Target intelligence / Profile preview

Bromodomain-containing protein 2, Bromodomain-containing protein 3, Bromodomain-containing protein 4, and Bromodomain testis-specific protein (BRD2, BRD3, BRD4, BRDT)

Target
BRD2, BRD3, BRD4, BRDT
Molecular classification
Epigenetic reader, Transcription co-activator, Chromatin regulator, Histone modification protein, Bromodomain protein family, BET family
01

Overview

The BET (Bromodomain and Extra-Terminal domain) family includes four human proteins—BRD2, BRD3, BRD4, and BRDT—which function as epigenetic readers by recognizing acetylated lysine residues on histones and transcription factors[3][4][5]. Structurally, they contain two N-terminal bromodomains and an extra-terminal (ET) domain, and, in the case of BRDT, a PEST motif[1][2][3][5]. BET family proteins regulate gene transcription by recruiting regulatory complexes to chromatin, playing vital roles in cell cycle control, genome organization, spermatogenesis (BRDT), immune modulation, and oncogenesis[1][3][4][5]. Aberrant expression, mutation, or fusion of BET proteins is implicated in aggressive cancers, especially NUT midline carcinoma (BRD4/BRD3-NUT fusions), as well as inflammation, renal disease, cardiovascular disease, and male infertility[1][2][4][5]. Drugs that inhibit BET bromodomains (BET inhibitors) block the ability of these proteins to read acetylation marks and suppress transcription of disease-driving genes, making BET proteins important therapeutic targets under active clinical and preclinical investigation[1][4][5][6].

Other names
BET family proteinsBromodomain and extra-terminal domain proteinsRING3 protein familyMCAP
02

Mechanism of action

Inhibitors block acetyl-lysine recognition by BET bromodomains, preventing binding to chromatin and regulatory proteins, thereby suppressing transcription of disease-driving genes and oncogenes. Induction of spermatogenic arrest by blocking BRDT chromatin interactions (male contraception).

03

Biological functions

Transcriptional regulationEpigenetic reading of histone acetylationRecruitment of transcriptional regulatory complexesCell cycle regulationControl of cell proliferationGenome organizationRegulator of inflammation and innate immunitySpermatogenesis
04

Disease associations

Cancer (oncogenesis, super-enhancer activation, NUT midline carcinoma)InflammationAutoimmunityRenal disease and fibrosisCardiovascular diseaseInfection (viral targeting of BET proteins)Contraception (BRDT-specific: target of male contraceptive development)
05

Safety considerations

Potential for global transcriptional suppression leading to toxicityEffects on spermatogenesis and fertility (especially with BRDT inhibition)Risks of immunosuppression or off-target chromatin effectsReversible male infertility reported in animal BET inhibitor studiesPotential cardiovascular effects (e.g., apabetalone trials)
06

Interacting drugs

Apabetalone (RVX-208)

3 more in the full profile.

07

Biomarkers

BRD4 translocation/fusion, e.g., BRD4-NUT in NUT midline carcinomaBET target gene expression profiles (e.g., c-Myc overexpression)Histone acetylation patternsBET protein expression/aberrancy in cancer, inflammation, or other pathologies

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