Clinical and experimental studies show that inhibition of histone/protein deacetylases (HDAC) can have important antineoplastic effects through cytotoxic and proapoptotic mechanisms. There are also increasing data from nononcologic settings that HDAC inhibitors (HDACi) can exhibit useful anti-inflammatory effects in vitro and in vivo, unrelated to cytotoxicity or apoptosis. These effects can be cell-,
IntroductionHistone/protein deacetylase inhibitors (HDACi) were initially developed as anti-cancer agents, and much clinical and molecular data regarding their effects arose in the oncology field. However, nowadays HDACi are attracting interest as anti-inflammatory agents, independent of their known proapoptotic or cell cycle arrest actions on malignant cells. Although pan-HDACi enzymes have the potential to modulate the functions of all cells, their effects on T cells, and on CD4 ϩ FOXP3 ϩ T-regulatory (Treg) cells in particular, are of interest given the burgeoning role for Tregs in the area of cellular therapy. Treg-based therapies, involving ex vivo expansion and adoptive transfer to boost circulating Treg numbers, are proposed as therapies of neurodegenerative and autoimmune diseases, as well as GVHD and organ transplant rejection. 1 However, in inflammatory conditions, conventional T cells can be resistant to suppression by Tregs, 2 and pro-inflammatory cytokines (TNF-␣, IL-1, IL-6, IFN-␥), lipopolysaccharides, and other agents have deleterious effects on Tregs, impairing their suppressive phenotype 3 and promoting their conversion into Th17 4 or Th1 5 cells. 6,7 Moreover, the extent to which patients with autoimmune diseases have decreased numbers of Treg cells remains unclear. 8 An alternate therapeutic strategy to transfer of Treg cells is to use pharmacologic agents, such as rapamycin 9 or HDACi, to curtail T-cell responses and facilitate Treg functions. We have shown that HDACi can enhance Treg suppressive function and promote their development in vitro and in vivo, 10 with beneficial actions for transplantation 11 and autoimmune diseases, including colitis 12,13 and arthritis. 14 This review summarizes some of the background and promise of HDACi therapy to modulate T cell-associated inflammatory and immunologic diseases. We apologize to those researchers whose work could not be cited because of limited space.
HDAC and HDACiHistone/protein deacetylases (HDAC) remove acetyl groups (O ϭ C-CH3) from ⑀-N-acetyl lysine amino acids and are classified into 4 main classes of enzymes [15][16][17] : class I HDAC include HDAC1, 2, 3, and 8; class II HDAC include HDAC4, 5, 7, 9 (subclass IIa) and HDAC 6, 10 (subclass IIb); class III HDAC are homologs of yeast Sir2 proteins; and the sole class IV HDAC is HDAC11.Class I HDAC enzymes are expressed in all cells, whereas class IIa HDAC enzymes have tissue-specific expression. Historically, class I HDAC were thought largely restricted to the nucleus, whereas class IIa HDAC enzymes shuttled between the nucleus and cytoplasm 15,16 and even mitochondria (HDAC7). 18 How...