Abstract

Recent exciting work partly through The Cancer Genome Atlas has implicated epigenetic mechanisms including histone modifications in the development of both pediatric and adult high-grade glioma (HGG). Histone lysine methylation has emerged as an important player in regulating gene expression and chromatin function. Lysine (K) 27 (K27) is a critical residue in all seven histone 3 variants and the subject of posttranslational histone modifications, as it can be both methylated and acetylated. In pediatric HGG, two critical single-point mutations occur in the H3F3A gene encoding the regulatory histone variant H3.3. These mutations occur at lysine (K) 27 (K27M) and glycine (G) 34 (G34R/V), both of which are involved with key regulatory posttranscriptional modifications. Therefore, these mutations effect gene expression, cell differentiation, and telomere maintenance. In recent years, alterations in histone acetylation have provided novel opportunities to explore new pharmacological targeting, with histone deacetylase (HDAC) overexpression reported in high-grade, late-stage proliferative tumors. HDAC inhibitors have shown promising therapeutic potential in many malignancies. This review focuses on the epigenetic mechanisms propagating pediatric and adult HGGs, as well as summarizing the current advances in clinical trials using HDAC inhibitors.

Highlights

  • Recent exciting work partly through The Cancer Genome Atlas (TCGA), has implicated epigenetic mechanisms including histone modifications in the development of both pediatric and adult highgrade glioma (HGG)

  • Histone demethylase inhibitors were tested in glioblastoma primary cultures and were shown to have potent suppressive effects of glioblastoma self-renewal [46]. These findings suggest that chromatin remodeling could be exploited as a novel therapeutic target in adult glioblastoma

  • Taiki et al showed that glioblastoma cells with wild-type IDH1 contain increased Ten-Eleven Translocation (TET) and 5hmC levels, and TET-1 production of 5hmC is required for gliomagenesis, by recruiting the chromatin target of PRMT1–methylosome complex [50]. 5hmC has been previously reported to act as an intermediate for DNA demethylation but instead recruits DNA-binding proteins [50, 51]

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Summary

Frontiers in Oncology

Recent exciting work partly through The Cancer Genome Atlas has implicated epigenetic mechanisms including histone modifications in the development of both pediatric and adult high-grade glioma (HGG). In pediatric HGG, two critical single-point mutations occur in the H3F3A gene encoding the regulatory histone variant H3.3. These mutations occur at lysine (K) 27 (K27M) and glycine (G) 34 (G34R/V), both of which are involved with key regulatory posttranscriptional modifications. These mutations effect gene expression, cell differentiation, and telomere maintenance.

INTRODUCTION
HISTONE METHYLATION IN PEDIATRIC GLIOMA
HISTONE METHYLATION IN ADULT GLIOMA
Altered Expression of HDACs in Adult and Pediatric Glioblastoma
Pediatric HGG Trials Using HDAC
Adult HGG Trials Using HDAC Inhibitors
Maximum tolerated dose
Vorinostat and bortezomib
Panobinostat and bevacizumab
Side effects
Radiotherapy with II
Histone Demethylase Inhibition in Experimental Models
Combination Therapy Is Synergistic
Limitations of Therapeutic Targeting of Epigenetics in HGG

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