Skip to main content
Top
Published in: Drugs 18/2011

01-12-2011 | Leading Article

Epigenetic-Based Therapies in Cancer

Progress to Date

Authors: Sang-Hyun Song, Sae-Won Han, Professor Yung-Jue Bang, MD, PhD

Published in: Drugs | Issue 18/2011

Login to get access

Abstract

Epigenetic gene silencing is a hallmark of cancer cells. Two important types of epigenetic changes are DNA methylation and histone modification. These modifications are catalysed by DNA methyltransferases (DNMTs) and histone deacetylases (HDACs), resulting in chromatin structure changes and gene inactivation. Interestingly, inhibition of these enzymes is known to induce differentiation or apoptosis of cancer cells. Therefore, DNMTs and HDACs have become attractive therapeutic targets. In recent years, many different DNMT and HDAC inhibitors have been developed, and multiple molecular mechanisms through which these agents exert anti-cancer effects have been identified. While a large number of clinical trials are ongoing, hypomethylating agents and HDAC inhibitors seem to be promising for treating several types of cancer. Moreover, developing effective strategies of combining epigenetic therapy with conventional chemotherapy will be one of the major challenges in the future.
We briefly review current advances in epigenetic therapies with a focus on recently reported clinical trials.
Literature
2.
go back to reference Yoo CB, Jones PA. Epigenetic therapy of cancer: past, present and future. Nat Rev Drug Discov 2006 Jan; 5(1): 37–50PubMedCrossRef Yoo CB, Jones PA. Epigenetic therapy of cancer: past, present and future. Nat Rev Drug Discov 2006 Jan; 5(1): 37–50PubMedCrossRef
3.
go back to reference Jones PA, Liang G. Rethinking how DNA methylation patterns are maintained. Nat Rev Genet 2009 Nov; 10(11): 805–11PubMedCrossRef Jones PA, Liang G. Rethinking how DNA methylation patterns are maintained. Nat Rev Genet 2009 Nov; 10(11): 805–11PubMedCrossRef
4.
go back to reference Robertson KD, Uzvolgyi E, Liang G, et al. The human DNA methyltransferases (DNMTs) 1, 3a and 3b: coordinate mRNA expression in normal tissues and over-expression in tumors. Nucleic Acids Res 1999 Jun 1; 27(11): 2291–8PubMedCrossRef Robertson KD, Uzvolgyi E, Liang G, et al. The human DNA methyltransferases (DNMTs) 1, 3a and 3b: coordinate mRNA expression in normal tissues and over-expression in tumors. Nucleic Acids Res 1999 Jun 1; 27(11): 2291–8PubMedCrossRef
5.
go back to reference Okano M, Bell DW, Haber DA, et al. DNA methyltransferases Dnmt3a and Dnmt3b are essential for de novo methylation and mammalian development. Cell 1999 Oct 29; 99(3): 247–57PubMedCrossRef Okano M, Bell DW, Haber DA, et al. DNA methyltransferases Dnmt3a and Dnmt3b are essential for de novo methylation and mammalian development. Cell 1999 Oct 29; 99(3): 247–57PubMedCrossRef
6.
go back to reference Li E, Bestor TH, Jaenisch R. Targeted mutation of the DNA methyltransferase gene results in embryonic lethality. Cell 1992 Jun 12; 69(6): 915–26PubMedCrossRef Li E, Bestor TH, Jaenisch R. Targeted mutation of the DNA methyltransferase gene results in embryonic lethality. Cell 1992 Jun 12; 69(6): 915–26PubMedCrossRef
7.
8.
go back to reference Wagner JM, Hackanson B, Lubbert M, et al. Histone deacetylase (HDAC) inhibitors in recent clinical trials for cancer therapy. Clin Epigenetics 2010 Dec; 1(3–4): 117–36PubMedCrossRef Wagner JM, Hackanson B, Lubbert M, et al. Histone deacetylase (HDAC) inhibitors in recent clinical trials for cancer therapy. Clin Epigenetics 2010 Dec; 1(3–4): 117–36PubMedCrossRef
9.
go back to reference Grunstein M. Histone acetylation in chromatin structure and transcription. Nature 1997 Sep 25; 389(6649): 349–52PubMedCrossRef Grunstein M. Histone acetylation in chromatin structure and transcription. Nature 1997 Sep 25; 389(6649): 349–52PubMedCrossRef
10.
go back to reference Zhu P, Martin E, Mengwasser J, et al. Induction of HDAC2 expression upon loss of APC in colorectal tumorigenesis. Cancer Cell 2004 May; 5(5): 455–63PubMedCrossRef Zhu P, Martin E, Mengwasser J, et al. Induction of HDAC2 expression upon loss of APC in colorectal tumorigenesis. Cancer Cell 2004 May; 5(5): 455–63PubMedCrossRef
11.
go back to reference Ropero S, Fraga MF, Ballestar E, et al. A truncating mutation of HDAC2 in human cancers confers resistance to histone deacetylase inhibition. Nat Genet 2006 May; 38(5): 566–9PubMedCrossRef Ropero S, Fraga MF, Ballestar E, et al. A truncating mutation of HDAC2 in human cancers confers resistance to histone deacetylase inhibition. Nat Genet 2006 May; 38(5): 566–9PubMedCrossRef
12.
go back to reference Ma X, Ezzeldin HH, Diasio RB. Histone deacetylase inhibitors: current status and overview of recent clinical trials. Drugs 2009 Oct 1; 69(14): 1911–34PubMedCrossRef Ma X, Ezzeldin HH, Diasio RB. Histone deacetylase inhibitors: current status and overview of recent clinical trials. Drugs 2009 Oct 1; 69(14): 1911–34PubMedCrossRef
13.
go back to reference Kristensen LS, Nielsen HM, Hansen LL. Epigenetics and cancer treatment. Eur J Pharmacol 2009 Dec 25; 625(1–3): 131–42PubMedCrossRef Kristensen LS, Nielsen HM, Hansen LL. Epigenetics and cancer treatment. Eur J Pharmacol 2009 Dec 25; 625(1–3): 131–42PubMedCrossRef
14.
go back to reference Vigna E, Recchia AG, Madeo A, et al. Epigenetic regulation in myelodysplastic syndromes: implications for therapy. Expert Opin Investig Drugs 2011 Apr; 20(4): 465–93PubMed Vigna E, Recchia AG, Madeo A, et al. Epigenetic regulation in myelodysplastic syndromes: implications for therapy. Expert Opin Investig Drugs 2011 Apr; 20(4): 465–93PubMed
15.
go back to reference Yang X, Lay F, Han H, et al. Targeting DNA methylation for epigenetic therapy. Trends Pharmacol Sci 2010 Nov; 31(11): 536–46PubMedCrossRef Yang X, Lay F, Han H, et al. Targeting DNA methylation for epigenetic therapy. Trends Pharmacol Sci 2010 Nov; 31(11): 536–46PubMedCrossRef
16.
go back to reference Mai A, Altucci L. Epi-drugs to fight cancer: from chemistry to cancer treatment, the road ahead. Int J Biochem Cell Biol 2009 Jan; 41(1): 199–213PubMedCrossRef Mai A, Altucci L. Epi-drugs to fight cancer: from chemistry to cancer treatment, the road ahead. Int J Biochem Cell Biol 2009 Jan; 41(1): 199–213PubMedCrossRef
17.
go back to reference Kaminskas E, Farrell AT, Wang YC, et al. FDA drug approval summary: azacitidine (5-azacytidine, vidaza) for injectable suspension. Oncologist 2005 Mar; 10(3): 176–82PubMedCrossRef Kaminskas E, Farrell AT, Wang YC, et al. FDA drug approval summary: azacitidine (5-azacytidine, vidaza) for injectable suspension. Oncologist 2005 Mar; 10(3): 176–82PubMedCrossRef
18.
go back to reference Kantarjian H, Issa JP, Rosenfeld CS, et al. Decitabine improves patient outcomes in myelodysplastic syndromes: results of a phase III randomized study. Cancer 2006 Apr 15; 106(8): 1794–803PubMedCrossRef Kantarjian H, Issa JP, Rosenfeld CS, et al. Decitabine improves patient outcomes in myelodysplastic syndromes: results of a phase III randomized study. Cancer 2006 Apr 15; 106(8): 1794–803PubMedCrossRef
19.
go back to reference Herranz M, Martin-Caballero J, Fraga MF, et al. The novel DNA methylation inhibitor zebularine is effective against the development of murine T-cell lymphoma. Blood 2006 Feb 1; 107(3): 1174–7PubMedCrossRef Herranz M, Martin-Caballero J, Fraga MF, et al. The novel DNA methylation inhibitor zebularine is effective against the development of murine T-cell lymphoma. Blood 2006 Feb 1; 107(3): 1174–7PubMedCrossRef
20.
go back to reference Beumer JH, Eiseman JL, Parise RA, et al. Pharmacokinetics, metabolism, and oral bioavailability of the DNA methyltransferase inhibitor 5-fluoro-2′-deoxycytidine in mice. Clin Cancer Res 2006 Dec 15; 12(24): 7483–91PubMedCrossRef Beumer JH, Eiseman JL, Parise RA, et al. Pharmacokinetics, metabolism, and oral bioavailability of the DNA methyltransferase inhibitor 5-fluoro-2′-deoxycytidine in mice. Clin Cancer Res 2006 Dec 15; 12(24): 7483–91PubMedCrossRef
21.
go back to reference Boothman DA, Briggle TV, Greer S. Tumor-selective metabolism of 5-fluoro-2′-deoxycytidine coadministered with tetrahydrouridine compared to 5-fluorouracil in mice bearing Lewis lung carcinoma. Cancer Res 1987 May 1; 47(9): 2354–62PubMed Boothman DA, Briggle TV, Greer S. Tumor-selective metabolism of 5-fluoro-2′-deoxycytidine coadministered with tetrahydrouridine compared to 5-fluorouracil in mice bearing Lewis lung carcinoma. Cancer Res 1987 May 1; 47(9): 2354–62PubMed
22.
go back to reference Siedlecki P, Garcia Boy R, Musch T, et al. Discovery of two novel, small-molecule inhibitors of DNA methylation. J Med Chem 2006 Jan 26; 49(2): 678–83PubMedCrossRef Siedlecki P, Garcia Boy R, Musch T, et al. Discovery of two novel, small-molecule inhibitors of DNA methylation. J Med Chem 2006 Jan 26; 49(2): 678–83PubMedCrossRef
23.
go back to reference Goffin J, Eisenhauer E. DNA methyltransferase inhibitors-state of the art. Ann Oncol 2002 Nov; 13(11): 1699–716PubMedCrossRef Goffin J, Eisenhauer E. DNA methyltransferase inhibitors-state of the art. Ann Oncol 2002 Nov; 13(11): 1699–716PubMedCrossRef
24.
go back to reference Coronel J, Cetina L, Pacheco I, et al. A double-blind, placebo-controlled, randomized phase III trial of chemotherapy plus epigenetic therapy with hydralazine valproate for advanced cervical cancer: preliminary results. Med Oncol. Epub 2010 Oct 8 Coronel J, Cetina L, Pacheco I, et al. A double-blind, placebo-controlled, randomized phase III trial of chemotherapy plus epigenetic therapy with hydralazine valproate for advanced cervical cancer: preliminary results. Med Oncol. Epub 2010 Oct 8
25.
go back to reference Kuendgen A, Strupp C, Aivado M, et al. Treatment of myelodysplastic syndromes with valproic acid alone or in combination with all-trans retinoic acid. Blood 2004 Sep 1; 104(5): 1266–9PubMedCrossRef Kuendgen A, Strupp C, Aivado M, et al. Treatment of myelodysplastic syndromes with valproic acid alone or in combination with all-trans retinoic acid. Blood 2004 Sep 1; 104(5): 1266–9PubMedCrossRef
26.
go back to reference Kuendgen A, Knipp S, Fox F, et al. Results of a phase 2 study of valproic acid alone or in combination with all-trans retinoic acid in 75 patients with myelodysplastic syndrome and relapsed or refractory acute myeloid leukemia. Ann Hematol 2005 Dec; 84 Suppl. 1: 61–6PubMedCrossRef Kuendgen A, Knipp S, Fox F, et al. Results of a phase 2 study of valproic acid alone or in combination with all-trans retinoic acid in 75 patients with myelodysplastic syndrome and relapsed or refractory acute myeloid leukemia. Ann Hematol 2005 Dec; 84 Suppl. 1: 61–6PubMedCrossRef
27.
go back to reference Yoshida M, Kijima M, Akita M, et al. Potent and specific inhibition of mammalian histone deacetylase both in vivo and in vitro by trichostatin A. J Biol Chem 1990 Oct 5; 265(28): 17174–9PubMed Yoshida M, Kijima M, Akita M, et al. Potent and specific inhibition of mammalian histone deacetylase both in vivo and in vitro by trichostatin A. J Biol Chem 1990 Oct 5; 265(28): 17174–9PubMed
28.
go back to reference Prebet T, Vey N. Vorinostat in acute myeloid leukemia and myelodysplastic syndromes. Expert Opin Investig Drugs 2011 Feb; 20(2): 287–95PubMedCrossRef Prebet T, Vey N. Vorinostat in acute myeloid leukemia and myelodysplastic syndromes. Expert Opin Investig Drugs 2011 Feb; 20(2): 287–95PubMedCrossRef
29.
go back to reference Piekarz RL, Frye R, Turner M, et al. Phase II multi-institutional trial of the histone deacetylase inhibitor romidepsin as monotherapy for patients with cutaneous T-cell lymphoma. J Clin Oncol 2009 Nov 10; 27(32): 5410–7PubMedCrossRef Piekarz RL, Frye R, Turner M, et al. Phase II multi-institutional trial of the histone deacetylase inhibitor romidepsin as monotherapy for patients with cutaneous T-cell lymphoma. J Clin Oncol 2009 Nov 10; 27(32): 5410–7PubMedCrossRef
30.
go back to reference Whittaker SJ, Demierre MF, Kim EJ, et al. Final results from a multicenter, international, pivotal study of romidepsin in refractory cutaneous T-cell lymphoma. J Clin Oncol 2010 Oct 10; 28(29): 4485–91PubMedCrossRef Whittaker SJ, Demierre MF, Kim EJ, et al. Final results from a multicenter, international, pivotal study of romidepsin in refractory cutaneous T-cell lymphoma. J Clin Oncol 2010 Oct 10; 28(29): 4485–91PubMedCrossRef
31.
go back to reference Gore L, Rothenberg ML, O’Bryant CL, et al. A phase I and pharmacokinetic study of the oral histone deacetylase inhibitor, MS-275, in patients with refractory solid tumors and lymphomas. Clin Cancer Res 2008 Jul 15; 14(14): 4517–25PubMedCrossRef Gore L, Rothenberg ML, O’Bryant CL, et al. A phase I and pharmacokinetic study of the oral histone deacetylase inhibitor, MS-275, in patients with refractory solid tumors and lymphomas. Clin Cancer Res 2008 Jul 15; 14(14): 4517–25PubMedCrossRef
32.
go back to reference Kantarjian HM, O’Brien S, Shan J, et al. Update of the decitabine experience in higher risk myelodysplastic syndrome and analysis of prognostic factors associated with outcome. Cancer 2007 Jan 15; 109(2): 265–73PubMedCrossRef Kantarjian HM, O’Brien S, Shan J, et al. Update of the decitabine experience in higher risk myelodysplastic syndrome and analysis of prognostic factors associated with outcome. Cancer 2007 Jan 15; 109(2): 265–73PubMedCrossRef
33.
go back to reference Silverman LR, Demakos EP, Peterson BL, et al. Randomized controlled trial of azacitidine in patients with the myelodysplastic syndrome: a study of the cancer and leukemia group B. J Clin Oncol 2002 May 15; 20(10): 2429–40PubMedCrossRef Silverman LR, Demakos EP, Peterson BL, et al. Randomized controlled trial of azacitidine in patients with the myelodysplastic syndrome: a study of the cancer and leukemia group B. J Clin Oncol 2002 May 15; 20(10): 2429–40PubMedCrossRef
34.
go back to reference Plimack ER, Kantarjian HM, Issa JP. Decitabine and its role in the treatment of hematopoietic malignancies. Leuk Lymphoma 2007 Aug; 48(8): 1472–81PubMedCrossRef Plimack ER, Kantarjian HM, Issa JP. Decitabine and its role in the treatment of hematopoietic malignancies. Leuk Lymphoma 2007 Aug; 48(8): 1472–81PubMedCrossRef
35.
go back to reference Robak T. New nucleoside analogs for patients with hematological malignancies. Expert Opin Investig Drugs 2011 Mar; 20(3): 343–59PubMedCrossRef Robak T. New nucleoside analogs for patients with hematological malignancies. Expert Opin Investig Drugs 2011 Mar; 20(3): 343–59PubMedCrossRef
36.
go back to reference Stresemann C, Lyko F. Modes of action of the DNA methyltransferase inhibitors azacytidine and decitabine. Int J Cancer 2008 Jul 1; 123(1): 8–13PubMedCrossRef Stresemann C, Lyko F. Modes of action of the DNA methyltransferase inhibitors azacytidine and decitabine. Int J Cancer 2008 Jul 1; 123(1): 8–13PubMedCrossRef
37.
go back to reference Beisler JA. Isolation, characterization, and properties of a labile hydrolysis product of the antitumor nucleoside, 5-azacytidine. J Med Chem 1978 Feb; 21(2): 204–8PubMedCrossRef Beisler JA. Isolation, characterization, and properties of a labile hydrolysis product of the antitumor nucleoside, 5-azacytidine. J Med Chem 1978 Feb; 21(2): 204–8PubMedCrossRef
38.
go back to reference Santi DV, Norment A, Garrett CE. Covalent bond formation between a DNA-cytosine methyltransferase and DNA containing 5-azacytosine. Proc Natl Acad Sci U S A 1984 Nov; 81(22): 6993–7PubMedCrossRef Santi DV, Norment A, Garrett CE. Covalent bond formation between a DNA-cytosine methyltransferase and DNA containing 5-azacytosine. Proc Natl Acad Sci U S A 1984 Nov; 81(22): 6993–7PubMedCrossRef
39.
go back to reference Gowher H, Jeltsch A. Mechanism of inhibition of DNA methyltransferases by cytidine analogs in cancer therapy. Cancer Biol Ther 2004 Nov; 3(11): 1062–8PubMedCrossRef Gowher H, Jeltsch A. Mechanism of inhibition of DNA methyltransferases by cytidine analogs in cancer therapy. Cancer Biol Ther 2004 Nov; 3(11): 1062–8PubMedCrossRef
40.
go back to reference Kim CH, Marquez VE, Mao DT, et al. Synthesis of pyrimidin-2-one nucleosides as acid-stable inhibitors of cytidine deaminase. J Med Chem 1986 Aug; 29(8): 1374–80PubMedCrossRef Kim CH, Marquez VE, Mao DT, et al. Synthesis of pyrimidin-2-one nucleosides as acid-stable inhibitors of cytidine deaminase. J Med Chem 1986 Aug; 29(8): 1374–80PubMedCrossRef
41.
go back to reference Cheng JC, Matsen CB, Gonzales FA, et al. Inhibition of DNA methylation and reactivation of silenced genes by zebularine. J Natl Cancer Inst 2003 Mar 5; 95(5): 399–409PubMedCrossRef Cheng JC, Matsen CB, Gonzales FA, et al. Inhibition of DNA methylation and reactivation of silenced genes by zebularine. J Natl Cancer Inst 2003 Mar 5; 95(5): 399–409PubMedCrossRef
42.
go back to reference Yoo CB, Cheng JC, Jones PA. Zebularine: a new drug for epigenetic therapy. Biochem Soc Trans 2004 Dec; 32 (Pt 6): 910–2PubMedCrossRef Yoo CB, Cheng JC, Jones PA. Zebularine: a new drug for epigenetic therapy. Biochem Soc Trans 2004 Dec; 32 (Pt 6): 910–2PubMedCrossRef
43.
go back to reference Champion C, Guianvarc’h D, Senamaud-Beaufort C, et al. Mechanistic insights on the inhibition of c5 DNA methyltransferases by zebularine. PLoS One 2010; 5(8): e12388PubMedCrossRef Champion C, Guianvarc’h D, Senamaud-Beaufort C, et al. Mechanistic insights on the inhibition of c5 DNA methyltransferases by zebularine. PLoS One 2010; 5(8): e12388PubMedCrossRef
44.
go back to reference Cheng JC, Weisenberger DJ, Gonzales FA, et al. Continuous zebularine treatment effectively sustains demethylation in human bladder cancer cells. Mol Cell Biol 2004 Feb; 24(3): 1270–8PubMedCrossRef Cheng JC, Weisenberger DJ, Gonzales FA, et al. Continuous zebularine treatment effectively sustains demethylation in human bladder cancer cells. Mol Cell Biol 2004 Feb; 24(3): 1270–8PubMedCrossRef
45.
go back to reference Cheng JC, Yoo CB, Weisenberger DJ, et al. Preferential response of cancer cells to zebularine. Cancer Cell 2004 Aug; 6(2): 151–8PubMedCrossRef Cheng JC, Yoo CB, Weisenberger DJ, et al. Preferential response of cancer cells to zebularine. Cancer Cell 2004 Aug; 6(2): 151–8PubMedCrossRef
46.
go back to reference Reinisch KM, Chen L, Verdine GL, et al. The crystal structure of HaeIII methyltransferase convalently complexed to DNA: an extrahelical cytosine and rearranged base pairing. Cell 1995 Jul 14; 82(1): 143–53PubMedCrossRef Reinisch KM, Chen L, Verdine GL, et al. The crystal structure of HaeIII methyltransferase convalently complexed to DNA: an extrahelical cytosine and rearranged base pairing. Cell 1995 Jul 14; 82(1): 143–53PubMedCrossRef
48.
go back to reference Garcia-Manero G. Demethylating agents in myeloid malignancies. Curr Opin Oncol 2008 Nov; 20(6): 705–10PubMedCrossRef Garcia-Manero G. Demethylating agents in myeloid malignancies. Curr Opin Oncol 2008 Nov; 20(6): 705–10PubMedCrossRef
49.
go back to reference Santos FP, Kantarjian H, Garcia-Manero G, et al. Decitabine in the treatment of myelodysplastic syndromes. Expert Rev Anticancer Ther 2010 Jan; 10(1): 9–22PubMedCrossRef Santos FP, Kantarjian H, Garcia-Manero G, et al. Decitabine in the treatment of myelodysplastic syndromes. Expert Rev Anticancer Ther 2010 Jan; 10(1): 9–22PubMedCrossRef
50.
go back to reference Jones PA, Taylor SM. Cellular differentiation, cytidine analogs and DNA methylation. Cell 1980 May; 20(1): 85–93PubMedCrossRef Jones PA, Taylor SM. Cellular differentiation, cytidine analogs and DNA methylation. Cell 1980 May; 20(1): 85–93PubMedCrossRef
51.
go back to reference Creusot F, Acs G, Christman JK. Inhibition of DNA methyltransferase and induction of Friend erythroleukemia cell differentiation by 5-azacytidine and 5-aza-2′-deoxycytidine. J Biol Chem 1982 Feb 25; 257(4): 2041–8PubMed Creusot F, Acs G, Christman JK. Inhibition of DNA methyltransferase and induction of Friend erythroleukemia cell differentiation by 5-azacytidine and 5-aza-2′-deoxycytidine. J Biol Chem 1982 Feb 25; 257(4): 2041–8PubMed
52.
go back to reference Pinto A, Attadia V, Fusco A, et al. 5-Aza-2′-deoxycytidine induces terminal differentiation of leukemic blasts from patients with acute myeloid leukemias. Blood 1984 Oct; 64(4): 922–9PubMed Pinto A, Attadia V, Fusco A, et al. 5-Aza-2′-deoxycytidine induces terminal differentiation of leukemic blasts from patients with acute myeloid leukemias. Blood 1984 Oct; 64(4): 922–9PubMed
53.
go back to reference Kornblith AB, Herndon 2nd JE, Silverman LR, et al. Impact of azacytidine on the quality of life of patients with myelodysplastic syndrome treated in a randomized phase III trial: a Cancer and Leukemia Group B study. J Clin Oncol 2002 May 15; 20(10): 2441–52PubMedCrossRef Kornblith AB, Herndon 2nd JE, Silverman LR, et al. Impact of azacytidine on the quality of life of patients with myelodysplastic syndrome treated in a randomized phase III trial: a Cancer and Leukemia Group B study. J Clin Oncol 2002 May 15; 20(10): 2441–52PubMedCrossRef
54.
go back to reference Fenaux P, Mufti GJ, Hellstrom-Lindberg E, et al. Efficacy of azacitidine compared with that of conventional care regimens in the treatment of higher-risk myelodysplastic syndromes: a randomised, open-label, phase III study. Lancet Oncol 2009 Mar; 10(3): 223–32PubMedCrossRef Fenaux P, Mufti GJ, Hellstrom-Lindberg E, et al. Efficacy of azacitidine compared with that of conventional care regimens in the treatment of higher-risk myelodysplastic syndromes: a randomised, open-label, phase III study. Lancet Oncol 2009 Mar; 10(3): 223–32PubMedCrossRef
55.
go back to reference Fenaux P, Mufti GJ, Hellstrom-Lindberg E, et al. Azacitidine prolongs overall survival compared with conventional care regimens in elderly patients with low bone marrow blast count acute myeloid leukemia. J Clin Oncol 2010 Feb 1; 28(4): 562–9PubMedCrossRef Fenaux P, Mufti GJ, Hellstrom-Lindberg E, et al. Azacitidine prolongs overall survival compared with conventional care regimens in elderly patients with low bone marrow blast count acute myeloid leukemia. J Clin Oncol 2010 Feb 1; 28(4): 562–9PubMedCrossRef
56.
go back to reference Issa JP, Garcia-Manero G, Giles FJ, et al. Phase 1 study of low-dose prolonged exposure schedules of the hypomethylating agent 5-aza-2′-deoxycytidine (decitabine) in hematopoietic malignancies. Blood 2004 Mar 1; 103(5): 1635–40PubMedCrossRef Issa JP, Garcia-Manero G, Giles FJ, et al. Phase 1 study of low-dose prolonged exposure schedules of the hypomethylating agent 5-aza-2′-deoxycytidine (decitabine) in hematopoietic malignancies. Blood 2004 Mar 1; 103(5): 1635–40PubMedCrossRef
57.
go back to reference Issa JP, Gharibyan V, Cortes J, et al. Phase II study of low-dose decitabine in patients with chronic myelogenous leukemia resistant to imatinib mesylate. J Clin Oncol 2005 Jun 10; 23(17): 3948–56PubMedCrossRef Issa JP, Gharibyan V, Cortes J, et al. Phase II study of low-dose decitabine in patients with chronic myelogenous leukemia resistant to imatinib mesylate. J Clin Oncol 2005 Jun 10; 23(17): 3948–56PubMedCrossRef
58.
go back to reference Kantarjian HM, O’Brien S, Huang X, et al. Survival advantage with decitabine versus intensive chemotherapy in patients with higher risk myelodysplastic syndrome: comparison with historical experience. Cancer 2007 Mar 15; 109(6): 1133–7PubMedCrossRef Kantarjian HM, O’Brien S, Huang X, et al. Survival advantage with decitabine versus intensive chemotherapy in patients with higher risk myelodysplastic syndrome: comparison with historical experience. Cancer 2007 Mar 15; 109(6): 1133–7PubMedCrossRef
59.
go back to reference Kantarjian H, Oki Y, Garcia-Manero G, et al. Results of a randomized study of 3 schedules of low-dose decitabine in higher-risk myelodysplastic syndrome and chronic myelomonocytic leukemia. Blood 2007 Jan 1; 109(1): 52–7PubMedCrossRef Kantarjian H, Oki Y, Garcia-Manero G, et al. Results of a randomized study of 3 schedules of low-dose decitabine in higher-risk myelodysplastic syndrome and chronic myelomonocytic leukemia. Blood 2007 Jan 1; 109(1): 52–7PubMedCrossRef
60.
go back to reference Daskalakis M, Nguyen TT, Nguyen C, et al. Demethylation of a hypermethylated P15/INK4B gene in patients with myelodysplastic syndrome by 5-Aza-2′-deoxycytidine (decitabine) treatment. Blood 2002 Oct 15; 100(8): 2957–64PubMedCrossRef Daskalakis M, Nguyen TT, Nguyen C, et al. Demethylation of a hypermethylated P15/INK4B gene in patients with myelodysplastic syndrome by 5-Aza-2′-deoxycytidine (decitabine) treatment. Blood 2002 Oct 15; 100(8): 2957–64PubMedCrossRef
61.
go back to reference Blum W, Klisovic RB, Hackanson B, et al. Phase I study of decitabine alone or in combination with valproic acid in acute myeloid leukemia. J Clin Oncol 2007 Sep 1; 25(25): 3884–91PubMedCrossRef Blum W, Klisovic RB, Hackanson B, et al. Phase I study of decitabine alone or in combination with valproic acid in acute myeloid leukemia. J Clin Oncol 2007 Sep 1; 25(25): 3884–91PubMedCrossRef
62.
go back to reference Stewart DJ, Issa JP, Kurzrock R, et al. Decitabine effect on tumor global DNA methylation and other parameters in a phase I trial in refractory solid tumors and lymphomas. Clin Cancer Res 2009 Jun 1; 15(11): 3881–8PubMedCrossRef Stewart DJ, Issa JP, Kurzrock R, et al. Decitabine effect on tumor global DNA methylation and other parameters in a phase I trial in refractory solid tumors and lymphomas. Clin Cancer Res 2009 Jun 1; 15(11): 3881–8PubMedCrossRef
63.
go back to reference Zhou L, Cheng X, Connolly BA, et al. Zebularine: a novel DNA methylation inhibitor that forms a covalent complex with DNA methyltransferases. J Mol Biol 2002 Aug 23; 321(4): 591–9PubMedCrossRef Zhou L, Cheng X, Connolly BA, et al. Zebularine: a novel DNA methylation inhibitor that forms a covalent complex with DNA methyltransferases. J Mol Biol 2002 Aug 23; 321(4): 591–9PubMedCrossRef
64.
go back to reference Balch C, Yan P, Craft T, et al. Antimitogenic and chemosensitizing effects of the methylation inhibitor zebularine in ovarian cancer. Mol Cancer Ther 2005 Oct; 4(10): 1505–14PubMedCrossRef Balch C, Yan P, Craft T, et al. Antimitogenic and chemosensitizing effects of the methylation inhibitor zebularine in ovarian cancer. Mol Cancer Ther 2005 Oct; 4(10): 1505–14PubMedCrossRef
65.
go back to reference Holleran JL, Parise RA, Joseph E, et al. Plasma pharmacokinetics, oral bioavailability, and interspecies scaling of the DNA methyltransferase inhibitor, zebularine. Clin Cancer Res 2005 May 15, 2005; 11(10): 3862–8PubMedCrossRef Holleran JL, Parise RA, Joseph E, et al. Plasma pharmacokinetics, oral bioavailability, and interspecies scaling of the DNA methyltransferase inhibitor, zebularine. Clin Cancer Res 2005 May 15, 2005; 11(10): 3862–8PubMedCrossRef
67.
go back to reference Beumer JH, Parise RA, Newman EM, et al. Concentrations of the DNA methyltransferase inhibitor 5-fluoro-2′-deoxycytidine (FdCyd) and its cytotoxic metabolites in plasma of patients treated with FdCyd and tetrahydrouridine (THU). Cancer Chemother Pharmacol 2008 Jul; 62(2): 363–8PubMedCrossRef Beumer JH, Parise RA, Newman EM, et al. Concentrations of the DNA methyltransferase inhibitor 5-fluoro-2′-deoxycytidine (FdCyd) and its cytotoxic metabolites in plasma of patients treated with FdCyd and tetrahydrouridine (THU). Cancer Chemother Pharmacol 2008 Jul; 62(2): 363–8PubMedCrossRef
68.
go back to reference Brueckner B, Lyko F. DNA methyltransferase inhibitors: old and new drugs for an epigenetic cancer therapy. Trends Pharmacol Sci 2004 Nov; 25(11): 551–4PubMedCrossRef Brueckner B, Lyko F. DNA methyltransferase inhibitors: old and new drugs for an epigenetic cancer therapy. Trends Pharmacol Sci 2004 Nov; 25(11): 551–4PubMedCrossRef
69.
go back to reference Brueckner B, Garcia Boy R, Siedlecki P, et al. Epigenetic reactivation of tumor suppressor genes by a novel small-molecule inhibitor of human DNA methyltransferases. Cancer Res 2005 Jul 15; 65(14): 6305–11PubMedCrossRef Brueckner B, Garcia Boy R, Siedlecki P, et al. Epigenetic reactivation of tumor suppressor genes by a novel small-molecule inhibitor of human DNA methyltransferases. Cancer Res 2005 Jul 15; 65(14): 6305–11PubMedCrossRef
70.
go back to reference Stresemann C, Brueckner B, Musch T, et al. Functional diversity of DNA methyltransferase inhibitors in human cancer cell lines. Cancer Res 2006 Mar 1; 66(5): 2794–800PubMedCrossRef Stresemann C, Brueckner B, Musch T, et al. Functional diversity of DNA methyltransferase inhibitors in human cancer cell lines. Cancer Res 2006 Mar 1; 66(5): 2794–800PubMedCrossRef
71.
go back to reference Suzuki T, Tanaka R, Hamada S, et al. Design, synthesis, inhibitory activity, and binding mode study of novel DNA methyltransferase 1 inhibitors. Bioorg Med Chem Lett 2010 Feb 1; 20(3): 1124–7PubMedCrossRef Suzuki T, Tanaka R, Hamada S, et al. Design, synthesis, inhibitory activity, and binding mode study of novel DNA methyltransferase 1 inhibitors. Bioorg Med Chem Lett 2010 Feb 1; 20(3): 1124–7PubMedCrossRef
72.
go back to reference Plummer R, Vidal L, Griffin M, et al. Phase I study of MG98, an oligonucleotide antisense inhibitor of human DNA methyltransferase 1, given as a 7-day infusion in patients with advanced solid tumors. Clin Cancer Res 2009 May 1; 15(9): 3177–83PubMedCrossRef Plummer R, Vidal L, Griffin M, et al. Phase I study of MG98, an oligonucleotide antisense inhibitor of human DNA methyltransferase 1, given as a 7-day infusion in patients with advanced solid tumors. Clin Cancer Res 2009 May 1; 15(9): 3177–83PubMedCrossRef
73.
go back to reference Winquist E, Knox J, Ayoub JP, et al. Phase II trial of DNA methyltransferase 1 inhibition with the antisense oligonucleotide MG98 in patients with metastatic renal carcinoma: a National Cancer Institute of Canada Clinical Trials Group investigational new drug study. Invest New Drugs 2006 Mar; 24(2): 159–67PubMedCrossRef Winquist E, Knox J, Ayoub JP, et al. Phase II trial of DNA methyltransferase 1 inhibition with the antisense oligonucleotide MG98 in patients with metastatic renal carcinoma: a National Cancer Institute of Canada Clinical Trials Group investigational new drug study. Invest New Drugs 2006 Mar; 24(2): 159–67PubMedCrossRef
74.
go back to reference Song Y, Zhang C. Hydralazine inhibits human cervical cancer cell growth in vitro in association with APC demethylation and re-expression. Cancer Chemother Pharmacol 2009 Mar; 63(4): 605–13PubMedCrossRef Song Y, Zhang C. Hydralazine inhibits human cervical cancer cell growth in vitro in association with APC demethylation and re-expression. Cancer Chemother Pharmacol 2009 Mar; 63(4): 605–13PubMedCrossRef
75.
go back to reference Segura-Pacheco B, Trejo-Becerril C, Perez-Cardenas E, et al. Reactivation of tumor suppressor genes by the cardiovascular drugs hydralazine and procainamide and their potential use in cancer therapy. Clin Cancer Res 2003 May; 9(5): 1596–603PubMed Segura-Pacheco B, Trejo-Becerril C, Perez-Cardenas E, et al. Reactivation of tumor suppressor genes by the cardiovascular drugs hydralazine and procainamide and their potential use in cancer therapy. Clin Cancer Res 2003 May; 9(5): 1596–603PubMed
76.
go back to reference Arce C, Segura-Pacheco B, Perez-Cardenas E, et al. Hydralazine target: from blood vessels to the epigenome. J Transl Med 2006 Feb 28; 4: 10PubMedCrossRef Arce C, Segura-Pacheco B, Perez-Cardenas E, et al. Hydralazine target: from blood vessels to the epigenome. J Transl Med 2006 Feb 28; 4: 10PubMedCrossRef
77.
go back to reference Chavez-Blanco A, Perez-Plasencia C, Perez-Cardenas E, et al. Antineoplastic effects of the DNA methylation inhibitor hydralazine and the histone deacetylase inhibitor valproic acid in cancer cell lines. Cancer Cell Int 2006 Jan 31; 6: 2PubMedCrossRef Chavez-Blanco A, Perez-Plasencia C, Perez-Cardenas E, et al. Antineoplastic effects of the DNA methylation inhibitor hydralazine and the histone deacetylase inhibitor valproic acid in cancer cell lines. Cancer Cell Int 2006 Jan 31; 6: 2PubMedCrossRef
78.
go back to reference Candelaria M, Gallardo-Rincon D, Arce C, et al. A phase II study of epigenetic therapy with hydralazine and magnesium valproate to overcome chemotherapy resistance in refractory solid tumors. Ann Oncol 2007 Sep; 18(9): 1529–38PubMedCrossRef Candelaria M, Gallardo-Rincon D, Arce C, et al. A phase II study of epigenetic therapy with hydralazine and magnesium valproate to overcome chemotherapy resistance in refractory solid tumors. Ann Oncol 2007 Sep; 18(9): 1529–38PubMedCrossRef
79.
go back to reference Newmark HL, Young CW. Butyrate and phenylacetate as differentiating agents: practical problems and opportunities. J Cell Biochem Suppl 1995; 22: 247–53PubMedCrossRef Newmark HL, Young CW. Butyrate and phenylacetate as differentiating agents: practical problems and opportunities. J Cell Biochem Suppl 1995; 22: 247–53PubMedCrossRef
80.
go back to reference Kelly WK, O’Connor OA, Marks PA. Histone deacetylase inhibitors: from target to clinical trials. Expert Opin Investig Drugs 2002 Dec; 11(12): 1695–713PubMedCrossRef Kelly WK, O’Connor OA, Marks PA. Histone deacetylase inhibitors: from target to clinical trials. Expert Opin Investig Drugs 2002 Dec; 11(12): 1695–713PubMedCrossRef
81.
go back to reference Gottlicher M, Minucci S, Zhu P, et al. Valproic acid defines a novel class of HDAC inhibitors inducing differentiation of transformed cells. EMBO J 2001 Dec 17; 20(24): 6969–78PubMedCrossRef Gottlicher M, Minucci S, Zhu P, et al. Valproic acid defines a novel class of HDAC inhibitors inducing differentiation of transformed cells. EMBO J 2001 Dec 17; 20(24): 6969–78PubMedCrossRef
82.
go back to reference Kramer OH, Zhu P, Ostendorff HP, et al. The histone deacetylase inhibitor valproic acid selectively induces proteasomal degradation of HDAC 2. EMBO J 2003 Jul 1; 22(13): 3411–20PubMedCrossRef Kramer OH, Zhu P, Ostendorff HP, et al. The histone deacetylase inhibitor valproic acid selectively induces proteasomal degradation of HDAC 2. EMBO J 2003 Jul 1; 22(13): 3411–20PubMedCrossRef
83.
go back to reference Milutinovic S, D’Alessio AC, Detich N, et al. Valproate induces widespread epigenetic reprogramming which involves demethylation of specific genes. Carcinogenesis 2007 Mar; 28(3): 560–71PubMedCrossRef Milutinovic S, D’Alessio AC, Detich N, et al. Valproate induces widespread epigenetic reprogramming which involves demethylation of specific genes. Carcinogenesis 2007 Mar; 28(3): 560–71PubMedCrossRef
84.
go back to reference Kelly WK, O’Connor OA, Krug LM, et al. Phase I study of an oral histone deacetylase inhibitor, suberoylanilide hydroxamic acid, in patients with advanced cancer. J Clin Oncol 2005 Jun 10; 23(17): 3923–31PubMedCrossRef Kelly WK, O’Connor OA, Krug LM, et al. Phase I study of an oral histone deacetylase inhibitor, suberoylanilide hydroxamic acid, in patients with advanced cancer. J Clin Oncol 2005 Jun 10; 23(17): 3923–31PubMedCrossRef
85.
go back to reference Duvic M, Talpur R, Ni X, et al. Phase 2 trial of oral vorinostat (suberoylanilide hydroxamic acid, SAHA) for refractory cutaneous T-cell lymphoma (CTCL). Blood 2007 Jan 1; 109(1): 31–9PubMedCrossRef Duvic M, Talpur R, Ni X, et al. Phase 2 trial of oral vorinostat (suberoylanilide hydroxamic acid, SAHA) for refractory cutaneous T-cell lymphoma (CTCL). Blood 2007 Jan 1; 109(1): 31–9PubMedCrossRef
86.
go back to reference Ueda H, Nakajima H, Hori Y, et al. FR901228, a novel antitumor bicyclic depsipeptide produced by Chromobacterium violaceum no. 968: I. Taxonomy, fermentation, isolation, physico-chemical and biological properties, and antitumor activity. J Antibiot (Tokyo) 1994 Mar; 47(3): 301–10 Ueda H, Nakajima H, Hori Y, et al. FR901228, a novel antitumor bicyclic depsipeptide produced by Chromobacterium violaceum no. 968: I. Taxonomy, fermentation, isolation, physico-chemical and biological properties, and antitumor activity. J Antibiot (Tokyo) 1994 Mar; 47(3): 301–10
87.
go back to reference Furumai R, Matsuyama A, Kobashi N, et al. FK228 (depsipeptide) as a natural prodrug that inhibits class I histone deacetylases. Cancer Res 2002 Sep 1; 62(17): 4916–21PubMed Furumai R, Matsuyama A, Kobashi N, et al. FK228 (depsipeptide) as a natural prodrug that inhibits class I histone deacetylases. Cancer Res 2002 Sep 1; 62(17): 4916–21PubMed
88.
go back to reference Suzuki T, Ando T, Tsuchiya K, et al. Synthesis and histone deacetylase inhibitory activity of new benzamide derivatives. J Med Chem 1999 Jul 29; 42(15): 3001–3PubMedCrossRef Suzuki T, Ando T, Tsuchiya K, et al. Synthesis and histone deacetylase inhibitory activity of new benzamide derivatives. J Med Chem 1999 Jul 29; 42(15): 3001–3PubMedCrossRef
89.
go back to reference Saito A, Yamashita T, Mariko Y, et al. A synthetic inhibitor of histone deacetylase, MS-27-275, with marked in vivo antitumor activity against human tumors. Proc Natl Acad Sci U S A 1999 Apr 13; 96(8): 4592–7PubMedCrossRef Saito A, Yamashita T, Mariko Y, et al. A synthetic inhibitor of histone deacetylase, MS-27-275, with marked in vivo antitumor activity against human tumors. Proc Natl Acad Sci U S A 1999 Apr 13; 96(8): 4592–7PubMedCrossRef
90.
go back to reference Huang X, Gao L, Wang S, et al. HDAC inhibitor SNDX-275 induces apoptosis in erbB2-overexpressing breast cancer cells via down-regulation of erbB3 expression. Cancer Res 2009 Nov 1; 69(21): 8403–11PubMedCrossRef Huang X, Gao L, Wang S, et al. HDAC inhibitor SNDX-275 induces apoptosis in erbB2-overexpressing breast cancer cells via down-regulation of erbB3 expression. Cancer Res 2009 Nov 1; 69(21): 8403–11PubMedCrossRef
91.
go back to reference Cameron EE, Bachman KE, Myohanen S, et al. Synergy of demethylation and histone deacetylase inhibition in the reexpression of genes silenced in cancer. Nat Genet 1999 Jan; 21(1): 103–7PubMedCrossRef Cameron EE, Bachman KE, Myohanen S, et al. Synergy of demethylation and histone deacetylase inhibition in the reexpression of genes silenced in cancer. Nat Genet 1999 Jan; 21(1): 103–7PubMedCrossRef
92.
go back to reference Garcia-Manero G, Kantarjian HM, Sanchez-Gonzalez B, et al. Phase 1/2 study of the combination of 5-aza-2′-deoxycytidine with valproic acid in patients with leukemia. Blood 2006 Nov 15; 108(10): 3271–9PubMedCrossRef Garcia-Manero G, Kantarjian HM, Sanchez-Gonzalez B, et al. Phase 1/2 study of the combination of 5-aza-2′-deoxycytidine with valproic acid in patients with leukemia. Blood 2006 Nov 15; 108(10): 3271–9PubMedCrossRef
93.
go back to reference Braiteh F, Soriano AO, Garcia-Manero G, et al. Phase I study of epigenetic modulation with 5-azacytidine and valproic acid in patients with advanced cancers. Clin Cancer Res 2008 Oct 1; 14(19): 6296–301PubMedCrossRef Braiteh F, Soriano AO, Garcia-Manero G, et al. Phase I study of epigenetic modulation with 5-azacytidine and valproic acid in patients with advanced cancers. Clin Cancer Res 2008 Oct 1; 14(19): 6296–301PubMedCrossRef
94.
go back to reference Scherpereel A, Berghmans T, Lafitte JJ, et al. Valproatedoxorubicin: promising therapy for progressing mesothelioma: a phase II study. Eur Respir J 2011 Jan; 37(1): 129–35PubMedCrossRef Scherpereel A, Berghmans T, Lafitte JJ, et al. Valproatedoxorubicin: promising therapy for progressing mesothelioma: a phase II study. Eur Respir J 2011 Jan; 37(1): 129–35PubMedCrossRef
95.
go back to reference Yoshimi A, Kurokawa M. Key roles of histone methyl-transferase and demethylase in leukemogenesis. J Cell Biochem 2011 Feb; 112(2): 415–24PubMedCrossRef Yoshimi A, Kurokawa M. Key roles of histone methyl-transferase and demethylase in leukemogenesis. J Cell Biochem 2011 Feb; 112(2): 415–24PubMedCrossRef
96.
go back to reference Huang Y, Greene E, Murray Stewart T, et al. Inhibition of lysine-specific demethylase 1 by polyamine analogues results in reexpression of aberrantly silenced genes. Proc Natl Acad Sci U S A 2007 May 8; 104(19): 8023–8PubMedCrossRef Huang Y, Greene E, Murray Stewart T, et al. Inhibition of lysine-specific demethylase 1 by polyamine analogues results in reexpression of aberrantly silenced genes. Proc Natl Acad Sci U S A 2007 May 8; 104(19): 8023–8PubMedCrossRef
Metadata
Title
Epigenetic-Based Therapies in Cancer
Progress to Date
Authors
Sang-Hyun Song
Sae-Won Han
Professor Yung-Jue Bang, MD, PhD
Publication date
01-12-2011
Publisher
Springer International Publishing
Published in
Drugs / Issue 18/2011
Print ISSN: 0012-6667
Electronic ISSN: 1179-1950
DOI
https://doi.org/10.2165/11596690-000000000-00000

Other articles of this Issue 18/2011

Drugs 18/2011 Go to the issue

Adis Drug Evaluation

Celecoxib

Adis Drug Profile

Fidaxomicin

Adis Drug Profile

Belimumab