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Updated: May 5, 2026

Prediction and Validation of Gene Regulatory Elements Activated During Retinoic Acid Induced Embryonic Stem Cell Differentiation
Published on: June 21, 2016
RVX-208, an inhibitor of BET transcriptional regulators with selectivity for the second bromodomain
Sarah Picaud1, Christopher Wells, Ildiko Felletar
1Structural Genomics Consortium, Nuffield Department of Clinical Medicine, University of Oxford, Oxford OX3 7DQ, United Kingdom.
Abstract:
Bromodomains have emerged as attractive candidates for the development of inhibitors targeting gene transcription. Inhibitors of the bromo and extraterminal (BET) family recently showed promising activity in diverse disease models. However, the pleiotropic nature of BET proteins regulating tissue-specific transcription has raised safety concerns and suggested that attempts should be made for domain-specific targeting. Here, we report that RVX-208, a compound currently in phase II clinical trials, is a BET bromodomain inhibitor specific for second bromodomains (BD2s). Cocrystal structures revealed binding modes of RVX-208 and its synthetic precursor, and fluorescent recovery after photobleaching demonstrated that RVX-208 displaces BET proteins from chromatin. However, gene-expression data showed that BD2 inhibition only modestly affects BET-dependent gene transcription. Our data demonstrate the feasibility of specific targeting within the BET family resulting in different transcriptional outcomes and highlight the importance of BD1 in transcriptional regulation.
Insights
RVX-208 selectively inhibits the second bromodomain (BD2) of bromo and extraterminal (BET) proteins, impacting gene transcription. This study highlights the importance of BD1 in transcriptional regulation and demonstrates domain-specific targeting feasibility.
Area of Science:
- Molecular Biology
- Epigenetics
- Drug Discovery
Background:
- Bromodomains, particularly within the bromo and extraterminal (BET) family, are key regulators of gene transcription.
- BET protein inhibitors show therapeutic potential but raise safety concerns due to their broad effects.
- Targeting specific domains within BET proteins is proposed to improve safety and efficacy.
Purpose of the Study:
- To investigate the domain specificity of the BET inhibitor RVX-208.
- To elucidate the mechanism of action and transcriptional consequences of inhibiting specific BET bromodomains.
- To assess the feasibility of domain-specific targeting within the BET family.
Main Methods:
- Cocrystallography to determine binding modes of RVX-208.
- Fluorescent recovery after photobleaching (FRAP) to assess chromatin displacement.
- Gene expression analysis to evaluate transcriptional effects.
Main Results:
- RVX-208 was identified as a specific inhibitor of the second bromodomain (BD2) of BET proteins.
- RVX-208 effectively displaces BET proteins from chromatin.
- Inhibition of BD2 alone resulted in only modest changes in BET-dependent gene transcription.
Conclusions:
- Specific targeting of BET bromodomain 2 (BD2) is feasible.
- The first bromodomain (BD1) plays a critical role in transcriptional regulation by BET proteins.
- Domain-specific inhibition offers a strategy for modulating BET-dependent transcription with potentially improved safety profiles.
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