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HDAC inhibitors still need a home run, despite recent approval
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“Importantly, dose-limiting adverse effects such as cardiac toxicity associated with hERG K+ channel activation are hindering their progress in the clinic [133, 134].”
From Proteolysis targeting chimeras (PROTACs) are emerging therapeutics for hematologic malignancies (2020) · cites this paper as [133]
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“Although HDACis are showing important activities, mainly oncological, their adverse effects and cytotoxicity are still serious and do not present selective inhibition among HDACs isoforms [216].”
BackgroundProteolysis targeting chimeras (PROTACs) are emerging therapeutics for hematologic malignancies
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“Importantly, doselimiting adverse effects such as cardiac toxicity associated with hERG K channel activation are hindering their progress in the clinic [133, 134].”
BackgroundPROTAC-mediated degradation of class I histone deacetylase enzymes in corepressor complexes
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“Guha, M. (2015) HDAC inhibitors still need a home run, despite recent approval.”
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“PROTACs 1, 7 , and 9 were screened for their effects on lysine-specific demethylase 1 (LSD1), a component of the CoREST complex, 33 and SIN3A central component of the SIN3 complex.”
InfluentialTargeting epigenetic regulations in cancer
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“Meanwhile, a lack of solid tumour uptake and extensive tissue distribution has resulted in clinical ineffectiveness and off-target effects, such as myelosuppression, fatigue, and cardiac toxicity [19, 20].”
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“However, identifying tumors that are sensitive to these drugs is a significant clinical challenge [45, 46].”
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Drug design targeting active posttranslational modification protein isoforms
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Novel spiroindoline HDAC inhibitors: Synthesis, molecular modelling and biological studies
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“specific inhibition have caught the attention in HD ACi research [20].”
BackgroundRational design and diversity-oriented synthesis of peptoid-based selective HDAC6 inhibitors
Diedrich, D., Hamacher, A., Gertzen, C. G. W., Avelar, L. A. A., Reiß, G. J., Kurz, T., Gohlke, H., Kassack, M. U., & Hansen, F. K. (2016) · Chemical Communications · doi:10.1039/c5cc10301k · Cited by 52
Sensitivity of osteosarcoma cells to HDAC inhibitor AR-42 mediated apoptosis
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“Other HDAC inhibitors continue to be evaluated in preclinical studies and clinical trials [9].”
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“However, the use of non-selective HDAC inhibitors in the clinical setting has been associated with significant toxicity and adverse events [19, 20].”
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“The toxicities associated with pan-HDAC inhibition warrant the need to develop more selective HDACi with improved benefit–risk profiles (36).”
BackgroundPharmacological and molecular approaches for the treatment of β‐hemoglobin disorders
Lohani, N., Bhargava, N., Munshi, A., & Ramalingam, S. (2017) · Journal of Cellular Physiology · doi:10.1002/jcp.26292 · Cited by 38
“However, the toxicity, off-target effects and adverse events are amajor concern for these non-selective HDAC inhibitors in a clinical setting (Guha, 2015; Subramanian, Bates,Wright, Espinoza-Delgado, &Piekarz, 2010).”
BackgroundAnh, D. T., Pham‐The, H., Le‐Thi‐Thu, H., Park, E. J., Jun, H. W., Kang, J. S., Kwon, J., Dung, D. T. M., Anh, V. T., Huệ, V. T. M., et al. (2020) · Bioorganic Chemistry · doi:10.1016/j.bioorg.2020.103988 · Cited by 37
Developing selective histone deacetylases (HDACs) inhibitors through ebselen and analogs
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“To date, four pan HDAC inhibitors, including SAHA, romidepsin, belinostat, and panobinostat, have been approved by FDA for the treatment of cancers such as CTCL, PTCL, and multiple myeloma.(7) However, it has been observed that these broad HDAC inhibitors have very common side effects and toxicities such as thrombocyt…”
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“As we know, tumorigenesis is a process of pathological chromatin remodeling, and many remodeling complexes showed abnormal expression levels along with tumorigenesis [41], including BRG1 [42], HDAC1/2 [43], BPTF [14].”
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PROTAC chemical probes for histone deacetylase enzymes
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“In clinical trials, multiple HDACi have been shown to have severe doselimiting toxicities [5], indicating that a more nuanced understanding of HDACi anticancer effects could be beneficial to the development of more specific and welltolerated therapies.”
BackgroundThe histone deacetylase inhibitor entinostat/syndax 275 in osteosarcoma
Kiany, S., Harrison, D., & Gordon, N. (2020) · Advances in experimental medicine and biology · doi:10.1007/978-3-030-43032-0_7 · Cited by 24
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“Despite HDACi may reactivate the expression of tumor suppressor genes and modulate genes promoting antitumor effects, their pleiotropic action may not be totally beneficial [12, 24, 99].”
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“In that same year, chidamide (Epidaza ) was approved by the Chinese FDA for relapsed or refractory peripheral T cell lymphoma (Malini 2015).”
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Design, synthesis and biological evaluation of novel c-Met/HDAC dual inhibitors
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“The non-selective inhibition of HDACIs against pan-HDAC isoforms results in severe adverse effects and toxicities (61).”
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“HDACi are used clinically to treat hematologic malignancies, but significant side effect profiles have limited their application to broader areas of oncology [32].”
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Discovery of Novel c-Mesenchymal-Epithelia transition factor and histone deacetylase dual inhibitors
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Recent Advances in Small Molecular Modulators Targeting Histone Deacetylase 6
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“However, due to the pan-HDACi toxicity, class- or isoform-selective HDACi should be preferred in a clinical setting to reduce side effects, especially when used in combination with other treatments (Guha 2015).”
BackgroundHDAC1 and HDAC2 regulate anti‐inflammatory effects of anesthetic isoflurane in human monocytes
Guo, X., Deng, J., Zheng, B., Liu, H., Zhang, Y., Ying, Y., Jia, J., & Ruan, X. (2020) · Immunology and Cell Biology · doi:10.1111/imcb.12318 · Cited by 18
“HDAC inhibitors have gained significant attention as potential epigenetic cancer treatments, and several HDAC inhibitors have been approved for anticancer therapy.(17) Thus, concomitant administration of HDAC inhibitors would abolish the beneficial anti-inflammatory effects of volatile anesthetics in these patients.”
BackgroundCharacterization of Renal Cell Carcinoma Heterotypic 3D Co-Cultures with Immune Cell Subsets
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“In ccRCC, HDAC are attractive targets, but the use of single HDACI has failed clinical investigation so far [78,79].”
BackgroundMolecular Mechanisms of Epigenetic Regulators as Activatable Targets in Cancer Theranostics
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“The anticancer mechanisms of HDACis also need further research [26].”
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Updates in pathobiological aspects of anaplastic large cell lymphoma
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“HDAC inhibitors have already been approved by the Food and Drug Administration (FDA) for the treatment of T-cell malignancies (73 – 75).”
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“HDAC inhibitors (HDACIs) have been identified as anticancer agents (Drummond et al., 2005; Guha, 2015; Mottamal, Zheng, Huang, & Wang, 2015; Qiao et al., 2013), immune modulators (Adcock, Ito, & Barnes, 2005; Choi & Reddy, 2011; Dinarello, Fossati, & Mascagni, 2011; Faraco, Cavone, & Chiarugi,…”
The Roles of Histone Deacetylases in the Regulation of Ovarian Cancer Metastasis
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“In general, HDACIs are unable to specifically target certain isoforms in the subclass of HDACs [150].”
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A new strategy for overcoming drug resistance in liver cancer: Epigenetic regulation
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Metadata
- Authors
- Guha, M.
- Corresponding author
- Guha, Malini
- Venue
- Nature Reviews Drug Discovery
- Published
- 2015-04
- Volume
- 14
- Issue
- 4
- Pages
- 225-226
- ISSN
- 1474-1776 (ISSN-L)
- 1474-1784
- OpenAlex
- W2033780602
- Cited by
- 120
- References
- 0
- Citations by year
- 2026: 5 · 2025: 3 · 2024: 8 · 2023: 9 · 2022: 8 · 2021: 14 · 2020: 18 · 2019: 11 · 2018: 9 · 2017: 16 · 2016: 12 · 2015: 7
- Type
- other
- Language
- en
- Update notices
- erratum (2015-04-30)
- Open access
- closed
- Locations
- Nature Reviews Drug Discovery (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Histone Deacetylase Inhibitors Research
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Epigenetics and DNA Methylation
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Protein Degradation and Inhibitors
- Keywords
- histone deacetylase inhibitors, epigenetic regulators, cancer therapy, drug approval
- MeSH terms
- Histone Deacetylases, Humans, Multiple Myeloma, United States, United States Food and Drug Administration, Drug Approval, Epigenesis, Genetic, Histone Deacetylase Inhibitors
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