Abstract
Histone deacetylases (HDACs) and glucocorticoid receptor (GR) signaling are critical in regulating gene expression and stress responses. Vorinostat, an HDAC inhibitor, shows significant promise in treating depression by modulating these pathways. This commentary explores HDAC inhibitor’s mechanisms, therapeutic potential, and the challenges in clinical application. It compares the effects of various HDAC inhibitors on GR signaling and neuroplasticity, emphasizing the importance of personalized treatment approaches. Future research directions include identifying biomarkers for treatment response, developing selective HDAC inhibitors, and exploring combination therapies. This comprehensive overview aims to enhance understanding of HDAC inhibition’s role in stress resilience and antidepressant mechanisms.
Keywords
Depression, HDAC inhibitors, MDD, Epigenetic therapies, Stress resilience, Biomarkers, Vorinostat