Marked for death: Targeting epigenetic changes in cancer
Abstract
In the past few years, it has become clear that mutations in epigenetic regulatory genes are common in human cancers. Therapeutic strategies are now being developed to target cancers with mutations in these genes using specific chemical inhibitors. In addition, a complementary approach based on the concept of synthetic lethality, which allows exploitation of loss-of-function mutations in cancers that are not targetable by conventional methods, has gained traction. Both of these approaches are now being tested in several clinical trials. In this Review, we present recent advances in epigenetic drug discovery and development, and suggest possible future avenues of investigation to drive progress in this area.
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Epigenetic reprogramming may be of central importance when drug-resistant states are functionally heterogeneous, evolving, and transient.
“Epigenetic reprogramming may be of central importance when drug-resistant states are functionally heterogeneous, evolving, and transient [69], in contrast to more stable drug resistance resulting from genetic alterations.”
From Emerging Insights into Targeted Therapy-Tolerant Persister Cells in Cancer (2021) · cites this paper as [69]
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- Authors
- Pfister, S. X., & Ashworth, A.
- Affiliations
- University of California, San Francisco (US)
- Corresponding author
- Ashworth, Alan
- ORCID
- Ashworth, Alan
- Venue
- Nature Reviews Drug Discovery
- Published
- 2017-03-10
- Volume
- 16
- Issue
- 4
- Pages
- 241-263
- ISSN
- 1474-1776 (ISSN-L)
- 1474-1784
- OpenAlex
- W2593741942
- Cited by
- 288
- References
- 323
- Citations by year
- 2026: 5 · 2025: 11 · 2024: 23 · 2023: 37 · 2022: 26 · 2021: 48 · 2020: 38 · 2019: 43 · 2018: 36 · 2017: 21
- FWCI
- 3.61
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Nature Reviews Drug Discovery (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Breast Cancer Research Foundation
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Epigenetics and DNA Methylation
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Chromatin Remodeling and Cancer
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Histone Deacetylase Inhibitors Research
- Keywords
- epigenetic regulation, cancer epigenetics, epigenetic inhibitors, gain-of-function mutations, loss-of-function mutations, synthetic lethality, epigenetic drug discovery, epigenetic drug development, clinical trials
- MeSH terms
- Enzyme Inhibitors, Humans, Models, Genetic, Mutation, Neoplasms, Epigenesis, Genetic, Drug Discovery, Molecular Targeted Therapy
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