BRD4 inhibition suppresses histone H4 UFMylation to increase ferroptosis sensitivity through TXNIP

Zhen Yang1, Baoshuai Wang1, Bin Guo1

  • 1State Key Laboratory of Natural Medicines, Jiangsu Key Laboratory of Carcinogenesis and Intervention, School of Basic Medicine and Clinical Pharmacy, China Pharmaceutical University, Nanjing, People's Republic of China.

Cell Death & Disease
|November 17, 2025
PubMed

Insights

BET inhibitor JQ1 upregulates TXNIP, mediating anti-tumor effects by inhibiting histone modification and promoting cell dormancy. Dormant cells are sensitive to ferroptosis, enhancing combination therapy potential.

Area of Science:

  • Oncology
  • Molecular Biology
  • Epigenetics

Background:

  • Bromodomain and Extra-Terminal (BET) inhibitors, like JQ1, alter gene transcription but their specific targets in solid tumors are unclear.
  • Understanding these targets is crucial for optimizing BET inhibitor efficacy in cancer treatment.

Purpose of the Study:

  • To identify genes mediating the anti-tumor effects of BET inhibitor JQ1 in solid tumors.
  • To elucidate the molecular mechanisms by which JQ1 impacts gene transcription, protein modification, and cell fate.
  • To explore the implications of these findings for combination therapies.

Main Methods:

  • Treatment of solid cancer cells with BET inhibitor JQ1.
  • Analysis of gene transcription, histone modifications (H3K9 trimethylation, H4 UFMylation), and protein stability (P27).
  • Investigation of the roles of Thioredoxin Interacting Protein (TXNIP) and UFMylation in cellular response to JQ1.

Main Results:

  • JQ1 upregulates TXNIP, which mediates its anti-tumor effects by reducing H4 UFMylation and inhibiting cMYC-driven cell cycle progression.
  • Increased TXNIP inhibits H4 UFMylation by disrupting UFBP1 interaction, impacting cMYC chromatin binding.
  • JQ1 treatment induces a dormant state in cancer cells, increasing P27 stability and conferring sensitivity to ferroptosis.

Conclusions:

  • TXNIP is a key mediator of JQ1's anti-tumor activity, influencing epigenetic regulation and cell cycle control.
  • BET inhibition induces cancer cell dormancy, which can be overcome by ferroptosis inducers, suggesting novel therapeutic strategies.
  • These findings provide insights into the regulation of protein UFMylation and cMYC activity in response to BET inhibitors.