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Blood, 1 November 2001, Vol. 98, No. 9, pp. 2865-2868
BRIEF REPORT
Inhibitor of histone deacetylation, depsipeptide (FR901228), in
the treatment of peripheral and cutaneous T-cell lymphoma: a case
report
Richard L. Piekarz,
Rob Robey,
Victor Sandor,
Susan Bakke,
Wyndham H. Wilson,
Laila Dahmoush,
Douglas M. Kingma,
Maria L. Turner,
Rosemary Altemus, and
Susan E. Bates
From the Medicine Branch, the Laboratory of Pathology,
the Dermatology Branch, and the Radiation Oncology Branch of the Center
for Cancer Research, National Cancer Institute, National Institutes of
Health, Bethesda, MD.
Depsipeptide, FR901228, has demonstrated potent in vitro and in
vivo cytotoxic activity against murine and human tumor cell lines. In
the laboratory, it has been shown to be a histone deacetylase (HDAC)
inhibitor. In a phase I trial of depsipeptide conducted at the National
Cancer Institute, 3 patients with cutaneous T-cell lymphoma had a
partial response, and 1 patient with peripheral T-cell lymphoma,
unspecified, had a complete response. Sézary cells isolated from
patients after treatment had increased histone acetylation. These
results suggest that inhibition of HDAC is a novel and potentially
effective therapy for patients with T-cell lymphoma.

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