The histone deacetylase inhibitor entinostat/syndax 275 in osteosarcoma
Abstract
The prognosis for metastatic osteosarcoma (OS) is poor and has not changed in several decades. Therapeutic paradigms that target and exploit novel molecular pathways are desperately needed. Recent preclinical data suggests that modulation of the Fas/FasL pathway may offer benefit in the treatment of refractory osteosarcoma. Fas and FasL are complimentary receptor-ligand proteins. Fas is expressed in multiple tissues, whereas FasL is restricted to privilege organs, such as the lung. Fas expression has been shown to inversely correlate with the metastatic potential of OS cells; tumor cells which express high levels of Fas have decreased metastatic potential and the ones that reach the lung undergo cell death upon interaction with constitutive FasL in the lung. Agents such as gemcitabine and the HDAC inhibitor, entinostat/Syndax 275, have been shown to upregulate Fas expression on OS cells, potentially leading to decreased OS pulmonary metastasis and improved outcome. Clinical trials are in development to evaluate this combination as a potential treatment option for patients with refractory OS.
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Entinostat shows greater class I selectivity.
“whereas entinostat shows greater class I selectivity (Kiany et al., 2020)”
From Histone modifications and depression: epigenetic mechanisms, therapeutic targets, and translational outlook (2026) · cites this paper as Kiany et al., 2020
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“SAHA exemplifies broad-spectrum inhibition (Marks et al., 2001; Duvic et al., 2007), whereas entinostat shows greater class I selectivity (Kiany et al., 2020).”
- Authors
- Kiany, S., Harrison, D., & Gordon, N.
- Affiliations
- The University of Texas MD Anderson Cancer Center (US)
- Corresponding author
- Gordon, Nancy
- Venue
- Advances in experimental medicine and biology
- Publisher
- Springer International Publishing
- Published
- 2020
- Volume
- 1257
- Pages
- 75-83
- ISSN
- 0065-2598 (ISSN-L)
- 2214-8019
- OpenAlex
- W3030380455
- Cited by
- 24
- References
- 86
- Citations by year
- 2026: 3 · 2025: 4 · 2024: 3 · 2023: 2 · 2022: 4 · 2021: 5 · 2020: 2
- FWCI
- 19.92
- Type
- book chapter
- Language
- en
- Open access
- closed
- Locations
- Advances in experimental medicine and biology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Sarcoma Diagnosis and Treatment
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Histone Deacetylase Inhibitors Research
- Health Sciences › Medicine › Rheumatology › Bone Tumor Diagnosis and Treatments
- Keywords
- entinostat, histone deacetylase inhibitors, osteosarcoma, Fas/FasL pathway, lung metastasis, gemcitabine, lung
- MeSH terms
- Benzamides, Bone Neoplasms, Humans, Pyridines, Osteosarcoma, Gene Expression Regulation, Neoplastic, Fas Ligand Protein, Histone Deacetylase Inhibitors
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