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BET Bromodomains Mediate Transcriptional Pause Release in Heart Failure
Open accessAbstract
Heart failure (HF) is driven by the interplay between regulatory transcription factors and dynamic alterations in chromatin structure. Pathologic gene transactivation in HF is associated with recruitment of histone acetyl-transferases and local chromatin hyperacetylation. We therefore assessed the role of acetyl-lysine reader proteins, or bromodomains, in HF. Using a chemical genetic approach, we establish a central role for BET family bromodomain proteins in gene control during HF pathogenesis. BET inhibition potently suppresses cardiomyocyte hypertrophy in vitro and pathologic cardiac remodeling in vivo. Integrative transcriptional and epigenomic analyses reveal that BET proteins function mechanistically as pause-release factors critical to expression of genes that are central to HF pathogenesis and relevant to the pathobiology of failing human hearts. This study implicates epigenetic readers as essential effectors of transcriptional pause release during HF pathogenesis and identifies BET coactivator proteins as therapeutic targets in the heart.
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“BET inhibition exerted a strong protective effect on left ventricular ejection fraction (Fig. 1B)4,6-10.”
From Chromatin remodelling drives immune cell–fibroblast communication in heart failure (2024) · cites this paper as [6]
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“As BET proteins are transcriptional co-activators and their inhibition is associated with protection in heart failure models6-8”
From Chromatin remodelling drives immune cell–fibroblast communication in heart failure (2024) · cites this paper as [6]
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“model of cardiac pressure overload, which provides focal hemodynamic stress to the heart and recapitulates several cardinal aspects of pathologic hypertrophy and HF in humans (Rockman et al., 1991).”
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“Using gene set enrichment analysis (GSEA) (Subramanian et al., 2005), we compared our set of TAC-induc-”
Ultrafast and memory-efficient alignment of short DNA sequences to the human genome.
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Model-based Analysis of ChIP-Seq (MACS)
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“The pathologic nature of this process has been validated in large epidemiologic studies, which demonstrate that the presence of chronic cardiac hypertrophy is a robust predictor of subsequent HF and death (Hill and Olson, 2008; Levy et al., 1990).”
Selective inhibition of BET bromodomains
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“We and others have utilized this chemical genetic tool to probe BET function in a number of developmental and disease contexts, such as cancer (Delmore et al., 2011; Filippakopoulos et al., 2010), HIV infection (Banerjee et al.”
InfluentialSelf-citationSelective Inhibition of Tumor Oncogenes by Disruption of Super-Enhancers
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“Furthermore, the very recent discovery of asymmetrically loaded BRD4 on a critical subset of state-specific enhancers termed superenhancers (Lovén et al., 2013) raises the possibility that such superenhancers might also be active in the stressed myocardium and contribute to BET target specificity.”
Self-citationBET Bromodomain Inhibition as a Therapeutic Strategy to Target c-Myc
Delmore, J. E., Issa, G. C., Lemieux, M. E., Rahl, P. B., Shi, J., Jacobs, H. M., Kastritis, E., Gilpatrick, T., Paranal, R. M., Qi, J., et al. (2011) · Cell · doi:10.1016/j.cell.2011.08.017 · Cited by 2,888 · cited 4×
“Prior studies from our laboratory and others have implicated BET bromodomains in neoplastic MYC transcription in hematopoietic tumors (Delmore et al., 2011; Zuber et al., 2011).”
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“Prior studies from our laboratory and others have implicated BET bromodomains in neoplastic MYC transcription in hematopoietic tumors (Delmore et al., 2011; Zuber et al., 2011).”
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“Consistently, RP3 outperformed Naive Bayes, LinearSVM, and Decision Tree in predictive performance in both cell lines (See online supplementary material for a colour version of Supplementary Figs 7-8).”
BackgroundMethodInfluentialRole of DNA methylation in cardiovascular disease
Chianese, U., Papulino, C., Megchelenbrink, W., Scisciola, L., Barbieri, M., Paolisso, G., Altucci, L., & Benedetti, R. (2025) · Elsevier eBooks · doi:10.1016/b978-0-443-18722-3.00030-x
Jain, A., Pagé, V., Devost, D., Pétrin, D., Hébert, T. E., & Tanny, J. C. (2025) · International Journal of Molecular Sciences · doi:10.3390/ijms26188904
Epigenetic Therapeutics in Human Heart Failure
Leon, S., Liu, C., & Tang, W. H. W. (2025) · Heart Failure Clinics · doi:10.1016/j.hfc.2025.08.003
Gene editing for inherited cardiac conditions: A new frontier in cardiology
Abdul-Rahman, T., Roy, P., Garg, N. K., Nazir, A., Mehta, K. S., Doshi, N. A., Hassnain, S., Reddi, R., Kanagala, S. G., Ashinze, P. T., et al. (2025) · Trends in Cardiovascular Medicine · doi:10.1016/j.tcm.2025.11.002
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Developing a novel antifungal strategy by targeting an epigenetic reader domain
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Reddy, M. A., Bhattacharya, S., Tanwar, V. S., Malek, V., Chen, Z., Zhang, L., Lanting, L. L., Wu, X., Grant, M. B., Tompkins, J. D., et al. (2026) · bioRxiv (Cold Spring Harbor Laboratory) · doi:10.64898/2026.05.27.727961
Molecular mechanisms and RNA biomarkers in cardiomyopathy diagnosis
Kumar, S., Goyal, A., Wander, G. S., Duggal, B., Karnati, S., & Naidu, S. (2026) · Academia molecular biology and genomics. · doi:10.20935/acadmolbiogen8336
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“Variables Definition Expectedsigns source -Inclusive growth Index computed on the bases that shared growth depends on two factors: (1) income growth, proxied by GDP per capita (2) income distribution proxied by the Gini index (Anand et al. 2013).”
Epigenetic and chromatin remodeling mechanisms across cardiomyopathies: a comprehensive review
Upadhyaya, P. (2026) · Epigenetics & Chromatin · doi:10.1186/s13072-026-00681-2
“In experimental models of cardiac stress and heart failure, several BAF subunits exhibit altered expression patterns [98].”
Mačvanin, M., & Klisic, A. N. (2026) · Journal of Cardiovascular Translational Research · doi:10.1007/s12265-026-10820-5
“The BRD4 inhibitor JQ1 is a thieno-triazolodiazepine that improves cardiac function in HF or myocardial infarction in mice by inhibiting smooth muscle contractile activity [228, 229].”
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“On a molecular level, it has been well established that many cardiac pathologies result from dynamic changes in gene expression and, conversely, that modulating key epigenetic factors (e.g., BRG1 13 , BET 14 , HDACs 15 ) have the capacity to prevent or abrogate injury or pathological remodeling.”
Metadata
- Authors
- Anand, P., Brown, J. D., Lin, C. Y., Qi, J., Zhang, R., Artero, P. C., Alaiti, M. A., Bullard, J., Alazem, K., Margulies, K. B., Cappola, T. P., Lemieux, M., Plutzky, J., Bradner, J. E., & Haldar, S. M.
- Affiliations
- University Hospitals of Cleveland (US)
- Brigham and Women's Hospital (US)
- Dana-Farber Cancer Institute (US)
- University of Pennsylvania (US)
- Harvard University (US)
- Corresponding author
- Bradner, James E.
- Haldar, Saptarsi M.
- ORCID
- Venue
- Cell
- Publisher
- Elsevier BV
- Published
- 2013-08
- Volume
- 154
- Issue
- 3
- Pages
- 569-582
- ISSN
- 0092-8674 (ISSN-L)
- PMC
- PMC4090947
- OpenAlex
- W2154924534
- Cited by
- 406
- References
- 63
- Citations by year
- 2026: 21 · 2025: 26 · 2024: 18 · 2023: 25 · 2022: 25 · 2021: 36 · 2020: 49 · 2019: 33 · 2018: 28 · 2017: 29 · 2016: 36 · 2015: 42 · 2014: 30 · 2013: 6
- FWCI
- 17.01
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Cell (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- Wellcome Trust
- National Heart, Lung, and Blood Institute (T32HL105338, K08HL105678, K08HL086614, R01HL105993, P01HL048743)
- National Cancer Institute (K08CA128972)
- National Institute of Diabetes and Digestive and Kidney Diseases (R01DK093821)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Protein Degradation and Inhibitors
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Genomics and Chromatin Dynamics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Fibrosis and Remodeling
- Keywords
- heart failure, BET proteins, chromatin acetylation, histone acetyltransferase, cardiac remodeling, cardiomyocyte hypertrophy, epigenetic reader protein, BET inhibition, gene expression regulation, chemical genetics
- MeSH terms
- Animals, Chromatin, Disease Models, Animal, Heart, Cardiomegaly, Heart Failure, Humans, Mice, Inbred C57BL, Transcription Factors, Transcription, Genetic, Protein Structure, Tertiary, Myocytes, Cardiac, Epigenesis, Genetic, Mice, Rats, Transcriptome
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