The role of chidamide in the treatment of B-cell non-Hodgkin lymphoma: An updated systematic review

B-cell non-Hodgkin lymphoma (B-NHL) is a lymphoid malignancy derived from B-cells that remains difficult to treat. Moreover, relapses and refractory cases are common. Abnormalities in epigenetic mechanisms, such as imbalanced histone acetylation affecting certain genes, contribute to relapses and re...

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Main Authors: Hastono Ridwansyah, Indra Wijaya, Muhammad Hasan Bashari, Achmad Hussein Sundawa Kartamihardja, Bethy Suryawathy Hernowo
Format: Article
Language:English
Published: Association of Basic Medical Sciences of Federation of Bosnia and Herzegovina 2023-09-01
Series:Biomolecules & Biomedicine
Subjects:
Online Access:https://www.bjbms.org/ojs/index.php/bjbms/article/view/8791
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author Hastono Ridwansyah
Indra Wijaya
Muhammad Hasan Bashari
Achmad Hussein Sundawa Kartamihardja
Bethy Suryawathy Hernowo
author_facet Hastono Ridwansyah
Indra Wijaya
Muhammad Hasan Bashari
Achmad Hussein Sundawa Kartamihardja
Bethy Suryawathy Hernowo
author_sort Hastono Ridwansyah
collection DOAJ
description B-cell non-Hodgkin lymphoma (B-NHL) is a lymphoid malignancy derived from B-cells that remains difficult to treat. Moreover, relapses and refractory cases are common. Abnormalities in epigenetic mechanisms, such as imbalanced histone acetylation affecting certain genes, contribute to relapses and refractory cases. Chidamide (tucidinostat) is a novel histone deacetylase inhibitor that can reverse this epigenetic imbalance and has been approved for the treatment of T-cell malignancies. However, the use of chidamide for B-NHL remains limited, and the lack of relevant literature exacerbates this limitation. We conducted this review to summarize the anticancer activity of chidamide against B-NHL and its clinical applications to overcome drug resistance. This systematic review was conducted according to the PRISMA 2020 guidelines, using some keyword combinations from MEDLINE and EBSCO. The inclusion and exclusion criteria were also defined. Of the 131 records retrieved from databases, 16 were included in the review. Nine articles revealed that chidamide limited tumor progression by modifying the tumor microenvironment, stopping the cell cycle, inducing apoptosis and autophagy, and enhancing complement-dependent and antibody-dependent cell-mediated cytotoxicities.According to seven other studies, administering chidamide in combination with another existing therapeutic regimen may benefit not only patients with relapsed/refractory B-NHL, but also those with newly diagnosed B-NHL. Chidamide plays many important roles in limiting B-NHL progression through epigenetic modifications. Thus, combining chidamide with other anticancer drugs may be more beneficial for patients with newly diagnosed and relapsed/refractory B-NHL.
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spelling doaj.art-dfe1cb5784014dff8c4998ed01a9e0922024-03-15T13:22:31ZengAssociation of Basic Medical Sciences of Federation of Bosnia and HerzegovinaBiomolecules & Biomedicine2831-08962831-090X2023-09-0123510.17305/bb.2023.8791The role of chidamide in the treatment of B-cell non-Hodgkin lymphoma: An updated systematic reviewHastono Ridwansyah0https://orcid.org/0000-0003-2737-6203Indra Wijaya1Muhammad Hasan Bashari2Achmad Hussein Sundawa Kartamihardja3Bethy Suryawathy Hernowo4Doctoral Study Program, Faculty of Medicine, Universitas Padjadjaran, Bandung, Indonesia; Department of Biomedicine, Faculty of Medicine, President University, Bekasi, IndonesiaDivision of Hematology and Oncology, Department of Internal Medicine, Faculty of Medicine, Universitas Padjadjaran, Hasan Sadikin General Hospital, Bandung, IndonesiaDepartment of Biomedical Sciences, Faculty of Medicine, Universitas Padjadjaran, Bandung, IndonesiaDepartment of Nuclear Medicine and Molecular Theranostic, Faculty of Medicine, Universitas Padjadjaran, Bandung, IndonesiaDepartment of Anatomical Pathology, Faculty of Medicine, Universitas Padjadjaran, Bandung, IndonesiaB-cell non-Hodgkin lymphoma (B-NHL) is a lymphoid malignancy derived from B-cells that remains difficult to treat. Moreover, relapses and refractory cases are common. Abnormalities in epigenetic mechanisms, such as imbalanced histone acetylation affecting certain genes, contribute to relapses and refractory cases. Chidamide (tucidinostat) is a novel histone deacetylase inhibitor that can reverse this epigenetic imbalance and has been approved for the treatment of T-cell malignancies. However, the use of chidamide for B-NHL remains limited, and the lack of relevant literature exacerbates this limitation. We conducted this review to summarize the anticancer activity of chidamide against B-NHL and its clinical applications to overcome drug resistance. This systematic review was conducted according to the PRISMA 2020 guidelines, using some keyword combinations from MEDLINE and EBSCO. The inclusion and exclusion criteria were also defined. Of the 131 records retrieved from databases, 16 were included in the review. Nine articles revealed that chidamide limited tumor progression by modifying the tumor microenvironment, stopping the cell cycle, inducing apoptosis and autophagy, and enhancing complement-dependent and antibody-dependent cell-mediated cytotoxicities.According to seven other studies, administering chidamide in combination with another existing therapeutic regimen may benefit not only patients with relapsed/refractory B-NHL, but also those with newly diagnosed B-NHL. Chidamide plays many important roles in limiting B-NHL progression through epigenetic modifications. Thus, combining chidamide with other anticancer drugs may be more beneficial for patients with newly diagnosed and relapsed/refractory B-NHL. https://www.bjbms.org/ojs/index.php/bjbms/article/view/8791Chidamidetucidinostathistone deacetylase (HDAC)histone deacetylase inhibitorsnon-Hodgkin lymphoma (NHL)
spellingShingle Hastono Ridwansyah
Indra Wijaya
Muhammad Hasan Bashari
Achmad Hussein Sundawa Kartamihardja
Bethy Suryawathy Hernowo
The role of chidamide in the treatment of B-cell non-Hodgkin lymphoma: An updated systematic review
Biomolecules & Biomedicine
Chidamide
tucidinostat
histone deacetylase (HDAC)
histone deacetylase inhibitors
non-Hodgkin lymphoma (NHL)
title The role of chidamide in the treatment of B-cell non-Hodgkin lymphoma: An updated systematic review
title_full The role of chidamide in the treatment of B-cell non-Hodgkin lymphoma: An updated systematic review
title_fullStr The role of chidamide in the treatment of B-cell non-Hodgkin lymphoma: An updated systematic review
title_full_unstemmed The role of chidamide in the treatment of B-cell non-Hodgkin lymphoma: An updated systematic review
title_short The role of chidamide in the treatment of B-cell non-Hodgkin lymphoma: An updated systematic review
title_sort role of chidamide in the treatment of b cell non hodgkin lymphoma an updated systematic review
topic Chidamide
tucidinostat
histone deacetylase (HDAC)
histone deacetylase inhibitors
non-Hodgkin lymphoma (NHL)
url https://www.bjbms.org/ojs/index.php/bjbms/article/view/8791
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