[PDF][PDF] MED12 and BRD4 cooperate to sustain cancer growth upon loss of mediator kinase

D Sooraj, C Sun, A Doan, DJ Garama, MV Dannappel… - Molecular Cell, 2022 - cell.com
D Sooraj, C Sun, A Doan, DJ Garama, MV Dannappel, D Zhu, HK Chua, S Mahara…
Molecular Cell, 2022cell.com
Summary Mediator kinases (CDK8/19) are transcriptional regulators broadly implicated in
cancer. Despite their central role in fine-tuning gene-expression programs, we find complete
loss of CDK8/19 is tolerated in colorectal cancer (CRC) cells. Using orthogonal functional
genomic and pharmacological screens, we identify BET protein inhibition as a distinct
vulnerability in CDK8/19-depleted cells. Combined CDK8/19 and BET inhibition led to
synergistic growth retardation in human and mouse models of CRC. Strikingly, depletion of …
Summary
Mediator kinases (CDK8/19) are transcriptional regulators broadly implicated in cancer. Despite their central role in fine-tuning gene-expression programs, we find complete loss of CDK8/19 is tolerated in colorectal cancer (CRC) cells. Using orthogonal functional genomic and pharmacological screens, we identify BET protein inhibition as a distinct vulnerability in CDK8/19-depleted cells. Combined CDK8/19 and BET inhibition led to synergistic growth retardation in human and mouse models of CRC. Strikingly, depletion of CDK8/19 in these cells led to global repression of RNA polymerase II (Pol II) promoter occupancy and transcription. Concurrently, loss of Mediator kinase led to a profound increase in MED12 and BRD4 co-occupancy at enhancer elements and increased dependence on BET proteins for the transcriptional output of cell-essential genes. In total, this work demonstrates a synthetic lethal interaction between Mediator kinase and BET proteins and exposes a therapeutic vulnerability that can be targeted using combination therapies.
cell.com