Department of Medical Oncology, Jefferson Kimmel Cancer Center, Thomas Jefferson University, Philadelphia, PA 19107, USA.
Semin Oncol. 2013 Jun;40(3):393-401. doi: 10.1053/j.seminoncol.2013.04.010.
Epigenetic aberrations contribute to prostate cancer carcinogenesis and disease progression. Efforts have been made to target DNA methyltransferase and histone deacetylases (HDACs) in prostate cancer and other solid tumors but have not had the success that was seen in the hematologic malignancies. Oral, less toxic, and more specific agents are being developed in solid tumors including prostate cancer. Combinations of epigenetic agents alone or with a targeted agent such as androgen receptor signaling inhibitors are promising approaches and will be discussed further.
表观遗传异常导致前列腺癌的发生和疾病进展。人们已经努力针对前列腺癌和其他实体瘤中的 DNA 甲基转移酶和组蛋白去乙酰化酶(HDACs)进行靶向治疗,但尚未像在血液恶性肿瘤中那样取得成功。在实体瘤(包括前列腺癌)中正在开发口服、毒性更小、更具特异性的药物。单独使用表观遗传药物或与靶向药物(如雄激素受体信号抑制剂)联合使用是很有前途的方法,我们将进一步讨论。