Targeting Epigenetics in Cancer

Annu Rev Pharmacol Toxicol. 2018 Jan 6:58:187-207. doi: 10.1146/annurev-pharmtox-010716-105106. Epub 2017 Oct 6.

Abstract

Alterations of genes regulating epigenetic processes are frequently found as cancer drivers and may cause widespread alterations of DNA methylation, histone modification patterns, or chromatin structure that disrupt normal patterns of gene expression. Because of the inherent reversibility of epigenetic changes, inhibitors targeting these processes are promising anticancer strategies. Small molecules targeting epigenetic regulators have been developed recently, and clinical trials of these agents are under way for hematologic malignancies and solid tumors. In this review, we describe how the writers, readers, and erasers of epigenetic marks are dysregulated in cancer and summarize the development of therapies targeting these mechanisms.

Keywords: DNA methylation; anticancer therapies; epigenetic readers; epigenetics; histone acetylation; histone methylation.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Animals
  • Antineoplastic Agents / pharmacology*
  • Antineoplastic Agents / therapeutic use*
  • Epigenesis, Genetic / drug effects*
  • Humans
  • Neoplasms / drug therapy*
  • Small Molecule Libraries / pharmacology*
  • Small Molecule Libraries / therapeutic use*

Substances

  • Antineoplastic Agents
  • Small Molecule Libraries