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Global Translational Medicine                                       Critical roles for BRD4 identified in cancer




            Table 1. Examples of BET inhibitors                Y97/98  promotes  interaction  with  STAT3  in  the  tumor
                                                               microenvironment and promotes the transcriptional
            BET inhibitors    Functions                        program through chromatin remodeling and activation
            JQ1               Inhibition of tumor cell proliferation and   of  carcinogenic  enhancers,  such  as  MYC,  CXCL1,  and
                              promotion of tumor cell apoptosis are   CXCL2. This study provides insights into a more effective
                              achieved through JQ1 suppressing the
                              target genes of BRD4 [63,77] .   cancer treatment that emphasized on the inhibition of IL6/
            Molibresib (GSK525762)  GSK525762 has antitumor activity in   IL8-JAK2 signaling to reduce phosphorylation of BRD4
                              preclinical models of carcinoma and non-  and sensitize the cancer cells to BET inhibitors.
                              small cell lung cancer [78,79] .
            OTX-015 (MK-8628)  NSCLC cell lines translocated with or   8. BET inhibitors
                              without EML4-ALK undergo reduced   The BET inhibitor prevents protein-protein interactions
                              proliferation and are arrested in the cell   between acetylated histones and transcription factors by
                              cycle when treated with OTX015 .
                                                   [80]
            I-BET151(GSK1210151A) BET151 inhibits BET selectively and   binding reversibly to the bromodomains of the BRD2 and
                                                                              . Some noteworthy BET inhibitors are
                                                               BRD3 proteins
                                                                           [25,76]
                              functions similarly to temozolomide.
                              I-BET151 decreases cell percentage in    listed in Table 1.
                              S/G2 phase and increases cell apoptosis in
                              a dose-dependent manner in six myeloma   9. Conclusion
                              cell lines .                     BRD4 and BET family members are epigenetic readers,
                                    [78]
            BI894999          BRD-NUT is rapidly dislodged     writers, and erasers, which are implicated in cancer
                              from chromatin following BI894999
                              treatment .                      development. BRD4 and its BET family protein play
                                    [81]
                                                               essential roles in DNA damage repair, NFκB signaling,
            BET: Bromodomain and extra-terminal
                                                               interaction with c-Myc, and transcription regulation
                                                               of essential in cancers, as well as link transcription at
                                                               enhancers and genes to regulate enhancer transcription.
                                                               In addition, post-translational modifications also play
                                                               critical roles in BRD4-mediated tumorigenesis (Figure 5).
                                                               Colocalization of BRD4 to enhancer and promoter-
                                                               proximal gene regions enables elongation activation at
                                                               enhancer genes. As BRD4 inactivation could inhibit cancer
                                                               development,  BRD4  is  now  recognized  as  a  promising
                                                               therapeutic target. Meanwhile, by regulating tumor-related
                                                               gene expressions, post-translational modification functions
                                                               of BRD4 contribute to the development of tumors. Apart
                                                               from that, BRD4 inhibition induces chromatin remodeling
                                                               and leads to the regulation of oncogenes responsible
                                                               for tumor progression. To address the BRD4-mediated
            Figure  5.  A  summary of bromodomain-containing protein 4 (BRD4)   carcinogenesis, small-molecule inhibitors targeting
            functions. BRD4 is involved in DNA repair, transcriptional regulation,   functional domains of BRD4 and BET family proteins are
            and post-translational modifications, as well as regulation of cancer   currently under investigation.
            progression.
                                                               Acknowledgments
            inhibitor resistance and tumor development has been   None.
            mechanistically deciphered.
                                                               Funding
            7.2. Phosphorylation
                                                               None.
            It has been demonstrated that phosphorylating BRD4
            at  the tyrosine  97/98  (Y97/98)  site  could improve the   Conflict of interest
            binding of BRD4 to chromatin but decrease binding to
            BET inhibitor, which gives rise to BET inhibitor resistance.   The author declares no conflicts of interest.
            BRD4 is phosphorylated at Y97/98 by the matrix signal   Author contributions
            IL-6/8 (IL-6/8-JAK2) in colorectal cancer . Further
                                                [75]
            experiments  showed  that  BRD4  phosphorylation  at   This is a single-authored paper.

            Volume 2 Issue 3 (2023)                         7                        https://doi.org/10.36922/gtm.1442
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