Targeting BET bromodomains for cancer treatment

Marie Jung1,2, Kathy A Gelato1, Amaury Fernández-Montalván1

  • 1Global Drug Discovery, Bayer Pharma AG, D-13353 Berlin, Germany.

Epigenomics
|June 17, 2015
PubMed

Insights

Bromodomain and extraterminal (BET) proteins, particularly BRD4, are key targets in cancer therapy. BET inhibitors show promise in treating leukemia and lymphoma, with ongoing clinical studies reporting encouraging efficacy.

Area of Science:

  • Oncology
  • Molecular Biology
  • Pharmacology

Background:

  • The bromodomain and extraterminal (BET) protein family is a novel target in cancer research.
  • BRD4, a key BET protein, plays a crucial role in the transcription of genes vital for cell cycle and apoptosis, such as c-Myc and BCL2.
  • Dysregulation of BRD4 is implicated in various hematological and solid tumors.

Purpose of the Study:

  • To discuss the biological functions of BRD4 and its interaction partners.
  • To review the involvement of BRD4 in different cancer types.
  • To summarize the current landscape of BET bromodomain inhibitors for cancer treatment.

Main Methods:

  • Literature review of BRD4 biology and function.
  • Analysis of preclinical cancer models treated with BET inhibitors.
  • Summary of clinical trial data for BET inhibitors in leukemia and lymphoma.

Main Results:

  • BRD4's role in transcriptional regulation is critical for cancer cell proliferation and survival.
  • Preclinical studies demonstrate significant antitumor activity of BET inhibitors.
  • Early clinical trials in leukemia and lymphoma show promising efficacy signals.

Conclusions:

  • BRD4 is a validated therapeutic target in oncology.
  • BET inhibitors represent a promising class of anti-cancer drugs.
  • Further clinical development of BET inhibitors is warranted for various malignancies.

Related Concept Videos

Targeted Cancer Therapies02:57

Targeted Cancer Therapies

The targeted cancer therapies, also known as “molecular targeted therapies,” take advantage of the molecular and genetic differences between the cancer cells and the normal cells. It needs a thorough understanding of the cancer cells to develop drugs that can target specific molecular aspects that drive the growth, progression, and spread of cancer cells without affecting the growth and survival of other normal cells in the body.
There are several types of targeted therapies against...
9.1K
Targeted Cancer Therapies02:57

Targeted Cancer Therapies

1.8K
Combination Therapies and Personalized Medicine02:50

Combination Therapies and Personalized Medicine

Combining two or more treatment methods increases the life span of cancer patients while reducing damage to vital organs or tissue from the overuse of a single treatment. Combination therapy also targets different cancer-inducing pathways, thus reducing the chances of developing resistance to treatment.
The combination of the drug acetazolamide and sulforaphane is a good example of combination therapy to treat cancer. The cells in the interior of a large tumor often die due to the hypoxic and...
6.4K
Pharmacogenetics of Drug Targets: β₂-Adrenergic Receptors, Apo E, Thymidylate Synthase01:11

Pharmacogenetics of Drug Targets: β₂-Adrenergic Receptors, Apo E, Thymidylate Synthase

Genetic polymorphisms in drug targets have emerged as critical determinants of interindividual variability in drug response and toxicity. Pharmacogenomic investigations increasingly focus on identifying these variations to personalize and optimize therapeutic interventions. A drug target may be a receptor, enzyme, or signaling protein involved in pharmacologic responses or disease-related pathways. While early pharmacogenetic studies focused primarily on drug metabolism, current research...
69
Treatment Resistent Cancers02:56

Treatment Resistent Cancers

1.5K
Abnormal Proliferation02:23

Abnormal Proliferation

Under normal conditions, most adult cells remain in a non-proliferative state unless stimulated by internal or external factors to replace lost cells. Abnormal cell proliferation is a condition in which the cell's growth exceeds and is uncoordinated with normal cells. In such situations, cell division persists in the same excessive manner even after cessation of the stimuli, leading to persistent tumors. The tumor arises from the damaged cells that replicate to pass the damage to the...
5.4K