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E1A-associated protein p300 (EP300) is a large, multidomain transcriptional coactivator that functions as a histone acetyltransferase (HAT), playing a pivotal role in the epigenetic regulation of gene expression [UniProt: P45973]. The p300 bromodomain is a specialized structural motif that recognizes and binds to acetylated lysine residues on histones and non-histone proteins, acting as a reader of the epigenetic code to recruit transcriptional machinery [PubMed: 27105300]. In various malignancies, including prostate cancer and acute myeloid leukemia, p300 is often co-opted to drive the expression of key oncogenic drivers like MYC and the androgen receptor [PubMed: 31235518]. Small-molecule inhibitors targeting the p300 bromodomain, such as inobrodib (CCS1477), are designed to displace p300 from chromatin, thereby downregulating these oncogenic programs [ClinicalTrials.gov: NCT03568331]. While these inhibitors show significant therapeutic potential, the high degree of homology between p300 and its paralog CBP (CREB-binding protein) necessitates careful consideration of selectivity and potential systemic toxicities related to broad transcriptional inhibition [PubMed: 29431944]. These agents are currently being evaluated in clinical trials for their ability to overcome resistance to standard-of-care therapies in advanced cancers [PubMed: 31235518].
Bromodomain inhibition prevents the protein from binding to acetylated lysine residues on histones and other proteins, thereby disrupting the recruitment of transcriptional machinery and inhibiting the expression of oncogenic drivers [PubMed: 27105300].
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