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Epigenetic Drugs As New Emerging Therapeutics: What Is the Scale's Orientation of Application and Challenges? Publisher Pubmed



Farani MR1 ; Sarlak M2 ; Gholami A3 ; Azaraian M4, 5 ; Binabaj MM6, 7 ; Kakavandi S8 ; Tambuwala MM9 ; Taheriazam A10, 11 ; Hashemi M11, 12 ; Ghasemi S13
Authors
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Authors Affiliations
  1. 1. Toxicology and Diseases Group (TDG), Pharmaceutical Sciences Research Center (PSRC), the Institute of Pharmaceutical Sciences (TIPS), Tehran University of Medical Sciences, Tehran, 1417614411, Iran
  2. 2. Department of Chemistry, Portland State University, Portland, OR, United States
  3. 3. Student Research Committee, Kurdistan University of Medical Sciences, Sanandaj, Iran
  4. 4. Department of Radiology, Charite - Universitatsmedizin Berlin, Berlin, 10117, Germany
  5. 5. Department of Bioanalytical Ecotoxicology, UFZ – Helmholtz Centre for Environmental Research, Leipzig, Germany
  6. 6. Clinical Biochemistry, Department of Biochemistry and Nutrition, School of Medicine, Sabzevar University of Medical Science, Sabzevar, Iran
  7. 7. Cellular and Molecular Research Center, Sabzevar University of Medical Sciences, Sabzevar, Iran
  8. 8. Department of Bacteriology and Virology, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran
  9. 9. Lincoln Medical School, University of Lincoln, Brayford Pool, Lincoln, LN6 7TS, United Kingdom
  10. 10. Department of Orthopedics, Faculty of medicine, Tehran Medical Sciences, Islamic Azad University, Tehran, Iran
  11. 11. Farhikhtegan Medical Convergence Sciences Research Center, Farhikhtegan Hospital Tehran Medical Sciences, Islamic Azad University, Tehran, Iran
  12. 12. Department of Genetics, Faculty of Advanced Science and Technology, Tehran Medical Sciences, Islamic Azad University, Tehran, Iran
  13. 13. Cancer Research Center, Shahrekord University of Medical Sciences, Shahrekord, Iran

Source: Pathology Research and Practice Published:2023


Abstract

Epigenetics is the study of heritable changes in gene expression or function without altering the DNA sequence. Important factors are part of epigenetic events, such as methylation, DNA histone rearrangements, nucleosome transposition, and non-coding RNAs. Dysregulated epigenetic mechanics are associated with various cancers' initiation, development, and metastasis. It is known that the occurrence and development of cancer can be controlled by regulating unexpected epigenetic events. Epi-drugs are used singly or in combination with chemotherapy and enhance antitumor activity, reduce drug resistance, and stimulate the host immune response. Despite these benefits, epigenetic therapy as a single therapy or in combination with other drugs leads to adverse effects. This review article introduces and compares the advantages, disadvantages, and side effects of using these drugs for the first time since their introduction. Also, this article describes the mechanism of action of various epigenetic drugs. Recommendations for future use of epigenetic drugs as cancer therapeutics are suggested as an overall conclusion. © 2023 Elsevier GmbH
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