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Updated: Feb 7, 2026

In Vitro Ubiquitination and Deubiquitination Assays of Nucleosomal Histones
Published on: July 25, 2019
DUB3 Promotes BET Inhibitor Resistance and Cancer Progression by Deubiquitinating BRD4
Xin Jin1, Yuqian Yan2, Dejie Wang2
1Department of Pancreatic Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China; Department of Biochemistry and Molecular Biology, Mayo Clinic College of Medicine, Rochester, MN 55905, USA.
Abstract:
The bromodomain and extra-terminal domain (BET) protein BRD4 is emerging as a promising anticancer therapeutic target. However, resistance to BET inhibitors often occurs, and it has been linked to aberrant degradation of BRD4 protein in cancer. Here, we demonstrate that the deubiquitinase DUB3 binds to BRD4 and promotes its deubiquitination and stabilization. Expression of DUB3 is transcriptionally repressed by the NCOR2-HDAC10 complex. The NCOR2 gene is frequently deleted in castration-resistant prostate cancer patient specimens, and loss of NCOR2 induces elevation of DUB3 and BRD4 proteins in cancer cells. DUB3-proficient prostate cancer cells are resistant to the BET inhibitor JQ1 in vitro and in mice, but this effect is diminished by DUB3 inhibitory agents such as CDK4/6 inhibitor in a RB-independent manner. Our findings identify a previously unrecognized mechanism causing BRD4 upregulation and drug resistance, suggesting that DUB3 is a viable therapeutic target to overcome BET inhibitor resistance in cancer.
Insights
Drug resistance in cancer can occur due to increased bromodomain and extra-terminal domain (BET) protein BRD4. The deubiquitinase DUB3 stabilizes BRD4, leading to resistance against BET inhibitors like JQ1.
Area of Science:
- Oncology
- Molecular Biology
- Biochemistry
Background:
- Bromodomain and extra-terminal domain (BET) proteins, particularly BRD4, are key therapeutic targets in cancer treatment.
- Acquired resistance to BET inhibitors is a significant clinical challenge, often associated with dysregulation of target proteins.
Purpose of the Study:
- To elucidate the mechanism underlying BRD4 stabilization and its role in mediating resistance to BET inhibitors.
- To identify novel therapeutic targets for overcoming BET inhibitor resistance in cancer.
Main Methods:
- Investigated the interaction between deubiquitinase DUB3 and BRD4 using biochemical assays.
- Analyzed the transcriptional regulation of DUB3 by the NCOR2-HDAC10 complex.
- Assessed the impact of NCOR2 gene deletion on DUB3 and BRD4 protein levels in prostate cancer cells.
- Evaluated the sensitivity of DUB3-proficient cancer cells to the BET inhibitor JQ1 in vitro and in vivo models.
- Tested the efficacy of DUB3 inhibitory agents, including CDK4/6 inhibitors, in overcoming BET inhibitor resistance.
Main Results:
- Demonstrated that DUB3 binds to and deubiquitinates BRD4, thereby stabilizing the protein.
- Showed that DUB3 expression is transcriptionally repressed by the NCOR2-HDAC10 complex.
- Observed frequent deletion of the NCOR2 gene in castration-resistant prostate cancer, leading to elevated DUB3 and BRD4 levels.
- Found that DUB3-expressing prostate cancer cells exhibit resistance to the BET inhibitor JQ1.
- Confirmed that DUB3 inhibitory agents can diminish JQ1 resistance in a RB-independent manner.
Conclusions:
- Identified a novel mechanism involving DUB3-mediated BRD4 stabilization that contributes to BET inhibitor resistance.
- Highlighted the NCOR2 gene deletion as a potential biomarker for BET inhibitor resistance.
- Positioned DUB3 as a promising therapeutic target to overcome resistance to BRD4-targeting anticancer drugs.
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