMed

Insights

Histone deacetylase (HDAC) dysfunction drives cancer. Tailoring HDAC inhibitors (HDACi) to specific cancer HDAC overexpression patterns optimizes treatment selection for better therapeutic outcomes.

Area of Science:

  • Oncology
  • Molecular Biology
  • Epigenetics

Background:

  • Histone deacetylase (HDAC) dysfunction is implicated in cancer development and progression.
  • Aberrant expression of classical HDACs is observed across various cancer types.
  • The specific HDACs involved can range from single overactive isozymes to multiple classes.

Purpose of the Study:

  • To resolve the ambiguity surrounding the optimal choice between selective and pan-HDAC inhibitors for cancer therapy.
  • To provide evidence-based guidance for selecting the most effective HDAC inhibitor regimen.

Main Methods:

  • Analysis of HDAC expression patterns in different cancer types.
  • Review of existing literature on HDAC inhibitors (HDACi) and their efficacy.
  • Correlation of HDAC overexpression profiles with therapeutic responses to HDACi.

Main Results:

  • HDAC expression patterns are heterogeneous across different cancers.
  • The involvement of HDACs can be specific to certain isozymes or encompass multiple classes.
  • A clear link exists between specific HDAC overexpression patterns and the effectiveness of particular HDAC inhibitors.

Conclusions:

  • The optimal therapeutic strategy for HDAC inhibitors depends on the specific cancer's HDAC overexpression profile.
  • Matching HDAC inhibitor type (selective vs. pan-inhibitor) to the cancer's molecular signature is crucial for effective treatment.
  • This approach offers a personalized medicine strategy for HDAC inhibitor-based cancer therapy.

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