The therapeutic potential of BRD4 in cardiovascular disease

Hypertens Res. 2020 Oct;43(10):1006-1014. doi: 10.1038/s41440-020-0459-4. Epub 2020 May 14.

Abstract

Bromodomain-containing protein 4 (BRD4) is a member of the bromodomain and extra terminal (BET) protein family that has gained wide attention in the field of cancer due to its role in the formation of super enhancers (SEs) and the regulation of oncogene expression. However, there is increasing evidence that BRD4 also plays a pivotal role in a variety of cardiovascular diseases, suggesting that understanding the mechanisms of BRD4 in these diseases is important to advance studies and clinical treatment. In this article, we summarize the mechanisms of BRD4 in cardiovascular diseases, including pulmonary arterial hypertension, heart failure, atherosclerosis, and hypertension. In addition, we discuss small molecule inhibitors of BRD4 as novel therapeutic strategies for cardiovascular diseases.

Keywords: Atherosclerosis; BRD4; Cardiovascular disease; Heart failure; Pulmonary arterial hypertension.

Publication types

  • Review

MeSH terms

  • Animals
  • Cardiovascular Diseases / drug therapy
  • Cardiovascular Diseases / metabolism*
  • Cell Cycle Proteins / antagonists & inhibitors
  • Cell Cycle Proteins / metabolism*
  • Humans
  • Molecular Targeted Therapy
  • Pulmonary Arterial Hypertension / metabolism
  • Transcription Factors / antagonists & inhibitors
  • Transcription Factors / metabolism*

Substances

  • BRD4 protein, human
  • Cell Cycle Proteins
  • Transcription Factors