A review.Histone deacetylase (HDAC) inhibitors are a relatively new class of anti-cancer agents that play important roles in epigenetic or non-epigenetic regulation, inducing death, apoptosis, and cell cycle arrest in cancer cells.Recently, their use has been clin. validated in cancer patients resulting in the approval of two HDAC inhibitors, vorinostat and depsipetide, by the FDA.Also, clin. trials of several HDAC inhibitors for use as anti-cancer drugs (alone or in combination with other anti-cancer therapeutics) are ongoing.However, the mol. mechanisms underlying the response to HDAC inhibitors in cancer patients are not fully understood.In this review, we summarize our understanding of the mol. and biol. events that underpin the anti-cancer effects of HDAC inhibitors and the outcomes of recent clin. trials involving these drugs.