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Published on: May 15, 2019
Targeting MYC dependence in cancer by inhibiting BET bromodomains
Jennifer A Mertz1, Andrew R Conery, Barbara M Bryant
1Constellation Pharmaceuticals, Inc, Cambridge, MA 02142, USA.
Abstract:
The MYC transcription factor is a master regulator of diverse cellular functions and has been long considered a compelling therapeutic target because of its role in a range of human malignancies. However, pharmacologic inhibition of MYC function has proven challenging because of both the diverse mechanisms driving its aberrant expression and the challenge of disrupting protein-DNA interactions. Here, we demonstrate the rapid and potent abrogation of MYC gene transcription by representative small molecule inhibitors of the BET family of chromatin adaptors. MYC transcriptional suppression was observed in the context of the natural, chromosomally translocated, and amplified gene locus. Inhibition of BET bromodomain-promoter interactions and subsequent reduction of MYC transcript and protein levels resulted in G(1) arrest and extensive apoptosis in a variety of leukemia and lymphoma cell lines. Exogenous expression of MYC from an artificial promoter that is resistant to BET regulation significantly protected cells from cell cycle arrest and growth suppression by BET inhibitors. MYC suppression was accompanied by deregulation of the MYC transcriptome, including potent reactivation of the p21 tumor suppressor. Treatment with a BET inhibitor resulted in significant antitumor activity in xenograft models of Burkitt's lymphoma and acute myeloid leukemia. These findings demonstrate that pharmacologic inhibition of MYC is achievable through targeting BET bromodomains. Such inhibitors may have clinical utility given the widespread pathogenetic role of MYC in cancer.
Insights
Small molecule inhibitors targeting BET proteins effectively suppress MYC transcription, leading to cancer cell death. This approach shows promise for treating MYC-driven cancers like leukemia and lymphoma.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Genetics
Background:
- The MYC transcription factor is crucial for cell function but often dysregulated in cancers.
- Targeting MYC is challenging due to complex regulatory mechanisms and protein-DNA interactions.
Purpose of the Study:
- To investigate the efficacy of BET inhibitors in suppressing MYC transcription and its downstream effects.
- To evaluate the therapeutic potential of BET inhibitors in MYC-driven malignancies.
Main Methods:
- Utilized small molecule inhibitors targeting BET family chromatin adaptors.
- Assessed MYC gene transcription, protein levels, and cell cycle progression (G1 arrest, apoptosis).
- Employed xenograft models of Burkitt's lymphoma and acute myeloid leukemia.
Main Results:
- BET inhibitors rapidly and potently abrogated MYC gene transcription across various gene loci.
- Inhibition led to reduced MYC levels, G1 arrest, and apoptosis in leukemia and lymphoma cells.
- Reactivation of the p21 tumor suppressor was observed, and BET inhibitors showed significant antitumor activity in vivo.
Conclusions:
- Pharmacologic inhibition of MYC is achievable by targeting BET bromodomains.
- BET inhibitors demonstrate clinical potential for treating cancers driven by aberrant MYC expression.
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