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BET Bromodomain Inhibition Suppresses the Function of Hematopoietic Transcription Factors in Acute Myeloid Leukemia

The bromodomain and extraterminal (BET) protein BRD4 is a validated drug target in leukemia, yet its regulatory function in this disease is not well understood. Here, we show that BRD4 chromatin occupancy in acute myeloid leukemia closely correlates with the hematopoietic transcription factors (TFs)...

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Published in:Molecular cell 2015-06, Vol.58 (6), p.1028-1039
Main Authors: Roe, Jae-Seok, Mercan, Fatih, Rivera, Keith, Pappin, Darryl J., Vakoc, Christopher R.
Format: Article
Language:English
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Summary:The bromodomain and extraterminal (BET) protein BRD4 is a validated drug target in leukemia, yet its regulatory function in this disease is not well understood. Here, we show that BRD4 chromatin occupancy in acute myeloid leukemia closely correlates with the hematopoietic transcription factors (TFs) PU.1, FLI1, ERG, C/EBPα, C/EBPβ, and MYB at nucleosome-depleted enhancer and promoter regions. We provide evidence that these TFs, in conjunction with the lysine acetyltransferase activity of p300/CBP, facilitate BRD4 recruitment to their occupied sites to promote transcriptional activation. Chemical inhibition of BET bromodomains was found to suppress the functional output of each hematopoietic TF, thereby interfering with essential lineage-specific transcriptional circuits in this disease. These findings reveal a chromatin-based signaling cascade comprised of hematopoietic TFs, p300/CBP, and BRD4 that supports leukemia maintenance and is suppressed by BET bromodomain inhibition. [Display omitted] •BRD4 occupancy in leukemia correlates with hematopoietic transcription factors•The p300/CBP lysine acetyltransferases are essential for global BRD4 recruitment•p300 acetylates ERG to promote an interaction with BRD4•Hematopoietic transcription factors are functionally suppressed by BET inhibitors BET inhibitors are currently under clinical investigation as epigenetic therapy in leukemia. Roe et al. identify a molecular mechanism that can account for the context-dependent transcriptional effects of these agents. They show that the BET protein BRD4 is required for the functional output of an ensemble of lineage-specific transcription factors.
ISSN:1097-2765
1097-4164
DOI:10.1016/j.molcel.2015.04.011