Functional interdependence of BRD4 and DOT1L in MLL leukemia

Omer Gilan1,2, Enid Y N Lam1,2, Isabelle Becher3

  • 1Cancer Research Division, Peter MacCallum Cancer Centre, Melbourne, Victoria, Australia.

Insights

Targeted therapies inhibiting disruptor of telomeric silencing 1-like (DOT1L) and bromodomain-containing protein 4 (BRD4) show synergistic activity in MLL leukemia. These proteins functionally collaborate at superenhancers, offering a new therapeutic framework.

Area of Science:

  • Molecular biology
  • Cancer research
  • Epigenetics

Background:

  • Disruptor of telomeric silencing 1-like (DOT1L) and bromodomain-containing protein 4 (BRD4) are targets in leukemia therapy.
  • Mechanisms of BRD4 and DOT1L in regulating leukemogenic transcription are not fully understood.

Purpose of the Study:

  • To elucidate the functional collaboration between DOT1L and BRD4 in MLL leukemia.
  • To identify the molecular mechanisms underlying their regulation of leukemogenic transcription programs.

Main Methods:

  • Quantitative proteomics
  • Chemoproteomics
  • Biochemical fractionation
  • Genetic disruption and small-molecule inhibition studies in cell lines and mouse models.

Main Results:

  • Native DOT1L and BRD4 exist in separate protein complexes.
  • Combined inhibition of DOT1L and BRD4 demonstrates synergistic anti-leukemia activity.
  • A novel functional collaboration between DOT1L and BRD4 was identified, particularly at superenhancers of highly transcribed genes.
  • DOT1L-mediated histone H3 K79 methylation facilitates histone H4 acetylation, enhancing BRD4 chromatin binding.

Conclusions:

  • DOT1L and BRD4 engage in a previously unrecognized functional collaboration crucial for MLL leukemia.
  • This interaction, centered around superenhancers, provides a molecular framework for targeted therapeutic strategies against this aggressive cancer.