Department of Neonatology, The Children's Hospital, Zhejiang University School of Medicine, Hangzhou, China.
Hypertens Res. 2020 Oct;43(10):1006-1014. doi: 10.1038/s41440-020-0459-4. Epub 2020 May 14.
Bromodomain-containing protein 4 (BRD4) is a member of the bromodomain and extra terminal (BET) protein family that has gained wide attention in the field of cancer due to its role in the formation of super enhancers (SEs) and the regulation of oncogene expression. However, there is increasing evidence that BRD4 also plays a pivotal role in a variety of cardiovascular diseases, suggesting that understanding the mechanisms of BRD4 in these diseases is important to advance studies and clinical treatment. In this article, we summarize the mechanisms of BRD4 in cardiovascular diseases, including pulmonary arterial hypertension, heart failure, atherosclerosis, and hypertension. In addition, we discuss small molecule inhibitors of BRD4 as novel therapeutic strategies for cardiovascular diseases.
溴结构域蛋白 4(BRD4)是溴结构域和末端(BET)蛋白家族的成员,由于其在超级增强子(SE)形成和癌基因表达调控中的作用,在癌症领域引起了广泛关注。然而,越来越多的证据表明 BRD4 也在多种心血管疾病中发挥关键作用,这表明了解 BRD4 在这些疾病中的机制对于推进研究和临床治疗非常重要。本文总结了 BRD4 在心血管疾病中的作用机制,包括肺动脉高压、心力衰竭、动脉粥样硬化和高血压。此外,我们还讨论了 BRD4 的小分子抑制剂作为心血管疾病的新型治疗策略。