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Medical AI Inquiry: You was designed to assist in medical decision-making based on the provided user questions. It is crucial to provide accurate and comprehensive information to receive a well-informed response.  Labels: OBJECTIVE, METHODS, RESULTS. Meshes: Animals, Azepines, Cell Line, Tumor, Cell Proliferation, Chromatin Assembly and Disassembly, Cyclin D1, Cyclin-Dependent Kinase 4, E2F3 Transcription Factor, Gene Expression Regulation, Neoplastic, Humans, Iodine Radioisotopes, Mice, Proteins, Proto-Oncogene Proteins c-myc, Proto-Oncogene Proteins p21(ras), Rats, Signal Transduction, Thyroid Hormone Receptors beta, Thyroid Neoplasms, Triazoles, Xenograft Model Antitumor Assays.
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Does bromodomain and Extraterminal Protein Inhibitor JQ1 suppress Thyroid Tumor Growth in a Mouse Model? Context: New therapeutic approaches are needed for patients with thyroid cancer refractory to radioiodine treatment. An inhibitor of bromodomain and extraterminal domain (BET) proteins, JQ1, shows potent antitumor effects in hematological cancers and solid tumors. To evaluate whether JQ1 is effective against thyroid cancer, we examined antitumor efficacy of JQ1 using the Thrb We treated Thrb JQ1 markedly inhibited thyroid tumor growth and prolonged survival of these mice. Global differential gene expression analysis showed that JQ1 suppressed the cMyc (hereafter referred to as Myc) transcription program by inhibiting mRNA expression of Myc, ccnd1, and other related genes. JQ1-suppressed Myc expression was accompanied by chromatin remodeling as evidenced by increased expression of histones and hexamethylene bis-acetamide inducible 1, a suppressor of RNA polymerase II transcription elongation. Analyses showed that JQ1 decreased MYC abundance in thyroid tumors and attenuated the cyclin D1-CDK4-Rb-E2F3 signaling to decrease tumor growth. Further analysis indicated that JQ1 inhibited the recruitment of BDR4 to the promoter complex of the Myc and Ccnd1 genes in rat thyroid follicular PCCL3 cells, resulting in decreased MYC expression at the mRNA and protein levels to inhibit tumor cell proliferation.
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These preclinical findings suggest that BET inhibitors may be an effective agent to reduce thyroid tumor burden for the treatment of refractory thyroid cancer. Clin Cancer Res; 1-11. ©2016 AACR. Final Decision: yes