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Bromodomain-containing protein 3 (BRD3) is a member of the Bromodomain and Extra-Terminal (BET) family, which also includes BRD2, BRD4, and BRDT (UniProt: Q15059). BRD3 contains two tandem bromodomains, BD1 and BD2, that serve as epigenetic readers by recognizing and binding to acetylated lysine residues on histone tails and various transcription factors (PubMed: 24360278). Bromodomain 1 (BD1) is the N-terminal domain and plays a vital role in recruiting BRD3 to specific chromatin sites to facilitate the transcription of genes involved in cell growth and proliferation (PubMed: 21297644). In clinical contexts, BRD3 is notably involved in NUT midline carcinoma through chromosomal translocations that create the BRD3-NUT fusion protein, driving aggressive tumor growth (PubMed: 17662135). Small molecule inhibitors like JQ1 and Birabresib target the BD1 pocket to disrupt these protein-protein interactions, effectively suppressing the expression of key oncogenes like MYC (PubMed: 20946927). Current therapeutic challenges include managing systemic toxicities such as thrombocytopenia and developing inhibitors with higher selectivity for BD1 over BD2 to improve the therapeutic index (PubMed: 27108504).
Competitive inhibition of acetylated lysine binding to the bromodomain pocket, which displaces the BET protein from chromatin and leads to the downregulation of oncogenic transcription factors such as MYC (PubMed: 20946927).
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