The cancer epigenome: Concepts, challenges, and therapeutic opportunities

Science. 2017 Mar 17;355(6330):1147-1152. doi: 10.1126/science.aam7304. Epub 2017 Mar 16.

Abstract

Cancer biology is profoundly influenced by changes in the epigenome. Because the dynamic plasticity of the epigenome lends itself well to therapeutic manipulation, the past few years have witnessed an unprecedented investment in the development, characterization, and translation of targeted epigenetic therapies. In this review, I provide a broad context for recent developments that offer a greater understanding of how epigenetic regulators facilitate the initiation, maintenance, and evolution of cancer. I discuss newly developed epigenetic therapies and the cellular and molecular mechanisms that may govern sensitivity and resistance to these agents. I also review the rationale for future combination therapies involving existing and emerging epigenetic drugs.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Chromatin Assembly and Disassembly / genetics
  • DNA Methylation / drug effects
  • Drug Design
  • Epigenesis, Genetic / drug effects*
  • Humans
  • Isocitrate Dehydrogenase / antagonists & inhibitors
  • Molecular Targeted Therapy*
  • Mutation
  • Neoplasms / drug therapy*
  • Neoplasms / genetics*
  • Protein Domains
  • Small Molecule Libraries / pharmacology
  • Small Molecule Libraries / therapeutic use
  • Transcription, Genetic / drug effects

Substances

  • Small Molecule Libraries
  • IDH2 protein, human
  • Isocitrate Dehydrogenase
  • IDH1 protein, human