作者: Yen-Yi Juo , Xue-Jun Gong , Ankita Mishra , Xiao Cui , Stephen B Baylin
DOI: 10.2217/EPI.14.73
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摘要: The cancer epigenome is characterized by global DNA methylation and chromatin changes, such as the hypermethylation of specific CpG island promoters. Epigenetic agents like methyltransferase or histone deacetylase inhibitors induce phenotype changes reactivation epigenetically silenced tumor suppressor genes. Despite initial promise in hematologic malignancies, epigenetic have not shown significant efficacy monotherapy against solid tumors. Recent trials showed that exert favorable modifier effects when combined with chemotherapy, hormonal therapy, other agents. Due to novel nature their mechanism, it important reconsider optimal patient selection, drug regimen, study design, outcome measures pursuing future order discover full potential this new therapeutic modality.