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Table 4 Mechanisms of HDACis combined with other agents in treating malignant hematopoiesis at preclinical settings

From: Role of HDACs in normal and malignant hematopoiesis

HDACis

Combination(s)

Cancer(s)

Mechanism(s)

Vorinostat (SAHA)

Bortezomib

Relapsed/refractory MM

Increasing p21 and cleaved PARP expression

 

T-ALL

Inhibiting NF-κB signaling

Carfilzomib or Bortezomib

Relapsed/refractory B cell lymphomas

Decreasing NF-κB activation and increasing Bim levels

Rituximab

Lymphoma/leukemia

Increasing in p21 and acetylation of histone H3 leading to cell cycle arrest

ABT-737

DLBCL

Inhibiting binding of BH3-only modulators and proapoptotic activators

MG-132

Imatinib-resistant CML

Increasing intracellular ROS and repressing BCR-ABL expression

S116836

Imatinib-resistant CML

Repressing antiapoptosis proteins Mcl-1 and XIAP, promoting Bim expression and mitochondrial damage

BI2536

Imatinib-resistant CML

Triggering pronounced mitochondrial dysfunction, generating reactive oxygen species (ROS) and DNA damage

KW-2449

Imatinib-resistant CML / AML

Inhibiting Bcr/Abl and inducing ROS and DNA damage

ABT-737

Emu-myc lymphomas

Repressing BCR-ABL expression

Idarubicin + Cytarabine

Advanced AML or Aza–resistant MDS

Generating reactive oxygen species (ROS)

Panobinostat (LBH589)

Bortezomib

Relapsed/refractory TCL

Increasing acetylation of HSP90, downregulating mitogen-activated protein kinase pathway signaling

Carfilzomib

Relapsed/refractory MM

Inhibiting p97, HDAC or PI3Kα

Ibrutinib

Relapsed/refractory MM

Generating ROS and inactivating ERK1/2

ABT-199

Ibrutinib-resistant CLL

Reducing BTK/mutated BTK protein and signaling

Ponatinib or Imatinib

AML

Upregulating Bim expression

Everolimus

Imatinib-resistant CML

Forcing histone acetylation and decreasing BCR-ABL and AKT signaling

Everolimus

HL/NHL

Activating the caspase pathway, inhibiting STAT5 and STAT6 phosphorylation, GLUT1 and mTOR

Romidepsin

Rituximab

Rituximab-resistant BL

Decreasing phosphorylated STAT3 binding to the MyD88 promotor

ExPBNK

BL

Reducing p38 MAPK phosphorylation and enhancing MICA/B expression

Ara-C

AML

Enriching Myc- and HOXA9-regulated gene pathways and inducing cell cycle arrest and DNA damage

ATRA

APL

Inducing p21-mediated cell-cycle arrest and the expression of MDR1

Gemcitabine, cisplatin and dexamethasone

DLBCL

Reducing LMP1 and c-myc expression

Belinostat

Vincristine or Paclitaxel

DLBCL

Inducing mitosis arrest and apoptosis

Bortezomib

AML / ALL

Inhibiting NF-κB signaling and upregulating Bim expression

Entinostat

Sorafenib

Refractory/relapsed AML

Inhibiting HOXA9, MEIS1 and FLT3

KW-2449

Imatinib-resistant CML / AML

Inhibiting Bcr/Abl, inducing ROS and DNA damage

Valproic acid

Decitabine

AML or MDS I/II

Inducing cell cycle arrest, DNA damage and apoptosis

TRAIL/Apo2L

TRAIL/Apo2L-resistant CML

Increasing DR4 and DR5 expression

ABT-737

Emu-myc lymphomas

Restricting Bcl-2 and Bcl-XL

Chloroquine (CQ)

AML

Inducing RASSF1A expression and inhibiting autophagy

MGCD0103

Cytarabine or daunorubicin

AML

Inducing DNA damage and apoptosis

Brentuximab vedotin

Relapsed/refractory HL

N/A

Azacitidine

High-risk MDS or AML

Increasing p15 and caspase-3 expression

AR-42

Decitabine

M5 subtype-AML

Elevating miR-199b expression

Lenalidomide

Lenalidomide-resistant MM

Upregulating miR-9-5p, downregulating IGF2BP3 and CD44

Depsipeptide

ATRA

APL

Upregulating of MDR1 and inducing p21-mediated cell cycle arrest

SBHA

ABT-737

Relapsed/refractory MM

Upregulating Bim expression and disabling cytoprotective autophagy

JSL-1

Imatinib

Imatinib-resistant CML

Inhibiting γ-catenin

Sodium phenylbutyrate

Azacitidine

AML or MDS

Reducing endoplasmic reticulum (ER) stress and ablating CHOP protein

  1. Notes: NA Not applicable