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Epigenetic therapy in urologic cancers: an update on clinical trials

dc.contributor.authorFaleiro, Inês
dc.contributor.authorLeão, Ricardo
dc.contributor.authorBinnie, Alexandra
dc.contributor.authorDe Mello, Ramon Andrade
dc.contributor.authorMaia, Ana Teresa
dc.contributor.authorCastelo-Branco, Pedro
dc.date.accessioned2017-04-07T15:55:32Z
dc.date.available2017-04-07T15:55:32Z
dc.date.issued2016-12
dc.description.abstractEpigenetic dysregulation is one of many factors that contribute to cancer development and progression. Numerous epigenetic alterations have been identified in urologic cancers including histone modifications, DNA methylation changes, and microRNA expression. Since these changes are reversible, efforts are being made to develop epigenetic drugs that restore the normal epigenetic patterns of cells, and many clinical trials are already underway to test their clinical potential. In this review we analyze multiple clinical trials (n=51) that test the efficacy of these drugs in patients with urologic cancers. The most frequently used epigenetic drugs were histone deacetylase inhibitors followed by antisense oligonucleotides, DNA methyltransferase inhibitors and histone demethylase inhibitors, the last of which are only being tested in prostate cancer. In more than 50% of the clinical trials considered, epigenetic drugs were used as part of combination therapy, which achieved the best results. The epigenetic regulation of some cancers is still matter of research but will undoubtedly open a window to new therapeutic approaches in the era of personalized medicine. The future of therapy for urological malignancies is likely to include multidrug regimens in which epigenetic modifying drugs will play an important role.
dc.identifier.doi10.18632/oncotarget.14226
dc.identifier.otherAUT: ATM02539;
dc.identifier.urihttp://hdl.handle.net/10400.1/9150
dc.language.isoeng
dc.peerreviewedyes
dc.relation.isbasedonMEDLINE:28036257
dc.titleEpigenetic therapy in urologic cancers: an update on clinical trials
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage12500
oaire.citation.issue7
oaire.citation.startPage12484
oaire.citation.titleOncotarget
oaire.citation.volume8
person.familyNameFaleiro
person.familyNameBinnie
person.familyNamede Mello
person.familyNameMaia
person.familyNameCastelo-Branco
person.givenNameInês
person.givenNameAlexandra
person.givenNameRamon Andrade
person.givenNameAna-Teresa
person.givenNamePedro
person.identifier.ciencia-idAD14-A2D0-3B41
person.identifier.ciencia-idC212-F6D7-8240
person.identifier.ciencia-idE015-7F8F-5CA1
person.identifier.orcid0000-0001-5178-3090
person.identifier.orcid0000-0003-2969-8177
person.identifier.orcid0000-0002-9640-4573
person.identifier.orcid0000-0002-0454-9207
person.identifier.orcid0000-0002-3453-3978
person.identifier.ridF-4404-2012
person.identifier.scopus-author-id7004219471
person.identifier.scopus-author-id14319300100
rcaap.rightsopenAccess
rcaap.typearticle
relation.isAuthorOfPublication59bfe433-35ef-4864-8b8e-6a104202ef3c
relation.isAuthorOfPublication8fa20244-f180-45e9-a12b-3c612d67bc70
relation.isAuthorOfPublication53ee625f-c5c3-468b-85bb-4cef5ad36928
relation.isAuthorOfPublication229d470e-6eb8-4144-a68a-5e0d5bec8a2c
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relation.isAuthorOfPublication.latestForDiscoverybb25b5ad-1769-42be-a7d3-8fe76215aa23

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