In the current issue of Leukemia, Weisberg et al1 describe the antileukemic properties of a novel histone deacetylase inhibitor (HDACI), NVP-LAQ824, in leukemia cells expressing the Bcr/Abl kinase as well as in their Bcr/Abl- counterparts. HDACIs represent a diverse group of compounds that block the actions of histone deacetylases (HDACs), enzymes that, in conjunction with histone acetylases (HATs), reciprocally regulate the acetylation status of histones, large globular proteins that form the core components of nucleosomes.2 Post-translational modifications in histones, including acetylation, phosphorylation, methylation, and ADP-ribosylation, comprise the components of an epigenetic mechanism by which gene transcription is regulated, and form what is collectively referred to as the histone code.3 Of the post-translational modifications involved in transcriptional regulation, acetylation of histones has been the most extensively studied. Acetylation of positively charged lysine residues in the N-terminal histone tail results in their neutralization, which allows chromatin to assume a more relaxed, open configuration as a consequence of diminished association with the negatively charged phosphate backbone of DNA. This leads, in most cases, to enhanced gene transcription, although inhibition of gene expression can also result.4 In addition to acetylation of chromatin at specific sites, which modifies protein interactions, HDACs also directly acetylate other proteins, including transcription factors and cell cycle-related proteins. In this way, HDACs exert effects distinct from their actions on chromatin structure and function. Moreover, HDACs are involved in transcriptional repression (eg, through participation in corepressor complexes) by oncogenic fusion proteins such as AML1-ETO, which has been implicated in leukemic transformation in certain subtypes of acute myeloid leukemia (AML) (eg those associated with the 8:21 translocation; M2).5 For these and other reasons, HDACs represent a very attractive target for pharmacologic intervention, particularly in the case of hematologic malignancies such as AML. Several broad categories of HDACIs have been developed for clinical usage, including short-chain fatty acids (eg, butyrate), hydroxamic acids (eg, suberoylanilide hydroxamic acid (SAHA)), cyclic tetrapeptides (eg, depsipeptide), and benzamides (eg, MS-275). Among the many genes whose expression is altered by HDACIs is p21CIP1, a cyclin-dependent kinase inhibitor critically involved in G1 arrest accompanying the differentiation process.6
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