Bromodomain inhibitors and therapeutic applications

Curr Opin Chem Biol. 2023 Aug:75:102323. doi: 10.1016/j.cbpa.2023.102323. Epub 2023 May 17.

Abstract

The bromodomain acts to recognize acetylated lysine in histones and transcription proteins and plays a fundamental role in chromatin-based cellular processes including gene transcription and chromatin remodeling. Many bromodomain proteins, particularly the bromodomain and extra terminal domain (BET) protein BRD4 have been implicated in cancers and inflammatory disorders and recognized as attractive drug targets. Although clinical studies of many BET bromodomain inhibitors have made substantial progress toward harnessing the therapeutic potential of targeting the bromodomain proteins, the development of this new class of epigenetic drugs is met with challenges, especially on-target dose-limiting toxicity. In this review, we highlight the current development of new-generation small molecule inhibitors for the BET and non-BET bromodomain proteins and discuss the research strategies used to target different bromodomain proteins for a wide array of human diseases including cancers and inflammatory disorders.

Keywords: BET proteins; Bromodomain; Bromodomain inhibitors; Drug discovery; Gene transcription.

Publication types

  • Review
  • Research Support, N.I.H., Extramural

MeSH terms

  • Cell Cycle Proteins / genetics
  • Cell Cycle Proteins / metabolism
  • Cell Cycle Proteins / therapeutic use
  • Chromatin
  • Histones / metabolism
  • Humans
  • Neoplasms* / metabolism
  • Nuclear Proteins* / metabolism
  • Transcription Factors / metabolism

Substances

  • Nuclear Proteins
  • Transcription Factors
  • Histones
  • Chromatin
  • BRD4 protein, human
  • Cell Cycle Proteins