Epigenetic Alterations in Cancer Treatment

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Questions and Answers

What makes targeting epigenetic alterations an attractive approach in cancer therapeutics?

  • The irreversible nature of epigenetic alterations.
  • The lack of off-target effects with epigenetic drugs.
  • The ease of identifying epigenetic targets.
  • The reversible nature of epigenetic alterations. (correct)

What is the primary mechanism of action of decitabine and azacytidine in treating cancer?

  • DNA demethylation. (correct)
  • Promotion of histone methylation.
  • Inhibition of histone acetylation.
  • Direct cell cycle arrest.

For which types of cancer have decitabine and azacytidine received approval for clinical use?

  • Solid tumors such as breast and colon cancer.
  • Neurological cancers such as glioblastoma.
  • Skin cancers such as melanoma.
  • Haematological malignancies and myelodysplastic syndromes. (correct)

What aspect of current clinical trials involving epigenetic drugs is particularly encouraging?

<p>Demonstrated efficacy of these drugs. (A)</p> Signup and view all the answers

Which agencies have approved decitabine and azacytidine?

<p>American Food and Drug Administration (FDA) and the European Medicines Agency (EMA). (C)</p> Signup and view all the answers

Flashcards

Epigenetic alterations

Changes in gene expression without altering DNA sequence.

Histone acetylation

A process that modifies histone proteins and affects gene expression.

DNA methylation

The addition of a methyl group to DNA, often silencing gene expression.

Decitabine

A DNA demethylating agent approved for certain cancers.

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Clinical trials

Research studies performed to test new drugs or therapies.

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Study Notes

Epigenetic Alterations in Cancer Treatment

  • Epigenetic alterations in cancer are reversible, making timely targeting a promising therapeutic approach.
  • Drugs targeting histone acetylation and DNA methylation are being developed.
  • Clinical trials show encouraging results for these drugs, indicating potential for epigenetic therapy.
  • Decitabine (Dacogen®) and azacytidine (Vidaza®, Azadine®, Onureg®) are approved DNA demethylating agents.
  • These approved drugs show efficacy in haematological malignancies and myelodysplastic syndromes (MDS).

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