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1 Department of Radiation Oncology, Koo Foundation Sun Yat-Sen Cancer Center, and School of Medicine, National Yang-Ming University, Taipei, Taiwan, Republic of China and 2 Drug Delivery Department, Biochemical Engineering Center, Industrial Technology Research Institute, Hsinchu, Taiwan, Republic of China
Requests for Reprints: Yih-Lin Chung, Department of Radiation Oncology, Koo Foundation Sun Yat-Sen Cancer Center, No.125, Lih-Der Road, Pei-tou district, Taipei 112, Taiwan, Republic of China. Phone: 886-2-28970011 ext. 1306; Fax: 886-2-27020372. E-mail: ylchung{at}mail.kfcc.org.tw
Radiotherapy is an effective treatment for head and neck, skin, anogenital, and breast cancers. However, radiation-induced skin morbidity limits the therapeutic benefits. A low-toxicity approach to selectively reduce skin morbidity without compromising tumor killing by radiotherapy is needed. We found that the antitumor agents known as histone deacetylase (HDAC) inhibitors (phenylbutyrate, trichostatin A, and valproic acid) could suppress cutaneous radiation syndrome. The effects of HDAC inhibitors in promoting the healing of wounds caused by radiation and in decreasing later skin fibrosis and tumorigenesis were correlated with suppression of the aberrant expression of radiation-induced transforming growth factor ß and tumor necrosis factor
. Our findings implicate that the inhibition of HDAC may provide a novel strategy to increase the therapeutic gain in cancer radiotherapy by not only inhibiting tumor growth but also protecting normal tissues.
Received 8/ 8/03; revised 11/24/03; accepted 12/15/03.
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