2017
DOI: 10.1097/ppo.0000000000000278
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DNA Methylation–Targeted Drugs

Abstract: Targeting DNA hypermethylation, using nucleoside analogs, is an efficient approach to reprogram cancer cell epigenome leading to reduced proliferation, increased differentiation, recognition by the immune system, and ultimately cancer cell death. DNA methyltransferase inhibitors have been approved for the treatment of myelodysplastic syndromes, chronic myelomonocytic leukemia, and acute myelogenous leukemia. To improve clinical efficacy and overcome mechanisms of drug resistance, a second generation of DNA met… Show more

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Cited by 30 publications
(22 citation statements)
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“…However, the high cost, easy relapse, severe GVHD side effects and technical limitations make hematopoietic stem cell transplantation hard to carry out for most leukemia patients in China (27). In recent years, the research and development of targeted drugs has become a hot spot (28,29). The prognosis of many hematological malignancies has greatly improved because of the new drugs (30).…”
Section: Discussionmentioning
confidence: 99%
“…However, the high cost, easy relapse, severe GVHD side effects and technical limitations make hematopoietic stem cell transplantation hard to carry out for most leukemia patients in China (27). In recent years, the research and development of targeted drugs has become a hot spot (28,29). The prognosis of many hematological malignancies has greatly improved because of the new drugs (30).…”
Section: Discussionmentioning
confidence: 99%
“…Indeed, DNA methylation biomarkers with diagnostic, prognostic, and predictive power are already in clinical trials or in a clinical setting [60]. DNA methyltransferase inhibitors have been approved for the treatment of several hematopoietic malignancies, including myelodysplastic syndromes, chronic myelomonocytic leukemia, and acute myelogenous leukemia (AML) [61]. Other epigenetic regulatory mechanisms also play a critical role in the pathogenesis of AML.…”
Section: Epigenetics In Disease Contextmentioning
confidence: 99%
“…However, the antineoplastic activity of HMAs azacitidine (AZA) and decitabine (DEC) in all patients with AML and MDS (regardless of mutational status) is clear. 33 The exact mechanism of action of these HMAs is unclear, but the antileukemic effects are thought to be secondary to degradation of DNMTs that lead to global DNA hypomethylation, gene reactivation, DNA damage, and eventual cell death. 34 AZA and DEC are US Food and Drug Administration (FDA) and European Medicines Agency (EMA) approved for the treatment of MDS, chronic myelomonocytic leukemia (CMML), and AML, with slight variations in specific approvals in Europe and the United States.…”
Section: Dna Methylation: Targeting Dna Methyltransferases Tet and mentioning
confidence: 99%