[HTML][HTML] Epigenetic targeting of bromodomain protein BRD4 counteracts cancer cachexia and prolongs survival

M Segatto, R Fittipaldi, F Pin, R Sartori… - Nature …, 2017 - nature.com
M Segatto, R Fittipaldi, F Pin, R Sartori, K Dae Ko, H Zare, C Fenizia, G Zanchettin…
Nature communications, 2017nature.com
Cancer cachexia is a devastating metabolic syndrome characterized by systemic
inflammation and massive muscle and adipose tissue wasting. Although it is responsible for
approximately one-third of cancer deaths, no effective therapies are available and the
underlying mechanisms have not been fully elucidated. We previously identified the
bromodomain and extra-terminal domain (BET) protein BRD4 as an epigenetic regulator of
muscle mass. Here we show that the pan-BET inhibitor (+)-JQ1 protects tumor-bearing mice …
Abstract
Cancer cachexia is a devastating metabolic syndrome characterized by systemic inflammation and massive muscle and adipose tissue wasting. Although it is responsible for approximately one-third of cancer deaths, no effective therapies are available and the underlying mechanisms have not been fully elucidated. We previously identified the bromodomain and extra-terminal domain (BET) protein BRD4 as an epigenetic regulator of muscle mass. Here we show that the pan-BET inhibitor (+)-JQ1 protects tumor-bearing mice from body weight loss and muscle and adipose tissue wasting. Remarkably, in C26-tumor-bearing mice (+)-JQ1 administration dramatically prolongs survival, without directly affecting tumor growth. By ChIP-seq and ChIP analyses, we unveil that BET proteins directly promote the muscle atrophy program during cachexia. In addition, BET proteins are required to coordinate an IL6-dependent AMPK nuclear signaling pathway converging on FoxO3 transcription factor. Overall, these findings indicate that BET proteins may represent a promising therapeutic target in the management of cancer cachexia.
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