Tasquinimod Is an Allosteric Modulator of HDAC4 Survival Signaling within the Compromised Cancer Microenvironment
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Abstract
Tasquinimod is an orally active antiangiogenic drug that is currently in phase III clinical trials for the treatment of castration-resistant prostate cancer. However, the target of this drug has remained unclear. In this study, we applied diverse strategies to identify the histone deacetylase HDAC4 as a target for the antiangiogenic activity of tasquinimod. Our comprehensive analysis revealed allosteric binding (Kd 10–30 nmol/L) to the regulatory Zn2+ binding domain of HDAC4 that locks the protein in a conformation preventing HDAC4/N-CoR/HDAC3 complex formation. This binding inhibited colocalization of N-CoR/HDAC3, thereby inhibiting deacetylation of histones and HDAC4 client transcription factors, such as HIF-1α, which are bound at promoter/enhancers where epigenetic reprogramming is required for cancer cell survival and angiogenic response. Through this mechanism, tasquinimod is effective as a monotherapeutic agent against human prostate, breast, bladder, and colon tumor xenografts, where its efficacy could be further enhanced in combination with a targeted thapsigargin prodrug (G202) that selectively kills tumor endothelial cells. Together, our findings define a mechanism of action of tasquinimod and offer a perspective on how its clinical activity might be leveraged in combination with other drugs that target the tumor microenvironment. Cancer Res; 73(4); 1386–99. ©2012 AACR.
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Tasquinimod is a small-molecule compound that binds to HDAC4 and is believed to inhibit the transcription of downstream target genes by inhibiting the formation of HDAC3/N-CoR complexes.
“Tasquinimod is a small-molecule compound that binds to HDAC4 and is believed to inhibit the transcription of downstream target genes by inhibiting the formation of HDAC3/N-CoR complexes39.”
From An HDAC4-specific PROTAC degrader achieves radiation sensitization by enhancing ferroptosis in lung cancer (2026) · cites this paper as [39]
The Results sections on allosteric binding and complex formation report that tasquinimod binds HDAC4 and prevents its association with N-CoR/HDAC3. The paper links this mechanism to reduced HIF-1-dependent transcription, but does not support a general inhibition of downstream gene transcription: it also says HDAC3 represses transcription associated with most HDAC4 client transcription factors. Page numbers are unavailable in our copy. (LLM, conf=0.84)
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- Authors
- Isaacs, J. T., Antony, L., Dalrymple, S. L., Brennen, W. N., Gerber, S., Hammers, H., Wissing, M., Kachhap, S., Luo, J., Xing, L., Björk, P., Olsson, A., Björk, A., & Leanderson, T.
- Affiliations
- Johns Hopkins University (US)
- Corresponding author
- Isaacs, John T.
- ORCID
- Venue
- Cancer Research
- Published
- 2013-02-14
- Volume
- 73
- Issue
- 4
- Pages
- 1386-1399
- ISSN
- 0008-5472 (ISSN-L)
- 1538-7445
- PMC
- PMC3578133
- OpenAlex
- W2129927282
- Cited by
- 116
- References
- 5
- Citations by year
- 2026: 10 · 2025: 7 · 2024: 8 · 2023: 11 · 2022: 7 · 2021: 12 · 2020: 7 · 2019: 4 · 2018: 7 · 2017: 3 · 2016: 8 · 2015: 11 · 2014: 11 · 2013: 10
- FWCI
- 4.12
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Cancer Research (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Lund University Publications (Lund University) (submittedVersion)
- Funders
- Cancer Research Institute
- Gladstone Institutes
- National Cancer Institute (P50CA058236, P30CA006973)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Histone Deacetylase Inhibitors Research
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Prostate Cancer Treatment and Research
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Angiogenesis and VEGF in Cancer
- Keywords
- tasquinimod, HDAC4, allosteric modulation, antiangiogenic drugs, castration-resistant prostate cancer, zinc-binding domain, epigenetic reprogramming, tumor microenvironment, tumor endothelial cells, drug target identification
- MeSH terms
- Acetylation, Allosteric Regulation, Animals, Cell Survival, Histone Deacetylases, Histones, Humans, Mice, Nude, Models, Molecular, Neoplasms, Prodrugs, Protein Binding, Quinolines, Repressor Proteins, Blotting, Western, Quinolones, Signal Transduction, Cell Hypoxia, Protein Structure, Tertiary, Thapsigargin, Xenograft Model Antitumor Assays, RNA Interference, Cell Line, Tumor, Mice, Hypoxia-Inducible Factor 1, alpha Subunit, Tumor Microenvironment, Human Umbilical Vein Endothelial Cells
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