Histone deacetylase inhibitors as therapeutics for endometriosis
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This paper reviews data supporting endometriosis as an epigenetic disease and argues for the repurposing of valproic acid as a histone deacetylase inhibitor therapeutic.
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Abstract
Endometriosis is a common gynecological disorder affecting mostly women of reproductive age. Its presenting symptoms include dysmenorrhea, chronic pelvic pain and infertility. There is a pressing need to develop more efficacious therapeutics, preferably with improved safety and cost profiles. Unfortunately, thus far the drug development progress has been frustratingly slow. In this article, published data in support of the notion that endometriosis is an epigenetic disease are reviewed. The desirable properties of histone deacetylase inhibitors as therapeutics for treating endometriosis are enumerated, and the obstacles in evaluating histone deacetylases in clinical trials are listed. It is argued that, from the drug discovery standpoint, repurposing of valproic acid is justifiable. Finally, the areas in need of further research are exposed.
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Cited by (6)
- Genetics and genomics of endometriosis☆ 2023
- Management of Endometriosis in Teenagers 2020
- Genetics and Genomics of Endometriosis 2018
- Histological and Immunohistochemical Characterization of the Similarity and Difference Between Ovarian Endometriomas and Deep Infiltrating Endometriosis 2017
- Pharmacologic treatment of the ovarian endometrioma 2016
- Platelet-derived TGF-β1 mediates the down-modulation of NKG2D expression and may be responsible for impaired natural killer (NK) cytotoxicity in women with endometriosis 2016
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