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Message: Re: RVX-297 vs RVX-208 for autoimmune indications

Thanks Bear!  It was actually the Tian pulication the Rndtbl linked that got me started on my path to investigating the criteria for predicting the characteristics of a 'good' BETi for inflammatory/autoimmune disease.  Those researchers demonstrated that their new BRD4 selective BETis were more effective than RVX-208 at reducing airway inflammation.  BRD4 has been identified as a major target in many of the cancer pathways, possibly because of its ability to interact directly with acetylated lysines on some of the transcription factors involved (IFNgamma, NF-Kbeta) rather than just with acetlyated amino acids on the histones of the associated genes (recall that you noted this in a recent post).  However, the panBETis used in cancer treatment have high toxicities that make them unsuitable for long tretment of inflammatory/autoimmune diseases.  Selective inhibition of BD2s is likely part of the reason the RVX molecules are less toxic.

So...  My current working hypothesis is that a BDR4-selective (and perhaps also somewhat BRDR2-selective), BD2-selective BETi might be the best 'bet' for the design of an inhibitor for auto-immunity/inflammation. 

BTW, the disease that I have an interest in - sarcoidosis - does involve airway inflammation in many cases since it most often is pulmonary.  Both IFNg and NF-Kb are major drivers of the infammation in sarcoidosis and, if it persists, the inflammation leads to fibrosis of the lung (or other affected) tissue - so the recent discussion of the anti-fibrotic properties of BETis was also relevant.

Jupe 

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