BRD9 degraders as chemosensitizers in acute leukemia and multiple myeloma

Ellen Weisberg1,2, Basudev Chowdhury3,4, Chengcheng Meng3

  • 1Department of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA. ellen_weisberg@dfci.harvard.edu.

Blood Cancer Journal
|July 19, 2022
PubMed

Insights

Targeting bromodomain-containing protein 9 (BRD9) with novel inhibitors shows promise for treating acute myeloid leukemia (AML), acute lymphoblastic leukemia (ALL), and multiple myeloma (MM). BRD9 inhibition leads to cell differentiation or apoptosis, supporting its development as a cancer therapy.

Area of Science:

  • Oncology
  • Molecular Biology
  • Chromatin Biology

Background:

  • Bromodomain-containing protein 9 (BRD9) is a key component of the ncBAF SWI/SNF chromatin remodeling complex.
  • BRD9 is a validated therapeutic target in certain leukemias and sarcomas.

Purpose of the Study:

  • To investigate the dependency on BRD9 in various hematological malignancies.
  • To evaluate the therapeutic potential of BRD9 inhibition in acute myeloid leukemia (AML), acute lymphoblastic leukemia (ALL), and multiple myeloma (MM).

Main Methods:

  • Utilized novel small molecule inhibitors and degraders targeting BRD9.
  • Employed RNA interference (RNAi) for BRD9 depletion.
  • Conducted RNA-sequencing (RNA-seq) analysis to identify affected signaling pathways.

Main Results:

  • BRD9 depletion induced terminal differentiation in AML cells.
  • Apoptosis was the predominant response in ALL and MM cells following BRD9 depletion.
  • BRD9 inhibition affected common pathways including inflammation, cell adhesion, DNA repair, and cell cycle progression.
  • BRD9 degradation enhanced the efficacy of existing chemotherapeutic and targeted agents against AML, ALL, and MM.

Conclusions:

  • BRD9 is a critical dependency in AML, ALL, and MM.
  • Targeting BRD9, either alone or in combination therapies, represents a promising novel strategy for treating these hematological malignancies.
  • Further clinical development of BRD9-targeting agents is warranted.

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