BRD4-Regulated Molecular Targets in Mantle Cell Lymphoma: Insights into Targeted Therapeutic Approach

Cancer Genomics Proteomics. 2020 Jan-Feb;17(1):77-89. doi: 10.21873/cgp.20169.

Abstract

Background: Since bromodomain-containing protein 4 (BRD4) facilitates the transcription of genes important for neoplastic cells in a cancer-type specific manner, BRD4-regulated molecules may also include therapeutic targets for mantle cell lymphoma (MCL), a treatment-refractory subtype of malignant lymphoma.

Materials and methods: In order to uncover direct BRD4-regulated targets in MCL, we performed integrated analysis using the pathway database and the results of both gene-expression profiling and chromatin immunoprecipitation with parallel sequencing for BRD4.

Results: Treatment with BRD4 inhibitor I-BET151 exerted a dose-dependent inhibitory effect on cell proliferation in MCL cell lines. BRD4 was found to directly regulate series of genes involved in the B-cell receptor (BCR) signaling pathway, including B-cell linker (BLNK), paired box 5 (PAX5), and IKAROS family zinc finger 3 (IKZF3), and several oncogenes, such as MYB. Indeed, the combinatory inhibition of BCR pathway and IKZF showed an additive antitumor effect.

Conclusion: Concomitant targeting multiple BRD4-regulated molecules may constitute a rational therapeutic strategy for MCL.

Keywords: BRD4; ChIP-Seq; Mantle cell lymphoma; drug resistance; super-enhancer.

MeSH terms

  • Apoptosis
  • Biomarkers, Tumor / metabolism*
  • Cell Cycle Proteins / antagonists & inhibitors*
  • Cell Proliferation
  • Gene Expression Regulation, Neoplastic / drug effects*
  • Heterocyclic Compounds, 4 or More Rings / pharmacology*
  • Humans
  • Lymphoma, Mantle-Cell / drug therapy
  • Lymphoma, Mantle-Cell / metabolism*
  • Lymphoma, Mantle-Cell / pathology
  • Molecular Targeted Therapy*
  • Protein Interaction Domains and Motifs / drug effects*
  • Transcription Factors / antagonists & inhibitors*
  • Tumor Cells, Cultured

Substances

  • BRD4 protein, human
  • Biomarkers, Tumor
  • Cell Cycle Proteins
  • GSK1210151A
  • Heterocyclic Compounds, 4 or More Rings
  • Transcription Factors