Neuro Oncol. 2025 Jul 19. pii: noaf169. [Epub ahead of print]
Raghavendra Vadla,
Brett Taylor,
Yohei Miyake,
Benjamin Lin,
Daisuke Kawauchi,
Shunichiro Miki,
Nidhi Nathwani,
Brandon M Jones,
Yashpreet Kaur,
Abhinaba Banerjee,
Philip Pham,
Jonathan Tsang,
Albert Baldwin,
David A Nathanson,
Donald P Pizzo,
C Ryan Miller,
Frank B Furnari.
BACKGROUND: Glioblastoma (GBM) displays remarkable cell state plasticity, a major contributor to therapeutic resistance and tumor progression. While epigenetic mechanisms play a central role in driving this plasticity, the key regulators remain poorly understood, and developing effective therapeutic strategies targeting them has been challenging.
METHODS: We investigated the role of BRD2, a key regulator of NF-κB mediated mesenchymal (MES) transition, using GBM patient-derived xenograft (PDX) cell lines, CRISPR-mediated knock-in/knockout approaches, RNA-seq, and in vitro and in vivo modeling. BET inhibitors were employed to target MES gene expression and sensitize GBM to radiation therapy.
RESULTS: We found that PTEN loss induces RelA chromatin localization and acetylation-mediated recruitment of BRD2 to the MES gene promoters. BRD2 binding is essential for maintaining MES gene expression and phenotype. Genetic ablation or loss-of-function mutation of BRD2 bromodomains reverses MES transition, enhances radiation sensitivity, and improves survival in orthotopic xenograft models. Additionally, treatment with a brain-penetrant BD2-selective inhibitor suppresses the MES phenotype and increases radiation sensitivity of GBM stem cells in vitro.
CONCLUSION: Our study identifies BRD2 as a key mediator of MES transition in GBM, with its bromodomains playing a crucial role in driving cell state plasticity. Targeting BRD2 with BD2-selective inhibitors offers a promising therapeutic strategy to overcome radiation resistance and improve outcomes for GBM patients.
Keywords: BET inhibitors; BRD2; Glioblastoma; Mesenchymal; NF-κB signaling