Modifying histones to tame cancer: Clinical development of sodium phenylbutyrate and other histone deacetylase inhibitors

S. D. Gore, M. A. Carducci

Research output: Contribution to journalArticle

Abstract

Compounds that inhibit histone deacetylase may enable the re-expression of silenced regulatory genes in the neoplastic cells, reversing the malignant phenotype. Although several molecules that inhibit histone deacetylase are undergoing preclinical development, butyric acid derivatives have undergone clinical investigation for several years, initially for non-malignant indications and more recently for the treatment of cancer. Of the butyric acid derivatives, sodium phenylbutyrate has undergone the most extensive systematic investigation. Administration of phenylbutyrate by iv. and oral routes is well-tolerated clinically at concentrations which effect acetylation of histones in vitro. Higher doses lead to reversible CNS depression. The studies presented to date have been Phase I studies and do not enable assessment of efficacy. However, current development of phenylbutyrate is proceeding in combination with other agents based on rational biologically-based in vitro studies. The parallel development of combination therapy including phenylbutyrate and early clinical development of other, more potent histone deacetylase inhibitors will hopefully lead to feasible, clinically tolerable strategies for altering the malignant phenotype of cancer cells.

Original languageEnglish (US)
Pages (from-to)2923-2934
Number of pages12
JournalExpert Opinion on Investigational Drugs
Volume9
Issue number12
DOIs
StatePublished - Jan 1 2000

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Keywords

  • Butyrate
  • Histone deacetylase
  • Phase I
  • Phenylbutyrate

ASJC Scopus subject areas

  • Pharmacology
  • Pharmacology (medical)

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