Department of Radiation Oncology, Peking University Third Hospital, Beijing, 100191, China.
Center of Basic Medical Research, Institute of Medical Innovation and Research, Peking University Third Hospital, 49 North Garden Road, Haidian District, Beijing, 100191, China.
Clin Epigenetics. 2021 Mar 24;13(1):62. doi: 10.1186/s13148-021-01045-1.
Enhancer of zeste homolog 2 inhibitors (EZH2i) have garnered increased attention owing to their anticancer activity by targeting EZH2, a well-known cancer-promoting factor. However, some lymphomas are resistant to EZH2i, and EZH2i treatment alone is ineffective in case of EZH2-overexpressing solid tumors. The anti-cancer efficacy of EZH2i may be improved through safe and effective combinations of these drugs with other treatment modalities. Preclinical evidence indicates that combining EZH2i with other therapies, such as immunotherapy, chemotherapy, targeted therapy, and endocrine therapy, has complementary or synergistic antitumor effects. Therefore, elucidating the underlying mechanisms of the individual constituents of the combination therapies is fundamental for their clinical application. In this review, we have summarized notable clinical trials and preclinical studies using EZH2i, their progress, and combinations of EZH2i with different therapeutic modalities, aiming to provide new insights for tumor treatment.
由于靶向 EZH2 的增强子酶 2 抑制剂 (EZH2i) 的抗癌活性,其受到了越来越多的关注,EZH2 是一种众所周知的促进癌症的因子。然而,一些淋巴瘤对 EZH2i 有抗性,并且在 EZH2 过表达的实体瘤中,单独使用 EZH2i 治疗是无效的。通过将这些药物与其他治疗方式安全有效地联合使用,可以提高 EZH2i 的抗癌疗效。临床前证据表明,将 EZH2i 与免疫疗法、化学疗法、靶向疗法和内分泌疗法等其他疗法联合使用具有互补或协同的抗肿瘤作用。因此,阐明联合治疗中各个成分的潜在机制对于其临床应用至关重要。在这篇综述中,我们总结了使用 EZH2i 的显著临床试验和临床前研究、其进展以及 EZH2i 与不同治疗方式的联合应用,旨在为肿瘤治疗提供新的见解。