Role of Bromodomain Proteins in Reading Acetylated Histone Marks in Leukemia

Authors

  • Marek Kowalczyk Department of Chromatin Biology, Meuse Institute of Nuclear Biology, Belgium Author
  • Karolien Peeters Institute for Genome Organization and Nuclear Architecture, Nordic Institute of Epigenomic Medicine, Finland Author
  • Ingrid Kraus Division of Biomedical Genomics, Delta University Center for Nuclear Architecture, Netherlands Author

DOI:

https://doi.org/10.5281/zenodo.22760604

Keywords:

BRD4, bromodomain, BET protein, histone acetylation, MLL-rearranged leukemia, super-enhancer, JQ1

Abstract

Bromodomain and extra-terminal domain (BET) proteins, most prominently BRD4, read acetylated histone lysine
marks to sustain transcription of a small set of oncogenic drivers in acute leukemia, and BET inhibitors have
progressed into clinical evaluation on this basis, yet how BRD4 occupancy is distributed across the leukemic
chromatin landscape relative to bulk histone acetylation, and which occupied loci are the proximate functional
targets of BET inhibition, remain incompletely resolved at high genomic resolution. Here we profiled BRD4,
H3K27ac and H4K5/8/12/16ac occupancy by chromatin immunoprecipitation sequencing (ChIP-seq) in
MLL-rearranged acute myeloid leukemia cell lines and primary patient blasts, and combined this with a
time-resolved response to the BET inhibitor JQ1 and CRISPR interference screening of BRD4-occupied regulatory
elements at the MYC locus. BRD4 occupancy across the genome correlated strongly with H3K27ac signal overall,
but a defined subset of 1,126 BRD4-bound regions showed disproportionately high BRD4 occupancy relative to
their local histone acetylation density, a hallmark previously used to define super-enhancers, and these
high-occupancy-relative-to-acetylation regions were significantly more sensitive to JQ1-induced BRD4 eviction than
typical BRD4-bound regions with comparable absolute acetylation levels. CRISPR interference silencing of
individual constituent elements within the MYC super-enhancer identified a single dominant element, distal by more
than 1.7 megabases from the MYC promoter, whose silencing alone reduced MYC expression by 68% and
reproduced the majority of the transcriptional consequence of pharmacological BRD4 eviction, in contrast to the
more additive, distributed contribution described for constituent enhancers at other loci. Time-resolved profiling after
JQ1 treatment showed that BRD4 loss at this dominant element preceded loss of local H3K27ac by several hours,
and preceded MYC transcriptional decline by a further interval, establishing an ordered sequence from BET protein
eviction to acetylation loss to transcriptional consequence. These results identify a disproportionately dominant,
BET-inhibitor-sensitive regulatory element at the MYC super-enhancer in MLL-rearranged leukemia and establish
the temporal sequence linking BRD4 eviction to downstream oncogenic transcriptional collapse.

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Published

2025-12-09