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Vorinostat + vinorelbine is a combination of two chemotherapeutic agents used in oncology research and clinical trials. Vorinostat is a histone deacetylase (HDAC) inhibitor that works by inhibiting the enzymatic activity of HDAC1, HDAC2, HDAC3 (Class I), and HDAC6 (Class II), leading to increased acetylation of histones and other proteins. This results in altered gene expression, cell cycle arrest, apoptosis, inhibition of angiogenesis, and downregulation of immunosuppressive interleukins[4][5][6]. Vinorelbine is a semi-synthetic vinca alkaloid that acts as an antimicrotubule agent by binding to tubulin beta chain and inhibiting microtubule polymerization. This disrupts mitotic spindle formation during cell division, causing metaphase arrest and subsequent apoptosis in proliferating cancer cells[1][8]. The combination has been investigated for synergistic effects in various malignancies.
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