Tucidinostat
Tucidinostat (also known as Chidamide) is a histone deacetylase inhibitor (HDACi) used in the treatment of various types of cancer. It is particularly noted for its application in the treatment of peripheral T-cell lymphoma (PTCL) and breast cancer. Tucidinostat is an orally bioavailable, selective inhibitor of histone deacetylase (HDAC) subtypes 1, 2, 3, and 10.
Mechanism of Action[edit | edit source]
Tucidinostat works by inhibiting the activity of histone deacetylases, which are enzymes involved in the removal of acetyl groups from histone proteins. This inhibition leads to an accumulation of acetylated histones, resulting in a more relaxed chromatin structure and increased transcriptional activity of certain genes. The reactivation of these genes can induce cell cycle arrest, differentiation, and apoptosis in cancer cells.
Clinical Applications[edit | edit source]
Peripheral T-cell Lymphoma[edit | edit source]
Tucidinostat has been approved for the treatment of peripheral T-cell lymphoma (PTCL) in several countries. PTCL is a group of aggressive non-Hodgkin lymphomas that originate from mature T-cells and natural killer (NK) cells. The drug has shown efficacy in patients who have relapsed or are refractory to conventional chemotherapy.
Breast Cancer[edit | edit source]
In addition to its use in PTCL, Tucidinostat is being investigated for its potential in treating breast cancer. Studies have shown that it can enhance the sensitivity of cancer cells to other therapeutic agents, making it a promising candidate for combination therapy.
Side Effects[edit | edit source]
Common side effects of Tucidinostat include fatigue, nausea, vomiting, anemia, and thrombocytopenia. Patients undergoing treatment with Tucidinostat require regular monitoring of blood counts and liver function tests.
Research and Development[edit | edit source]
Tucidinostat is currently under investigation in various clinical trials for its efficacy and safety in treating other types of cancer, including non-small cell lung cancer (NSCLC) and colorectal cancer. Researchers are also exploring its potential in combination with other therapeutic agents to enhance its anticancer effects.
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Contributors: Prab R. Tumpati, MD