Epigenetic targeting in pancreatic cancer

Cancer Treat Rev. 2014 Jun;40(5):656-64. doi: 10.1016/j.ctrv.2013.12.002. Epub 2014 Jan 3.

Abstract

The prognosis of pancreatic cancer patients is very poor, with a 5-year survival of less than 6%. Therefore, there is an urgent need for new therapeutic options in pancreatic cancer. In the past years it became evident that deregulation of epigenetic mechanisms plays an important role in pancreatic carcinogenesis. This review focuses on the exploitation of drugs that alter histone modifications, DNA methylation and microRNA expression as options for the treatment of pancreatic cancer.

Keywords: DNA methyltransferase inhibitor; Epigenetics; Histone deacetylase inhibitor; Histone methyltransferase inhibitor; MicroRNA; Pancreatic cancer; Therapy.

Publication types

  • Review

MeSH terms

  • Antineoplastic Agents / pharmacology
  • Antineoplastic Agents / therapeutic use
  • Clinical Trials as Topic
  • DNA Methylation / drug effects*
  • DNA Methylation / genetics
  • Epigenesis, Genetic / drug effects*
  • Epigenesis, Genetic / genetics
  • Female
  • Forecasting
  • Gene Expression Regulation, Neoplastic
  • Histone Deacetylase Inhibitors / therapeutic use
  • Histone Methyltransferases
  • Histone-Lysine N-Methyltransferase / antagonists & inhibitors*
  • Histone-Lysine N-Methyltransferase / therapeutic use
  • Humans
  • Male
  • MicroRNAs / drug effects
  • MicroRNAs / genetics
  • Molecular Targeted Therapy / methods
  • Molecular Targeted Therapy / trends*
  • Pancreatic Neoplasms / drug therapy*
  • Pancreatic Neoplasms / genetics
  • Pancreatic Neoplasms / pathology
  • Treatment Outcome
  • Tumor Microenvironment / drug effects

Substances

  • Antineoplastic Agents
  • Histone Deacetylase Inhibitors
  • MicroRNAs
  • Histone Methyltransferases
  • Histone-Lysine N-Methyltransferase