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Published on: August 12, 2015
Targeting bromodomain and extraterminal proteins in breast cancer
Jennifer M Sahni1, Ruth A Keri2
1Department of Pharmacology, Case Western Reserve University, Cleveland, OH 44106, United States.
Abstract:
Breast cancer is a collection of distinct tumor subtypes that are driven by unique gene expression profiles. These transcriptomes are controlled by various epigenetic marks that dictate which genes are expressed and suppressed. During carcinogenesis, extensive restructuring of the epigenome occurs, including aberrant acetylation, alteration of methylation patterns, and accumulation of epigenetic readers at oncogenes. As epigenetic alterations are reversible, epigenome-modulating drugs could provide a mechanism to silence numerous oncogenes simultaneously. Here, we review the impact of inhibitors of the Bromodomain and Extraterminal (BET) family of epigenetic readers in breast cancer. These agents, including the prototypical BET inhibitor JQ1, have been shown to suppress a variety of oncogenic pathways while inducing minimal, if any, toxicity in models of several subtypes of breast cancer. BET inhibitors also synergize with multiple approved anti-cancer drugs, providing a greater response in breast cancer cell lines and mouse models than either single agent. The combined findings of the studies discussed here provide an excellent rationale for the continued investigation of the utility of BET inhibitors in breast cancer.
Insights
Bromodomain and Extraterminal (BET) inhibitors show promise in suppressing breast cancer oncogenes. These epigenetic drugs are effective alone and synergize with other anti-cancer agents, warranting further investigation.
Area of Science:
- Oncology
- Epigenetics
- Molecular Biology
Background:
- Breast cancer comprises diverse subtypes driven by unique gene expression profiles.
- Epigenetic marks control gene expression, and aberrant epigenetic changes occur during carcinogenesis.
- Epigenetic alterations are reversible, suggesting potential for epigenome-modulating drugs.
Purpose of the Study:
- To review the impact of Bromodomain and Extraterminal (BET) family epigenetic reader inhibitors in breast cancer.
- To explore the therapeutic potential of BET inhibitors in various breast cancer subtypes.
Main Methods:
- Review of studies investigating BET inhibitors, such as JQ1, in breast cancer models.
- Analysis of data on the efficacy and toxicity of BET inhibitors.
- Examination of synergistic effects of BET inhibitors with approved anti-cancer drugs.
Main Results:
- BET inhibitors suppress various oncogenic pathways in multiple breast cancer subtypes.
- These agents demonstrate minimal toxicity in preclinical models.
- BET inhibitors exhibit synergistic effects with approved anti-cancer drugs, enhancing treatment response.
Conclusions:
- BET inhibitors represent a promising therapeutic strategy for breast cancer.
- Their ability to silence oncogenes and synergize with existing treatments supports further clinical investigation.
- Epigenetic therapy with BET inhibitors offers a novel approach to combatting breast cancer.
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