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Updated: Feb 12, 2026

Quantifying Replication Stress in Ovarian Cancer Cells Using Single-Stranded DNA Immunofluorescence
Published on: February 10, 2023
BRD4 facilitates replication stress-induced DNA damage response
Jingwen Zhang1, Austin M Dulak1, Maureen M Hattersley1
1Oncology, IMED Biotech Unit, AstraZeneca R&D, Boston, USA.
Abstract:
Previous reports have demonstrated that select cancers depend on BRD4 to regulate oncogenic gene transcriptional programs. Here we describe a novel role for BRD4 in DNA damage response (DDR). BRD4 associates with and regulates the function of pre-replication factor CDC6 and plays an indispensable part in DNA replication checkpoint signaling. Inhibition of BRD4 by JQ1 or AZD5153 resulted in a rapid, time-dependent reduction in CHK1 phosphorylation and aberrant DNA replication re-initiation. Furthermore, BRD4 inhibition sensitized cancer cells to various replication stress-inducing agents, and synergized with ATR inhibitor AZD6738 to induce cell killing across a number of cancer cell lines. The synergistic interaction between AZD5153 and AZD6738 is translatable to in vivo ovarian cell-line and patient-derived xenograft models. Taken together, our study uncovers a new biological function of BRD4 and provides mechanistic rationale for combining BET inhibitors with DDR-targeted agents for cancer therapy.
Insights
This study reveals a new role for BRD4 in the DNA damage response (DDR) pathway. Inhibiting BRD4 disrupts DNA replication and sensitizes cancer cells to therapy, offering new treatment strategies.
Area of Science:
- Molecular Biology
- Cancer Research
- Genetics
Background:
- BRD4 (Bromodomain-containing protein 4) is known to regulate oncogenic gene transcription in various cancers.
- Its role in DNA damage response (DDR) has not been previously elucidated.
Purpose of the Study:
- To investigate the novel function of BRD4 in the DNA damage response (DDR) pathway.
- To explore the therapeutic potential of targeting BRD4 in combination with DDR-targeting agents.
Main Methods:
- Utilized BRD4 inhibitors (JQ1, AZD5153) to assess effects on DNA replication and checkpoint signaling.
- Investigated the synergistic effects of BRD4 inhibition with ATR inhibitor AZD6738 in cancer cell lines and xenograft models.
Main Results:
- BRD4 inhibition led to reduced CHK1 phosphorylation and aberrant DNA replication re-initiation.
- BRD4 inhibition sensitized cancer cells to replication stress agents and synergized with ATR inhibitor AZD6738 for cell killing.
- Synergistic effects were observed in both cell-line and patient-derived xenograft models.
Conclusions:
- BRD4 plays a critical role in DNA replication checkpoint signaling and the DDR.
- Combining BET inhibitors like BRD4 inhibitors with DDR-targeting agents presents a promising strategy for cancer therapy.
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