Drugging the epigenome in the age of precision medicine

Abstract Background Modulating the epigenome has long been considered a potential opportunity for therapeutic intervention in numerous disease areas with several approved therapies marketed, primarily for cancer. Despite the overall promise of early approaches, however, these drugs have been plagued...

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Main Authors: Taylor Feehley, Charles W. O’Donnell, John Mendlein, Mahesh Karande, Thomas McCauley
Format: Article
Language:English
Published: BMC 2023-01-01
Series:Clinical Epigenetics
Subjects:
Online Access:https://doi.org/10.1186/s13148-022-01419-z
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author Taylor Feehley
Charles W. O’Donnell
John Mendlein
Mahesh Karande
Thomas McCauley
author_facet Taylor Feehley
Charles W. O’Donnell
John Mendlein
Mahesh Karande
Thomas McCauley
author_sort Taylor Feehley
collection DOAJ
description Abstract Background Modulating the epigenome has long been considered a potential opportunity for therapeutic intervention in numerous disease areas with several approved therapies marketed, primarily for cancer. Despite the overall promise of early approaches, however, these drugs have been plagued by poor pharmacokinetic and safety/tolerability profiles due in large part to off-target effects and a lack of specificity. Results Recently, there has been marked progress in the field on a new generation of epigenomic therapies which address these challenges directly by targeting defined loci with highly precise, durable, and tunable approaches. Here, we review the promise and pitfalls of epigenetic drug development to date and provide an outlook on recent advances and their promise for future therapeutic applications. Conclusions Novel therapeutic modalities leveraging epigenetics and epigenomics with increased precision are well positioned to advance the field and treat patients across disease areas in the coming years.
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spelling doaj.art-dd268b606a184aa3bc3d159dafc08f242023-01-15T12:14:54ZengBMCClinical Epigenetics1868-70832023-01-0115111310.1186/s13148-022-01419-zDrugging the epigenome in the age of precision medicineTaylor Feehley0Charles W. O’Donnell1John Mendlein2Mahesh Karande3Thomas McCauley4Omega TherapeuticsOmega TherapeuticsFlagship PioneeringOmega TherapeuticsOmega TherapeuticsAbstract Background Modulating the epigenome has long been considered a potential opportunity for therapeutic intervention in numerous disease areas with several approved therapies marketed, primarily for cancer. Despite the overall promise of early approaches, however, these drugs have been plagued by poor pharmacokinetic and safety/tolerability profiles due in large part to off-target effects and a lack of specificity. Results Recently, there has been marked progress in the field on a new generation of epigenomic therapies which address these challenges directly by targeting defined loci with highly precise, durable, and tunable approaches. Here, we review the promise and pitfalls of epigenetic drug development to date and provide an outlook on recent advances and their promise for future therapeutic applications. Conclusions Novel therapeutic modalities leveraging epigenetics and epigenomics with increased precision are well positioned to advance the field and treat patients across disease areas in the coming years.https://doi.org/10.1186/s13148-022-01419-zEpigeneticsEpigenomicsPrecisionSpecificityTherapeutics
spellingShingle Taylor Feehley
Charles W. O’Donnell
John Mendlein
Mahesh Karande
Thomas McCauley
Drugging the epigenome in the age of precision medicine
Clinical Epigenetics
Epigenetics
Epigenomics
Precision
Specificity
Therapeutics
title Drugging the epigenome in the age of precision medicine
title_full Drugging the epigenome in the age of precision medicine
title_fullStr Drugging the epigenome in the age of precision medicine
title_full_unstemmed Drugging the epigenome in the age of precision medicine
title_short Drugging the epigenome in the age of precision medicine
title_sort drugging the epigenome in the age of precision medicine
topic Epigenetics
Epigenomics
Precision
Specificity
Therapeutics
url https://doi.org/10.1186/s13148-022-01419-z
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