SUPER-ENHANCERS AND METHODS OF USE THEREOF

Abstract
The present invention relates in some aspects to super-enhancers and related compositions, methods, and agents that are useful for modulating expression of cell type-specific genes that are required for maintenance of cell identity (e.g., embryonic stem cell identity) or maintenance of a disease state (e.g., cancer).
Description
BACKGROUND OF THE INVENTION

Regulatory elements (e.g., transcription factors, cis-acting enhancer elements, transcriptional coactivators and chromatin regulators) activate gene expression programs in cells ranging from embryonic stem cells (ESCs) to tumor cells. Regulatory elements are important for maintenance of cell identity (e.g., ESC identity) and of some disease states (e.g., cancer). The mechanisms underlying how regulatory elements contribute to maintenance of cell identity and of disease state are not entirely understood.


SUMMARY OF THE INVENTION

The present invention relates in some aspects to super-enhancers and related compositions, methods, and agents that are useful for modulating expression of cell type-specific genes that are required for maintenance of cell identity (e.g., embryonic stem cell identity) or maintenance of a disease state (e.g., cancer).


In some aspects, the invention provides an isolated super-enhancer, or functional fragment and/or variant thereof, comprising a genomic region of deoxyribonucleic acid (DNA) that contains at least two enhancers, wherein the genomic region is occupied when present within a cell by more, e.g., 2, 3, 4, 5, 10, or 15 fold more super-enhancer component, e.g., chromatin associated protein, e.g., a transcriptional coactivator, than the average single enhancer within the cell.


A super-enhancer component, as used herein, is a component, typically a protein, that has a higher local concentration, or exhibits a higher occupancy, at a super-enhancer, as opposed to a normal enhancer or an enhancer outside a super-enhancer, and in embodiments, contributes to increased expression of the associated gene.


In an embodiment the super-enhancer comprises all or part of a gene under its control. In an embodiment does not contain a complete associated gene.


In some embodiments the transcriptional coactivator is Mediator. In some embodiments the transcriptional coactivator is Med1.


In some embodiments the genomic region is occupied when present within a cell by more super-enhancer component, e.g., more chromatin regulator than the average single or normal enhancer within the cell.


In some embodiments the chromatin regulator is a BET bromodomain protein. In some embodiments the BET bromodomain protein is BRD4.


In some embodiments the genomic region spans between about 4 kilobases and about 40 kilobases in length.


In some embodiments the genomic region spans sufficient nucleic acid, or the super-enhancer is of sufficient size or structure, such that, when associated with a gene, the gene has substantially greater expression than in the absence of the super-enhancer.


In some embodiments the at least two enhancers are clustered together.


In some embodiments each enhancer comprises a binding site for a cognate transcription factor.


In some embodiments the cognate transcription factor comprises an embryonic stem cell master transcription factor. In some embodiments the embryonic stem cell master transcription factor is selected from the group consisting of Oct4, Sox2, Nanog, Esrrb, Utf1, Klf4, mir-290-295 microRNA gene cluster, Tbx3, Sgk1, and combinations thereof.


In some embodiments a super-enhancer component comprises an enzyme that, adds, detects or reads, or removes a functional group, e.g., a methyl or acetyl group, from a chromatin component, e.g., DNA or histones.


In some embodiments a super-enhancer component comprises an enzyme that alters, reads, or detects the structure of a chromatin component, e.g., DNA or histones, e.g., a DNA methylase or demythylase, a histone methylase or demethylase, or a histone acetylase or de-acetylase that write, read or erase histone marks, e.g., H3K4me1 or H3K27Ac.


In some embodiments a super-enhancer component comprises an enzyme, adds, detects or reads, or removes a functional group, e.g., a methyl or acetyl group, from a chromatin component, e.g., DNA or histones.


In some embodiments the super-enhancer component comprises a protein needed for development into, or maintenance of, a selected cellular state or property, e.g., a state of differentiation, development or disease, e.g., a cancerous state, or the propensity to proliferate or the propensity or the propensity to undergo apoptosis.


In some embodiments the cognate transcription factor comprises an oncogenic transcription factors. In some embodiments the oncogenic transcription factor is selected from the group consisting of c-Myc, IRF4, p53, AP-1, Bcr-Abl, c-Fos, c-Jun and combinations thereof. In some embodiments the cognate transcription factor comprises a muscle cell transcription factor. In some embodiments the transcription factor is MyoD.


In some embodiments the cognate transcription factor comprises a B cell transcription factor. In some embodiments the transcription factor is Pu.1.


In some embodiments the genomic region is occupied when present within the cell by an order of magnitude more super-enhancer component, e.g., transcriptional coactivator than the average single enhancer within the cell. In some embodiments the order of magnitude is at least about 2-fold. In some embodiments the order of magnitude is at least about 10-fold. In some embodiments the order of magnitude is at least about 15-fold. In some embodiments the order of magnitude is at least about 16-fold.


In some aspects, the invention provides a composition comprising a super-enhancer of the present invention.


In some aspects, the invention provides a nucleic acid construct comprising a super-enhancer, or functional fragment and/or variant thereof, of the present invention. In some embodiments the nucleic acid construct includes a nucleotide sequence encoding a target gene operatively linked to the super-enhancer. In some embodiments the nucleic acid construct includes a reporter construct.


In some aspects, the invention provides a cell transfected with a nucleic acid construct comprising a super-enhancer, or functional fragment and/or variant thereof, operatively linked to a target gene wherein upon transfection of the cell with the nucleic acid construct endogenous transcriptional coactivators and chromatin regulators within the cell co-occupy the enhancers and the active transcription start sites of the target gene to stimulate high levels of expression of the target gene within the cell.


In some embodiments the cell is a mammalian cell. In some embodiments the cell is a human cell. In some embodiments the cell is an embryonic stem cell or embryonic stem cell-like cell. In some embodiments the cell is a muscle cell. In some embodiments the muscle cell is a myotube. In some embodiments the cell is a B cell. In some embodiments the B cell is a Pro-μ cell.


In some aspects, the invention provides a method of increasing the level of expression of a target gene in a cell, comprising transfecting a cell under conditions suitable for expression of the target gene with a nucleic acid expression construct comprising a nucleic acid sequence encoding the target gene operatively linked to a super enhancer, or functional fragment and/or variant thereof, wherein upon transfection of the cell endogenous transcriptional coactivators and chromatin regulators within the cell co-occupy enhancers clustered within the super enhancer, or functional fragment and/or variant thereof, and active transcription start sites of the target gene to increase the level of expression of the target gene within the cell. In some embodiments the level of expression of the target gene is increased 2-fold, 3-fold, 4-fold, 5-fold, 6-fold, or more within the cell.


In some aspects the invention provides a kit for increasing the expression of a target gene in a cell, comprising: (a) a nucleic acid construct comprising an artificial super enhancer, or functional fragment and/or variant thereof, operatively linked to the target gene; (b) a population of cells suitable for expression of said target gene; and (c) a reagent for transfecting said population of cells with said nucleic acid construct.


In some aspects the invention provides a method of identifying a super enhancer, or functional fragment and/or variant thereof, in a cell, comprising: (a) identifying a genomic region of DNA within said cell characterized by a cluster of enhancers each of which bind a cognate transcription factor capable of interacting with Mediator to stimulate transcription of the target gene within said cell; (b) measuring in the identified genomic region a level of Mediator; and (c) identifying the genomic region as a super enhancer, or functional fragment and/or variant thereof, if the level of Mediator greater than the level of Mediator occupying the average single enhancer.


In some embodiments the level of Mediator identified in the genomic region is an order of magnitude more than the level of Mediator occupying the average single enhancer. In some embodiments the order of magnitude is at least 2-fold, at least 10-fold, at least 15-fold, at least 16-fold, or more.


In some embodiments the super enhancer, or functional fragment and/or variant thereof, is identified by performing chromatin immunoprecipitation high-throughput sequencing (ChIP-Seq).


In some aspects, the invention provides a method of selectively inhibiting expression of an aberrantly expressed gene comprising disrupting the function of a super-enhancer associated with the aberrantly expressed gene.


In some embodiments the gene is an oncogene. In some embodiments the oncogene is selected from the group consisting of c-MYC and IRF4.


In some embodiments disrupting the function of the super-enhancer comprises contacting said super-enhancer region with an effective amount of an agent that interferes with occupancy of the super-enhancer region by a cognate transcription factor for the gene, a transcriptional coactivator, or a chromatin regulator. In some embodiments the agent is a bromodomain inhibitor. In some embodiments the agent is a BRD4 inhibitor.


In some embodiments the agent is JQ1.


In some embodiments the agent is iBET. In some embodiments the agent interferes with a binding site on the super-enhancer for the cognate transcription factor, interferes with interaction between the cognate transcription factor and a transcriptional coactivator, inhibits the transcription coactivator, or interferes with or inhibits the chromatin regulator.


In some aspects the invention provides a method of treating a proliferative disorder in a patient in need of such treatment, said proliferative disorder characterized by an oncogene-associated super-enhancer occupied by more Mediator or BRD4 than an average single enhancer, comprising administering to the patient an effective amount of an agent that disrupts the function of the oncogene-associated super-enhancer, thereby selectively inhibiting proliferation of the oncogene in the patient.


In some embodiments the proliferative disorder is a hematological malignancy.


In some embodiments the proliferative disorder is selected from the group consisting of acute lymphoblastic leukemia (ALL), acute myelogenous leukemia (AML), chronic myelogenous leukemia (CML), chronic lymphocytic leukemia (CLL), hairy cell leukemia, Hodgkin's lymphoma, non-Hodgkin's lymphoma, cutaneous T-cell lymphoma (CTCL), peripheral T-cell lymphoma (PTCL), Mantle cell lymphoma, B-cell lymphoma, acute lymphoblastic T cell leukemia (T-ALL), acute promyelocytic leukemia, and multiple myeloma.


In some embodiments the agent is a BRD4 inhibitor. In some embodiments the agent is JQ1. In some embodiments the agent is iBET.


In some aspects, the invention provides a method of treating multiple myeloma involving an IGH-MYC locus that results in aberrant expression of oncogene c-Myc, comprising administering to a patient in need of such treatment an effective amount of an agent that decreases occupancy levels of BRD4 and MED1 at a super-enhancer region associated with the IGH-MYC locus, wherein decreased occupancy levels of BRD4 and MED1 at the super-enhancer disrupt function of the super-enhancer thereby decreasing aberrant expression of oncogene c-Myc such that the multiple myeloma is treated. In some embodiments the agent is JQ1 or iBET.


In some aspects the invention provides a method of identifying an agent that disrupts a super-enhancer associated with a gene, e.g., a super-enhancer identified by a method described herein, comprising:


(a) providing a cell or cell-free system having a super-enhancer, or functional fragment and/or variant thereof, associated with a gene, e.g., a gene which is heterologous to one or both of the cell or the super-enhancer, e.g., a reporter construct;


(b) contacting the cell with a test agent, e.g., under conditions suitable for the super-enhancer, or functional fragment and/or variant thereof, to drive high levels of expression of the associated gene; and


(c) measuring the level of expression of the associated gene, e.g., a reporter construct.


In an embodiment decreased expression of the associated gene in the presence of the test agent indicates that the test agent is as an agent that disrupts the super-enhancer associated with the gene.


In an embodiment the method comprises comparing the level of expression with a reference, e.g., a similar cell or cell-free system not contacted with the test agent.


In an embodiment the method comprises confirming disruption of the super-enhancer, or functional fragment and/or variant thereof, e.g., by analysis of the presence of one or more super-enhancer component.


In an embodiment the method is first performed in a cell-free system or a cell preparation, e.g., a cultured cell, and repeated in an animal.


In an embodiment the super-enhancer is associated with a gene that is expressed in a disease state cell, e.g., a cancer cell.


The method, as well as any other method described herein, can include memorializing the results.


In some aspects the invention provides a method of identifying an agent that disrupts a super-enhancer associated with a gene, comprising:


(a) providing a cell or cell-free system having a heterologous super-enhancer, or functional fragment and/or variant thereof, associated with a gene, e.g., a gene which is heterologous to one or both of the cell or the super-enhancer, e.g., a reporter construct;


(b) contacting the cell or cell-free system with a test agent, e.g., under conditions suitable for the super-enhancer, or functional fragment and/or variant thereof, to drive high levels of expression of the associated gene;


(c) and measuring the level of expression of the associated gene, e.g., a reporter construct.


In an embodiment decreased expression of the associated gene in the presence of the test agent indicates that the test agent is as an agent that disrupts the super-enhancer associated with the gene.


In an embodiment the method comprises comparing the level of expression with a reference, e.g., a similar cell or cell-free system not contacted with the test agent.


In an embodiment the method comprises confirming disruption of the super-enhancer, or functional fragment and/or variant thereof, e.g., by analysis of the presence of one or more epigenetic super-enhancer component.


In an embodiment the method is first performed in a cell-free system or a cell preparation, e.g., a cultured cell, and repeated in an animal.


In an embodiment the super-enhancer is associated with a gene that is expressed in a disease state cell, e.g., a cancer cell.


In some aspects the invention provides a method of identifying an agent that disrupts a super-enhancer associated with a gene, comprising: (a) transfecting a cell with a super-enhancer, or functional fragment and/or variant thereof, and the associated gene under conditions suitable for the super-enhancer to drive high levels of expression of the associated gene; (b) contacting the cell with a test agent; (c) and measuring the level of expression of the associated gene, wherein decreased expression of the associated gene in the presence of the test agent indicates that the test agent is as an agent that disrupts the super-enhancer associated with the gene.


In an embodiment the method comprises comparing the level of expression with a reference, e.g., a similar cell not contacted with the test agent. In an embodiment the method comprises confirming disruption of the super-enhancer, or functional fragment and/or variant thereof, e.g., by analysis of the presence of one or more super-enhancer component. In an embodiment the method is first performed in a cell-free system or a cell preparation, e.g., a cultured cell, and repeated in an animal.


In an embodiment the super-enhancer is associated with a gene that is expressed in a disease state cell, e.g., a cancer cell.


In some aspects the invention provides a method of identifying an agent that disrupts a super-enhancer comprising: (a) transfecting a cell with a super-enhancer operably linked to a reporter construct comprising a reporter gene under conditions suitable for the super-enhancer to drive high levels of expression of the reporter gene; (b) contacting the cell with a test agent; (c) and measuring the level of expression of the reporter gene, wherein decreased expression of the reporter gene in the presence of the test agent indicates that the test agent is as an agent that disrupts the super-enhancer.


In some embodiments the super-enhancer is naturally associated with a gene of interest, wherein the gene of interest is optionally a disease-associated gene, optionally an oncogene. In some embodiments expression is measured at least in part by measuring the level of a gene product encoded by the gene or by measuring activity of a gene product encoded by the gene. In some embodiments a gene product is mRNA or polypeptide encoded by the gene.


In some aspects, the invention relates to a method of identifying a super-enhancer, or a gene associated with a super-enhancer, comprising:


cross-linking, e.g., covalently cross-linking, chromatin, such that chromosomal nucleic acid is cross-linked to a super-enhancer component, e.g., a chromatin associated protein, e.g., one or more of a Mediator protein, Med1, Oct4, Sox2, Nanog, or NOS, to form a cross-linked complex;


contacting said cross-linked complex with a ligand having affinity for the super-enhancer component, e.g., an antibody or small molecule with affinity for the super-enhancer component to form a complex between the cross-linked complex and the ligand;


optionally, identifying or sequencing chromosomal nucleic acid in the complex between the cross-linked complex and the ligand, thereby identifying a super-enhancer, or a gene associated with a super-enhancer.


In an embodiment the method comprises fragmenting the chromosomal nucleic acid, e.g., after the step of forming a cross-linked complex, or after forming the complex between the cross-linked complex and the ligand.


In embodiments the method comprises identifying a gene associated with the super-enhancer.


In embodiments the method comprises classifying an enhancer as having a first or second level of occupancy, wherein said first level is higher, e.g., 2, 5, 10, or 100 times higher than the second level.


In some aspects, the invention relates to a method of identifying a super-enhancer, or a gene associated with a super-enhancer, comprising:


identifying sites on a segment of chromosome that are hypersensitive to reaction with an agent, e.g., a nuclease, e.g., a DNase, e.g., DNase 1;


identifying or sequencing chromosomal nucleic acid adjacent the sites; thereby identifying a super-enhancer, or a gene associated with a super-enhancer.


In an embodiment the method comprises fragmenting the chromosomal nucleic acid, e.g., after the step of forming a cross-linked complex, or after forming the complex between the cross-linked complex and the ligand.


In embodiments the method comprises identifying a gene associated with the super-enhancer.


In an embodiment, the method comprises confirming, e.g., by sequencing, that a candidate super-enhancer site comprises a plurality of enhancers.


In embodiments the method comprises classifying an enhancer as having a first or second level of occupancy, wherein said first level is higher, e.g., 2, 5, 10, or 100 times higher than the second level.


The practice of the present invention will typically employ, unless otherwise indicated, conventional techniques of cell biology, cell culture, molecular biology, transgenic biology, microbiology, recombinant nucleic acid (e.g., DNA) technology, immunology, and RNA interference (RNAi) which are within the skill of the art. Non-limiting descriptions of certain of these techniques are found in the following publications: Ausubel, F., et al., (eds.), Current Protocols in Molecular Biology, Current Protocols in Immunology, Current Protocols in Protein Science, and Current Protocols in Cell Biology, all John Wiley & Sons, N.Y., edition as of December 2008; Sambrook, Russell, and Sambrook, Molecular Cloning: A Laboratory Manual, 3rd ed., Cold Spring Harbor Laboratory Press, Cold Spring Harbor, 2001; Harlow, E. and Lane, D., Antibodies—A Laboratory Manual, Cold Spring Harbor Laboratory Press, Cold Spring Harbor, 1988; Freshney, R.I., “Culture of Animal Cells, A Manual of Basic Technique”, 5th ed., John Wiley & Sons, Hoboken, N.J., 2005. Non-limiting information regarding therapeutic agents and human diseases is found in Goodman and Gilman's The Pharmacological Basis of Therapeutics, 11th Ed., McGraw Hill, 2005, Katzung, B. (ed.) Basic and Clinical Pharmacology, McGraw-Hill/Appleton & Lange; 10th ed. (2006) or 11th edition (July 2009). Non-limiting information regarding genes and genetic disorders is found in McKusick, V. A.: Mendelian Inheritance in Man. A Catalog of Human Genes and Genetic Disorders. Baltimore: Johns Hopkins University Press, 1998 (12th edition) or the more recent online database: Online Mendelian Inheritance in Man, OMIM™. McKusick-Nathans Institute of Genetic Medicine, Johns Hopkins University (Baltimore, Md.) and National Center for Biotechnology Information, National Library of Medicine (Bethesda, Md.), as of May 1, 2010, World Wide Web URL: http://www.ncbi.nlm.nih.gov/omim/ and in Online Mendelian Inheritance in Animals (OMIA), a database of genes, inherited disorders and traits in animal species (other than human and mouse), at http://omia.angis.org.au/contact.shtml. All patents, patent applications, and other publications (e.g., scientific articles, books, websites, and databases) mentioned herein are incorporated by reference in their entirety. In case of a conflict between the specification and any of the incorporated references, the specification (including any amendments thereof, which may be based on an incorporated reference), shall control. Standard art-accepted meanings of terms are used herein unless indicated otherwise. Standard abbreviations for various terms are used herein.





BRIEF DESCRIPTION OF THE DRAWINGS

The patent or application file contains at least one drawing executed in color. Copies of this patent or patent application publication with color drawings will be provided by the Office upon request and payment of the necessary fee.



FIGS. 1A, 1B, 1C and 1D demonstrate that Oct4/Sox2/Nanog define enhancers in ES cells. FIG. 1A depicts an example enhancer upstream of the Hkt2 gene. FIG. 1B depicts an example of super-enhancer upstream of the Klf4 gene. FIG. 1C is a scatter plot showing Mediator occupancy across the ˜6,400 ESC enhancers. FIG. 1D illustrates metagenes of Med1 at typical and super-enhancers in ESCs.



FIGS. 2A, 2B, 2C and 2D demonstrate that Super-enhancers drive key pluripotency genes. FIG. 2A demonstrates that super-enhancers drive highly expressed genes. FIG. 2B depicts an example of typical enhancer-associated gene (with RNA-seq). FIG. 2C depicts an example of a super-enhancer-associated gene (with RNA-seq). FIG. 2D illustrates that super-enhancers associate with the ESC master regulators Oct4, Sox2 and Nanog.



FIGS. 3A, 3B and 3C demonstrate that super-enhancers confer high enhancer activity. FIG. 3A shows OSN and Mediator gene tracks at enhancers near Klf4 (super-enhancer associated gene), and Egln3 (typical enhancer-associated gene), and corresponding DNA binding motifs. FIG. 3B demonstrates that super-enhancers have high enhancer activity in vitro. 3000 bp genomic fragments were cloned into a luciferase reporter plasmid. Luciferase activity was measured 24 hours post transfection, and was normalized to a co-transfected control plasmid. FIG. 3C depicts the creation of artificial super-enhancers by clustering. Single enhancers were genetically oligomerized and cloned into luciferase reporters. Luciferase activity was measured 24 hours post transfection, and was normalized to a co-transfected control plasmid.



FIGS. 4A and 4B demonstrate rapid loss of ESC super-enhancers and establishment of new super-enhancers during ESC differentiation. FIG. 4A is a cartoon diagram depicting treatment of ZHBTc4 ESCs with doxycycline leading to loss of Oct4 proteins, loss of ESC state, and formation of early trophectoderm cells. FIG. 4B illustrates that Mediator is rapidly lost at key ESC super-enhancers compared to median enhancers. Bar graphs of mean normalized Med1 density before and during ESC differentiation at selected ESC super-enhancers and median enhancers. The associated genes were identified based on their proximity to the enhancers. Asterisks denote enhancers displaying at least two-fold reduction in Mediator.



FIGS. 5A, 5B, 5C, 5D and 5E demonstrate that super-enhancers are a general feature of mammalian cells and are cell-type specific. FIG. 5A demonstrates that Pro-μ enhancers are associated with the gene Rag1. ChIP-Seq binding profiles (normalized reads/million) for the pro-μ transcription factor (Pu.1), and the Mediator coactivator (Med1) at the Rag1 locus in pro-μ cells, with the y-axis floor set to 1. Gene model, and previously described enhancer regions are depicted below the binding profiles. FIG. 5B demonstrates that pro-μ super-enhancers are associated with the key pro-μ gene Inpp5d. ChIP-Seq binding profiles (normalized reads/million) for the pro-μ transcription factor (Pu.1), and the Mediator coactivator (Med1) at the Inpp5d locus in pro-μ cells, with the y-axis floor set to 1. Gene model, and previously described enhancer regions are depicted below the binding profiles. FIG. 5C is a scatter plot of Mediator occupancy across the ˜13000 pro-μ enhancers. FIG. 5D demonstrates that master transcription factors (Oct4 for ESCs; Pu.1 for pro-B cells) and Mediator occupy approximately super-enhancer regions that are specific for ESCs and pro-B cells. Density maps of the Mediator coactivator (Med1) in ESCs and pro-B cells. Color scale reflects ChIP-Seq signal in reads per million. FIG. 5E demonstrates that super-enhancer associated genes display highly cell-type specific patterns of expression. Venn diagram of ESC super-enhancer-associated genes and pro-B super-enhancer-associated genes.



FIGS. 6A, 6B, 6C and 6D demonstrate that Mediator and BRD4 co-occupy promoters of active genes in multiple myeloma. FIG. 6A depicts gene tracks of BRD4, MED1, H3K27ac, and H3K4me3 binding at the XBP1 gene in MM.1S multiple myeloma. FIG. 6B is a meta-gene representation of global BRD4, MED1, H3K27ac, and H3K4me3 occupancy at enhancers and promoters. The top 5,000 active enhancers are defined by MED1 occupancy, and TSS includes all transcriptionally active promoters defined by H3K4me3 and POL2. FIG. 6C demonstrates that Mediator and BRD4 occupancy correlate with one another at both enhancers and transcription start sites. Scatter plots depicting MED1 and BRD4 aggregate signal +/−5 kb from enhancers and promoters (as defined in 1B). FIG. 6D demonstrates that BRD4 occupancy at genes correlates with RNAPII levels.



FIGS. 7A, 7B, 7C and 7D demonstrate that super-enhancers are associated with key multiple myeloma genes. FIG. 7A demonstrates that the sizes of enhancers occupied by Mediator show an unusual distribution. FIG. 7B depicts occupancy of MED1, BRD4, and H3K27ac at super-enhancers compared to normal enhancers. FIG. 7C demonstrates that super-enhancers are associated with highly expressed, cell type specific genes. FIG. 7D demonstrates that the IgH-MYC locus and IRF4 contain a large super-enhancers occupied by high levels of BRD4 and MED1.



FIGS. 8A, 8B, 8C, 8D, 8E and 8F demonstrate that BRD4 occupancy at super-enhancers is highly sensitive to bromodomain inhibition. FIG. 8A depicts measuring the effects of various concentrations of JQ1 on genome-wide on BRD4 occupancy. Schematic depicting the experimental procedure. FIG. 8B demonstrates that short-term JQ1 treatment (6 hours) has little effect on MM.1S cell viability. JQ1 sensitivity of MM.1S cells by measurement of ATP levels (CellTiterGlo) after 6 hours of treatment. FIG. 8C illustrates that c-Myc protein levels are significantly depleted by JQ1 treatment. Western blot of relative c-MYC levels after 6 hours of JQ1 or DMSO treatment. FIG. 8D demonstrates that JQ1 does not alter BRD4 levels or ChIP-efficency. Western blot of relative BRD4 levels after 6 hours of JQ1 or DMSO treatment. ChIP-Western blot of the relative levels of immunoprecipitated BRD4 after 6 hours of JQ1 or DMSO treatment. FIG. 8E demonstrates that super-enhancers show a greater loss of BRD4 occupancy when compared to regions with average or low amounts of BRD4. FIG. 8F demonstrates that the IgH enhancer shows significantly greater loss of BRD4 than regions with lower BRD4 occupancy. Gene tracks of BRD4 at the IGH super enhancer and the average, CD28 enhancer after 6 hours of DMSO or JQ1 treatment.



FIGS. 9A, 9B and 9C demonstrate that the loss of P-TEFb accompanies BRD4 inhibition. FIG. 9A demonstrates that P-TEFb generally occupies enhancers bound by Mediator and BRD4 in MM1.S cells. FIG. 9B demonstrates that the loss of BRD4 following JQ1 treatment is accompanied by loss of P-TEFb at enhancers. FIG. 9C demonstrates that P-TEFb is disproportionally lost at super-enhancers.



FIGS. 10A, 10B and 10C demonstrate that JQ1 causes disproportionate loss of transcription at super-enhancer genes. FIG. 10A demonstrates that JQ1 leads to a global defect in transcription elongation. FIG. 10B demonstrates that genes associated with super-enhancers show a dramatic defect in elongation. Gene tracks of RNA PolII occupancy at the MYC gene after 6 hour treatment with JQ1. FIG. 10C demonstrates that genes associated with super enhancers show a larger increase in travelling ratio in response to JQ1 compared to genes associated with normal enhancers.





DETAILED DESCRIPTION OF THE INVENTION

The present invention relates in some aspects to super-enhancers and related compositions, methods, and agents that are useful for modulating expression of cell type-specific genes that are required for maintenance of cell identity (e.g., embryonic stem cell identity) or maintenance of a disease state (e.g., cancer). In some aspects, the present invention relates to methods of identifying super-enhancers, super-enhancer-associated genes, and disease-related genes in cells, tissues, organs and individuals, and kits comprising reagents for performing those methods.


During the course of work described herein, more than 200 genomic regions that contained tightly spaced clusters of enhancers spanning extraordinarily large domains were discovered. These “super-enhancers” are occupied by more transcriptional coactivator (e.g., Mediator) than the average or median enhancers, exhibit greater activity than average enhancers, and are sufficient to drive high expression of key, cell type-specific genes required to maintain cell identity or disease state.


Accordingly, in some aspects, the present invention relates to an isolated super-enhancer, or functional fragment and/or variant thereof, comprising a genomic region of DNA that contains at least two enhancers, wherein the genomic region is occupied when present within a cell by more super-enhancer component, e.g., transcriptional coactivator than the average single enhancer within the cell. As used herein, “enhancer” refers to a short region of DNA to which proteins (e.g., transcription factors) bind to enhance transcription of a gene. As used herein, “transcriptional coactivator” refers to a protein or complex of proteins that interacts with transcription factors to stimulate transcription of a gene. In some embodiments, the transcriptional coactivator is Mediator. In some embodiments, the transcriptional coactivator is Med1 (Gene ID: 5469). In some embodiments, the transcriptional coactivator is a Mediator component. As used herein, “Mediator component” comprises or consists of a polypeptide whose amino acid sequence is identical to the amino acid sequence of a naturally occurring Mediator complex polypeptide. The naturally occurring Mediator complex polypeptide can be, e.g., any of the approximately 30 polypeptides found in a Mediator complex that occurs in a cell or is purified from a cell (see, e.g., Conaway et al., 2005; Kornberg, 2005; Malik and Roeder, 2005). In some embodiments a naturally occurring Mediator component is any of Med1-Med 31 or any naturally occurring Mediator polypeptide known in the art. For example, a naturally occurring Mediator complex polypeptide can be Med6, Med7, Med10, Med12, Med14, Med15, Med17, Med21, Med24, Med27, Med28 or Med30. In some embodiments a Mediator polypeptide is a subunit found in a Med11, Med17, Med20, Med22, Med 8, Med 18, Med 19, Med 6, Med 30, Med 21, Med 4, Med 7, Med 31, Med 10, Med 1, Med 27, Med 26, Med14, Med15 complex. In some embodiments a Mediator polypeptide is a subunit found in a Med12/Med13/CDK8/cyclin complex. Mediator is described in further detail in PCT International Application No. WO 2011/100374, the teachings of which are incorporated herein by reference in their entirety. In some embodiments, Mediator occupation of an enhancer, e.g., a superenhancer, may be detected by detecting one or more Mediator components. It is to be understood that a Mediator inhibitor may inhibit one or more Mediator components or inhibit interaction(s) between them or inhibit interaction with a transcription factor.


In some embodiments a “naturally occurring polypeptide” is a polypeptide that naturally occurs in a eukaryote, e.g., a vertebrate, e.g., a mammal. In some embodiments the mammal is a human. In some embodiments the vertebrate is a non-human vertebrate, e.g., a non-human mammal, e.g., rodent, e.g., a mouse, rat, or rabbit. In some embodiments the vertebrate is a fish, e.g., a zebrafish. In some embodiments the eukaryote is a fungus, e.g., a yeast. In some embodiments the eukaryote is an invertebrate, e.g., an insect, e.g., a Drosophila, or a nematode, e.g., C. elegans. Any eukaryotic species is encompassed in various embodiments of the invention. Similarly a cell or subject can be of any eukaryotic species in various embodiments of the invention. In some embodiments, the sequence of the naturally occurring polypeptide is the sequence most commonly found in the members of a particular species of interest. One of skill in the art can readily obtain sequences of naturally occurring polypeptides, e.g., from publicly available databases such as those available at the National Center for Biotechnology Information (NCBI) website (e.g., GenBank, OMIM, Gene).


In some embodiments, the transcriptional coactivator is a component of Mediator. In some embodiments, the Mediator component comprises a Med1 or a Med12 polypeptide. In some embodiments, the at least one Mediator component comprises Med6, Med7, Med10, Med12, Med14, Med15, Med17, Med21, Med24, Med27, Med28 and Med30 polypeptides.


In some embodiments, the genomic region of the super-enhancer is occupied when present within a cell by more chromatin regulator than the average single enhancer within the cell. As used herein, “chromatin regulator” refers to a protein or complex of proteins that is involved in regulating gene expression by interacting with transcription factors, transcriptional coactivators, and/or acetylated histone residues in a way that modulates expression of a super-enhancer-associated gene. In some instances, the chromatin regulator possesses histone acetyltransferase (HAT) activity. HATs are responsible for acetylating lysine residues on histone tails of nucleosomes, thereby relaxing the chromatin and increasing access to DNA. In some embodiments, the chromatin regulator is a BET bromodomain protein. In some embodiments, the BET bromodomain protein is BRD4 (Gene ID: 23476).


Generally, super-enhancers formed by the at least two enhancers in the genomic region of DNA are of greater length than the average single enhancer. In some embodiments, the length of the genomic region that forms the super-enhancer is at least an order of magnitude greater than the average single enhancer. In some embodiments, the genomic region spans between about 4 kilobases and about 40 kilobases in length. It should be appreciated, however, that super-enhancers may comprise genomic regions less than 4 kilobases or greater than 40 kilobases in length, as long as the genomic region contains clusters of enhancers that can be occupied when present within a cell by extremely high levels of a transcriptional coactivator (e.g., Mediator).


Table 1 (relating to nucleotide sequences of super-enhancers found within embryonic stem cells) and Table 2 (relating to nucleotide sequences of super-enhancers found within multiple myeloma cells); Table 3 (relating to nucleotide sequences of super-enhancers found in glioblastoma cells); and Table 4 (relating to nucleotide sequences of super-enhancers found in SCLC cells) disclose information that can be relied upon by one of skill in the art to obtain the specific nucleotide sequences for exemplary super-enhancers of the invention. For example, using the chromosomal number, and start and stop positions, as well as the sense orientation (e.g. +) of the sequence provided in Tables 1 and 2, one of skill in the art would be able to utilize a publicly available database (e.g., USCS Genome Browser, available at genome.ucsc.edu/) to obtain the nucleotide sequences of the specified super-enhancers. For the embryonic stem cell super-enhancer nucleotide sequences specified in Table 1, the mm9 genome build was used. This corresponds to NCBI build 37. For the multiple myeloma cell super-enhancer nucleotide sequences specified in Table 2, the hg 18 genome build was used. This corresponds to NCBI build 36. Tables 3 and 4 are also based on the hg 18 genome build. In some embodiments, the invention comprises a super-enhancer, or functional fragment and/or variant thereof, having a nucleotide sequence specified in Tables 1, 2, 3 or 4.


The at least two enhancers which form the super-enhancers, or functional fragment and/or variant thereof, are clustered together.


It should be appreciated that the each of the at least two enhancers can be the same type of enhancer or the at least two enhancers can be different types of enhancers. Each enhancer of the at least two enhancers comprises a binding site for a cognate transcription factor that interacts with the transcriptional coactivator to stimulate transcription of the gene associated with the super-enhancer. In some embodiments, the cognate transcription factor comprises an embryonic stem cell master transcription factor. Examples of suitable embryonic stem cell master transcription factors include, but are not limited to Oct4, Sox2, Nanog, Esrrb, Utf1, Klf4, mir-290-295 gene cluster, Tbx3, Sgk1, and combinations thereof. In some embodiments, the cognate transcription factor comprises an oncogenic transcription factor. Examples of suitable oncogenic transcription factors include, but are not limited to c-Myc, IRF4, p53, AP-1, Bcr-Abl, c-Fos, c-Jun and combinations thereof. In some embodiments, the cognate transcription factor comprises a muscle cell transcription factor, for example, transcription factor MyoD. In some embodiments, the cognate transcription factor comprises a B cell transcription factor, for example Pu.1.


As noted above, the genomic region of the super-enhancers are occupied when present within a cell by more transcriptional coactivator (e.g., Mediator) and/or more chromatin regulator (e.g., BRD4) than the average single enhancer within the cell. In some embodiments, the genomic region of a super-enhancers is occupied when present within the cell by an order of magnitude more transcriptional coactivator or chromatin regulator than the average single enhancer in the cell. As used herein, “order of magnitude” refers to the relative fold difference in a feature or classification of one object as compared to a feature or classification of another object (e.g., a level or an amount of transcriptional coactivator occupying a super-enhancer associated with a gene as compared to the level or the amount of transcriptional coactivator occupying the average or median enhancer associated with the gene). In some embodiments, the order of magnitude is at least 1-fold, 2-fold, 3-fold, 4-fold, 5-fold, 6-fold, 7-fold, 8-fold, 9-fold, 10-fold or more. In some embodiments, the order of magnitude is at least 2-fold (i.e., there is a 2-fold greater amount of transcriptional coactivator occupying the super-enhancer associated with a gene than the amount of transcriptional coactivator occupying the average enhancer in the gene). In some embodiments, the order of magnitude is at least 10-fold. In some embodiments, the order of magnitude is at least 15-fold. In some embodiments, the order of magnitude is at least 16-fold.


Work described herein suggests that super-enhancers are a common feature of mammalian cells. Accordingly, the present invention contemplates that super-enhancers can be isolated from any mammalian cell type. Such isolation can be achieved by routine methods well known to those skilled in the art.


In some embodiments, super-enhancers of the present invention can be used drive high levels of expression of cell type specific genes. A cell type specific gene is typically expressed selectively in one or a small number of cells types relative to expression in many or most other cell types. One of skill in the art will be aware of numerous genes that are considered cell type specific. A cell type specific gene need not be expressed only in a single cell type but may be expressed in one or several, e.g., up to about 5, or about 10 different cell types out of the approximately 200 commonly recognized (e.g., in standard histology textbooks) and/or most abundant cell types in an adult vertebrate, e.g., mammal, e.g., human. In some embodiments, a cell type specific gene is one whose expression level can be used to distinguish a cell of one of the following types from cells of the other cell types: adipocyte (e.g., white fat cell or brown fat cell), cardiac myocyte, chondrocyte, endothelial cell, exocrine gland cell, fibroblast, glial cell, hepatocyte, keratinocyte, macrophage, monocyte, melanocyte, neuron, neutrophil, osteoblast, osteoclast, pancreatic islet cell (e.g., a beta cell), skeletal myocyte, smooth muscle cell, B cell, plasma cell, T cell (e.g., regulatory, cytotoxic, helper), or dendritic cell. In some embodiments a cell type specific gene is lineage specific, e.g., it is specific to a particular lineage (e.g., hematopoietic, neural, muscle, etc.) In some embodiments, a cell-type specific gene is a gene that is more highly expressed in a given cell type than in most (e.g., at least 80%, at least 90%) or all other cell types. Thus specificity may relate to level of expression, e.g., a gene that is widely expressed at low levels but is highly expressed in certain cell types could be considered cell type specific to those cell types in which it is highly expressed. It will be understood that expression can be normalized based on total mRNA expression (optionally including miRNA transcripts, long non-coding RNA transcripts, and/or other RNA transcripts) and/or based on expression of a housekeeping gene in a cell. In some embodiments, a gene is considered cell type specific for a particular cell type if it is expressed at levels at least 2, 5, or at least 10-fold greater in that cell than it is, on average, in at least 25%, at least 50%, at least 75%, at least 90% or more of the cell types of an adult of that species, or in a representative set of cell types. One of skill in the art will be aware of databases containing expression data for various cell types, which may be used to select cell type specific genes. In some embodiments a cell type specific gene is a transcription factor.


In some aspects, the present invention relates to a composition comprising a super-enhancer of the present invention or a functional variant thereof. Such compositions may be useful for stimulating the expression of a gene or genes in a specific cell type, for example, to stimulate the expression of embryonic stem cell master transcription factors to maintain the cell in an embryonic stem cell-like state. In some instances, such compositions may be useful for stimulating the expression of a gene or genes in a specific cell type to change the identity of a specific cell-type, for example, by introducing a super-enhancer associated with a differentiated state to change the identity of an embryonic stem cell to a more differentiated state. In some embodiments, the super-enhancer can be used to stimulate expression of a target gene that is to be transfected into a cell for in vitro expression of that target gene. In some embodiments, the super-enhancer can be used to simulate a disease like state. By way of example, and not of limitation, an super-enhancer can be constructed using enhancers of an oncogene and transfection of the oncogene with the artificial enhancer can be useful to simulate the disease associated with the oncogene. Another exemplary use of a super-enhancer of the present invention is to identify genes that are prone to lead to disease upon aberrant expression. Such super-enhancers may be used in cells, tissues, organs, and whole organisms to artificially increase the expression of certain genes and examine the biological effects that the increased expression of the gene has on the cell, the tissue, organ, or animal.


It should be appreciated that any enhancer associated with the target gene can be cloned and used to form the super-enhancers. In some embodiments, the super-enhancer is engineered to mimic a super-enhancer identified in vivo, such as a super-enhancer that is responsible for maintaining embryonic stem cell identity, i.e., a super-enhancer comprising a plurality of Oct4, Sox2, and Nanog binding motifs oligomerized to form a concatemer.


In some aspects, the present invention relates to a nucleic acid construct comprising a super-enhancer, or functional fragment thereof, of the present invention. Methods of forming nucleic acid constructs are known to those skilled in the art. It should be understood that the nucleic acid constructs of the present invention are artificial or engineered constructs not to be confused with native genomic sequences. Such nucleic acid constructs can be used, for example, to increase the expression of a gene or genes associated with or regulated by the super-enhancer in the nucleic acid construct. In some instances, a nucleic acid construct comprising the super-enhancer can be introduced into a target cell and the super-enhancer can interact with endogenous cellular components to drive expression of an endogenous gene within the cell. In some embodiments, the nucleic acid construct includes a nucleotide sequence encoding a target gene operatively linked to the super-enhancer. In such instances, the nucleic acid can be transfected into a cell and interact with endogenous cellular components to drive expression of the exogenous target gene associated with the super-enhancer. In other embodiments, the nucleic acid construct can include a nucleic acid sequence encoding a transcriptional coactivator or chromatin regulator that can be expressed within the cell to produce transcriptional coactivator or chromatin regulator that can occupy the genomic region of the super-enhancer and increase expression of the gene associated with the super-enhancer in the cell. In some embodiments, the nucleic acid can include a reporter.


In some embodiments a reporter comprises a nucleic acid sequence that encodes a detectable marker, e.g., a fluorescent protein such as green fluorescent protein (GFP), blue, sapphire, yellow, red, orange, and cyan fluorescent proteins and fluorescent variants such as enhanced GFP (eGFP), mFruits such as mCherry, mTomato, mStrawberry; R-Phycoerythrin, etc. Enzymes useful as reporters include, e.g., enzymes that act on a substrate to produce a colored, fluorescent, or luminescent substance. Examples include luciferases, beta-galactosidase, horseradish peroxidase, and alkaline phosphatase. In some embodiments, alteration (e.g., reduction) in the level of a reporter may be used to identify a compound that modulates (e.g., inhibits) activity of a super-enhancer.


In some aspects, the present invention relates to a kit for increasing the expression of a gene, the kit including one or more or all of: (a) a population of cells; (b) reagents suitable for culturing said population of cells; (c) a nucleic acid construct comprising a super-enhancer enhancer or functional fragment and/or variant thereof, and a gene associated with the super-enhancer enhancer or functional fragment and/or variant thereof, that is capable of being expressed within said population of cells; and optionally (d) transcriptional coactivator or chromatin regulator e.g., excess levels of transcriptional coactivator or chromatin regulator that, e.g., can be introduced into said population of cells such that an order of magnitude more transcriptional coactivator or chromatin regulator occupies enhancers clustered within the super-enhancer and increases the expression of the gene within the cells.


In some aspects, the present invention relates to a cell, or cell-free system, into which a super-enhancer is introduced, for example by transfection of a nucleic acid construct comprising the super-enhancer, wherein upon introduction of super-enhancer into the cell, or cell-free system, endogenous transcriptional coactivators and chromatin regulators within the cell co-occupy the enhancer clusters of the super-enhancer and the active transcription start sites of the target gene to stimulate expression of the target gene within the cell. It should be appreciated that the super enhancer, or functional fragment and/or variant thereof, may be associated with and regulate an endogenous gene within the transfected cell. In such instances, the gene regulated by the super-enhancer, or functional fragment and/or variant thereof, need not be introduced into the cell with the super-enhancer, for example a nucleic acid construct need not include a target gene for expression within the transfected cell. In other instances, such as when an exogenous gene is desired to be introduced within the transfected cell, or cell-free system, the exogenous gene can be introduced into the cell with the super-enhancer, or functional fragment and/or variant thereof, or functional fragment and/or variant thereof. It should be appreciated that the exogenous gene and the super-enhancer or functional fragment and/or variant thereof, can be introduced into the cell by any method and in any form (e.g., protein or nucleic acid). The exogenous gene and the super-enhancer, or functional fragment and/or variant thereof, can be introduced into the cell, or cell-free system, together or separately, for example a nucleic acid construct comprising the super enhancer, or functional fragment and/or variant thereof, may be further engineered to include an exogenous gene operatively linked to the super-enhancer, or functional fragment and/or variant thereof, and which is also capable of being expressed within the transfected cell, or cell-free system. In some embodiments, exogenous transcriptional coactivators and/or chromatin regulators can be introduced into the transfected cell, or cell-free system to ensure that the enhancer clusters of the super-enhancer and the active transcription start sites are co-occupied within the transfected cell, or cell-free system by more transcriptional coactivator and/or the chromatin regulator and thereby drive high levels of expression of either an exogenous or endogenous gene in the transfected cell, or cell-free system.


The super-enhancer and/or a nucleic acid construct comprising the super-enhancer, or functional fragment and/or variant thereof, can be transfected into any cell suitable for expressing the gene associated with the super-enhancer. In some embodiments, the cell is a mammalian cell. In some embodiments, the cell is a human cell. In some embodiments, the cell is an embryonic stem cell or embryonic stem cell-like cell. In some embodiments, the cell is a muscle cell. In some embodiments, the muscle cell is a myotube. In some embodiments, the cell is a B cell. In some embodiments, the B cell is a Pro-B cell.


In some aspects, the present invention relates to a functional variant of a super-enhancer. A variant may be shorter or longer than the original super-enhancer. The term “variant” encompasses “fragments” or “functional fragments” of super-enhancers, or functional sequence variants, of super-enhancers. A “fragment” is a continuous portion of a polypeptide or polynucleotide that is shorter than the original polypeptide or polynucleotide. In some embodiments a variant comprises or consists of a fragment. In some embodiments a fragment or variant is at least 20%, 30%, 40%, 50%, 60%, 70%, 80%, 90%, 95%, 96%, 97%, 98%, 99%, or more as long as the original polypeptide or polynucleotide. A fragment may be an N-terminal, C-terminal, or internal fragment. A functional fragment of a super-enhancer can have one or more of the following properties:


a) when associated with a gene, e.g., a gene with which it is normally associated, it provides at least 10, 20, 30, 40, 50, 60, 70, 80, or 90% of the level of expression as is seen with the intact super-enhancer;


b) when associated with a gene, e.g., a gene with which it is normally associated, it provides at least 10, 20, 30, 40, 50, 60, 70, 80, or 90% of the level of binding of an super-enhancer component;


c) when associated with a gene, e.g., a gene with which it is normally associated, it provides at least 10, 20, 30, 40, 50, 60, 70, 80, or 90% of the level of binding of a mediator protein, e.g., Med1;


d) it comprises at least 10, 20, 30, 40, 5, 60, 70, 80 or 90% of the enhancers of the super-enhancer of which it is a functional fragment; or


e) it is at least 10, 20, 30, 40, 5, 60, 70, 80 or 90% as long as the super-enhancer of which it is a functional fragment.


The term variant also encompasses “sequence variants,” e.g., “functional sequence variants,” of a super enhancer or fragment or functional fragment of a super-enhancer. A functional sequence variant of a super-enhancer can have one or more of the following properties:


a) it comprises sufficient nucleotide sequence homology or identity with a reference super-enhancer, e.g., the super-enhancer from which it is derived, that when associated with a gene, e.g., a gene with which the reference super-enhancer is normally associated, it provides at least 10, 20, 30, 40, 50, 60, 70, 80, or 90% of the level of expression as is seen with the reference super-enhancer;


b) when associated with a gene, e.g., a gene with which the reference super-enhancer, e.g., the super-enhancer from which it is derived, is normally associated, it provides at least 10, 20, 30, 40, 50, 60, 70, 80, or 90% of the level of binding of an super-enhancer component as is seen with the reference super-enhancer;


c) when associated with a gene, e.g., a gene with which the reference super-enhancer, e.g., the super-enhancer from which it is derived, is normally associated, it provides at least 10, 20, 30, 40, 50, 60, 70, 80, or 90% of the level of binding of a mediator protein, e.g., Med1 as is seen with the reference super-enhancer;


d) it comprises at least 10, 20, 30, 40, 5, 60, 70, 80 or 90% of the number of functional enhancers as is seen with the reference super-enhancer, e.g., the super-enhancer from which it is derived;


e) it comprises at least 40, 50, 60, 70, 80, 90, 95, 97, or 99% sequence homology or identity with a reference super-enhancer, e.g., the super-enhancer from which it is derived;


f) it comprises at least 40, 50, 60, 70, 80, 90, 95, 97, or 99% sequence homology or identity, across its encompassed enhancer elements, with a reference super-enhancer, e.g., the super-enhancer from which it is derived; or


f) it comprises a first level or sequence or homology or identity across its encompassed enhancer elements and/or associated protein encoding element, and a second level of homology across untranslated and/or untranscribed regions between its encompassed enhancers, with a reference super-enhancer, e.g., the super-enhancer from which it is derived, wherein the first and second levels are independently selected from at least 40, 50, 60, 70, 80, 90, 95, 97, or 99% sequence homology or identity, and, e.g., the first level is higher than the second level, e.g., the first level is at least 80, 90, 95, 97, or 99% and the second level is at least 40, 50, or 60%.


In some embodiments a variant polypeptide comprises or consists of at least one domain of an original polypeptide. In some embodiments a variant polynucleotide hybridizes to an original polynucleotide under stringent conditions, e.g., high stringency conditions, for sequences of the length of the original polypeptide. In some embodiments a variant polypeptide or polynucleotide comprises or consists of a polypeptide or polynucleotide that is at least 50%, 60%, 70%, 80%, 90%, 95%, 96%, 97%, 98%, 99%, or more identical in sequence to the original polypeptide or polynucleotide over at least 20%, 30%, 40%, 50%, 60%, 70%, 80%, 90%, 95%, 96%, 97%, 98%, 99%, or 100% of the original polypeptide or polynucleotide. In some embodiments a variant polypeptide comprises or consists of a polypeptide that is at least 50%, 60%, 70%, 80%, 90%, 95%, 96%, 97%, 98%, 99%, or more identical in sequence to the original polypeptide over at least 20%, 30%, 40%, 50%, 60%, 70%, 80%, 90%, 95%, 96%, 97%, 98%, 99%, or 100% of the original polypeptide, with the proviso that, for purposes of computing percent identity, a conservative amino acid substitution is considered identical to the amino acid it replaces. In some embodiments a variant polypeptide comprises or consists of a polypeptide that is at least 50%, 60%, 70%, 80%, 90%, 95%, 96%, 97%, 98%, 99%, or more identical to the original polypeptide over at least 20%, 30%, 40%, 50%, 60%, 70%, 80%, 90%, 95%, 96%, 97%, 98%, 99%, or 100% of the original polypeptide, with the proviso that any one or more amino acid substitutions (up to the total number of such substitutions) may be restricted to conservative substitutions. In some embodiments a percent identity is measured over at least 100; 200; 300; 400; 500; 600; 700; 800; 900; 1,000; 1,200; 1,500; 2,000; 2,500; 3,000; 3,500; 4,000; 4,500; or 5,000 amino acids. In some embodiments the sequence of a variant polypeptide comprises or consists of a sequence that has N amino acid differences with respect to an original sequence, wherein N is any integer between 1 and 10 or between 1 and 20 or any integer up to 1%, 2%, 5%, or 10% of the number of amino acids in the original polypeptide, where an “amino acid difference” refers to a substitution, insertion, or deletion of an amino acid. In some embodiments a difference is a conservative substitution. Conservative substitutions may be made, e.g., on the basis of similarity in side chain size, polarity, charge, solubility, hydrophobicity, hydrophilicity and/or the amphipathic nature of the residues involved. In some embodiments, conservative substitutions may be made according to Table A, wherein amino acids in the same block in the second column and in the same line in the third column may be substituted for one another other in a conservative substitution. Certain conservative substitutions are substituting an amino acid in one row of the third column corresponding to a block in the second column with an amino acid from another row of the third column within the same block in the second column.













TABLE A









Aliphatic
Non-polar
G A P





I L V




Polar - uncharged
C S T M





N Q




Polar - charged
D E





K R



Aromatic

H F W Y










In some aspects, the present invention relates to a method of increasing the level of expression of a target gene in a cell, the method including transfecting a cell under conditions suitable for expression of the target gene with a nucleic acid expression construct comprising a nucleic acid sequence encoding the target gene operatively linked to a super-enhancer, wherein upon transfection of the cell endogenous transcriptional coactivators and chromatin regulators within the cell co-occupy enhancers clustered within the super-enhancer and active transcription start sites of the target gene to increase the level of expression of the target gene within the cell. Those skilled in the art will appreciate that the step of transfecting can be achieved in a variety of ways according to well-known and routine methods, for example, by using a transfection reagent, such as a plasmid or a lipid based transfection reagent. In some instances, it may be desirable to introduce into the cell exogenous transcriptional coactivators and chromatin regulators to ensure that enhancers clustered within the super-enhancer and the activate transcription start sites of the target gene are co-occupied by an order of magnitude more of the transcriptional coactivators and chromatin regulators than the average enhancer of the target gene. The exogenous transcriptional coactivators and chromatin regulators can be introduced into the target cell in the form of nucleic acids that can be transfected into the cell for expression within the cell or in the form of proteins, for example, by microinjecting the proteins into the cell. Other ways of introducing nucleic acids and proteins into a cell are apparent to those skilled in the art. Upon transfection of the cell with the nucleic acid construct containing the super enhancer, or functional fragment and/or variant thereof, it is expected that the level of expression of the target gene will increase significantly, for example, the level of expression of the target gene is increased 2-fold, 3-fold, 4-fold, 5-fold, 6-fold or more within the cell.


In some aspects, the present invention relates to a kit for increasing the expression of a target gene in a cell, comprising one or more or all of: (a) a super-enhancer operatively linked to a target gene; (b) a population of cells suitable for expression of said target gene; and (c) a reagent for introducing the super-enhancer and the target gene into said population of cells. In some embodiments, the reagent comprises a transfection reagent, e.g., a plasmid.


In some aspects, the present invention relates to a kit for increasing the expression of a target gene in a cell, comprising one or more or all of: (a) a nucleic acid construct comprising an artificial super-enhancer operatively linked to the target gene; (b) a population of cells suitable for expression of said target gene; and (c) a reagent for transfecting said population of cells with said nucleic acid construct.


In some aspects, the invention relates to a nucleic acid vector comprising a super-enhancer, or functional fragment and/or variant thereof, and a site, e.g., a restriction enzyme site, disposed such that insertion of a structural gene at the site places the structural gene under the control of the super-enhancer, or functional fragment and/or variant thereof. In embodiments the vector further comprise one or more of a first selectable marker, a second selectable marker, and an origin of replication.


In some aspects, the invention relates to a nucleic acid vector comprising a super-enhancer or functional fragment and/or variant thereof, functionally linked to a heterologous reporter gene, e.g., a fluorescent protein e.g., GFP, or an enzyme, e.g., horse radish peroxidase. In embodiments the vector further comprise one or more of a first selectable marker, a second selectable marker, and an origin of replication.


In some aspects, the invention relates to a kit comprising one or both of:


a first nucleic acid comprising a reference super-enhancer or functional fragment and/or variant thereof, optionally, coupled to a reporter gene; and a second nuclide acid comprising a site for insertion of an SE, or functional fragment and/or variant thereof, optionally, coupled to a reporter gene.


In some aspects, the invention relates to a kit comprising one or both of:


a nucleic acid vector comprising a super-enhancer, or functional fragment and/or variant thereof, functional linked to a heterologous reporter gene, e.g., a fluorescent protein e.g., GFP, or an enzyme, e.g., horse radish peroxidase. In embodiments the vector further comprise one or more of a first selectable marker, a second selectable marker, and an origin of replication; and


a nucleic acid vector comprising an site, e.g., an restriction enzyme site, and a reporter gene, e.g., a fluorescent protein e.g., GFP, or an enzyme, e.g., horse radish peroxidase, wherein said site is disposed such that insertion into the site of a super-enhancer, or functional fragment and/or variant thereof, will place the reporter gene under the control of the super-enhancer, or functional fragment and/or variant thereof. In embodiments the vector further comprise one or more of a first selectable marker, a second selectable marker, and an origin of replication.


In some aspects, the present invention relates to a method of identifying a super-enhancer in a cell, or cell-free system, comprising: (a) identifying a genomic region of a target gene within said cell, or cell-free system characterized by clusters of enhancers for binding cognate transcription factors capable of interacting with Mediator to stimulate transcription of the target gene within said cell, or cell-free system; (b) measuring in the identified genomic region a level of Mediator occupying said enhancers; and (c) identifying the genomic region as a super-enhancer if the level of Mediator occupying the clusters of enhancers is an order of magnitude more than the level of Mediator occupying the average enhancer of the target gene.


In other aspects, the present invention relates to a method of identifying a super-enhancer associated with a target gene, comprising: (a) analyzing the target gene for a genomic region comprising clusters of enhancers occupied by an order of magnitude more Mediator than an average enhancer of the target gene; and (b) identifying the genomic region as a super-enhancer associated with the target gene if said clusters of enhancers are occupied by the order of magnitude more Mediator than the average enhancer of the target gene In some embodiments, the order of magnitude is at least 2-fold, 10-fold, at least 15-fold, at least 16-fold, or more.


In some aspects, the present invention relates to a method of identifying a gene, e.g., a key gene or genes, that control a cell state or identity, e.g., contributes to unwanted proliferation, e.g., which contributes to a cancerous cell state, comprising: (a) identifying a super-enhancer, e.g., within an animal, cell, or cell-free system; and (b) identifying a gene or genes associated with the super-enhancer, e.g., a gene or genes within a range of proximity to the super-enhancer.


In an embodiment gene or genes that are within a certain proximity to the super-enhancer are identified as a putative key gene or genes that control the cell state or identity.


In an embodiment the method is performed in a cell-free system.


In an embodiment the method is performed in a cell preparation, e.g., a cultured cell preparation.


In an embodiment the method is performed in an animal model.


In an embodiment the method is first performed in a cell-free system, and repeated in a cell preparation, e.g., a cultured cell preparation.


In an embodiment the method is first performed in a cell-free system, or a cell preparation, e.g., a cultured cell preparation, and repeated in an animal.


In an embodiment the cell is a disease state cell, e.g., a cancer cell.


In an embodiment the cell-free system is derived from a disease state cell, e.g., a cancer cell.


In an embodiment, the identified gene is tested as a target for therapy, e.g., by administering an antagonist or inhibitor, e.g., an siRNA, of the product of the gene, to a cell or animal.


The range of proximity to the super-enhancer can extend as far as about 10 megabases (mb) upstream to one end of the super-enhancer to as far as about 10 mb downstream to the other end of the super-enhancer, and any range therebetween, for example 9 mb upstream to 9 mb downstream, 8 mb upstream to 8 mb downstream, 7 mb upstream to 7 mb downstream, 6 mb upstream to 6 mb downstream, 5 mb upstream to 5 mb downstream, 4 mb upstream to 4 mb downstream, 3 mb upstream to 3 mb downstream, 2 mb upstream to 2 mb downstream to 1 mb upstream to 1 mb downstream, or between 0.5 mb upstream and 0.5 mb downstream, 0.1 mb upstream to 0.1 mb downstream. It should be appreciated that the key genes could also, in some instances, overlap with the super-enhancer region. It is also to be understood that the range of proximity will increase or decrease depending on the length or size of the super-enhancer region, for example, if the super enhancer is 10 kb in length, then the upstream range of proximity extends as far as about 10 mb upstream to the most upstream portion of the 10 kb super-enhancer. Similarly, the downstream range of proximity would extend as far as about 10 mb downstream from the most downstream portion of the 10 kb super-enhancer. In some embodiments, the method of identifying key genes that control the cell state or identity involves measuring the expression of those genes in the cell in the presence and absence of an agent that disrupts the function of the super-enhancer identified, as well as assaying the cell for changes in its cell state or identity (e.g., from a more differentiated state to a less differentiated state, or from a healthy state to a diseased state). If the expression of a gene within the range of proximity is statistically significant when the super-enhancer is properly functioning but its expression decreases or becomes unremarkable in the presence of the agent that disrupts the super-enhancer function, then it is likely that the particular gene is a key gene that controls the cell state or identity, especially if its absence of expression is correlated to a change in the state or identity of the cell.


The aforementioned methods of identifying super-enhancers within a cell and identifying a super-enhancer associated with a target gene can be achieved by a variety of different methods, as would be understood by a person skilled in the art. In some embodiments, the super-enhancer is identified by performing chromatin immunoprecipitation high-throughput sequencing (ChIP-Seq). Example 1 below describes an example of a protocol that can be used to carry out such methods in normal cells, such as embryonic stem cells, for example. Example 2 below describes an example of a protocol that can be used to carry out such methods in tumor cells, such as MM.1S cells, for example.


In certain aspects, the present invention relates to a method of identifying a disease related super-enhancer in a cell, tissue, or organ of an individual suspected of having said disease, comprising: (a) identifying a super-enhancer in said cell, tissue, or organ; (b) identifying a gene associated with said super-enhancer; and (c) and correlating said super-enhancer to said disease.


In certain aspects, the present invention relates to a method of characterizing a subject, e.g, a subject having or suspected of having a disorder, e.g., a proliferative disorder, e.g., cancer, comprising:


acquiring a subject tissue sample;


determining if a super-enhancer is associated with a gene, e.g., a preselected gene,


thereby characterizing said subject.


In an embodiment the method comprises determining the genes in the sample that are associated with a super-enhancer.


In an embodiment, the patient is selected, classifed, diagnosed, treated, or prognosed, responsive to the pattern of genes, e.g., a preselected pattern, associated with a super-enhancers, e.g., where a plurality of genes, e.g., a plurality of preselected genes, are associated with super-enhancers.


In an embodiment, the determination comprises: crosslinking chromatin from the sample, and selecting, e.g., by immunoprecipitation, a target protein, e.g., an super-enhancer component.


In an embodiment the target protein is a Mediator protein.


In an embodiment the gene or preselected gene is an oncogene, a kinase, a gene that controls cell proliferation, e.g., a myc gene.


In an embodiment the gene or preselected gene is other than an oncogene, a kinase, a gene that controls cell proliferation, e.g., a myc gene.


In an embodiment the method comprises classifying the subject as having a super-enhancer associated with a gene, e.g., a preselected gene.


In an embodiment the sample comprises cancer cells.


In an embodiment the method comprises characterizing a subject by:


acquiring a subject tissue sample;


determining a gene in the sample is associated with a super-enhancer,


thereby characterizing said subject.


In an embodiment, responsive to said determination, the method comprises selecting and/or administering a therapy to said subject.


In an embodiment, responsive to said determination, the method comprises selecting, classifying, diagnosing, or prognosing said subject.


In an embodiment, responsive to said determination, the method comprises classifying the subject for treatment with an agent that antagonizes or inhibits the product of the gene or preselected gene.


In an embodiment, responsive to said determination, the method comprises administering to the subject an agent that antagonizes or inhibits the product of the gene or preselected gene.


A reaction mixture comprising a patient sample comprising chromatin from a cancer cell and a probe capable of determining if a preselected gene is associated with an super-enhancer.


In certain aspects, the present invention relates to a method of modifying a cell state or identity, comprising introducing into the cell a super-enhancer that is required to stabilize the cell state or identity. It is to be understood that the super-enhancers of the present invention are capable of modifying the cell state or identity of any cell in which it has been shown that the super-enhancer is required to stabilize the cell state or identity. In some embodiments, the cell state is an embryonic-stem cell like state. Upon introduction of the super-enhancer into the cell, the super-enhancer drives expression of genes that are required to maintain the cell state or identity associated with the super-enhancer.


In some aspects, cell state reflects the fact that cells of a particular type can exhibit variability with regard to one or more features and/or can exist in a variety of different conditions, while retaining the features of their particular cell type and not gaining features that would cause them to be classified as a different cell type. The different states or conditions in which a cell can exist may be characteristic of a particular cell type (e.g., they may involve properties or characteristics exhibited only by that cell type and/or involve functions performed only or primarily by that cell type) or may occur in multiple different cell types. Sometimes a cell state reflects the capability of a cell to respond to a particular stimulus or environmental condition (e.g., whether or not the cell will respond, or the type of response that will be elicited) or is a condition of the cell brought about by a stimulus or environmental condition. Cells in different cell states may be distinguished from one another in a variety of ways. For example, they may express, produce, or secrete one or more different genes, proteins, or other molecules (“markers”), exhibit differences in protein modifications such as phosphorylation, acetylation, etc., or may exhibit differences in appearance. Thus a cell state may be a condition of the cell in which the cell expresses, produces, or secretes one or more markers, exhibits particular protein modification(s), has a particular appearance, and/or will or will not exhibit one or more biological response(s) to a stimulus or environmental condition. Markers can be assessed using methods well known in the art, e.g., gene expression can be assessed at the mRNA level using Northern blots, cDNA or oligonucleotide microarrays, or sequencing (e.g., RNA-Seq), or at the level of protein expression using protein microarrays, Western blots, flow cytometry, immunohistochemistry, etc. Modifications can be assessed, e.g., using antibodies that are specific for a particular modified form of a protein, e.g., phospho-specific antibodies, or mass spectrometry.


Another example of cell state is “activated” state as compared with “resting” or “non-activated” state. Many cell types in the body have the capacity to respond to a stimulus by modifying their state to an activated state. The particular alterations in state may differ depending on the cell type and/or the particular stimulus. A stimulus could be any biological, chemical, or physical agent to which a cell may be exposed. A stimulus could originate outside an organism (e.g., a pathogen such as virus, bacteria, or fungi (or a component or product thereof such as a protein, carbohydrate, or nucleic acid, cell wall constituent such as bacterial lipopolysaccharide, etc) or may be internally generated (e.g., a cytokine, chemokine, growth factor, or hormone produced by other cells in the body or by the cell itself). For example, stimuli can include interleukins, interferons, or TNF alpha. Immune system cells, for example, can become activated upon encountering foreign (or in some instances host cell) molecules. Cells of the adaptive immune system can become activated upon encountering a cognate antigen (e.g., containing an epitope specifically recognized by the cell's T cell or B cell receptor) and, optionally, appropriate co-stimulating signals. Activation can result in changes in gene expression, production and/or secretion of molecules (e.g., cytokines, inflammatory mediators), and a variety of other changes that, for example, aid in defense against pathogens but can, e.g., if excessive, prolonged, or directed against host cells or host cell molecules, contribute to diseases. Fibroblasts are another cell type that can become activated in response to a variety of stimuli (e.g., injury (e.g., trauma, surgery), exposure to certain compounds including a variety of pharmacological agents, radiation, etc.) leading them, for example, to secrete extracellular matrix components. In the case of response to injury, such ECM components can contribute to wound healing. However, fibroblast activation, e.g., if prolonged, inappropriate, or excessive, can lead to a range of fibrotic conditions affecting diverse tissues and organs (e.g., heart, kidney, liver, intestine, blood vessels, skin) and/or contribute to cancer. The presence of abnormally large amounts of ECM components can result in decreased tissue and organ function, e.g., by increasing stiffness and/or disrupting normal structure and connectivity.


Another example of cell state reflects the condition of cell (e.g., a muscle cell or adipose cell) as either sensitive or resistant to insulin. Insulin resistant cells exhibit decreased response to circulating insulin; for example insulin-resistant skeletal muscle cells exhibit markedly reduced insulin-stimulated glucose uptake and a variety of other metabolic abnormalities that distinguish these cells from cells with normal insulin sensitivity.


As used herein, a “cell state associated gene” is a gene the expression of which is associated with or characteristic of a cell state of interest (and is often not associated with or is significantly lower in many or most other cell states) and may at least in part be responsible for establishing and/or maintaining the cell state. For example, expression of the gene may be necessary or sufficient to cause the cell to enter or remain in a particular cell state.


In some aspects, modulating a super-enhancer function shifts a cell from an “abnormal” state towards a more “normal” state. In some embodiments, modulating a super-enhancer function shifts a cell from a “disease-associated” state towards a state that is not associated with disease. A “disease-associated state” is a state that is typically found in subjects suffering from a disease (and usually not found in subjects not suffering from the disease) and/or a state in which the cell is abnormal, unhealthy, or contributing to a disease.


In some embodiments, the methods and compounds herein are of use to reprogram a somatic cell, e.g., to a pluripotent state. In some embodiments the methods and compounds are of use to reprogram a somatic cell of a first cell type into a different cell type. In some embodiments, the methods and compounds herein are of use to differentiate a pluripotent cell to a desired cell type.


In an embodiment, the method of modifying a cell state or identity can be used to reprogram a cell to a less differentiated state, such method comprising the steps of: (a) contacting a differentiated cell or population of cells with at least one reprogramming agent capable of reprogramming said cell to less differentiated state; (b) maintaining said cell or population of cells under conditions appropriate for proliferation of said cell population and for activity of said at least one reprogramming agent for a period of time sufficient to begin reprogramming of said cell or population of cells; and (c) transfecting said cell or population of cells with a nucleic acid construct comprising a super-enhancer having a plurality of binding sites for cognate transcription factors Oct4, Sox2, and Nanog, wherein transfection of said cell drives high levels of expression of embryonic stem cell genes required to reprogram and maintain the cell in a less differentiated state. In an embodiment, the less differentiated state is an embryonic stem cell-like state. Reprogramming of cells and suitable reprogramming agents (e.g., Oct4, Sox2, Nanog, etc.) are described in further detail in U.S. Patent Application Publication No. 2011/0076678, U.S. Pat. No. 7,682,828, U.S. Pat. No. 8,071,369, U.S. Patent Application Publication No. 2012/0028821, U.S. Patent Application Ser. No. 61/098,327, the teachings of all of which are incorporated herein by reference in their entirety.


In certain aspects, the present invention relates to a kit for reprogramming a differentiated somatic cell population to an embryonic stem-cell like state, comprising: (a) a population of differentiated somatic cells; (b) at least one reprogramming agent capable of reprogramming said cell to an embryonic stem cell-like state; and (c) a nucleic acid construct comprising a super-enhancer containing clusters of enhancers having binding sites for cognate transcription factors Oct4, Sox2, and Nanog; and (d) a reagent for transfecting said population of cells with said nucleic acid construct.


In some embodiments, modulating a function (activity) of a super-enhancer is of use to treat, e.g., a metabolic, neurodegenerative, inflammatory, auto-immune, proliferative, infectious, cardiovascular, musculoskeletal, or other disease. It will be understood that diseases can involve multiple pathologic processes and mechanisms and/or affect multiple body systems. Discussion herein of a particular disease in the context of a particular pathologic process, mechanism, cell state, cell type, or affected organ, tissue, or system, should not be considered limiting. For example, a number of different tumors (e.g., hematologic neoplasms such as leukemias) arise from undifferentiated progenitor cells and/or are composed largely of undifferentiated or poorly differentiated cells that retain few if any distinctive features characteristic of differentiated cell types. These tumors, which are sometimes termed undifferentiated or anaplastic tumors, may be particularly aggressive and/or difficult to treat. In some embodiments of the invention, a method of the invention is used to modify such cells to a more differentiated state, which may be less highly proliferative and/or more amenable to a variety of therapies, e.g., chemotherapeutic agents. In another embodiment, an inventive method is used to treat insulin resistance which occurs, for example, in individuals suffering from type II diabetes and pre-diabetic individuals. It would be beneficial to modify the state of insulin-resistant cells towards a more insulin-sensitive state, e.g., for purposes of treating individuals who are developing or have developed insulin resistance. In another embodiment, an inventive method is used to treat obesity.


Many inflammatory and/or autoimmune conditions may occur at least in part as a result of excessive and/or inappropriate activation of immune system cells. Autoimmune diseases include, e.g., Graves disease, Hashimoto's thyroiditis, myasthenia gravis, rheumatoid arthritis, sarcoidosis, Sjögren's syndrome, scleroderma, ankylosing spondylitis, type I diabetes, vasculitis, and lupus erythematosus. Furthermore, immune-mediated rejection is a significant risk in organ and tissue transplantation. Inflammation plays a role in a large number of diseases and conditions. Inflammation can be acute (and may be recurrent) or chronic. In general, inflammation can affect almost any organ, tissue, or body system. For example, inflammation can affect the cardiovascular system (e.g., heart), musculoskeletal system, respiratory system (e.g., bronchi, lungs), renal system, (e.g., kidneys), eyes, nervous system, gastrointestinal system (e.g., colon), integumentary system (e.g., skin), musculoskeletal system (e.g., joints, muscles), resulting in a wide variety of conditions and diseases. Chronic inflammation is increasingly recognized as an important factor contributing to atherosclerosis and degenerative diseases of many types. Inflammation influences the microenvironment around tumours and contributes, e.g., to tumor cell proliferation, survival and migration. Furthermore, chronic inflammation can eventually lead to fibrosis.


Exemplary inflammatory diseases include, e.g., adult respiratory distress syndrome (ARDS), atherosclerosis (e.g., coronary artery disease, cerebrovascular disease), allergies, asthma, cancer, demyleinating diseases, dermatomyositis, inflammatory bowel disease (e.g., Crohn's disease, ulcerative colitis), inflammatory myopathies, multiple sclerosis, glomerulonephritis, psoriasis, pancreatitis, rheumatoid arthritis, sepsis, vasculitis (including phlebitis and arteritis, e.g., polyarteritis nodosa, Wegener's granulomatosis, Buerger's disease, Takayasu's arteritis, etc.). In some embodiments, a method of the invention is used to modify immune cell state to reduce activation of immune system cells involved in such conditions and/or render immune system cells tolerant to one or more antigens. In one embodiment, dendritic cell state is altered. Promoting immune system activation using a method of the invention (e.g., in individuals who have immunodeficiencies or have been treated with drugs that deplete or damage immune system cells), potentially for limited periods of time, may be of benefit in the treatment of infectious diseases.


In other embodiments, activated fibroblasts are modified to a less activated cell state to reduce or inhibit fibrotic conditions or treat cancer.


Post-surgical adhesions can be a complication of, e.g., abdominal, gynecologic, orthopedic, and cardiothoracic surgeries. Adhesions are associated with considerable morbidity and can be fatal. Development of adhesions involves inflammatory and fibrotic processes. In some embodiments, a method of the invention is used to modify state of immune system cells and/or fibroblasts to prevent or reduce adhesion formation or maintenance.


In other embodiments, modifying cells to a more or less differentiated state is of use to generate a population of cells in vivo that aid in repair or regeneration of a diseased or damaged organ or tissue, or to generate a population of cells ex vivo that is then administered to a subject to aid in repair or regeneration of a diseased or damaged organ or tissue.


In some embodiments, cell type and/or cell state becomes modified over the course of multiple cell cycle(s). In some embodiments, cell type and/or cell state is stably modified. In some embodiments, a modified type or state may persist for varying periods of time (e.g., days, weeks, months, or indefinitely) after the cell is no longer exposed to the agent(s) that caused the modification. In some embodiments, continued or at intermittent exposure to the agent(s) is required or helpful to maintain the modified state or type.


Cells may be in living animal, e.g., a mammal, or may be isolated cells. Isolated cells may be primary cells, such as those recently isolated from an animal (e.g., cells that have undergone none or only a few population doublings and/or passages following isolation), or may be a cell of a cell line that is capable of prolonged proliferation in culture (e.g., for longer than 3 months) or indefinite proliferation in culture (immortalized cells). In many embodiments, a cell is a somatic cell. Somatic cells may be obtained from an individual, e.g., a human, and cultured according to standard cell culture protocols known to those of ordinary skill in the art. Cells may be obtained from surgical specimens, tissue or cell biopsies, etc. Cells may be obtained from any organ or tissue of interest. In some embodiments, cells are obtained from skin, lung, cartilage, breast, blood, blood vessel (e.g., artery or vein), fat, pancreas, liver, muscle, gastrointestinal tract, heart, bladder, kidney, urethra, prostate gland. Cells may be maintained in cell culture following their isolation. In certain embodiments, the cells are passaged or allowed to double once or more following their isolation from the individual (e.g., between 2-5, 5-10, 10-20, 20-50, 50-100 times, or more) prior to their use in a method of the invention. They may be frozen and subsequently thawed prior to use. In some embodiments, the cells will have been passaged or permitted to double no more than 1, 2, 5, 10, 20, or 50 times following their isolation from the individual prior to their use in a method of the invention. Cells may be genetically modified or not genetically modified in various embodiments of the invention. Cells may be obtained from normal or diseased tissue. In some embodiments, cells are obtained from a donor, and their state or type is modified ex vivo using a method of the invention. The modified cells are administered to a recipient, e.g., for cell therapy purposes. In some embodiments, the cells are obtained from the individual to whom they are subsequently administered.


A population of isolated cells in any embodiment of the invention may be composed mainly or essentially entirely of a particular cell type or of cells in a particular state. In some embodiments, an isolated population of cells consists of at least 30%, 40%, 50%, 60%, 70%, 80%, 90%, 95%, 96%, 97%, 98%, 99%, or 100% cells of a particular type or state (i.e., the population is at least 30%, 40%, 50%, 60%, 70%, 80%, 90%, 95%, 96%, 97%, 98%, 99%, or 100% pure), e.g., as determined by expression of one or more markers or any other suitable method.


In certain aspects, the present invention relates to a method of selectively inhibiting expression of an aberrantly expressed gene comprising disrupting the function of a super-enhancer associated with the gene. In certain embodiments, the gene comprises an oncogene. During the course of work described herein, the present inventors have observed that disruption of super-enhancers by BRD4 inhibition led to a dramatic loss of expression of critical tumor genes, accompanied by a potent anti-proliferative effect. Given the fact that super-enhancers are common features of mammalian cells, and that super-enhancers have been shown to drive high levels of gene expression, it is reasonable to expect that super-enhancer disruption can be used to selectively inhibit expression of any gene (e.g., any gene that is overexpressed in a diseased cell, wherein the gene is associated with a super-enhancer) by disrupting the super-enhancer associated with the oncogene. In an embodiment, the oncogene is MYC. In an embodiment, the oncogene is IRF4.


It should be appreciated that the present invention contemplates the use of any technique or any agent that is capable of disrupting the function of the super-enhancer. Generally, disrupting the function of the super-enhancer involves contacting said super-enhancer region with an effective amount of an agent that interferes with occupancy of the super-enhancer region by a cognate transcription factor for the gene, a transcriptional coactivator, or a chromatin regulator. In some embodiments, disrupting the function of the super-enhancer can be achieved by contacting the super-enhancer region with a pause release agent. In certain embodiments, the agent interferes with a binding site on the super-enhancer for the cognate transcription factor, interferes with interaction between the cognate transcription factor and a transcriptional coactivator, inhibits the transcription coactivator, or interferes with or inhibits the chromatin regulator. In some embodiments, the agent is a bromodomain inhibitor. In some embodiments, the agent is a BRD4 inhibitor. In some embodiments, the agent is the compound JQ1. In some embodiments, the agent is iBET.


Any of a wide variety of agents (also termed “compounds”) can be used to disrupt the function of the super-enhancer, such as BET bromodomain inhibitors, P-TEFb inhibitors or compounds that interfere with binding of the cognate transcription factors to the binding sites of the super-enhancer associated with the gene (e.g, if the gene is an oncogene, such as MYC, a c-Myc inhibitor can be used to disrupt the function of the super-enhancer). An inhibitor could be any compound that, when contacted with a cell, results in decreased functional activity of a molecule or complex, e.g., transcriptional coactivator (e.g., Mediator), a chromatin regulator (e.g., BRD4), an elongation factor (e.g., P-TEFb), or cognate transcription factor (e.g., a cognate oncogenic transcription factor), in the cell. An inhibitor could act directly, e.g., by physically interacting with a molecule or complex to be inhibited, or a component thereof, or indirectly such as by interacting with a different molecule or complex required for activity of the molecule or complex to be inhibited, or by interfering with expression or localization.


Compounds of use in various embodiments of the invention can comprise, e.g., small molecules, peptides, polypeptides, nucleic acids, oligonucleotides, etc. Certain non-limiting examples are presented below.


A small molecule is often an organic compound having a molecular weight equal to or less than 2.0 kD, e.g., equal to or less than 1.5 kD, e.g., equal to or less than 1 kD, e.g., equal to or less than 500 daltons and usually multiple carbon-carbon bonds. Small molecules often comprise one or more functional groups that mediate structural interactions with proteins, e.g., hydrogen bonding, and typically include at least an amine, carbonyl, hydroxyl or carboxyl group, and in some embodiments at least two of the functional chemical groups. A small molecule may comprise cyclic carbon or heterocyclic structures and/or aromatic or polyaromatic structures substituted with one or more chemical functional groups and/or heteroatoms. In some embodiments a small molecule satisfies at least 3, 4, or all criteria of Lipinski's “Rule of Five”. In some embodiments, a compound is cell-permeable, e.g., within the range of typical compounds that act intracellularly, e.g., within mammalian cells. In some embodiments, the IC50 of a compound, e.g., a small molecule, for a target to be inhibited is less than or equal to about 5 nM, 10 nM, 50 nM, 100 nM, 500 nM, 1 μM, 10 μM, 50 μM, or 100 μM,


Nucleic acids, e.g., oligonucleotides (which typically refers to short nucleic acids, e.g., 50 nucleotides in length or less), the invention contemplates use of oligonucleotides that are single-stranded, double-stranded (ds), blunt-ended, or double-stranded with overhangs, in various embodiments of the invention. The full spectrum of modifications (e.g., nucleoside and/or backbone modifications), non-standard nucleotides, delivery vehicles and systems, etc., known in the art as being useful in the context of siRNA or antisense-based molecules for research or therapeutic purposes is contemplated for use in various embodiments of the instant invention. In some embodiments a compound is an RNAi agent, antisense oligonucleotide, or aptamer. The term “RNAi agent” encompasses nucleic acids that can be used to achieve RNA silencing in mammalian cells. As used herein RNA silencing, also termed RNA interference (RNAi), encompasses processes in which sequence-specific silencing of gene expression is effected by an RNA-induced silencing complex (RISC) that has a short RNA strand incorporated therein, which strand directs or “guides” sequence-specific degradation or translational repression of mRNA to which it has complementarity. The complementarity between the short RNA and mRNA need not be perfect (100%) but need only be sufficient to result in inhibition of gene expression. For example, the degree of complementarity and/or the characteristics of the structure formed by hybridization of the mRNA and the short RNA strand can be such that the strand can (i) guide cleavage of the mRNA in the RNA-induced silencing complex (RISC) and/or (ii) cause translational repression of the mRNA by RISC. The short RNA is often incorporated into RISC as part of a short double-stranded RNA (dsRNA), RNAi may be achieved artificially in eukaryotic, e.g., mammalian, cells in a variety of ways. For example, RNAi may be achieved by introducing an appropriate short double-stranded nucleic acid into the cells or expressing in the cells a nucleic acid that is processed intracellularly to yield such short dsRNA. Exemplary RNAi agents are a short hairpin RNA (shRNA), a short interfering RNA (siRNA), micrRNA (miRNA) and a miRNA precursor. siRNAs typically comprise two separate nucleic acid strands that are hybridized to each other to form a duplex. They can be synthesized in vitro, e.g., using standard nucleic acid synthesis techniques. A nucleic acid may contain one or more non-standard nucleotides, modified nucleosides (e.g., having modified bases and/or sugars) or nucleotide analogs, and/or have a modified backbone. Any modification or analog recognized in the art as being useful for RNAi, aptamers, antisense molecules or other uses of oligonucleotides can be used. Some modifications result in increased stability, cell uptake, potency, etc. Exemplary compound can comprise morpholinos or locked nucleic acids. In some embodiments the nucleic acid differs from standard RNA or DNA by having partial or complete 2′-0-methylation or 2′-0-methoxyethyl modification of sugar, phosphorothioate backbone, and/or a cholesterol-moiety at the 3′-end. In certain embodiments the siRNA or shRNA comprises a duplex about 19 nucleotides in length, wherein one or both strands has a 3′ overhang of 1-5 nucleotides in length (e.g., 2 nucleotides), which may be composed of deoxyribonucleotides. shRNA comprise a single nucleic acid strand that contains two complementary portions separated by a predominantly non-self-complementary region. The complementary portions hybridize to form a duplex structure and the non-self-complementary region forms a loop connecting the 3′ end of one strand of the duplex and the 5′ end of the other strand. shRNAs can undergo intracellular processing to generate siRNAs. In certain embodiments the term “RNAi agent” also encompasses vectors, e.g., expression vectors, that comprise templates for transcription of an siRNA (e.g., as two separate strands that can hybridize), shRNA, or microRNA precursor, and can be used to introduce such template into mammalian cells and result in transient or stable expression thereof.


In some embodiments an RNAi agent, aptamer, antisense oligonucleotide, other nucleic acid, peptide, polypeptide, or small molecule is physically associated with a moiety that increases cell uptake, such as a cell-penetrating peptide, or a delivery agent. In some embodiments a delivery agent at least in part protects the compound from degradation, metabolism, or elimination from the body (e.g., increases the half-life). A variety of compositions and methods can be used to deliver agents to cells in vitro or in vivo. For example, compounds can be attached to a polyalkylene oxide, e.g., polyethylene glycol (PEG) or a derivative thereof, or incorporated into or attached to various types of molecules or particles such as liposomes, lipoplexes, or polymer-based particles, e.g., microparticles or nanoparticles composed at least in part of one or more biocompatible polymers or copolymers comprising poly(lactide-glycolide), copolyoxalates, polycaprolactones, polyesterar des, polyorthoesters, polyhydroxybutyric acid, and/or polyanhydrides.


In some embodiments, an agent comprises a polypeptide. A “polypeptide” refers to a polymer of amino acids linked by peptide bonds. A protein is a molecule comprising one or more polypeptides. A peptide is a relatively short polypeptide, typically between about 2 and 100 amino acids (aa) in length, e.g., between 4 and 60 aa; between 8 and 40 aa; between 10 and 30 aa. The terms “protein”, “polypeptide”, and “peptide” may be used interchangeably. In general, a polypeptide may contain only standard amino acids or may comprise one or more non-standard amino acids (which may be naturally occurring or non-naturally occurring amino acids) and/or amino acid analogs in various embodiments. A “standard amino acid” is any of the 20 L-amino acids that are commonly utilized in the synthesis of proteins by mammals and are encoded by the genetic code. A “non-standard amino acid” is an amino acid that is not commonly utilized in the synthesis of proteins by mammals. Non-standard amino acids include naturally occurring amino acids (other than the 20 standard amino acids) and non-naturally occurring amino acids. In some embodiments, a non-standard, naturally occurring amino acid is found in mammals. For example, ornithine, citrulline, and homocysteine are naturally occurring non-standard amino acids that have important roles in mammalian metabolism. Exemplary non-standard amino acids include, e.g., singly or multiply halogenated (e.g., fluorinated) amino acids, D-amino acids, homo-amino acids, N-alkyl amino acids (other than proline), dehydroamino acids, aromatic amino acids (other than histidine, phenylalanine, tyrosine and tryptophan), and α,α disubstituted amino acids. An amino acid, e.g., one or more of the amino acids in a polypeptide, may be modified, for example, by addition, e.g., covalent linkage, of a moiety such as an alkyl group, an alkanoyl group, a carbohydrate group, a phosphate group, a lipid, a polysaccharide, a halogen, a linker for conjugation, a protecting group, etc. Modifications may occur anywhere in a polypeptide, e.g., the peptide backbone, the amino acid side-chains and the amino or carboxyl termini. A given polypeptide may contain many types of modifications. Polypeptides may be branched or they may be cyclic, with or without branching. Polypeptides may be conjugated with, encapsulated by, or embedded within a polymer or polymeric matrix, dendrimer, nanoparticle, microparticle, liposome, or the like. Modification may occur prior to or after an amino acid is incorporated into a polypeptide in various embodiments. Polypeptides may, for example, be purified from natural sources, produced in vitro or in vivo in suitable expression systems using recombinant DNA technology (e.g., by recombinant host cells or in transgenic animals or plants), synthesized through chemical means such as conventional solid phase peptide synthesis, and/or methods involving chemical ligation of synthesized peptides (see, e.g., Kent, S., J Pept Sci., 9(9):574-93, 2003 or U.S. Pub. No. 20040115774), or any combination of the foregoing.


One of ordinary skill in the art will understand that a protein may be composed of a single amino acid chain or multiple chains associated covalently or noncovalently. In some embodiments, the agent is a non-functional mutant of the cognate oncogenic transcription factor, the transcriptional coactivator, or the chromatin regulator that mimics interactions of the cognate oncogenic transcription factor, the transcriptional coactivator, or the chromatin regulator but lacks the ability to activate transcription of the oncogene. For example, a polypeptide can be a dominant negative version of Mediator, an elongation factor (e.g., P-TEFb subunit) or a dominant negative version of a cognate oncogenic transcription factor (e.g., a c-Myc or Max). A polypeptide that binds to and inhibits Mediator or P-TEFb or c-Myc could be identified, e.g., using phage display.


In some embodiments a compound comprises an antibody. The term “antibody” encompasses immunoglobulins and derivatives thereof containing an immunoglobulin domain capable of binding to an antigen. An antibody can originate from any mammalian or avian species, e.g., human, rodent (e.g., mouse, rabbit), goat, chicken, etc., or can be generated using, e.g., phage display. The antibody may be a member of any immunoglobulin class, e.g., IgG, IgM, IgA, IgD, IgE, or subclasses thereof such as IgG1, IgG2, etc. In various embodiments of the invention “antibody” refers to an antibody fragment such as an Fab′, F(ab′)2, scFv (single-chain variable) or other fragment that retains an antigen binding site, or a recombinantly produced scFv fragment, including recombinantly produced fragments. An antibody can be monovalent, bivalent or multivalent in various embodiments. The antibody may be a chimeric or “humanized” antibody, which can be generated using methods known in the art. An antibody may be polyclonal or monoclonal, though monoclonal antibodies may be preferred. Methods for producing antibodies that specifically bind to virtually any molecule of interest are known in the art. In some aspects the antibody is an intrabody, which may be expressed intracellularly. In some embodiments a compound comprises a single-chain antibody and a protein transduction domain (e.g., as a fusion polypeptide).


In some embodiments, a composition or method of the invention employs a transcriptional coactivator inhibitor, a chromatin regulator inhibitor, an elongation factor or pause release inhibitor, or a cognate transcription factor inhibitor that are small molecules.


In some embodiments, the agent is a BET bromodomain inhibitor. In some embodiments, the agent is a BRD4 inhibitor. In some embodiments, the agent is JQ1. In some embodiments, the agent is iBET. In some embodiments, the elongation factor or pause release inhibitor is a P-TEFb inhibitor. In some embodiments, the cognate oncogenic transcription factor inhibitor is a c-Myc inhibitor. In some embodiments, a composition or method employs a Mediator inhibitor, a BRD4 inhibitor, a P-TEFb inhibitor and a c-Myc inhibitor that each comprise a nucleic acid, e.g., RNAi agents. In some embodiments, a composition or method employs a Mediator inhibitor, a P-TEFb inhibitor that comprises a nucleic acid, e.g., RNAi agents, e.g., siRNAs. In some embodiments, the Mediator inhibitor may bind to a Mediator component, Mediator complex, or a Mediator associated protein, for example, an antibody directed against the Mediator component, Mediator complex, or the Mediator associated protein. Examples of suitable antibodies can be found in PCT International Application No. WO 2011/100374, the teachings of which are incorporated herein by reference in their entirety.


In some embodiments the material is isolated using an agent (e.g., an antibody) that binds to a Mediator component, Mediator complex, or that binds to a Mediator-associated protein.


In some embodiments, the agent is a nucleic acid that hybridizes to a binding site on the super-enhancer for the cognate transcription factor.


Compounds can be produced using any suitable method known in the art. The skilled artisan will select an appropriate method based, e.g., on the nature of the compound. The production method can be partially or completely synthetic in various embodiments. In some embodiments a compound (or starting material for synthesis) is purified from an organism or other natural source, e.g., a plant, microbe, fermentation broth, etc. A compound of use in the invention may be provided as part of a composition, which may contain, e.g., an ion, salt, aqueous or non-aqueous diluent or carrier, buffer, preservative, etc. It is noted that although combined use of compounds is of particular interest, the use of compounds disclosed herein is not limited to their use in combination. In some embodiments of the invention, a compound may be used as a single agent.


In some embodiments, a P-TEFb inhibitor inhibits CDK9 kinase activity. The compound may inhibit one or more additional kinases, e.g., CDKs, in addition to CDK9. Often a kinase inhibitor acts by binding to an ATP binding pocket of a kinase. Thus in some embodiments a CDK9 inhibitor binds to the ATP binding pocket of CDK9. In some embodiments the P-TEFb inhibitor is selective for CDKs relative to many, most, or all other kinase families. In some embodiments the CDK inhibitor is selective for CDKs 1, 4, and 9 versus CDK2. In some embodiments the P-TEFb inhibitor is a CDK inhibitor that is selective for CDK9 versus CDK2. In some embodiments the P-TEFb inhibitor is a CDK inhibitor that is selective for CDK9 versus CDK1 and CDK4. It will be appreciated that kinase inhibitory activity is tested against CKDs in complex with a preferred cyclin partner. For example, in some embodiments CDK2 activity can be tested using cyclin A. It will also be appreciated that a kinase assay can employ a relevant substrate, e.g., a physiologically relevant substrate or portion thereof comprising a phosphoryation site for the kinase.


In some embodiments, the compound is an N-methylpiperidinyl, chlorophenyl flavone. In some embodiments, the compound is flavopiridol or a flavopiridol analog.


Flavopiridol (−)-2-(2-Chlorophenyl)-5,7-dihydroxy-8-[(3S,4R)-3-hydroxy-1-methyl-4-piperidinyl]-4H-1-benzopyran-4-one hydrochloride is a synthetic flavone that inhibits multiple CDKs, including CDK9. Its structure is shown below.




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Flavopiridol has been shown to have antitumor activity against various tumor cells lines and to inhibit tumor growth in xenograft models. It has undergone clinical trials in a number of different cancer types including various solid tumors and leukemias. As described further in the examples, flavopiridol was shown to inhibit pause release. Without wishing to be bound by theory, this may help counteract the effects of Myc overexpression, and this may be the basis for the therapeutic effect of flavopiridol on some tumors.


Flavopiridol analogs include compounds designed based on flavopiridol, e.g., by modifying one or more of the rings of the flavopiridol structure at one or more positions. In some embodiments, a flavopiridol analog is a 2-thio or 2-oxo flavopiridol analog. For example, PCT/US 1997/007610 describes compounds of formula I:




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wherein X is oxygen or sulfur; R1, R2, R3, R4, R5, R6, m, and n are as defined in PCT/US1997/007610.


Additional flavopiridol analogs are disclosed in Murthi, K. K., et al., Bioorg Med Chem Lett. 10(10): 1037-41, 2000, which describes modifications of the 3-hydroxy-1-methylpiperidinyl (D ring) of flavopiridol.


In some embodiments, a flavopiridol analog has the following structure:




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In some embodiments R is phenyl or substituted phenyl, e.g., halogenated phenyl. In some embodiments, R is selected from the group consisting of: 3-chlorophenyl, 4-chlorophenyl, 2-fluorophenyl, 4-fluorophenyl, 4-bromophenyl, 4-t-butylphenyl, 4-trifluoromethylphenyl, 4-hydroxyphenyl, 2-pyridyl, 3-pyridyl, 4-pyridyl, 4-chloro-3-pyridyl, 5-methylisoxazole, 3-vinylphenyl, 4-vinylphenyl, 2-chlorophenyl, 4-fluorophenyl, 2-bromophenyl, and 3-pyridyl. In some embodiments the compound displays increased selectivity for CDK9 than does flavopiridol. See, e.g., Ali, A., et al., Chembiochem, 10(12):2072-80, 2009, for additional information regarding these compound.


In some embodiments, a CDK9 inhibitor has the following structure:




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wherein R1, R2, R3, R4, and R9 are as defined in PCT/IB 2006/052002 (WO/2007/148158). In some embodiments (i) R1 comprises an aromatic group; (ii) R4 comprises an R—(OH) group, wherein R is a C1-6 aliphatic group; (iii) R9 comprises a C1-6 aliphatic group, e.g, a methyl group; or (iv) any combination of (i), (ii), and (iii). In some embodiments, the compound may have the following structure:




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wherein R comprises an aromatic group.


Crystal structures of P-TEFb (CDK9/cyclin T1) alone and in a complex with flavopiridol are available (Baumli, S., et al., EMBO J. 27(13): 1907-18, 2008). Flavopiridol was shown to bind to the ATP binding pocket of CDK9. Structural information can be used in the design of additional P-TEFb inhibitors including, but not limited to, additional analogs of flavopiridol. Furthermore, virtual screening can be performed using structural information regarding diverse chemical compounds to identify candidate P-TEFb inhibitors. In some embodiments, a P-TEFb inhibitor is a compound that makes similar intermolecular contacts with CDK9 as does flavopiridol. Similar approaches can be used to design analogs of other CDK9 inhibitors.


In some embodiments, a flavopiridol analog exhibiting reduced binding to human serum relative to flavopiridol is used.


In some embodiments, the P-TEFb inhibitor is a purine or purine analog, e.g., a biaryl purine analog. In some embodiments, the purine analog is a 2,6,9-substituted purine analog. In some embodiments, the compound is roscovitine, e.g., S-roscovitine or R-roscovitine. Unless otherwise indicated, where roscovitine is mentioned herein, the roscovitine can be R-roscovitine (also called Selicielib or CYC202; 2-(R)-(l-Ethyl-2-hydroxyethylamino)-6-benzylamino-9-isopropyl purine). Roscovitine is a CDK inhibitor that preferentially inhibit multiple enzyme targets including CDK1, CDK2, CDK7 and CDK9 and has been studied in clinical trials for treatment of a variety of proliferative diseases.


In some embodiments the compound is a roscovatine analog. Exemplary roscovitine analogs are oloumicine (2-(2-hydroxyethylamino)-6-benzylamino-9-methylpurine), olomoucine II (6-[(2-hydroxybenzyl)amino]-2-[[1-(hydroxymethyl)propyl]amino]-9-isopropylpurine) and LGR1406 (N-5-(2-aminocyclohexyl)-N-7-benzyl-3-isopropyl-1(2)H-pyrazolo[4,3-d]pyrimidine-5,7-di-amine). Roscovitine analogs generated by introduction of an aryl ring onto the 4-position of the C-6 benzyl amino group of roscovitine, and a series of C-6 biarylmethylamino derivatives prepared with modifications on the C-6 biaryl rings, N-9 and C-2 positions, are described in Trova, M P, et. al., Bioorg Med Chem Lett. 19(23):6608-12, 2009.


Many additional CDK inhibitors are known in the art that may inhibit CDK9, optionally with at least some selectivity relative to inhibition of one or more other CDKs. For example, PCT/US2009/049637 (WO/2010/003133) discloses compounds that are


reported to inhibit CDK9. In some aspects, the compounds have the following structure, where R1 and R3 are as defined therein.




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PCT/EP2008/063715 (WO 2009047359) discloses additional compounds that are reported to inhibit CDK9. In some aspects, the compounds have the following structure, wherein R1, R2, Ra, and (R3)x are as defined therein.




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In some embodiments, a P-TEFb inhibitor comprises an RNAi agent (e.g., an siRNA) or an antisense oligonucleotide that inhibits expression of a P-TEFb subunit (e.g., CDK9, cyclin T1, T2a, T2b, or K). In some embodiments a P-TEFb inhibitor comprises an antibody or aptamer that specifically binds to a P-TEFb subunit. Optionally the antibody or aptamer may bind to multiple CDKs or cyclins.


In some embodiments, a c-Myc inhibitor is a small molecule. In some embodiments, a c-Myc inhibitor inhibits formation of c-Myc/Max heterodimers. In some embodiments, a c-Myc inhibitor inhibits binding of c-Myc/Max to a target site in DNA. In some embodiments a c-Myc inhibitor is relatively specific for inhibiting transcription mediated by c-Myc relative to transcription mediated by many or most other basic helix-loop-helix/leucine zipper transcription factors.


Various compounds that inhibit c-Myc are described in Berg, T., Curr. Op. Chem. Biol., 12: 464-471, 2008, and references therein. The peptide mimetic IIA6B17 is described in Berg, T., et al., Proc Natl Acad Sci USA 99 (2002), pp. 3830-3835 and was shown to inhibit c-Myc-dependent transcription in a reporter gene assay (X. Lu, et al. Oncol Rep 19 (2008), pp. 825-830). Testing a 285 member chemical library derived from planar, aromatic scaffolds in a c-Myc/Max dimerization assay led to identification of four structurally related Myc/Max dimerization inhibitors, which also inhibited DNA binding of c-Myc/Max (Y. Xu, et al. Bioorg Med Chem 14 (2006), pp. 2660-2673.) For example, the compound NY2267 strongly inhibited c-Myc-dependent oncogenic transformation of chicken embryo fibroblasts at 20 μM, showed selectivity over transformation mediated by v-Src or v-Jun, but did not discriminate between transcription mediated by c-Jun and c-Myc. Several compounds were selected from a chemical library on the basis of their ability to prevent association of the HLH-Zip domains of c-Myc and Max in a yeast two-hybrid assay (X. Yin, et al., Oncogene 22 (2003), pp. 6151-6159). One, 10058-F4 (IC50=49 μM on HL60 cells), served as starting point for the testing of derivatives with improved activities. One of the numerous derivatives resulting from structural variation of the substituents on the aromatic ring and the rhodanine moiety, the compound 28RH-NCN-1, inhibited DNA binding of c-Myc with activity comparable to that of the parent compound, and inhibited growth of HL60 cells with improved potency (IC50=29 μM) (Wang, H., et al., Mol Cancer Ther 6 (2007), pp. 2399-2408). See also PCT/US2007/004039 (WO/2007/098010).


Screening chemical libraries for compounds that inhibited DNA binding of c-Myc, led to discovery of the pyrazolo[1,5-a]pyrimidine Mycro1 (Kiessling, A., et al., Chem Biol 13 (2006), pp. 745-751). Mycro1 and the derivative Mycro2 were subsequently shown to inhibit c-Myc/Max dimerization, c-Myc-dependent proliferation, gene transcription, and oncogenic transformation. While Mycro1 and Mycro2 displayed good specificities in vitro, they showed only weak-to-moderate specificity for c-Myc-dependent transcription over transcription mediated by AP-1 family proteins, which also dimerize via leucine zippers. A follow-up screen using a focused library of pyrazolo[1,5-a]pyrimidines led to the discovery of the pyrazolo[1,5-f1]pyrimidine 1 (Mycro3), which inhibited c-Myc/Max dimerization and DNA binding with very good selectivity in vitro, and also showed good potency and selectivity at concentrations of 10-40 μM against c-Myc in cellular assays (A. Kiessling, A, et al., ChemMedChem 2 (2007), pp. 627-630).


It can be reasoned that inhibitors of the DNA-protein interactions between intact c-Myc/Max dimers and their DNA recognition motif should not interfere with gene transcription repressed by c-Myc, but would still block c-Myc induced transcriptional activation. This distinction can be used to help selectively identify compounds having this mechanism of action. In a screen designed to identify compounds that particularly affect cells with high levels of c-Myc, a compound termed MYRA-A, was discovered, which was shown to inhibit Myc-regulated gene expression, oncogenic transformation, and to induce apoptosis in a Myc-dependent manner (H. Mo and M. Hennksson, Proc Natl Acad Sci USA 103 (2006), pp. 6344-6349). In a subsequent study, the same group published an additional inhibitor of DNA binding of c-Myc/Max family members dubbed NSC308848 (Mo, H., et al. Cell Cycle 5 (2006), pp. 2191-2194).


Hammoudeh, et al. (2009) identified multiple small molecule binding sites on c-Myc, facilitating use of drug design and/or virtual screening to identify additional c-Myc inhibitors.


Some exemplary small molecule c-Myc inhibitors of use in various embodiments of the invention are shown below. In certain embodiments of the invention analogs of any of these compounds are used.




text missing or illegible when filed


text missing or illegible when filed


text missing or illegible when filed


In some embodiments, a c-Myc inhibitor comprises an RNAi agent (e.g., an siRNA) or an antisense oligonucleotide that inhibits expression of c-Myc. In some embodiments a c-Myc inhibitor comprises an antibody or aptamer that specifically binds to c-Myc.


In some embodiments the agent promotes proteolysis of a polypeptide encoded by an oncogene in a cell (e.g., a tumor cell) exhibiting excessive levels of the cognate transcription factor and more transcriptional coactivator and chromatin regulator occupancy of the super-enhancer then the average single enhancer for the oncogene (e.g., an order of magnitude more). In some embodiments the agent promotes global proteolysis in cell-specific manner such that global proteolysis is only induced in those cells (e.g., tumor cells) exhibiting extremely high levels of the cognate transcription factor of the gene and transcriptional coactivator super-enhancer occupancy. In some embodiments the agent promotes proteolysis of a polypeptide encoded by one or more of a plurality of oncogenes in a cell in which cognate transcription factor levels are high and super-enhancers of the oncogene are occupied by more transcriptional coactivator than the average single enhancer of the oncogene.


The present invention contemplates the use of any agent that is capable of promoting proteolysis. In some embodiments the agent promotes global proteolysis of polypeptides encoded by the oncogenes. In some embodiments the agent promotes global proteolysis of polypeptides encoded by the oncogenes is promoted in cells that exhibit elevated cognate oncogenic transcription factors for the oncogene. In some embodiments the agent promotes global proteolysis of polypeptides is specific to tumor cells that possess oncogenes associated with super-enhancers. In some embodiments the agent promotes global proteolysis of polypeptides in cells that exhibit elevated cognate oncogenic transcription factors and excessive levels of transcriptional co-activator and/or chromatin regulator co-occupancy of super-enhancers and active transcription start sites.


In some embodiments the agent promotes global proteolysis of polypeptides by targeting the oncogene and its expression products for ubiquitin-dependent proteolysis. In some embodiments, the agent promotes global proteolysis of polypeptides by ubiquitin-dependent proteolysis by the proteasome. Ubiquitin-dependent proteolysis is a pathway used by eukaryotic cells for degrading cellular proteins. Protein ubiquitination is catalyzed by the concerted actions of three classes of enzymes; the E1 ubiquitin-activating enzymes, the E2 ubiquitin-conjugating enzymes, and the E3 ubiquitin protein ligases (Hochstrasser, Annu Rev. Genet 30: 405-39, 1996). E1 and E2 are involved in the activation and transfer of ubiquitin, while the substrate specificity of the ubiquitin pathway is conferred by the E3 ubiquitin protein ligases. In some embodiments the agent comprises a ubiquitin protein ligase polypeptide. In some embodiments the agent is an E3 ubiquitin protein ligase polypeptide. In some embodiments the E3 ubiquitin protein ligase is an SCF polypeptide. In some embodiments the agent is a HECT polypeptide. In some embodiments the agent is a UBRI polypeptide. In some embodiments the E3 ubiquitin protein ligase polypeptide is an F-box polypeptide (e.g., an F-box polypeptide which further comprises a WD domain). In some embodiments the F-box polypeptide is Cdc4p. In some embodiments the F-box polypeptide is Pop1p. In some embodiments the F-box polypeptide is Pop 2p. In some embodiments the F-box polypeptide is Grr1p. In some embodiments the F-box polypeptide is Met30p. In some embodiments the F-box polypeptide is HOSp. In some embodiments the F-box polypeptide is beta TrCPp. In some embodiments the F-box polypeptide is FWD1p. In some embodiments the F-box polypeptide is a polypeptide which is at least 70% identical to a contiguous polypeptide sequence of a polypeptide selected from the group consisting of SEQ ID Nos. 2, 4, 6, 8, 10, and 12 described in U.S. Pat. No. 7,223,556, which is incorporated herein by reference. In some embodiments the F-box polypeptide is at least 80% identical to a contiguous nucleic acid sequence of SEQ ID Nos. 1, 3, 5, 7, 9, and 11 described in U.S. Pat. No. 7,223,556, which is incorporated herein by reference.


In some embodiments the agent destabilizes RNA and/or proteins produced by the oncogene. In some embodiments an agent that destabilizes RNA is an agent that modulates nonsense-mediated RNA decay (NMD). Gardner discusses NMD implications for tumorigenesis (Gardner. Mol Cancer Res. 8; 295, 2010). In some embodiments an agent that modulates NMD is an agent that induces NMD of RNA transcripts of cognate oncogenic transcription factors, transcriptional coactivators, or chromatin regulators. In some embodiments an agent that modulates NMD is an agent that downregulates NMD that has been upregulated in a tumor. In some embodiments an agent that modulates NMD is an agent that inhibits Upf1. In some embodiments an agent that inhibits Upf1 is Pateamine A (PatA), as is described by Dang et al. (Dang et al. J Biol Chem. 284(35):23613-21, 2009).


In some embodiments the agent blocks mRNA splicing. In some embodiments an agent that blocks mRNA splicing interferes with alternative splicing. In some embodiments an agent that blocks mRNA splicing is a specific inhibitor of CDC2-like kinase isoforms 1 and 4 (CLK1/CLK4) known as KH-CB19, as is described in Fedorov et al. (Fedorov et al. Chem Biol. 18(1):67-76, 2011). In some embodiments an agent that interferes with alternative spicing is amiloride, as is described by Chang et al. PLos ONE. 6(6):e18643).


In some embodiments an agent that blocks mRNA splicing is an inhibitor of spliceosome catalysis. In some embodiments an agent that inhibits spliceosome catalysis is a 1,4-napthoquinones and/or a 1,4-heterocyclic quinone, non-limiting examples of which are described by Berg et al. (Berg et al. Mol Cell Biol. 32(7):1271-83, 2012). In some embodiments the splicing inhibitor comprises the benzothiazole-4,7-dione, BN82685, which blocks the second of two trans-esterification splicing reactions, preventing the release of intron lariat and exon ligation (Berg et al. 2012). In an embodiment an agent that blocks mRNA splicing comprises 4μ8C, which blocks substrate access to an IRE1 active site and selectively inactivates Xpb1 splicing, as is described by Cross et al. (Cross et al. Proc Natl Acad Sci USA, Epub ahead of print on Feb. 6, 2012).


In some embodiments the agent inhibits translation of mRNA into protein. In some embodiments an agent that inhibits translation of mRNA into protein comprises a nucleoside 5′-monophosphate analog of the mRNA 5′-cap, for example, Barzynkiewics et al. describe nucleotide cap analogs of 7-methylguanosine 5′monophosphate (m7GMP) that acted as competitive inhibitors of capped mRNA translation, including analogs in which the 7-methyl moiety is substituted with 7-ethyl (e7), 7-propyl (p7), 7-isopropyl (ip7), 7-butyl (b7), 7-isobutyl (ib7), 7-cyclopentyl (cp7), 7-(carboxymethyl) (cm7), 7-benzyle (bn7), 7-(2-phenylethyi) [7-(2-PhEt)], and 7-(1-penylethyl) [7-(1-PhEt)]. (Darzynkiewics et al. 28(11):4771-8, 1989).


It should be appreciated that the various agents described herein can be used alone, or in combination with other agents described, for example, an agent that interferes with c-Myc enhancer-driven transcription of a plurality of Myc target genes as described in U.S. Application Ser. No. 61/621,897, the entirety of which is hereby incorporated by reference herein.


In some embodiments, an agent of the present invention is administered in combination with a cancer therapeutic agent. It should be appreciated that the combined administration of an agent of the present invention and a cancer therapeutic agent can be achieved by formulating the cancer therapeutic agent and agent in the same composition or by administering the cancer therapeutic agent and agent separately (e.g., before, after, or interspersed with doses or administration of the cancer therapeutic agent). In some embodiments, an agent of the present invention is administered to a patient undergoing conventional chemotherapy and/or radiotherapy. In some embodiments the cancer therapeutic agent is a chemotherapeutic agent. In some embodiments the cancer therapeutic agent is an immunotherapeutic agent. In some embodiments the cancer therapeutic agent is a radiotherapeutic agent.


Exemplary chemotherapeutic agents that can be administered in combination with the agents of the present invention (e.g., agents that disrupt the function of super-enhancers) include alkylating agents (e.g. cisplatin, carboplatin, oxaloplatin, mechlorethamine, cyclophosphamide, chorambucil, nitrosureas); anti-metabolites (e.g. methotrexate, pemetrexed, 6-mercaptopurine, dacarbazine, fludarabine, 5-fluorouracil, arabinosycytosine, capecitabine, gemcitabine, decitabine); plant alkaloids and terpenoids including vinca alkaloids (e.g. vincristine, vinblastine, vinorelbine), podophyllotoxin (e.g. etoposide, teniposide), taxanes (e.g. paclitaxel, docetaxel); topoisomerase inhibitors (e.g. notecan, topotecan, amasacrine, etoposide phosphate); antitumor antibiotics (dactinomycin, doxorubicin, epirubicin, and bleomycin); ribonucleotides reductase inhibitors; antimicrotubules agents; and retinoids. (See, e.g., Cancer: Principles and Practice of Oncology (V. T. DeVita, et al., eds., J.B. Lippincott Company, 9th ed., 2011; Brunton, L, et al. (eds.) Goodman and Gilman's The Pharmacological Basis of Therapeutics, 12th Ed., McGraw Hill, 2010).


Exemplary immunotherapeutic agents include cytokines, such as, for example interleukin-1 (IL-1), IL-2, IL-4, IL-5, IL-13, IL-7, IL-10, IL-12, IL-15, IL-18, CSF-GM, CSF-G, IFN-γ, IFN-α, TNF, TGF-β but not limited thereto.


In some embodiments an agent of the present invention can be linked or conjugated to a delivery vehicle, which may also contain cancer therapeutic. Suitable delivery vehicles include liposomes (Hughes et al. Cancer Res 49(22):6214-20, 1989, which is hereby incorporated by reference in its entirety), nanoparticles (Farokhzad et al. Proc Nat'l Acad Sci USA 103(16):6315-20, 2006, which is hereby incorporated by reference in its entirety), biodegradable microspheres, microparticles, and collagen minipellets. The delivery vehicle can contain any of the agents and/or compositions of the present invention, as well as chemotherapeutic, radiotherapeutic, or immunotherapeutic agents described supra.


In some embodiments an agent of the present invention can be conjugated to a liposome delivery vehicle (Sofou and Sgouros, Exp Opin Drug Deliv. 5(2):189-204, 2008, which is hereby incorporated by reference in its entirety). Liposomes are vesicles comprised of one or more concentrically ordered lipid bilayers which encapsulate an aqueous phase. Suitable liposomal delivery vehicles are apparent to those skilled in the art. Different types of liposomes can be prepared according to Bangham et al. J. Mol. Biol. 13:238-52, 1965; U.S. Pat. No. 5,653,996 to Hsu; U.S. Pat. No. 5,643,599 to Lee et al.; U.S. Pat. No. 5,885,613 to Holland et al.; U.S. Pat. No. 5,631,237 to Dzau & Kaneda; and U.S. Pat. No. 5,059,421 to Loughrey et al., which are hereby incorporated by reference in their entirety.


These liposomes can be produced such that they contain, in addition to the therapeutic agents of the present invention, other therapeutic agents, such as immunotherapeutic cytokines, which would then be released at the target site (e.g., Wolff et al., Biochim. Biophys. Acta. 802:259-73, 1984, which is hereby incorporated by reference in its entirety).


The present invention also contemplates a composition comprising an agent of the present invention and a pharmaceutically acceptable carrier, diluent, or excipient. Therapeutic formulations of the agents of the present invention can be prepared having the desired degree of purity with optional pharmaceutically acceptable carriers, excipients or stabilizers (REMINGTON'S PHARMACEUTICAL SCIENCES (A. Osol ed. 1980), which is hereby incorporated by reference in its entirety), in the form of lyophilized formulations or aqueous solutions. Acceptable carriers, excipients, or stabilizers are nontoxic to recipients at the dosages and concentrations employed, and include buffers such as acetate, Tris-phosphate, citrate, and other organic acids; antioxidants including ascorbic acid and methionine; preservatives (such as octadecyldimethylbenzyl ammonium chloride; hexamethonium chloride; benzalkonium chloride, benzethonium chloride; phenol, butyl or benzyl alcohol; alkyl parabens such as methyl or propyl paraben; catechol; resorcinol; cyclohexanol; 3-pentanol; and m-cresol); low molecular weight (less than about 10 residues) polypeptides; proteins, such as serum albumin, gelatin, or immunoglobulins; hydrophilic polymers such as polyvinylpyrrolidone; amino acids such as glycine, glutamine, asparagine, histidine, arginine, or lysine; monosaccharides, disaccharides, and other carbohydrates including glucose, mannose, or dextrins; chelating agents such as EDTA; tonicifiers such as trehalose and sodium chloride; sugars such as sucrose, mannitol, trehalose or sorbitol; surfactant such as polysorbate; salt-forming counter-ions such as sodium; metal complexes (e.g., Zn-protein complexes); and/or non-ionic surfactants such as TWEEN.RTM., PLURONICS.RTM. or polyethylene glycol (PEG).


The active therapeutic ingredients of the pharmaceutical compositions alone or in combination with or linked to a cancer therapeutic agent or radiotherapeutic agent) can be entrapped in microcapsules prepared using coacervation techniques or by interfacial polymerization, e.g., hydroxymethylcellulose or gelatin-microcapsules and poly-(methylmethacylate) microcapsules, respectively, in colloidal drug delivery systems (e.g., liposomes, albumin microspheres, microemulsions, nano-particles and nanocapsules) or in macroemulsions. Such techniques are disclosed in REMINGTON'S PHARMACEUTICAL SCIENCES (A. Osol ed. 1980), which is hereby incorporated by reference in its entirety. In some embodiments the agents of the present invention can be conjugated to the microcapsule delivery vehicle to target the delivery of the therapeutic agent to the site of the cells exhibiting super-enhancer associated oncogenes.


Sustained-release preparations may be prepared. Suitable examples of sustained-release preparations include semi-permeable matrices of solid hydrophobic polymers containing the antibody or polypeptide, which matrices are in the form of shaped articles, e.g., films or microcapsules. Examples of sustained-release matrices include polyesters, hydrogels (for example, poly(2-hydroxyethyl-methacrylate), or poly(vinylalcohol)), polylactides, copolymers of L-glutamic acid and .gamma. ethyl-L-glutamate, non-degradable ethylene-vinyl acetate, degradable lactic acid-glycolic acid copolymers such as the LUPRON DEPOT.RTM. (injectable microspheres composed of lactic acid-glycolic acid copolymer and leuprolide acetate), and poly-D-(−)-3-hydroxybutyric acid.


In some embodiments, an agent of the present invention can be provided with an enteric coating or otherwise protected from hydrolysis or low stomach pH. The therapeutically effective compositions containing the agents of the present invention are administered to a subject, in accordance with known methods, such as intravenous administration, e.g., as a bolus or by continuous infusion over a period of time, by intramuscular, intraperitoneal, intracerobrospinal, subcutaneous, intra-articular, intrasynovial, intrathecal, oral, topical, or inhalation routes.


Other therapeutic regimens may be combined with the administration of the agents of the present invention. The combined administration includes co-administration, using separate formulations or a single pharmaceutical formulation, and consecutive administration in either order, wherein preferably there is a time period while both (or all) active agents simultaneously exert their biological activities. Preferably such combined therapy results in a synergistic therapeutic effect. In some embodiments, a composition of the present invention is administered in combination with a therapy selected from the group consisting of chemotherapy, radiotherapy, proton therapy, surgery, and combinations thereof.


The composition can include any number of additional active ingredients which can act in concert to provide a therapeutic effect, (e.g., a synergistic therapeutic effect), such as a chemotherapeutic agent, a radiotherapeutic agent, a nutritional supplement (e.g. vitamins), an antioxidant, and combinations thereof.


An “effective amount” or “effective dose” of an agent (or composition containing such agent) generally refers to the amount sufficient to achieve a desired biological and/or pharmacological effect, e.g., when contacted with a cell in vitro or administered to a subject according to a selected administration form, route, and/or schedule. As will be appreciated by those of ordinary skill in the art, the absolute amount of a particular agent or composition that is effective may vary depending on such factors as the desired biological or pharmacological endpoint, the agent to be delivered, the target tissue, etc. Those of ordinary skill in the art will further understand that an “effective amount” may be contacted with cells or administered in a single dose, or through use of multiple doses, in various embodiments. It will be understood that agents, compounds, and compositions herein may be employed in an amount effective to achieve a desired biological and/or therapeutic effect.


In certain aspects, the present invention relates to a method of treating a proliferative disorder in a patient in need of such treatment, said proliferative disorder characterized by an oncogene-associated super-enhancer occupied by more Mediator or BRD4 than an average single enhancer, comprising administering to the patient an effective amount of an agent that disrupts the function of the oncogene-associated super-enhancer, thereby selectively inhibiting proliferation of the oncogene in the patient.


It should be apparent to those skilled in the art that any of the compounds or agents described above can be employed in the method of treating the proliferative disorder to achieve the desired result of disrupting the function of the super-enhancer. The present invention contemplates the treatment of any proliferative disorder (e.g., cancer) that is characterized by an oncogene-associated super-enhancer. In some embodiments, the proliferative disorder to be treated is a hematological malignancy. In some embodiments, the proliferative disorder to be treated is selected from the group consisting of acute lymphoblastic leukemia (ALL), acute myelogenous leukemia (AML), chronic myelogenous leukemia (CML), chronic lymphocytic leukemia (CLL), hairy cell leukemia, Hodgkin's lymphoma, non-Hodgkin's lymphoma, cutaneous T-cell lymphoma (CTCL), peripheral T-cell lymphoma (PTCL), Mantle cell lymphoma, B-cell lymphoma, acute lymphoblastic T cell leukemia (T-ALL), acute promyelocytic leukemia, and multiple myeloma. In some embodiments, the proliferative disorder is a non-hematological malignancy.


In certain exemplary embodiments, the agent is a BRD4 inhibitor, for example, small molecule JQ1 or iBET.


In some aspects, the present invention relates to a method of treating multiple myeloma involving an IGH-MYC locus that results in aberrant expression of oncogene c-Myc, comprising administering to a patient in need of such treatment an effective amount of an agent that decreases occupancy levels of BRD4 and MED1 at a super-enhancer associated with the IGH-MYC locus, wherein decreased occupancy levels of BRD4 and MED1 at the super-enhancer disrupt function of the super-enhancer thereby decreasing aberrant expression of oncogene c-Myc such that the multiple myeloma is treated. In some embodiments, the agent is a BRD4 inhibitor, for example, JQ1 or iBET.


In some aspects, the present invention relates to a method of identifying an agent that disrupts a super-enhancer associated with a gene, comprising: (a) providing a cell or cell free system comprising a super-enhancer, or functional fragment and/or variant thereof, and an associated gene, e.g., a reporter gene; (b) contacting the cell with a test agent, e.g., under conditions suitable for the super-enhancer to drive expression of the associated gene, e.g., to drive expression at a preselected level, e.g., a high level; (c) and measuring the level of expression of the associated gene.


In an embodiment decreased expression of the associated gene in the presence of the test agent indicates that the test agent is as an agent that disrupts the super-enhancer associated with the gene.


In an embodiment the method comprises transfecting a cell with a super-enhancer and the associated gene under conditions suitable for the super-enhancer to drive high levels of expression of the associated gene.


In an embodiment the method comprises comparing the level of expression with a reference, e.g., expression in a similar system not contacted with the test agent.


In an embodiment the method comprises confirming disruption of the super-enhancer, or functional fragment and/or variant thereof, e.g., by analysis of the presence of one or more super-enhancer component.


In an embodiment the method is first performed in a cell-free system and repeated in cell preparation, e.g., a cultured cell.


In an embodiment the method is first performed in a cell-free system or a cell preparation, e.g., a cultured cell, and repeated in an animal.


In an embodiment the super-enhancer is associated with a gene that is expressed in a disease state cell, e.g., a cancer cell.


In an embodiment the method comprises memorializing the results.


A wide variety of test agents can be used in the methods. For example, a test agent can be a small molecule, polypeptide, peptide, nucleic acid, oligonucleotide, lipid, carbohydrate, or hybrid molecule. Compounds can be obtained from natural sources or produced synthetically. Compounds can be at least partially pure or may be present in extracts or other types of mixtures. Extracts or fractions thereof can be produced from, e.g., plants, animals, microorganisms, marine organisms, fermentation broths (e.g., soil, bacterial or fungal fermentation broths), etc. In some embodiments, a compound collection (“library”) is tested. The library may comprise, e.g., between 100 and 500,000 compounds, or more. Compounds are often arrayed in multwell plates. They can be dissolved in a solvent (e.g., DMSO) or provided in dry form, e.g., as a powder or solid. Collections of synthetic, semi-synthetic, and/or naturally occurring compounds can be tested. Compound libraries can comprise structurally related, structurally diverse, or structurally unrelated compounds. Compounds may be artificial (having a structure invented by man and not found in nature) or naturally occurring. In some embodiments a library comprises at least some compounds that have been identified as “hits” or “leads” in other drug discovery programs and/or derivatives thereof. A compound library can comprise natural products and/or compounds generated using non-directed or directed synthetic organic chemistry. Often a compound library is a small molecule library. Other libraries of interest include peptide or peptoid libraries, cDNA libraries, and oligonucleotide libraries. A library can be focused (e.g., composed primarily of compounds having the same core structure, derived from the same precursor, or having at least one biochemical activity in common).


Compound libraries are available from a number of commercial vendors such as Tocris BioScience, Nanosyn, BioFocus, and from government entities. For example, the Molecular Libraries Small Molecule Repository (MLSMR), component of the U.S. National Institutes of Health (NIH) Molecular Libraries Program is designed to identify, acquire, maintain, and distribute a collection of >300,000 chemically diverse compounds with known and unknown biological activities for use, e.g., in high-throughput screening (HTS) assays (see https://mli.nih.gov/mli/). The NIH Clinical Collection (NCC) is a plated array of approximately 450 small molecules that have a history of use in human clinical trials. These compounds are highly drug-like with known safety profiles. The NCC collection is arrayed in six 96-well plates. 50 μl of each compound is supplied, as an approximately 10 mM solution in 100% DMSO. In some embodiments, a collection of compounds comprising “approved human drugs” is tested. An “approved human drug” is a compound that has been approved for use in treating humans by a government regulatory agency such as the US Food and Drug Administration, European Medicines Evaluation Agency, or a similar agency responsible for evaluating at least the safety of therapeutic agents prior to allowing them to be marketed. The test agent may be, e.g., an antineoplastic, antibacterial, antiviral, antifungal, antiprotozoal, antiparasitic, antidepressant, antipsychotic, anesthetic, antianginal, antihypertensive, antiarrhythmic, antiinflammatory, analgesic, antithrombotic, antiemetic, immunomodulator, antidiabetic, lipid- or cholesterol-lowering (e.g., statin), anticonvulsant, anticoagulant, antianxiety, hypnotic (sleep-inducing), hormonal, or anti-hormonal drug, etc. In some embodiments, a compound is one that has undergone at least some preclinical or clinical development or has been determined or predicted to have “drug-like” properties. For example, the test agent may have completed a Phase I trial or at least a preclinical study in non-human animals and shown evidence of safety and tolerability. In some embodiments, a test agent is substantially non-toxic to cells of an organism to which the compound may be administered or cells in which the compound may be tested, at the concentration to be used or, in some embodiments, at concentrations up to 10-fold, 100-fold, or 1,000-fold higher than the concentration to be used. For example, there may be no statistically significant adverse effect on cell viability and/or proliferation, or the reduction in viability or proliferation can be no more than 1%, 5%, or 10% in various embodiments.


In various embodiments of any aspect herein pertaining to screening methods (e.g., methods of identifying agents), the screen may be performed using a single test agent or multiple test agents in a given reaction vessel. In various embodiments the number of reaction vessels and/or test agents is at least 10; 100; 1000; 10,000; 100,000, or more. In some embodiments of any aspect herein pertaining at least in part to screening methods (e.g., methods of identifying agents) a high throughput screen (HTS) is performed. High throughput screens often involve testing large numbers of test agents with high efficiency, e.g., in parallel. For example, tens or hundreds of thousands of agents may be routinely screened in short periods of time, e.g., hours to days. Such screening is often performed in multiwell plates (sometimes referred to as microwell or microtiter plates or microplates) containing, e.g., 96, 384, 1536, 3456, or more wells or other vessels in which multiple physically separated depressions, wells, cavities, or areas (collectively “wells”) are present in or on a substrate. Different test agent(s) may be present in or added to the different wells. It will be understood that some wells may be empty, may comprise replicates, or may contain control agents or vehicle. High throughput screens may involve use of automation, e.g., for liquid handling, imaging, and/or data acquisition or processing, etc. In some embodiments an integrated robot system comprising one or more robots transports assay-microplates from station to station for, e.g., addition, mixing, and/or incubation of assay constituents (e.g., test agent, target, substrate) and, in some embodiments, readout or detection. A HTS system may prepare, incubate, and analyze many plates simultaneously. Certain general principles and techniques that may be applied in embodiments of a HTS are described in Macarrón R & Hertzberg R P. Design and implementation of high-throughput screening assays. Methods Mol Biol., 565:1-32, 2009 and/or An W F & Tolliday N J., Introduction: cell-based assays for high-throughput screening. Methods Mol Biol. 486:1-12, 2009, and/or references in either of these. Exemplary methods are also disclosed in High Throughput Screening: Methods and Protocols (Methods in Molecular Biology) by William P. Janzen (2002) and High-Throughput Screening in Drug Discovery (Methods and Principles in Medicinal Chemistry) (2006) by Jorg Hüser. Test agent(s) showing an activity of interest (sometimes termed “hits”) may be retested and/or, optionally (e.g., depending at least in part on results of retesting) selected for further testing, development, or use. In some embodiments one or more structural analogs of a hit is synthesized. Such analogs may, for example, comprise substitution of one or more functional groups or heteroatoms present in the hit by a different functional group or heteroatom or substituting a heteroatom or functional group present in place of a hydrogen in the hit, etc. In some embodiments one or more such analog(s) are then tested for a property or activity of interest (e.g., ability to disrupt a super-enhancer associated with an oncogene or disease related gene).


Positive and/or negative controls may be used in any of the screens. An appropriate positive or negative control can be selected based at least in part on the assay. A negative control may be to perform the assay in the absence of a test agent.


In some embodiments, information derived from sequence analysis, mutational analysis, and/or structural analysis is used in the identification of a modulator, e.g., an agent that interferes with transcriptional coactivator or BRD4 co-occupancy of super-enhancers and active transcription start sites. For example, in some embodiments a structure (e.g., a two-dimensional or three-dimensional structure) of a target, e.g., a TF, generated at least in part using, e.g., nuclear magnetic resonance, homology modeling, and/or X-ray crystallography is used. In some embodiments a structure obtained with a ligand (e.g., an inhibitor) bound to the target may be used. In some embodiments a computer-aided computational approach sometimes referred to as “virtual screening” is used in the identification of candidate modulators, Structures of compounds, e.g., small molecules may be screened for ability to bind to a region (e.g., a “pocket”) accessible to the compound. The region may be any region accessible to the compound, e.g., a concave region on the surface or a cleft or a region involved in dimerization. A variety of docking and pharmacophore-based algorithms are known in the art, and computer programs implementing such algorithms are available. Commonly used programs include Gold, Dock, Glide, FlexX, Fred, and LigandFit (including the most recent releases thereof). See, e.g., Ghosh, S., et al., Current Opinion in Chemical Biology, 10(3): 194-2-2, 2006; McInnes C., Current Opinion in Chemical Biology; 11(5): 494-502, 2007, and references in either of the foregoing articles, which are incorporated herein by reference. In some embodiments a virtual screening algorithm may involve two major phases: searching (also called “docking”) and scoring. During the first phase, the program automatically generates a set of candidate complexes of two molecules (test compound and target molecule) and determines the energy of interaction of the candidate complexes. The scoring phase assigns scores to the candidate complexes and selects a structure that displays favorable interactions based at least in part on the energy. To perform virtual screening, this process may be repeated with a large number of test compounds to identify those that, for example, display the most favorable interactions with the target. In some embodiments, low-energy binding modes of a small molecule within an active site or possible active site or other target region are identified. In some embodiments a compound capable of docking at a site where mutations are known to inhibit activity of the target is identified. Variations may include the use of rigid or flexible docking algorithms and/or including the potential binding of water molecules. In some embodiments the three-dimensional structure of an enzyme's active site may be used to identify potential inhibitors. Agent(s) that have the potential to bind in or near an active site may be identified. These predictions may then be tested using the actual compound. A new inhibitor thus identified may then be used to obtain a structure of the enzyme in an inhibitor/enzyme complex to show how the molecule is binding to the active site. Further changes may be made to the inhibitor, e.g., to try to improve binding. This cycle may be repeated until an inhibitor of sufficient predicted or actual potency (e.g., a desired potency for therapeutic purposes) is identified. Numerous small molecule structures are available and can be used for virtual screening. A collection of compound structures may sometimes referred to as a “virtual library”. For example, ZINC is a publicly available database containing structures of millions of commercially available compounds that can be used for virtual screening (http://zinc.docking.org/; Shoichet, J. Chem. Inf. Model., 45(1):177-82, 2005). A database containing about 250,000 small molecule structures is available on the National Cancer Institute (U.S.) website (at http://129.43.27.140/ncidb2/). In some embodiments multiple small molecules may be screened, e.g., up to 50,000; 100,000; 250,000; 500,000, or up to 1 million, 2 million, 5 million, 10 million, or more. Compounds can be scored and, optionally, ranked by their potential to bind to a target. Compounds identified in virtual screens can be tested in cell-free or cell-based assays or in animal models to confirm their ability to inhibit activity of a target molecule, their ability to activate a target molecule, and/or to assess their biological and/or pharmacological activity. Computational approaches may be used to predict one or more physico-chemical, pharmacokinetic and/or pharmacodynamic properties of compounds identified in a physical or virtual screen. Such information may be used, e.g., to select one or more hits for, e.g., further testing, development, or use. For example, small molecules having characteristics typical of “drug-like” molecules may be selected and/or small molecules having one or more undesired characteristics may be avoided.


In some aspects of any screening and/or characterization methods, test agents are contacted with test cells (and optionally control cells) or used in cell-free assays at a predetermined concentration. In some embodiment the concentration is about up to 1 nM. In some embodiments the concentration is between about 1 nM and about 100 nM. In some embodiments the concentration is between about 100 nM and about 10 μM. In some embodiments the concentration is at or above 10 μM, e.g., between 10 μM and 100 μM. Following incubation for an appropriate time, optionally a predetermined time, the effect of compounds or composition on a parameter of interest in the test cells is determined by an appropriate method known to one of ordinary skill in the art, e.g., as described herein. Cells can be contacted with compounds for various periods of time. In certain embodiments cells are contacted for between 12 hours and 20 days, e.g., for between 1 and 10 days, for between 2 and 5 days, or any intervening range or particular value. Cells can be contacted transiently or continuously. If desired, the compound can be removed prior to assessing the effect on the cells.


One skilled in the art readily appreciates that the present invention is well adapted to carry out the objects and obtain the ends and advantages mentioned, as well as those inherent therein. The details of the description and the examples herein are representative of certain embodiments, are exemplary, and are not intended as limitations on the scope of the invention. Modifications therein and other uses will occur to those skilled in the art. These modifications are encompassed within the spirit of the invention. It will be readily apparent to a person skilled in the art that varying substitutions and modifications may be made to the invention disclosed herein without departing from the scope and spirit of the invention.


The articles “a” and “an” as used herein in the specification and in the claims, unless clearly indicated to the contrary, should be understood to include the plural referents. Claims or descriptions that include “or” between one or more members of a group are considered satisfied if one, more than one, or all of the group members are present in, employed in, or otherwise relevant to a given product or process unless indicated to the contrary or otherwise evident from the context. The invention includes embodiments in which exactly one member of the group is present in, employed in, or otherwise relevant to a given product or process. The invention also includes embodiments in which more than one, or all of the group members are present in, employed in, or otherwise relevant to a given product or process. Furthermore, it is to be understood that the invention provides all variations, combinations, and permutations in which one or more limitations, elements, clauses, descriptive terms, etc., from one or more of the listed claims is introduced into another claim dependent on the same base claim (or, as relevant, any other claim) unless otherwise indicated or unless it would be evident to one of ordinary skill in the art that a contradiction or inconsistency would arise. It is contemplated that all embodiments described herein are applicable to all different aspects of the invention where appropriate. It is also contemplated that any of the embodiments or aspects can be freely combined with one or more other such embodiments or aspects whenever appropriate. Where elements are presented as lists, e.g., in Markush group or similar format, it is to be understood that each subgroup of the elements is also disclosed, and any element(s) can be removed from the group. It should be understood that, in general, where the invention, or aspects of the invention, is/are referred to as comprising particular elements, features, etc., certain embodiments of the invention or aspects of the invention consist, or consist essentially of, such elements, features, etc. For purposes of simplicity those embodiments have not in every case been specifically set forth in so many words herein. It should also be understood that any embodiment or aspect of the invention can be explicitly excluded from the claims, regardless of whether the specific exclusion is recited in the specification. For example, any one or more nucleic acids, polypeptides, cells, species or types of organism, disorders, subjects, or combinations thereof, can be excluded.


Where the claims or description relate to a composition of matter, e.g., a nucleic acid, polypeptide, cell, or non-human transgenic animal, it is to be understood that methods of making or using the composition of matter according to any of the methods disclosed herein, and methods of using the composition of matter for any of the purposes disclosed herein are aspects of the invention, unless otherwise indicated or unless it would be evident to one of ordinary skill in the art that a contradiction or inconsistency would arise. Where the claims or description relate to a method, e.g., it is to be understood that methods of making compositions useful for performing the method, and products produced according to the method, are aspects of the invention, unless otherwise indicated or unless it would be evident to one of ordinary skill in the art that a contradiction or inconsistency would arise.


Where ranges are given herein, the invention includes embodiments in which the endpoints are included, embodiments in which both endpoints are excluded, and embodiments in which one endpoint is included and the other is excluded. It should be assumed that both endpoints are included unless indicated otherwise. Furthermore, it is to be understood that unless otherwise indicated or otherwise evident from the context and understanding of one of ordinary skill in the art, values that are expressed as ranges can assume any specific value or subrange within the stated ranges in different embodiments of the invention, to the tenth of the unit of the lower limit of the range, unless the context clearly dictates otherwise. It is also understood that where a series of numerical values is stated herein, the invention includes embodiments that relate analogously to any intervening value or range defined by any two values in the series, and that the lowest value may be taken as a minimum and the greatest value may be taken as a maximum. Numerical values, as used herein, include values expressed as percentages. For any embodiment of the invention in which a numerical value is prefaced by “about” or “approximately”, the invention includes an embodiment in which the exact value is recited. For any embodiment of the invention in which a numerical value is not prefaced by “about” or “approximately”, the invention includes an embodiment in which the value is prefaced by “about” or “approximately”. “Approximately” or “about” generally includes numbers that fall within a range of 1% or in some embodiments within a range of 5% of a number or in some embodiments within a range of 10% of a number in either direction (greater than or less than the number) unless otherwise stated or otherwise evident from the context (except where such number would impermissibly exceed 100% of a possible value). It should be understood that, unless clearly indicated to the contrary, in any methods claimed herein that include more than one act, the order of the acts of the method is not necessarily limited to the order in which the acts of the method are recited, but the invention includes embodiments in which the order is so limited. It should also be understood that unless otherwise indicated or evident from the context, any product or composition described herein may be considered “isolated”.


EXAMPLES
Example 1
Master Transcription Factors and Mediator Establish Super-Enhancers at Key Cell Identity Genes
Introduction

Transcription factors typically regulate gene expression by binding cis-acting regulatory elements known as enhancers and recruiting coactivators and RNA Polymerase II (RNA Pol II) to target genes (Ong and Corces, 2011). Transcription factor-bound enhancers interact with target gene promoters via DNA looping events facilitated by the Mediator co-activator complex and cohesin (Kagey et al., 2010). Between 400,000 and 1.4 million putative enhancers have been identified in the mammalian genome (Bernstein et al., 2012; Thurman et al., 2012). In any one cell type, the number of active enhancers is estimated to be in the thousands and enhancer activity is largely cell-type specific (Bernstein et al., 2012; Shen et al., 2012; Yip et al., 2012). Whereas most genes are transcriptionally active in multiple cell types, enhancers tend to be active only in specific lineages (Shen et al., 2012). These data suggest that much of the transcriptional control of mammalian development is due to the diverse activity of enhancers that control cell type specific patterns of gene expression.


In embryonic stem cells (ESCs), control of the gene expression program that establishes and maintains ESC state is dependent on a remarkably small number of master transcription factors (Young, 2011). These transcription factors, which include Oct4, Sox2 and Nanog (OSN), bind to approximately 7,000 enhancers together with the Mediator coactivator complex (Kagey et al., 2010). The Mediator complex facilitates the ability of enhancer-bound transcription factors to recruit RNA Pol II to the promoters of target genes (Malik and Roeder, 2010) and is essential for maintenance of ESC state and early embryonic development (Kagey et al., 2010). Reduced levels of either Oct4 or Mediator have a very similar effect on the ESC gene expression program and cause the same rapid loss of ESC identity (Kagey et al., 2010).


It is striking that ESC maintenance is highly sensitive to perturbations in the levels of Mediator (Kagey et al., 2010). To understand the reasons underlying this hypersensitivity, we investigated, enhancers bound by Mediator in these cells. We identified approximately 200 genomic regions that contained tightly spaced clusters of enhancers spanning extraordinarily large domains. These “super-enhancers” were occupied by an order of magnitude more Mediator than the average enhancer, and were associated with the key cell-type specific ESC genes. These enhancers also conferred stronger enhancer activity relative to the average enhancer, suggesting these elements drive gene expression programs and cell state. During ESC differentiation, the ESC super-enhancers were rapidly lost and new super-enhancers were formed at genes key to the differentiated cell type. Additional cell types were found to have super-enhancers associated with highly expressed and cell-type specific genes. These results argue that super-enhancers drive genes essential for cell identity in multiple cell types and that these elements are especially sensitive to perturbations involved in dynamic changes in cell state.


Results
Large Genomic Domains Occupied by Mediator in ESCs

Previous studies have shown that co-occupancy of sites by the Oct4, Sox2 and Nanog transcription factors is highly predictive of enhancer activity (Chen et al., 2008). We generated ChIP-Seq data for Oct4, Sox2, Nanog (OSN) in murine ESCs and identified 6,343 regions that were bound by all three transcription factors. The Mediator co-activator complex has been previously shown to interact with the enhancer-bound transcription factors and facilitate recruitment of the transcription apparatus to active gene promoters (Malik and Roeder, 2010). Analysis of the 6,343 OSN regions confirmed the presence of Mediator, including regions surrounding the Klf4 gene (FIG. 1A). Therefore, we defined the 6,343 regions bound by OSN as ESC enhancers.


Closer inspection of the 6,343 ESC enhancers revealed a surprising feature: some ESC enhancers are occupied by extremely high levels of Mediator (FIG. 1B). Global analysis of the 6,343 ESC enhancers confirmed the distribution of Mediator occupancy across this set of regions is not evenly distributed (FIG. 1C). Instead, there is a distribution of occupancy that indicates these regions fall into two distinct classes, with one class containing an exceptional amount of Mediator proteins (FIG. 1C). Further analysis of this small subset (211) of regions revealed that, on average, they contained 27 times more Mediator proteins compared to the remaining 6,132 enhancers (FIG. 1D). Additionally, on average these regions covered larger genomic distances (5.2 kb) compared to the remaining enhancers (469 bp) (FIG. 1D). Thus, these ˜200 regions, which we call “super-enhancers”, are occupied by at least an order of magnitude more Mediator relative to the mean, and typically span DNA domains at least an order of magnitude larger.


Many genome wide enhancer mapping efforts utilize histone marks and regulatory proteins as surrogates for enhancers (Bernstein et al., 2012; Shen et al., 2012). Further characterization of the super-enhancers revealed that these regions are also occupied by other enhancer-associated modifications and proteins, including H3K27ac, a histone modification commonly found at enhancers and used to predict regions of enhancers activity (Creyghton et al., 2010; Rada-Iglesias et al., 2011). Interestingly, H3K27Ac failed to reveal the striking disparity noted for OSN-Mediator bound super-enhancers. Thus, Mediator ChIP-Seq data is superior to surrogate data from histone modifications for identifying super-enhancers in ESCs.


Super-Enhancers are Associated with Key ESC Genes


Most studies have assigned enhancers to putative target genes by using the proximity of enhancers and target genes. Recent work has identified topological domains associated with transcriptional control in the ESC genome using high throughput chromatin conformation capture data (Hi-C)(Dixon et al., 2012). We therefore used proximity of enhancer elements and genes to facilitate mapping of ESC enhancers to promoters, and further used Hi-C to additionally assign enhancers to promoters of genes that were greater than 40 kb away. Previous studies using chromatin configuration capture (3C) have shown that, at an enhancer element brought into close proximity to a promoter region by DNA looping, the Mediator ChIP-Seq signals are similar at both regions (Kagey et al., 2010). We therefore required that enhancer-promoter interaction candidates have similar levels of Mediator. The assignments of super-enhancers to promoters identified 192 genes, with a further ˜5,300 assigned by Hi-C. For three of these genes, the proximity between portions of the super-enhancer and the target promoter were previously established using 3C (Kagey et al., 2010).


A global RNA sequencing (RNA-Seq) analysis of the genes assigned to ESC enhancers confirmed that these genes were expressed at very high levels compared to other genes in ESCs (FIG. 2A). Further examination of this set of genes, however, revealed a striking difference: the super-enhancer-associated genes were expressed at higher levels compared to those neighboring the remaining enhancers (FIG. 2B,C), Compared to the average expression levels of genes near the median enhancer (1.84 RPKM), genes associated with super-enhancers were expressed 6-times higher (FIG. 2A). These results suggest super-enhancers are associated with the most highly expressed genes compared to other enhancers.


We next determined if these highly expressed genes were important for ESC identity. In contrast to the other highly expressed genes that were found near the 6,132 enhancers, including house-keeping genes, super-enhancer-associated genes are critical for ESC maintenance and reprogramming. Super-enhancers were directly associated with many genes previously shown to play important roles in ESC identity, including Esrrb (Ivanova et al., 2006; Zhang et al., 2008); Tbx3 (Ivanova et al., 2006; Niwa et al., 2009); and the mir290-295 microRNA gene cluster (Lichner et al., 2011; Marson et al., 2008; Zovoilis et al., 2009). Remarkably, the super-enhancer-associated genes included those encoding the ESC master transcription factors Oct4, Sox2 and Nanog (FIG. 2D). These three transcription factors are known to auto-regulate their expression through promoter binding, forming an interconnected auto-regulatory loop. This form of auto-regulation is a core feature of the ESC transcriptional regulatory circuitry (Boyer et al., 2005), whose establishment is likely key to reprogramming of various cells into iPS cells (Jaenisch and Young, 2008). Small portions of the super-enhancers associated with these genes have previously been shown to have enhancer activity in reporter assays (Chen et al., 2008) and to participate in enhancer-promoter looping at the Oct4 and Nanog genes (Kagey et al., 2010). Thus, the genes encoding the master transcription factors are themselves under the control of super-enhancers. Overall these results support a model that super-enhancers associate with highly expressed and highly cell-type specific genes that include key drivers of ESC identity.


Super-Enhancers Confer Strong Enhancer Activity

One striking feature of the super-enhancers is that they contain multiple, highly enriched regions of Mediator compared to average enhancers that typically consist of a single peak of the coactivator (FIG. 3A). DNA sequence analysis confirmed that super-enhancers contained more OSN binding motifs than do median enhancers (FIG. 3A). To test whether these super-enhancers confer stronger enhancer activity than median enhancers, we cloned 3 kb regions of super-enhancers and median enhancers into luciferase reporter constructs that were subsequently transfected into ESCs. We found that on average, super-enhancers drove 16 times more luciferase expression than median enhancers (FIG. 3B). Since a super-enhancer contained more Mediator occupancy compared to a median enhancer, these results suggested that clusters of enhancers may display higher enhancer activity in ESCs. To test this model, we generated an artificial super-enhancer by oligomerizing the distal median enhancer of the Sgk1 gene. As a single median enhancer, this region displayed low luciferase activity (FIG. 3B). Remarkably, the dimeric Sgk1 enhancer exhibited 2-times higher activity, while the tetrameric Sgk1 enhancer exhibited 3-times higher enhancer activity compared to the single Sgk1 enhancer driving luciferase expression in ESCs (FIG. 3C). These results suggest that super-enhancers can be formed by clusters of enhancers, that they have higher activity than median enhancers, and are sufficient to drive high expression of key, cell type-specific genes required to maintain ESC identity.


Rapid Loss of ESC Super-Enhancers During ESC Differentiation

If super-enhancers play key roles in transcriptional control of cell identity, then differentiation of ESCs should lead to loss of ESC super-enhancers. To test this notion, we stimulated ESCs to differentiate into a trophectoderm lineage by shutting down Oct4 transcription (FIG. 4A)(Niwa et al., 2000). Loss of Oct4 results in cellular differentiation, loss of expression of Oct4 target genes, and upregulation of the trophectoderm master regulator transcription factor Cdx2 (Deb et al., 2006; Niwa et al., 2005; Strumpf et al., 2005; Wang et al., 2010).


The fate of ESC super-enhancers during differentiation was examined by profiling global levels of Mediator using ChIP-PCR (FIG. 4B). All seven of the super-enhancers tested that were occupied by OSN and Mediator in ESCs had at least two-fold lower levels of Mediator proteins upon differentiation (FIG. 4B). On average, the tested super-enhancers had 68% lower levels of Mediator upon ESC differentiation compared to control ESCs (FIG. 4B). This included the super-enhancers to the key ESC genes Oct4/Pou5f1 and Sox2 (FIG. 4B). In contrast, four of the five typical enhancers that were tested retained high levels of Mediator compared to super-enhancers upon ESC differentiation (FIG. 4B). Surprisingly, only one of the typical enhancers tested had at least two-fold lower levels of Mediator upon differentiation (FIG. 4B). On average, median enhancers had only 14% lower levels of Mediator upon differentiation compared to control ESCs (FIG. 4B). Together, these results are consistent with the model that super-enhancers play key roles in establishing and maintaining cell state, and that these enhancer elements are sensitive to perturbations that accompany the dynamic changes in cell state during differentiation.


Super-Enhancers are Found in Multiple Cell Types and are Cell-Type Specific

The identification of both ESC and trophectoderm lineage super-enhancers suggest that super-enhancers may be a common feature of mammalian cells. Accordingly, in any given cell type, super-enhancer associated genes are likely to play prominent roles in establishing and maintaining cell identity. Further, the pattern of super-enhancers in any given cell type is likely to be cell-type specific.


To test these predictions, we profiled Mediator levels and master transcription factor Pu.1 in pro-B cells using ChIP-Seq. Mediator occupancy highly correlated with occupancy of Pu.1 at promoter distal sites (FIG. 5A, B). Of the 13,303 sites bound by Pu.1 in pro-B cells, 79% were co-occupied by Mediator. Using similar criteria as in ESCs, 392 super-enhancers were identified in pro-B cells, and exhibited extremely high levels of Mediator occupancy (FIG. 5B,C), On average, the pro-B super-enhancers contained 31 times more Mediator proteins compared to the remaining 12,911 enhancers, and covered larger genomic distances (15.4 kb) compared to the remaining enhancers (422 bp). These findings support the conclusion that super-enhancers are a general feature of mammalian cells.


Genes associated with super-enhancers in pro-B cells were previously shown to be important for pro-B cell development, supporting the model that super-enhancers drive expression of target genes critical for cellular identity. Among the 355 super-enhancer-associated genes that are highly expressed in pro-B cells included many genes previously shown to play important roles in B cell development, including Pax5; Rag2; VpreB1 and VpreB2. We next determined if super-enhancers and their associated genes are cell-type specific by comparing ESC and pro-B cell super-enhancers and their target genes (FIG. 5D,E). The set of super-enhancers showed minimal overlap between ESCs and pro-B cells (FIG. 5D), Of the 211 ESC super-enhancers, only 9 regions (2%) overlapped with the pro-B cell super-enhancers (FIG. 5D). Furthermore, the super-enhancer-associated genes exhibited highly cell-type specific patterns of expression (FIG. 5D). Of the 192 genes neighboring super-enhancers in ESCs, only 15 (8%) were associated with super-enhancers in pro-B cells (FIG. 5E). These results suggest that super-enhancers are likely to be a general feature of most cell types and are likely to drive the expression of genes controlling cellular identity.


Discussion

We have identified in multiple cell types the existence of super-enhancers. Super-enhancers are enhancers bound by master regulator transcription factors that contain disproportionately high levels of the Mediator co-activator complex. Mediator levels are likely to be rate limiting for enhancer mediated transcription and as such, the disparity in Mediator levels at super-enhancers potentially represents an important hierarchical stratification of enhancers. Indeed, in multiple cell types, super-enhancers associate with known genes essential for cell identity and globally are likely to be the drivers of key cell identity controlling genes.


The observation of super-enhancers also suggests the complexity of cis-regulating elements can be significantly reduced. Although somewhere between hundreds of thousand and millions of enhancers are likely to exist in the mammalian genome, in any given cell type only a few hundred super-enhancers are likely to drive the expression of genes that establish cellular identity. In many cell types, small subsets of transcriptionally active genes have been identified through genetic screens as essential for cellular identity. However an analogous appreciation does not exist for enhancers in any given cell types. The characteristic features of super-enhancers strongly suggest that they may be among the most essential enhancers in any given cell type.


Lastly, the ability of super-enhancers to drive expression of key cell identity genes suggest that mutations to super-enhancers may potentially lead to disease and developmental defect. Indeed, recent evidence from the ENCODE consortium revealed that the majority of disease associated SNPs occur in regulatory regions (Bernstein et al., 2012; Schaub et al., 2012). It is easy to imagine that loss of a super-enhancer through genetic deletions could lead to developmental defects through the inability to fully establish cellular identity. Conversely, translocation of a super-enhancer could result in aberrant gene regulation. Example 2 below provides evidence that super-enhancers associate with key cancer dependency genes, including c-Myc via the translocated IgH super-enhancer in Multiple Myeloma.


The association of super-enhancers with key cell identity genes as well as cancer dependency genes argues that super-enhancers are important and essential components of cellular identity. Given super-enhancers reflect the occupancy of master regulator transcription factors in a given cell type, identification of super-enhancers in any cell type could potentially facilitate the mapping of the core transcriptional circuitry. In disease cells, super-enhancers have the potential to act as powerful biomarkers, identifiers of drug target candidates, and can potentially they themselves be drugged via targeting of Mediator and other enhancer bound components. More importantly, the characterization of super-enhancers implores a departure from a gene centric view of the genome, and instead supports an appreciation that regulatory control regions found in intergenic DNA may represent key features in the blueprints of mammalian development and disease.


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Example 2
Selective Inhibition of Tumor Oncogenes by Disruption of Super-Enhancers
Introduction

Inhibitors of chromatin regulators are gaining interest as therapeutic agents for cancer because of their ability to specifically repress key oncogenic drivers in many tumor types. A major challenge in cancer therapeutics has been the direct pharmacologic inhibition of oncogenic transcription factors such as c-MYC. MYC is one of the most commonly amplified oncogenes in cancer, but lacks clear ligand-binding domains, rendering it difficult to target by small molecule inhibitors (Nair and Burley, 2003). However, several recent studies have shown that inhibition of chromatin regulators, such as the bromodomain protein BRD4, may represent an alternate avenue for selectively targeting these key oncogenic drivers. It is not yet known how inhibition of a general transcriptional regulator can exert a specific effect on a small number of genes. Understanding this concept will aid the development and selection of drugs in treating many cancers.


BRD4 was first identified as an interaction partner of the murine Mediator coactivator complex, and has subsequently been shown to associate with this transcription complex in a variety of human cells (Dawson et al., 2011; Jiang et al., 1998; Wu et al., 2003). BRD4 is also involved in the control of transcriptional elongation through its association with the positive transcription elongation factor, P-TEFb (Jang et al., 2005; Yang et al., 2005). In addition, bromodomain proteins can associate with specific acetylated histone residues, an interaction which can be disrupted by small molecules that competitively occupy the acetyl-lysing binding pockets in select members of this 61-member protein family (Filippakopoulos et al., 2012). Two recently developed bromodomain inhibitors, JQ1 and iBET, selectively bind to BRD4 (Filippakopoulos et al., 2010; Nicodeme et al., 2010). Despite this general role played in transcription regulation, inhibition of BRD4 by BET-inhibitors appears to have a highly selective effect on tumor cells (Dawson et al., 2011; Delmore et al., 2011; Mertz et al., 2011; Zuber et al., 2011). BET-inhibitors appear to cause dramatic suppression of the potent oncogene, MYC, and lead to a pronounced anti-proliferative effect in a range of tumors, including multiple myeloma (MM), Burkitt's lymphoma (BL), and acute myeloid leukemia (AML) (Dawson et al., 2011; Delmore et al., 2011; Mertz et al., 2011; Zuber et al., 2011). Although BRD4 inhibition shows great promise as a therapeutic agent in cancer, it remains unclear why inhibition of this general chromatin regulator has a selective effect on the MYC gene in these tumor cells.


To investigate this mechanism, we turned to concepts described Example 1 above. In that study, we demonstrated that transcriptional activators, such as the Mediator coactivator complex are not distributed evenly throughout the genome. Instead, we found that Mediator binding is concentrated at a discrete number of enhancer regions, which we have classified as super-enhancers. Our analysis of mouse embryonic stem cells (mESCs) revealed that these “super-enhancers” consist of enhancer clusters that span vast chromatin domains when compared to typical enhancer regions and are occupied by an order of magnitude more Mediator complex proteins. In addition, super-enhancers preferentially associate with and activate genes key to cell state.


Enhancers function through co-operative and synergistic interactions between multiple transcription factors and coactivators (Carey, 1998; Carey et al., 1990; Giese et al., 1995; Kim and Maniatis, 1997; Thanos and Maniatis, 1995). Cooperative binding and synergistic activation confer increased sensitivity, so that small changes in activator concentration can lead to dramatic changes in activator binding and transcription of associated genes (Carey, 1998). This led us to hypothesize that highly sensitive super-enhancers driving key oncogenic drivers in multiple myeloma may account for the selective effect of BRD4 inhibition.


In this study, we show that BRD4 inhibition has a highly selective effect on critical tumor genes associated with super-enhancers. As expected, given its role as a general regulator of transcriptional pause release and its association with the Mediator complex, we found that BRD4 was located at a majority of active enhancers and promoters in tumor cells. Strikingly, extreme levels of BRD4 were found at a small subset of enhancer regions, which we have termed super-enhancers. These regions are similar to the super-enhancers described in mouse embryonic stem cells as discussed in Example 1 above. We found that binding of BRD4 and Mediator at super-enhancers was hyper-sensitive to loss of BRD4 binding through BET inhibition. This in turn corresponded to a dramatic loss of transcription at super-enhancer associated genes, such as MYC. Our data suggest a model of how inhibitors of generally acting chromatin regulators can exert a gene-specific effect, through the disruption of heavily occupied, cooperatively bound sites functioning at highly expressed tumor regulators. This concept may improve our understanding of how these drugs should be selected for the treatment of genetically-defined cancers.


Results

Mediator and BRD4 Co-Occupy Promoters of Active Genes in Multiple Myeloma


In Example 1 above it was shown that Mediator and BRD4 co-occupy enhancers and active transcription start sites in embryonic stem cells and in differentiated cells. To determine whether Mediator and BRD4 co-occupy these sites in multiple myeloma cells, we used chromatin immunoprecipitation coupled to high-throughput sequencing (ChIP-Seq) with antibodies directed against Mediator, Brd4 and various marks of enhancers and active transcription start sites in MM.1S cells (FIG. 6). The results, whether viewed by individual genes tracks or by meta-gene analysis, show that Mediator and BRD4 generally co-occupy enhancers and active transcription start sites (FIG. 6A, B). Signals for Mediator and BRD4 were found together with those for nucleosomes with the histone modification H3K27Ac in 8,000 regions lacking transcription start sites, and these were considered enhancers. Signals for BRD4 and Mediator were also found together with those for the histone modification H3K4me3 and RNA polymerase II at 14,000 annotated transcription start sites, and these were considered active transcription start sites. The levels of Mediator and BRD4 occupancy correlated with one another at both enhancers and transcription start sites (FIG. 6C), and the levels of BRD4 were correlated with the levels of RNA polymerase II at genes (FIG. 6D), consistent with the results observed in non-tumor cells in Example 1 above. These results indicate that Mediator and BRD4 generally co-occupy enhancers and active transcription start sites throughout the genome of MM.1S cells.


Super-Enhancers are Associated with Key Multiple Myeloma Genes


The sizes of enhancers identified by Mediator occupancy showed an unusual distribution, with a small subset of enhancers containing exceptional levels of Mediator protein (FIG. 7A). These 210 “super-enhancers” have features similar to those described in Example 1 above for mESCs (FIG. 7A). These are regions occupied, on average, by 16-fold more Mediator compared to normal enhancer regions. Super-enhancers also occupy larger genomic regions than normal enhancers, with a median size of 20 kb, 16-fold greater than the normal enhancer size of 1.3 kb. In addition to high Mediator occupancy, these enhancers were also bound by exceptional levels of BRD4, on average, 16-fold higher than normal enhancers (FIG. 7B).


As noted in Example 1 above, in ESCs and in differentiated cells, super-enhancers have exceptional transcription activation activity and are associated with highly expressed cell-type-specific genes that are located nearby. In MM.1S cells, super-enhancers were associated with highly expressed, cell-type specific genes, including genes known to be important in multiple myeloma (FIG. 7C). For example, the MM.1S MYC locus contains a chromosomal rearrangement that places MYC under the control of the IgH enhancers, which are highly active in the antibody producing plasma cells from which MM derives. The IgH-MYC locus contains a large, 40 kb super-enhancer, occupied by high levels of both BRD4 and MED1 (FIG. 7D). Super-enhancers were also found associated with the IRF4 gene (FIG. 7D), which encodes a key plasma cell transcription factor frequently deregulated in MM (Shaffer et al., 2008).


BRD4 Occupancy at Super-Enhancers is Highly Sensitive to Bromodomain Inhibition


Enhancers are formed through co-operative and synergistic binding of multiple transcription factors and coactivators (Carey, 1998; Carey et al., 1990; Giese et al., 1995; Kim and Maniatis, 1997; Thanos and Maniatis, 1995). As a consequence of this binding behavior, enhancers bound by many cooperatively-interacting factors lose activity more rapidly than enhancers bound by fewer factors when the levels of enhancer-bound factors are reduced (Giniger and Ptashne, 1988; Griggs and Johnston, 1991). The presence of super-enhancers at MYC and other key genes associated with multiple myeloma led us to consider the hypothesis that super-enhancers are more sensitive to reduced levels of BRD4 than average enhancers. If super-enhancers are more sensitive to reduced levels of BRD4 than average enhancers, then super-enhancers should experience greater loss of BRD4 than average enhancers, and genes associated with super-enhancers might then experience a greater reduction of transcription than genes with average enhancers.


To test this hypothesis, we first examined the effects of various concentrations of JQ1 on genome-wide on BRD4 occupancy (FIG. 8A). During the course of the 6 hour treatments, JQ1 had little effect on MM1.S cell viability, as measured by ATP levels, while at later time points, JQ1 had a dramatic antiproliferative effect (FIG. 8B). As expected, MYC protein levels were significantly depleted by JQ1 treatment (FIG. 8C) (Delmore et al., 2011). In contrast, JQ1 did not affect BRD4 protein levels within cells, and did not significantly reduce ChIP efficiency (FIG. 8D). However, super-enhancers showed a greater loss of BRD4 occupancy when compared to regions with average or low amounts of BRD4 (FIG. 8E). The IgH enhancer was among those super-enhancers that showed significantly greater loss of BRD4 than typical enhancer regions with lower BRD4 occupancy, such as CD28 (FIG. 8G).


Loss of P-TEFb Accompanies BRD4 Inhibition


BRD4 recruits the active form of the positive transcription elongation factor P-TEFb, which stimulates pause release and transcription elongation (Bisgrove et al., 2007; Hargreaves et al., 2009; Jang et al., 2005; Jiang et al., 1998; Wu and Chiang, 2007; Wu et al., 2003; Yang et al., 2005). We used ChIP-Seq to investigate the global occupancy of P-TEFb in MM.1S cells and found that it generally occupies sites bound by Mediator and BRD4 (FIG. 9A). We next investigated whether the loss of BRD4 observed with JQ1 treatment is accompanied by loss of P-TEFb at enhancers and transcription start sites. JQ1 treatment did indeed reduce the levels of P-TEFb at sites where there was a reduction in BRD4 (FIG. 9B). Furthermore, P-TEFb was disproportionately lost at super-enhancers when compared to normal enhancers (FIG. 9C). We conclude that BET bromodomain inhibition of BRD4 leads to loss of P-TEFb at enhancers and transcription start sites, and that the inhibition has more profound effects at super-enhancers than at average enhancers.


To determine whether the loss of P-TEFb results in an elongation defect, we performed ChIP-seq of RNA Polymerase II (Pol II) after JQ1 treatment. We found that JQ1 treatment led to a global defect in transcriptional elongation, characterized by a loss of PolII in the gene body and 3′ transcription termination regions (FIG. 10). Further inspection of gene tracks revealed that key super-enhancer associated genes, including MYC, showed a dramatic defect in elongation (FIG. 10B). Globally, super-enhancer associated genes, had larger elongation defects in response to JQ1 than genes associated with normal enhancers (FIG. 10C), These results are consistent with the interpretation that genes driven by super-enhancers show more dramatic transcriptional defects due to reduced pause release and elongation of their transcripts.


Discussion

At present, inhibitors of chromatin regulators are gaining increased interest as potential therapeutic agents for treating cancer. Many chromatin regulators are understood to play general roles in the control of transcription, yet to reach significant clinical efficacy, small molecule inhibitors must have a selective effect on tumor cells. Several recent studies have shown that inhibition of the bromodomain protein BRD4 can indeed have a highly specific effect, causing the down regulation of key tumor drivers in several cancer types. In multiple myeloma, acute myeloid leukemia, and Burkitt's lymphoma, treatment with BET inhibitors led to a dramatic loss of MYC expression (Dawson et al., 2011; Delmore et al., 2011; Mertz et al., 2011; Zuber et al., 2011). Understanding how inhibitors of generally acting chromatin regulators can exert a selective effect will vastly improve our understanding of how these drugs should be selected for the treatment of genetically-defined cancers.


We have gained insight into this concept through our study of super-enhancers. We have found that, across many cell types, key regulators of cell state are associated with large, 10-40 kb enhancer domains, characterized by disproportionately high levels of MED1 binding and, as we have profiled in multiple myeloma, BRD4. Although these super-enhancers make up only a small percentage of the total number of enhancer regions, they account for a large fraction of total MED1 and BRD4 binding across the genome. Most significantly, we have found that super-enhancers are more sensitive to perturbation than typical enhancer regions.


We found that inhibition of BRD4 led to the dramatic loss of BRD4 and CDK9 binding at super-enhancers. In multiple myeloma, super-enhancers were associated with key oncogenic drivers, such as MYC. Disruption of super-enhancers by BRD4 inhibition led to a dramatic loss of expression of these critical tumor genes, accompanied by a potent antiproliferative effect.


Our results demonstrate that super-enhancers occupied by BRD4 regulate critical oncogenic drivers multiple myeloma and show that BRD4 inhibition leads to preferential disruption of these super-enhancers. This insight into the mechanism by which Brd4 inhibition causes selective loss of oncogene expression in these highly malignant blood cancers may have implications for future drug development in oncology. Many oncogenes critical to tumor cell function are highly expressed and may therefore be driven by super-enhancers. If so, preferential disruption of super-enhancer function may be a general approach to selectively inhibiting the oncogenic drivers of many tumor cells.


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  • Filippakopoulos, P., Qi, J., Picaud, S., Shen, Y., Smith, W. B., Fedorov, O., Morse, E. M., Keates, T., Hickman, T. T., Felletar, I., et al. (2010). Selective inhibition of BET bromodomains. Nature 468, 1067-1073.

  • Giese, K., Kingsley, C., Kirshner, J. R., and Grosschedl, R. (1995). Assembly and function of a TCR alpha enhancer complex is dependent on LEF-1-induced DNA bending and multiple protein-protein interactions. Genes Dev 9, 995-1008.

  • Giniger, E., and Ptashne, M. (1988). Cooperative DNA binding of the yeast transcriptional activator GAL4. Proc Natl Acad Sci USA 85, 382-386.

  • Griggs, D. W., and Johnston, M. (1991). Regulated expression of the GAL4 activator gene in yeast provides a sensitive genetic switch for glucose repression. Proc Natl Acad Sci USA 88, 8597-8601.

  • Hargreaves, D. C., Horng, T., and Medzhitov, R. (2009). Control of Inducible Gene Expression by Signal-Dependent Transcriptional Elongation. Cell 138, 129-145.

  • Jang, M. K., Mochizuki, K., Zhou, M., Jeong, H. S., Brady, J. N., and Ozato, K. (2005). The bromodomain protein Brd4 is a positive regulatory component of P-TEFb and stimulates RNA polymerase II-dependent transcription. Mol Cell 19, 523-534.

  • Jiang, Y. W., Veschambre, P., Erdjument-Bromage, H., Tempst, P., Conaway, J. W., Conaway, R. C., and Kornberg, R. D. (1998). Mammalian mediator of transcriptional regulation and its possible role as an end-point of signal transduction pathways. Proc Natl Acad Sci USA 95, 8538-8543.

  • Kim, T. K., and Maniatis, T. (1997). The mechanism of transcriptional synergy of an in vitro assembled interferon-beta enhanceosome. Mol Cell 1, 119-129.

  • Mertz, J. A., Conery, A. R., Bryant, B. M., Sandy, P., Balasubramanian, S., Mele, D. A., Bergeron, L., and Sims, R. J., 3rd (2011). Targeting MYC dependence in cancer by inhibiting BET bromodomains. Proc Natl Acad Sci USA 108, 16669-16674.

  • Nair, S. K., and Burley, S. K. (2003). X-ray structures of Myc-Max and Mad-Max recognizing DNA. Molecular bases of regulation by proto-oncogenic transcription factors. Cell 112, 193-205,

  • Nicodeme, E., Jeffrey, K. L., Schaefer, U., Beinke, S., Dewell, S., Chung, C. W., Chandwani, R., Marazzi, I., Wilson, P., Coste, H., et al. (2010). Suppression of inflammation by a synthetic histone mimic, Nature 468, 1119-1123,

  • Shaffer, A. L., Emre, N. C., Lamy, L., Ngo, V. N., Wright, G., Xiao, W., Powell, J., Dave, S., Yu, X., Zhao, H., et al. (2008). IRF4 addiction in multiple myeloma. Nature 454, 226-231.

  • Thanos, D., and Maniatis, T. (1995). Virus induction of human IFN beta gene expression requires the assembly of an enhanceosome. Cell 83, 1091-1100.

  • Wu, S. Y., and Chiang, C. M. (2007). The double bromodomain-containing chromatin adaptor Brd4 and transcriptional regulation. J Biol Chem 282, 13141-13145.

  • Wu, S. Y., Zhou, T., and Chiang, C. M. (2003). Human mediator enhances activator-facilitated recruitment of RNA polymerase II and promoter recognition by TATA-binding protein (TBP) independently of TBP-associated factors. Mol Cell Biol 23, 6229-6242.

  • Yang, Z., Yik, J. H., Chen, R., He, N., Jang, M. K., Ozato, K., and Zhou, Q. (2005). Recruitment of P-TEFb for stimulation of transcriptional elongation by the bromodomain protein Brd4. Mol Cell 19, 535-545.

  • Zuber, J., Shi, J., Wang, E., Rappaport, A. R., Herrmann, H., Sison, E. A., Magoon, D., Qi, J., Blatt, K., Wunderlich, M., et al. (2011). RNAi screen identifies Brd4 as a therapeutic target in acute myeloid leukaemia. Nature 478, 524-528.










TABLE 1







Super-enhancers from ESC. Based on NCBI Build 37










REGION_ID
CHROM
START
STOP













INT_STITCHED_45
chr1
13049615
13094765


INT_STITCHED_88
chr1
34130107
34134640


INT_STITCHED_100
chr1
36070190
36074608


INT_STITCHED_101
chr1
36111164
36118698


INT_STITCHED_108
chr1
37039139
37045411


INT_STITCHED_230
chr1
72260528
72261272


INT_STITCHED_237
chr1
72839563
72858199


INT_STITCHED_282
chr1
84857219
84887132


INT_STITCHED_315
chr1
91766947
91773527


INT_STITCHED_368
chr1
120538712
120545414


INT_STITCHED_372
chr1
120971968
120973737


INT_STITCHED_374
chr1
121201424
121202481


INT_STITCHED_376
chr1
121295085
121296031


INT_STITCHED_449
chr1
137071028
137096284


INT_STITCHED_464
chr1
138586629
138593131


INT_STITCHED_466
chr1
138841643
138850970


INT_STITCHED_508
chr1
154939892
154943709


INT_STITCHED_556
chr1
168054897
168073079


INT_STITCHED_559
chr1
169201106
169220423


INT_STITCHED_610
chr1
182818684
182819554


INT_STITCHED_611
chr1
182854521
182864307


INT_STITCHED_615
chr1
183948212
183961841


INT_STITCHED_746
chr2
20574602
20591747


INT_STITCHED_803
chr2
30913257
30925299


INT_STITCHED_812
chr2
32008891
32030736


INT_STITCHED_817
chr2
33282029
33300860


INT_STITCHED_928
chr2
71488013
71494617


INT_STITCHED_931
chr2
71575856
71583914


INT_STITCHED_1196
chr2
152002668
152003777


INT_STITCHED_1198
chr2
152552277
152563676


INT_STITCHED_1210
chr2
154242651
154254374


INT_STITCHED_1256
chr2
162856904
162860933


INT_STITCHED_1257
chr2
162877048
162893236


INT_STITCHED_1279
chr2
165981373
165983444


INT_STITCHED_1300
chr2
168589688
168617170


INT_STITCHED_1392
chr3
9641461
9655131


INT_STITCHED_1480
chr3
34544904
34553511


INT_STITCHED_1482
chr3
34633687
34660705


INT_STITCHED_1607
chr3
88375442
88380083


INT_STITCHED_1626
chr3
95455034
95468269


INT_STITCHED_1629
chr3
96380383
96382115


INT_STITCHED_1630
chr3
96479158
96484864


INT_STITCHED_1658
chr3
103008304
103019058


INT_STITCHED_1732
chr3
129247012
129261362


INT_STITCHED_1744
chr3
133181431
133197648


INT_STITCHED_1749
chr3
135208956
135210744


INT_STITCHED_1973
chr4
55469259
55491081


INT_STITCHED_2076
chr4
98507649
98514709


INT_STITCHED_2152
chr4
118743867
118745786


INT_STITCHED_2175
chr4
123300547
123303179


INT_STITCHED_2192
chr4
125211671
125223450


INT_STITCHED_2205
chr4
126875757
126879027


INT_STITCHED_2223
chr4
130178808
130180168


INT_STITCHED_2224
chr4
130195646
130196547


INT_STITCHED_2265
chr4
137148873
137153839


INT_STITCHED_2268
chr4
137329436
137357766


INT_STITCHED_2273
chr4
138000554
138006368


INT_STITCHED_2291
chr4
140826072
140840922


INT_STITCHED_2292
chr4
141120768
141126477


INT_STITCHED_2295
chr4
141616653
141627603


INT_STITCHED_2297
chr4
141721916
141726166


INT_STITCHED_2317
chr4
147459254
147463850


INT_STITCHED_2354
chr4
154537213
154538078


INT_STITCHED_2355
chr4
154563584
154564383


INT_STITCHED_2465
chr5
33873714
33880481


INT_STITCHED_2510
chr5
53933177
53947327


INT_STITCHED_2535
chr5
65255735
65256794


INT_STITCHED_2712
chr5
113758941
113775389


INT_STITCHED_2736
chr5
116845764
116860853


INT_STITCHED_2745
chr5
118884660
118896412


INT_STITCHED_2746
chr5
118951444
118960269


INT_STITCHED_2752
chr5
120029649
120037063


INT_STITCHED_2754
chr5
120129592
120171482


INT_STITCHED_2770
chr5
123584659
123590728


INT_STITCHED_2830
chr5
135417523
135421698


INT_STITCHED_3005
chr6
31834643
31852445


INT_STITCHED_3044
chr6
39370384
39371286


INT_STITCHED_3045
chr6
39395571
39396779


INT_STITCHED_3120
chr6
64961359
64985161


INT_STITCHED_3130
chr6
67061148
67064202


INT_STITCHED_3184
chr6
83839914
83844315


INT_STITCHED_3217
chr6
91640161
91661247


INT_STITCHED_3342
chr6
122290093
122293017


INT_STITCHED_3347
chr6
122612514
122614260


INT_STITCHED_3348
chr6
122640118
122657871


INT_STITCHED_3349
chr6
122714316
122720862


INT_STITCHED_3360
chr6
125383335
125398024


INT_STITCHED_3429
chr6
142458188
142461905


INT_STITCHED_3437
chr6
143047309
143065758


INT_STITCHED_3450
chr6
145223385
145225674


INT_STITCHED_3467
chr7
3193004
3218183


INT_STITCHED_3475
chr7
4772296
4777612


INT_STITCHED_3481
chr7
13599334
13600325


INT_STITCHED_3523
chr7
30982397
30983339


INT_STITCHED_3525
chr7
31248315
31250619


INT_STITCHED_3550
chr7
38812914
38816123


INT_STITCHED_3568
chr7
52806853
52814768


INT_STITCHED_3576
chr7
56592909
56604632


INT_STITCHED_3601
chr7
71092246
71102481


INT_STITCHED_3652
chr7
86355826
86368339


INT_STITCHED_3658
chr7
87159908
87169963


INT_STITCHED_3661
chr7
87274999
87276022


INT_STITCHED_3662
chr7
87333420
87345334


INT_STITCHED_3685
chr7
91027196
91051830


INT_STITCHED_3765
chr7
119831735
119835688


INT_STITCHED_3856
chr7
140304156
140307245


INT_STITCHED_3890
chr7
147131117
147136231


INT_STITCHED_3914
chr7
152036872
152050716


INT_STITCHED_3947
chr8
12499468
12504771


INT_STITCHED_4014
chr8
35023426
35027483


INT_STITCHED_4033
chr8
37602064
37613850


INT_STITCHED_4034
chr8
37642521
37671979


INT_STITCHED_4046
chr8
44405736
44406755


INT_STITCHED_4116
chr8
74834685
74840663


INT_STITCHED_4163
chr8
87174072
87174643


INT_STITCHED_4167
chr8
87996475
87997654


INT_STITCHED_4179
chr8
91514813
91540176


INT_STITCHED_4190
chr8
93351924
93355292


INT_STITCHED_4546
chr9
56382386
56395769


INT_STITCHED_4555
chr9
58119837
58128504


INT_STITCHED_4657
chr9
78207143
78223442


INT_STITCHED_4748
chr9
110849422
110863371


INT_STITCHED_4766
chr9
114458126
114474355


INT_STITCHED_4797
chr9
120585871
120600072


INT_STITCHED_4802
chr9
121244501
121254102


INT_STITCHED_4885
chr10
20802131
20830236


INT_STITCHED_4891
chr10
21546502
21549691


INT_STITCHED_4893
chr10
21700576
21708946


INT_STITCHED_4954
chr10
39977900
39978752


INT_STITCHED_4981
chr10
44110139
44112766


INT_STITCHED_5021
chr10
59420365
59437537


INT_STITCHED_5044
chr10
62346394
62361563


INT_STITCHED_5054
chr10
66380351
66383761


INT_STITCHED_5059
chr10
66546199
66564235


INT_STITCHED_5091
chr10
75335464
75345568


INT_STITCHED_5092
chr10
75400370
75401358


INT_STITCHED_5100
chr10
76655655
76662360


INT_STITCHED_5111
chr10
79508474
79515168


INT_STITCHED_5140
chr10
85002060
85006553


INT_STITCHED_5325
chr11
8466451
8486876


INT_STITCHED_5331
chr11
9015537
9017663


INT_STITCHED_5340
chr11
12357626
12370205


INT_STITCHED_5427
chr11
33427175
33451476


INT_STITCHED_5484
chr11
52173182
52184686


INT_STITCHED_5499
chr11
54767341
54785832


INT_STITCHED_5533
chr11
62324296
62327251


INT_STITCHED_5553
chr11
66733372
66746990


INT_STITCHED_5555
chr11
66824791
66838230


INT_STITCHED_5565
chr11
69517060
69522803


INT_STITCHED_ 5597
chr11
77697704
77718786


INT_STITCHED_5666
chr11
88481360
88491812


INT_STITCHED_5711
chr11
97517673
97524159


INT_STITCHED_5719
chr11
98823511
98826466


INT_STITCHED_5741
chr11
102190649
102193692


INT_STITCHED_5752
chr11
104150171
104167544


INT_STITCHED_5768
chr11
107296669
107310982


INT_STITCHED_5819
chr11
116943025
116953583


INT_STITCHED_5831
chr11
117833701
117838253


INT_STITCHED_5875
chr12
12790432
12795881


INT_STITCHED_5876
chr12
12810177
12811020


INT_STITCHED_5880
chr12
12933791
12950936


INT_STITCHED_5995
chr12
55407498
55415046


INT_STITCHED_6000
chr12
56587347
56607146


INT_STITCHED_6004
chr12
57385208
57400114


INT_STITCHED_6112
chr12
87807046
87820319


INT_STITCHED_6113
chr12
87839385
87846192


INT_STITCHED_6118
chr12
88239069
88245155


INT_STITCHED_6151
chr12
103940487
103953004


INT_STITCHED_6186
chr12
111655417
111656705


INT_STITCHED_6187
chr12
111709296
111710794


INT_STITCHED_6188
chr12
111725920
111743677


INT_STITCHED_6460
chr13
64069823
64082322


INT_STITCHED_6544
chr13
96295094
96306119


INT_STITCHED_6557
chr13
98052562
98062842


INT_STITCHED_6559
chr13
98202400
98225162


INT_STITCHED_6615
chr13
110418702
110442750


INT_STITCHED_6709
chr14
22293688
22308989


INT_STITCHED_6789
chr14
49273113
49283200


INT_STITCHED_6815
chr14
55704349
55705463


INT_STITCHED_6859
chr14
64118817
64131901


INT_STITCHED_6864
chr14
65251303
65269514


INT_STITCHED_6887
chr14
71022659
71035930


INT_STITCHED_6904
chr14
76894682
76915946


INT_STITCHED_6906
chr14
77015215
77030315


INT_STITCHED_6957
chr14
99738540
99755307


INT_STITCHED_6981
chr14
106250319
106260753


INT_STITCHED_6982
chr14
106296486
106304433


INT_STITCHED_7104
chr15
25654102
25704265


INT_STITCHED_7202
chr15
61918415
61924748


INT_STITCHED_7248
chr15
77168852
77187251


INT_STITCHED_7285
chr15
88539016
88539831


INT_STITCHED_7317
chr15
97198605
97227633


INT_STITCHED_7318
chr15
97422878
97425328


INT_STITCHED_7343
chr15
103349226
103353500


INT_STITCHED_7359
chr16
8758173
8779472


INT_STITCHED_7434
chr16
23099373
23103471


INT_STITCHED_7452
chr16
29657509
29668114


INT_STITCHED_7597
chr16
84769173
84780686


INT_STITCHED_7680
chr17
10549089
10570838


INT_STITCHED_7728
chr17
26631721
26648689


INT_STITCHED_7747
chr17
29209618
29218426


INT_STITCHED_7752
chr17
29587776
29588942


INT_STITCHED_7767
chr17
31939569
31956756


INT_STITCHED_7784
chr17
35639211
35642435


INT_STITCHED_7792
chr17
37110202
37134996


INT_STITCHED_7794
chr17
37209046
37217726


INT_STITCHED_7812
chr17
45593477
45596503


INT_STITCHED_7822
chr17
47640414
47649043


INT_STITCHED_7876
chr17
66818723
66836409


INT_STITCHED_7884
chr17
71096763
71100905


INT_STITCHED_7886
chr17
71177302
71179956


INT_STITCHED_7887
chr17
71213804
71222433


INT_STITCHED_7888
chr17
71241991
71250610


INT_STITCHED_8114
chr18
35202713
35203454


INT_STITCHED_8124
chr18
36412873
36414154


INT_STITCHED_8136
chr18
38538325
38551037


INT_STITCHED_8139
chr18
38760823
38761958


INT_STITCHED_8140
chr18
38788269
38796942


INT_STITCHED_8148
chr18
40467587
40468140


INT_STITCHED_8209
chr18
61787544
61788400


INT_STITCHED_8260
chr18
75504155
75505202


INT_STITCHED_8261
chr18
75520332
75527277


INT_STITCHED_8264
chr18
75738693
75745073


INT_STITCHED_8324
chr19
5835881
5847014


INT_STITCHED_8378
chr19
21858770
21866770


INT_STITCHED_8385
chr19
23139991
23170189


INT_STITCHED_8386
chr19
23207455
23208806


INT_STITCHED_8399
chr19
25553498
25564092


INT_STITCHED_8519
chr19
53523440
53535319


INT_STITCHED_8554
chrX
7578969
7597907


INT_STITCHED_8629
chrX
50098631
50114110
















TABLE 2







Multiple Myeloma Super-enhancers. Based on Gene Build hg 18










REGION_ID
CHROM
START
STOP













3_MM1S_MED1_DMSO_2_11472_lociStitched
chr22
21597907
21632017


12_MM1S_MED1_DMSO_2_12661_lociStitched
chr3
142561889
142658635


5_MM1S_MED1_DMSO_2_11467_lociStitched
chr22
21520124
21576243


3_MM1S_MED1_DMSO_2_15142_lociStitched
chr6
7822980
7864682


27_MM1S_MED1_DMSO_2_15896_lociStitched
chr6
108969554
109119470


10_MM1S_MED1_DMSO_2_883_lociStitched
chr1
117943520
118031299


13_MM1S_MED1_DMSO_2_9297_lociStitched
chr2
37383079
37478117


7_MM1S_MED1_DMSO_2_1421_lociStitched
chr1
201502736
201564474


6_MM1S_MED1_DMSO_2_10778_lociStitched
chr20
29712568
29775967


4_MM1S_MED1_DMSO_2_3066_lociStitched
chr11
64939923
64979931


12_MM1S_MED1_DMSO_2_10818_lociStitched
chr20
31862228
31936793


15_MM1S_MED1_DMSO_2_19349_lociStitched
chrX
130689710
130790383


6_MM1S_MED1_DMSO_2_15061_lociStitched
chr6
235131
282880


MM1S_MED1_DMSO_2_4011
chr12
51868026
51890008


13_MM1S_MED1_DMSO_2_6359_lociStitched
chr16
11662193
11750399


5_MM1S_MED1_DMSO_2_19070_lociStitched
chrX
48652795
48690448


9_MM1S_MED1_DMSO_2_13894_lociStitched
chr4
185522607
185586220


2_MM1S_MED1_DMSO_2_15298_lociStitched
chr6
26263259
26281958


4_MM1S_MED1_DMSO_2_2709_lociStitched
chr11
10280174
10301780


7_MM1S_MED1_DMSO_2_11528_lociStitched
chr22
27516134
27555928


5_MM1S_MED1_DMSO_2_7255_lociStitched
chr17
29712450
29745538


9_MM1S_MED1_DMSO_2_9712_lociStitched
chr2
98426920
98498831


10_MM1S_MED1_DMSO_2_5371_lociStitched
chr14
90884807
90955651


3_MM1S_MED1_DMSO_2_7984_lociStitched
chr18
9050438
9074417


8_MM1S_MED1_DMSO_2_16690_lociStitched
chr7
55566748
55610180


1_MM1S_MED1_DMSO_2_935_lociStitched
chr1
148122391
148127826


3_MM1S_MED1_DMSO_2_3735_lociStitched
chr12
12748016
12781726


4_MM1S_MED1_DMSO_2_2546_lociStitched
chr10
125812311
125857688


2_MM1S_MED1_DMSO_2_1862_lociStitched
chr10
11242759
11275331


3_MM1S_MED1_DMSO_2_929_lociStitched
chr1
147470833
147491868


MM1S_MED1_DMSO_2_15293
chr6
26161696
26165891


3_MM1S_MED1_DMSO_2_9167_lociStitched
chr2
20254183
20289776


1_MM1S_MED1_DMSO_2_15301_lociStitched
chr6
26303073
26309499


11_MM1S_MED1_DMSO_2_17447_lociStitched
chr8
27264787
27340169


3_MM1S_MED1_DMSO_2_178_lociStitched
chr1
17094196
17113973


13_MM1S_MED1_DMSO_2_17882_lociStitched
chr8
120985081
121017049


3_MM1S_MED1_DMSO_2_1025_lociStitched
chr1
153174936
153197206


1_MM1S_MED1_DMSO_2_13984_lociStitched
chr5
1364911
1374105


MM1S_MED1_DMSO_2_15361
chr6
27964884
27972054


3_MM1S_MED1_DMSO_2_3071_lociStitched
chr11
65020047
65035435


5_MM1S_MED1_DMSO_2_18418_lociStitched
chr9
92710817
92746187


3_MM1S_MED1_DMSO_2_13885_lociStitched
chr4
185421650
185447815


5_MM1S_MED1_DMSO_2_9691_lociStitched
chr2
96554603
96584612


10_MM1S_MED1_DMSO_2_15652_lociStitched
chr6
52501063
52557406


MM1S_MED1_DMSO_2_7572
chr17
53760011
53773039


6_MM1S_MED1_DMSO_2_15868_lociStitched
chr6
106637997
106665835


1_MM1S_MED1_DMSO_2_15308_lociStitched
chr6
26377785
26382951


2_MM1S_MED1_DMSO_2_7420_lociStitched
chr17
38792419
38802756


9_MM1S_MED1_DMSO_2_14628_lociStitched
chr5
131818986
131870127


3_MM1S_MED1_DMSO_2_13539_lociStitched
chr4
90429430
90459112


4_MM1S_MED1_DMSO_2_12859_lociStitched
chr3
178538717
178562722


4_MM1S_MED1_DMSO_2_4371_lociStitched
chr12
107533824
107560420


4_MM1S_MED1_DMSO_2_15314_lociStitched
chr6
26449533
26475951


MM1S_MED1_DMSO_2_15291
chr6
26138365
26142878


1_MM1S_MED1_DMSO_2_15296_lociStitched
chr6
26230241
26235063


9_MM1S_MED1_DMSO_2_5477_lociStitched
chr14
105096168
105120688


2_MM1S_MED1_DMSO_2_12120_lociStitched
chr3
46220865
46232443


MM1S_MED1_DMSO_2_1 5292
chr6
26150596
26154952


2_MM1S_MED1_DMSO_2_5546_lociStitched
chr15
29333964
29348240


1_MM1S_MED1_DMSO_2_176_lociStitched
chr1
16712194
16713944


1_MM1S_MED1_DMSO_2_12853_lociStitched
chr3
178395376
178403353


1_MM1S_MED1_DMSO_2_10897_lociStitched
chr20
36931952
36938862


2_MM1S_MED1_DMSO_2_9810_lociStitched
chr2
112172513
112182538


5_MM1S_MED1_DMSO_2_497_lociStitched
chr1
44945879
44970311


7_MM1S_MED1_DMSO_2_8152_lociStitched
chr18
44693277
44734029


1_MM1S_MED1_DMSO_2_3010_lociStitched
chr11
62362909
62367338


2_MM1S_MED1_DMSO_2_1718_lociStitched
chr1
232800286
232816291


7_MM1S_MED1_DMSO_2_16140_lociStitched
chr6
138287960
138339719


4_MM1S_MED1_DMSO_2_16924_lociStitched
chr7
101851129
101879762


7_MM1S_MED1_DMSO_2_3539_lociStitched
chr11
128090989
128134946


5_MM1S_MED1_DMSO_2_13905_lociStitched
chr4
185603808
185634087


5_MM1S_MED1_DMSO_2_8400_lociStitched
chr19
2546568
2579792


4_MM1S_MED1_DMSO_2_17232_lociStitched
chr7
149685067
149715545


9_MM1S_MED1_DMSO_2_6090_lociStitched
chr15
88364067
88447544


7_MM1S_MED1_DMSO_2_5551_lociStitched
chr15
29404247
29447806


6_MM1S_MED1_DMSO_2_908_lociStitched
chr1
144138338
144169442


6_MM1S_MED1_DMSO_2_2813_lociStitched
chr11
22633909
22661308


2_MM1S_MED1_DMSO_2_11309_lociStitched
chr21
40247390
40265606


3_MM1S_MED1_DMSO_2_11459_lociStitched
chr22
21406975
21431657


4_MM1S_MED1_DMSO_2_4023_lociStitched
chr12
52133823
52163301


3_MM1S_MED1_DMSO_2_6783_lociStitched
chr16
78185190
78197918


2_MM1S_MED1_DMSO_2_2451_lociStitched
chr10
112094075
112109393


4_MM1S_MED1_DMSO_2_3671_lociStitched
chr12
6916226
6942174


3_MM1S_MED1_DMSO_2_11367_lociStitched
chr21
44381407
44405755


6_MM1S_MED1_DMSO_2_18632_lociStitched
chr9
122670221
122707139


5_MM1S_MED1_DMSO_2_7098_lociStitched
chr17
16810645
16836243


5_MM1S_MED1_DMSO_2_12822_lociStitched
chr3
173284485
173309559


3_MM1S_MED1_DMSO_2_7795_lociStitched
chr17
72647302
72672300


5_MM1S_MED1_DMSO_2_14194_lociStitched
chr5
55473448
55500561


4_MM1S_MED1_DMSO_2_5843_lociStitched
chr15
63374708
63385346


7_MM1S_MED1_DMSO_2_12921_lociStitched
chr3
184711984
184757118


3_MM1S_MED1_DMSO_2_13004_lociStitched
chr3
195330092
195342991


6_MM1S_MED1_DMSO_2_1869_lociStitched
chr10
11323723
11353214


6_MM1S_MED1_DMSO_2_5884_lociStitched
chr15
66355713
66386773


4_MM1S_MED1_DMSO_2_16493_lociStitched
chr7
25953531
25975640


2_MM1S_MED1_DMSO_2_17945_lociStitched
chr8
128815143
128831262


3_MM1S_MED1_DMSO_2_6443_lociStitched
chr16
23241697
23269855


1_MM1S_MED1_DMSO_2_15307_lociStitched
chr6
26356880
26361949


4_MM1S_MED1_DMSO_2_1007_lociStitched
chr1
152636911
152660538


12_MM1S_MED1_DMSO_2_12617_lociStitched
chr3
134643043
134708940


3_MM1S_MED1_DMSO_2_1629_lociStitched
chr1
224363473
224383373


3_MM1S_MED1_DMSO_2_2794_lociStitched
chr11
19406910
19422183


2_MM1S_MED1_DMSO_2_4947_lociStitched
chr13
113545919
113557086


3_MM1S_MED1_DMSO_2_15146_lociStitched
chr6
7903492
7922524


2_MM1S_MED1_DMSO_2_9355_lociStitched
chr2
43297983
43310825


MM1S_MED1_DMSO_2_15353
chr6
27882353
27887636


1_MM1S_MED1_DMSO_2_117_lociStitched
chr1
11889871
11893140


5_MM1S_MED1_DMSO_2_11097_lociStitched
chr20
55481270
55509295


1_MM1S_MED1_DMSO_2_10440_lociStitched
chr2
231437101
231447701


3_MM1S_MED1_DMSO_2_340_lociStitched
chr1
30988720
31005936


7_MM1S_MED1_DMSO_2_15801_lociStitched
chr6
90115755
90142733


3_MM1S_MED1_DMSO_2_9401_lociStitched
chr2
47380900
47404415


1_MM1S_MED1_DMSO_2_15359_lociStitched
chr6
27939690
27944056


6_MM1S_MED1_DMSO_2_16939_lociStitched
chr7
104350354
104392312


4_MM1S_MED1_DMSO_2_14621_lociStitched
chr5
131777514
131802069


9_MM1S_MED1_DMSO_2_7852_lociStitched
chr17
74224147
74290965


5_MM1S_MED1_DMSO_2_10765_lociStitched
chr20
25209731
25248761


3_MM1S_MED1_DMSO_2_11306_lociStitched
chr21
40217819
40231333


1_MM1S_MED1_DMSO_2_4955_lociStitched
chr13
113847326
113853279


9_MM1S_MED1_DMSO_2_17774_lociStitched
chr8
96022708
96074048


1_MM1S_MED1_DMSO_2_15467_lociStitched
chr6
33042969
33050991


2_MM1S_MED1_DMSO_2_10245_lociStitched
chr2
201688028
201701230


2_MM1S_MED1_DMSO_2_3620_lociStitched
chr12
4086510
4100254


1_MM1S_MED1_DMSO_2_11604_lociStitched
chr22
35056163
35061482


5_MM1S_MED1_DMSO_2_8117_lociStitched
chr18
40542132
40560323


5_MM1S_MED1_DMSO_2_17304_lociStitched
chr8
2016787
2037760


11_MM1S_MED1_DMSO_2_7624_lociStitched
chr17
59486930
59536700


5_MM1S_MED1_DMSO_2_7793_lociStitched
chr17
72590686
72618288


2_MM1S_MED1_DMSO_2_15176_lociStitched
chr6
11937666
11944210


3_MM1S_MED1_DMSO_2_8375_lociStitched
chr19
2032758
2049163


5_MM1S_MED1_DMSO_2_10377_lociStitched
chr2
219449340
219471887


1_MM1S_MED1_DMSO_2_18431_lociStitched
chr9
92992632
92996907


MM1S_MED1_DMSO_2_8809
chr19
44583388
44595931


6_MM1S_MED1_DMSO_2_19132_lociStitched
chrX
58141354
58176568


2_MM1S_MED1_DMSO_2_11329_lociStitched
chr21
42353240
42371485


3_MM1S_MED1_DMSO_2_3939_lociStitched
chr12
46487401
46506636


2_MM1S_MED1_DMSO_2_2457_lociStitched
chr10
112205500
112215498


6_MM1S_MED1_DMSO_2_6074_lociStitched
chr15
87434644
87475737


2_MM1S_MED1_DMSO_2_1061_lociStitched
chr1
154382144
154399688


6_MM1S_MED1_DMSO_2_14486_lociStitched
chr5
109279819
109314997


2_MM1S_MED1_DMSO_2_218_lociStitched
chr1
23723110
23739682


6_MM1S_MED1_DMSO_2_11882_lociStitched
chr3
5197581
5231167


5_MM1S_MED1_DMSO_2_8393_lociStitched
chr19
2419984
2446976


1_MM1S_MED1_DMSO_2_11487_lociStitched
chr22
22514623
22522474


5_MM1S_MED1_DMSO_2_11633_lociStitched
chr22
35940694
35972007


4_MM1S_MED1_DMSO_2_13300_lociStitched
chr4
39868398
39884094


2_MM1S_MED1_DMSO_2_15875_lociStitched
chr6
106717009
106735272


4_MM1S_MED1_DMSO_2_16685_lociStitched
chr7
55537132
55553461


2_MM1S_MED1_DMSO_2_13593_lociStitched
chr4
105626955
105636498


1_MM1S_MED1_DMSO_2_5492_lociStitched
chr14
105394828
105400642


2_MM1S_MED1_DMSO_2_1032_lociStitched
chr1
153236845
153257390


6_MM1S_MED1_DMSO_2_6769_lociStitched
chr16
77326423
77362760


4_MM1S_MED1_DMSO_2_15040_lociStitched
chr5
180161278
180192831


2_MM1S_MED1_DMSO_2_11510_lociStitched
chr22
25335621
25345570


4_MM1S_MED1_DMSO_2_5303_lociStitched
chr14
76557983
76580142


3_MM1S_MED1_DMSO_2_15065_lociStitched
chr6
334189
345497


2_MM1S_MED1_DMSO_2_10912_lociStitched
chr20
40143996
40158547


5_MM1S_MED1_DMSO_2_6691_lociStitched
chr16
66841952
66878349


1_MM1S_MED1_DMSO_2_7334_lociStitched
chr17
35163138
35168797


2_MM1S_MED1_DMSO_2_18434_lociStitched
chr9
93221024
93234776


3_MM1S_MED1_DMSO_2_8242_lociStitched
chr18
58955785
58981327


1_MM1S_MED1_DMSO_2_13003_lociStitched
chr3
195300012
195305617


2_MM1S_MED1_DMSO_2_6646_lociStitched
chr16
65106878
65117734


3_MM1S_MED1_DMSO_2_4266_lociStitched
chr12
93065052
93093164


3_MM1S_MED1_DMSO_2_11259_lociStitched
chr21
35158227
35184979


4_MM1S_MED1_DMSO_2_3801_lociStitched
chr12
26157584
26171339


2_MM1S_MED1_DMSO_2_16133_lociStitched
chr6
138228659
138247051


3_MM1S_MED1_DMSO_2_17236_lociStitched
chr7
149731864
149749863


4_MM1S_MED1_DMSO_2_13002_lociStitched
chr3
195258091
195287025


2_MM1S_MED1_DMSO_2_953_lociStitched
chr1
148798802
148808298


2_MM1S_MED1_DMSO_2_1450_lociStitched
chr1
203508812
203524935


2_MM1S_MED1_DMSO_2_15283_lociStitched
chr6
25511304
25522342


3_MM1S_MED1_DMSO_2_290_lociStitched
chr1
26890818
26902191


5_MM1S_MED1_DMSO_2_7990_lociStitched
chr18
9091649
9111559


7_MM1S_MED1_DMSO_2_18762_lociStitched
chr9
133102585
133143969


1_MM1S_MED1_DMSO_2_11360_lociStitched
chr21
44021842
44029128


2_MM1S_MED1_DMSO_2_3442_lociStitched
chr11
118244109
118249498


3_MM1S_MED1_DMSO_2_240_lociStitched
chr1
24384810
24406266


3_MM1S_MED1_DMSO_2_13402_lociStitched
chr4
71744317
71766940


1_MM1S_MED1_DMSO_2_1504_lociStitched
chr1
207342554
207349164


2_MM1S_MED1_DMSO_2_3411_lociStitched
chr11
114631374
114641681


1_MM1S_MED1_DMSO_2_6445_lociStitched
chr16
23321100
23326979


3_MM1S_MED1_DMSO_2_15550_lociStitched
chr6
37230628
37252404


2_MM1S_MED1_DMSO_2_13986_lociStitched
chr5
1388551
1399215


4_MM1S_MED1_DMSO_2_1441_lociStitched
chr1
202729083
202757890


4_MM1S_MED1_DMSO_2_1469_lociStitched
chr1
204784341
204809621


1_MM1S_MED1_DMSO_2_10460_lociStitched
chr2
232278796
232285774


2_MM1S_MED1_DMSO_2_2970_lociStitched
chr11
60354930
60369771


3_MM1S_MED1_DMSO_2_8650_lociStitched
chr19
16555465
16572388


9_MM1S_MED1_DMSO_2_12125_lociStitched
chr3
46292850
46331709


1_MM1S_MED1_DMSO_2_16944_lociStitched
chr7
104438848
104443908


3_MM1S_MED1_DMSO_2_19007_lociStitched
chrX
39838174
39854463


1_MM1S_MED1_DMSO_2_3626_lociStitched
chr12
4247853
4257225


2_MM1S_MED1_DMSO_2_14483_lociStitched
chr5
109219736
109229823


6_MM1S_MED1_DMSO_2_12115_lociStitched
chr3
46081401
46126461


3_MM1S_MED1_DMSO_2_11151_lociStitched
chr20
61828935
61842486


4_MM1S_MED1_DMSO_2_5613_lociStitched
chr15
38175241
38196125


4_MM1S_MED1_DMSO_2_13278_lociStitched
chr4
37983729
37998765


6_MM1S_MED1_DMSO_2_5325_lociStitched
chr14
81000404
81025576


5_MM1S_MED1_DMSO_2_8632_lociStitched
chr19
16112417
16131135


7_MM1S_MED1_DMSO_2_6134_lociStitched
chr15
91147531
91189935


1_MM1S_MED1_DMSO_2_7450_lociStitched
chr17
40653952
40663191


5_MM1S_MED1_DMSO_2_1463_lociStitched
chr1
204455280
204477658


3_MM1S_MED1_DMSO_2_12583_lociStitched
chr3
130511014
130530874


1_MM1S_MED1_DMSO_2_19115_lociStitched
chrX
56805175
56811038


2_MM1S_MED1_DMSO_2_811_lociStitched
chr1
110963171
110982799


1_MM1S_MED1_DMSO_2_7885_lociStitched
chr17
77090061
77097539


3_MM1S_MED1_DMSO_2_11917_lociStitched
chr3
13010123
13036559


5_MM1S_MED1_DMSO_2_2179_lociStitched
chr10
73677336
73694126


3_MM1S_MED1_DMSO_2_8045_lociStitched
chr18
19057373
19077707


1_MM1S_MED1_DMSO_2_14417_lociStitched
chr5
90711139
90716188


2_MM1S_MED1_DMSO_2_4222_lociStitched
chr12
88262387
88273597


1_MM1S_MED1_DMSO_2_1055_lociStitched
chr1
154210608
154218896


4_MM1S_MED1_DMSO_2_13888_lociStitched
chr4
185476602
185507051


5_MM1S_MED1_DMSO_2_13340_lociStitched
chr4
47873764
47901113


3_MM1S_MED1_DMSO_2_902_lociStitched
chr1
144093230
144111474


4_MM1S_MED1_DMSO_2_4375_lociStitched
chr12
107581795
107622903


3_MM1S_MED1_DMSO_2_7801_lociStitched
chr17
72740997
72755489


2_MM1S_MED1_DMSO_2_2458_lociStitched
chr10
112245714
112254934


11_MM1S_MED1_DMSO_2_14962_lociStitched
chr5
173243900
173289403


4_MM1S_MED1_DMSO_2_12387_lociStitched
chr3
99962343
99978843


1_MM1S_MED1_DMSO_2_4479_lociStitched
chr12
119212631
119215958


3_MM1S_MED1_DMSO_2_15872_lociStitched
chr6
106692441
106702198


2_MM1S_MED1_DMSO_2_4368_lociStitched
chr12
107478295
107494548


3_MM1S_MED1_DMSO_2_8359_lociStitched
chr19
1598817
1620929


5_MM1S_MED1_DMSO_2_11087_lociStitched
chr20
55390112
55408865


5_MM1S_MED1_DMSO_2_3367_lociStitched
chr11
110737473
110765459


1_MM1S_MED1_DMSO_2_17494_lociStitched
chr8
29685550
29690431


5_MM1S_MED1_DMSO_2_9346_lociStitched
chr2
42179512
42210718


9_MM1S_MED1_DMSO_2_12137_lociStitched
chr3
46384095
46413568


4_MM1S_MED1_DMSO_2_2241_lociStitched
chr10
80670951
80690429


3_MM1S_MED1_DMSO_2_18151_lociStitched
chr9
9596419
9605712


4_MM1S_MED1_DMSO_2_5951_lociStitched
chr15
72850107
72865537


6_MM1S_MED1_DMSO_2_9773_lociStitched
chr2
109176497
109219823


2_MM1S_MED1_DMSO_2_11509_lociStitched
chr22
25312119
25321438


2_MM1S_MED1_DMSO_2_13009_lociStitched
chr3
195504620
195516950


4_MM1S_MED1_DMSO_2_11609_lociStitched
chr22
35102731
35115007


7_MM1S_MED1_DMSO_2_5487_lociStitched
chr14
105217337
105240489


1_MM1S_MED1_DMSO_2_10174_lociStitched
chr2
192248312
192253669


3_MM1S_MED1_DMSO_2_7356_lociStitched
chr17
35720293
35737137


4_MM1S_MED1_DMSO_2_1849_lociStitched
chr10
7553027
7575263


4_MM1S_MED1_DMSO_2_16642_lociStitched
chr7
47479754
47504874


3_MM1S_MED1_DMSO_2_14100_lociStitched
chr5
32607763
32625969


5_MM1S_MED1_DMSO_2_4572_lociStitched
chr12
123957232
123991926


4_MM1S_MED1_DMSO_2_2466_lociStitched
chr10
112590984
112617972


1_MM1S_MED1_DMSO_2_11372_lociStitched
chr21
44484038
44489285


8_MM1S_MED1_DMSO_2_8848_lociStitched
chr19
46720121
46762201


2_MM1S_MED1_DMSO_2_2455_lociStitched
chr10
112162427
112174574


3_MM1S_MED1_DMSO_2_6671_lociStitched
chr16
66137623
66158813


3_MM1S_MED1_DMSO_2_19339_lociStitched
chrX
130662431
130673564


2_MM1S_MED1_DMSO_2_1640_lociStitched
chr1
224906864
224919127


3_MM1S_MED1_DMSO_2_7431_lociStitched
chr17
39630911
39655723


1_MM1S_MED1_DMSO_2_8114_lociStitched
chr18
40512420
40517489


1_MM1S_MED1_DMSO_2_14692_lociStitched
chr5
138749622
138758419


3_MM1S_MED1_DMSO_2_1123_lociStitched
chr1
158943494
158980488


4_MM1S_MED1_DMSO_2_16250_lociStitched
chr6
157897104
157913718


2_MM1S_MED1_DMSO_2_17101_lociStitched
chr7
130440752
130460529


3_MM1S_MED1_DMSO_2_9135_lociStitched
chr2
11801032
11812720


3_MM1S_MED1_DMSO_2_10929_lociStitched
chr20
42002450
42018666


3_MM1S_MED1_DMSO_2_1119_lociStitched
chr1
158908226
158921742


1_MM1S_MED1_DMSO_2_3090_lociStitched
chr11
65380453
65385752


2_MM1S_MED1_DMSO_2_16369_lociStitched
chr7
5531468
5539806


5_MM1S_MED1_DMSO_2_13495_lociStitched
chr4
84352012
84381789


2_MM1S_MED1_DMSO_2_17959_lociStitched
chr8
129734648
129741973


1_MM1S_MED1_DMSO_2_5907_lociStitched
chr15
68174162
68181768


4_MM1S_MED1_DMSO_2_10987_lociStitched
chr20
45820090
45849423


2_MM1S_MED1_DMSO_2_5964_lociStitched
chr15
73121792
73127799


2_MM1S_MED1_DMSO_2_17479_lociStitched
chr8
29253249
29266444


5_MM1S_MED1_DMSO_2_18891_lociStitched
chrX
10025533
10050677


2_MM1S_MED1_DMSO_2_17880_lociStitched
chr8
120954422
120969636


1_MM1S_MED1_DMSO_2_1813_lociStitched
chr10
3814293
3818876


5_MM1S_MED1_DMSO_2_9497_lociStitched
chr2
64716540
64748251


4_MM1S_MED1_DMSO_2_7748_lociStitched
chr17
71366025
71387309


6_MM1S_MED1_DMSO_2_2420_lociStitched
chr10
105235066
105265831


3_MM1S_MED1_DMSO_2_7698_lociStitched
chr17
68094083
68113162


2_MM1S_MED1_DMSO_2_18473_lociStitched
chr9
97295762
97314118


1_MM1S_MED1_DMSO_2_7313_lociStitched
chr17
34110323
34116969


7_MM1S_MED1_DMSO_2_4966_lociStitched
chr13
114042783
114062417


3_MM1S_MED1_DMSO_2_14016_lociStitched
chr5
6528481
6550072


1_MM1S_MED1_DMSO_2_10942_lociStitched
chr20
42704197
42716062


4_MM1S_MED1_DMSO_2_13987_lociStitched
chr5
1541550
1578016


3_MM1S_MED1_DMSO_2_13707_lociStitched
chr4
129949673
129960374


2_MM1S_MED1_DMSO_2_10549_lociStitched
chr2
238264326
238277907


4_MM1S_MED1_DMSO_2_19321_lociStitched
chrX
128720479
128739812


3_MM1S_MED1_DMSO_2_9743_lociStitched
chr2
105694868
105718268


1_MM1S_MED1_DMSO_2_9393_lociStitched
chr2
47061614
47068522


3_MM1S_MED1_DMSO_2_10581_lociStitched
chr2
241152963
241176172


5_MM1S_MED1_DMSO_2_2158_lociStitched
chr10
71906942
71940173


3_MM1S_MED1_DMSO_2_3127_lociStitched
chr11
66789831
66814109


2_MM1S_MED1_DMSO_2_12973_lociStitched
chr3
188262377
188274985


1_MM1S_MED1_DMSO_2_14147_lociStitched
chr5
43072552
43079610


5_MM1S_MED1_DMSO_2_7714_lociStitched
chr17
70249246
70279117


2_MM1S_MED1_DMSO_2_13272_lociStitched
chr4
37805684
37812390


1_MM1S_MED1_DMSO_2_9642_lociStitched
chr2
86073843
86082122


1_MM1S_MED1_DMSO_2_13666_lociStitched
chr4
121888607
121891728


2_MM1S_MED1_DMSO_2_6598_lociStitched
chr16
55501343
55510262


4_MM1S_MED1_DMSO_2_12038_lociStitched
chr3
39222524
39251963


2_MM1S_MED1_DMSO_2_1926_lociStitched
chr10
15866384
15871377


2_MM1S_MED1_DMSO_2_5835_lociStitched
chr15
62961116
62976322


2_MM1S_MED1_DMSO_2_11661_lociStitched
chr22
37031196
37044926


1_MM1S_MED1_DMSO_2_2098_lociStitched
chr10
63326304
63335210


4_MM1S_MED1_DMSO_2_3547_lociStitched
chr11
128727439
128752307


3_MM1S_MED1_DMSO_2_12969_lociStitched
chr3
188185946
188202148


2_MM1S_MED1_DMSO_2_11345_lociStitched
chr21
43454397
43471457


3_MM1S_MED1_DMSO_2_19091_lociStitched
chrX
52966103
52981642


3_MM1S_MED1_DMSO_2_8625_lociStitched
chr19
16041917
16058919


3_MM1S_MED1_DMSO_2_1534_lociStitched
chr1
209753487
209768728


3_MM1S_MED1_DMSO_2_2769_lociStitched
chr11
16923726
16943228
















TABLE 3







Glioblastoma Super-Enhancers. Based on Gene Build hg18










REGION_ID
CHROM
START
STOP













18_U87_MED1_20020_lociStitched
chr3
45100470
45243521


12_U87_MED1_7111_lociStitched
chr12
64271490
64380497


22_U87_MED1_17388_lociStitched
chr2
237744314
237896194


8_U87_MED1_7790_lociStitched
chr12
126279637
126344656


16_U87_MED1_25966_lociStitched
chr6
44066339
44153887


20_U87_MED1_17421_lociStitched
chr2
237957090
238086756


13_U87_MED1_24508_lociStitched
chr5
135356769
135440815


5_U87_MED1_21695_lociStitched
chr3
195773224
195801953


10_U87_MED1_28029_lociStitched
chr7
100523787
100571097


6_U87_MED1_32110_lociStitched
chrX
45479800
45553892


U87_MED1_6148
chr11
121548066
121570391


19_U87_MED1_15336_lociStitched
chr2
46879598
46970410


6_U87_MED1_28324_lociStitched
chr7
130215723
130260073


17_U87_MED1_28910_lociStitched
chr8
23203324
23280028


6_U87_MED1_18087_lociStitched
chr20
45376522
45424087


4_U87_MED1_5653_lociStitched
chr11
64940094
64979948


9_U87_MED1_11378_lociStitched
chr16
76138395
76189426


2_U87_MED1_19517_lociStitched
chr3
4992550
5013365


9_U87_MED1_24067_lociStitched
chr5
90604451
90646666


6_U87_MED1_24844_lociStitched
chr5
150121686
150155852


5_U87_MED1_27721_lociStitched
chr7
72748931
72774831


10_U87_MED1_20211_lociStitched
chr3
55151891
55214347


6_U87_MED1_5659_lociStitched
chr11
64995165
65033129


3_U87_MED1_19044_lociStitched
chr22
28920868
28939971


8_U87_MED1_24834_lociStitched
chr5
149974547
150020460


13_U87_MED1_21089_lociStitched
chr3
142532100
142623859


19_U87_MED1_18679_lociStitched
chr21
38534163
38647146


11_U87_MED1_28206_lociStitched
chr7
115938214
116016989


3_U87_MED1_12623_lociStitched
chr17
55257387
55278945


15_U87_MED1_7069_lociStitched
chr12
61372699
61474955


U87_MED1_5680
chr11
65411528
65428724


U87_MED1_5682
chr11
65433153
65444824


U87_MED1_19439
chr22
44836466
44869626


2_U87_MED1_3956_lociStitched
chr10
73689550
73708761


4_U87_MED1_27840_lociStitched
chr7
81067427
81109206


3_U87_MED1_32102_lociStitched
chrX
45440741
45464841


5_U87_MED1_28952_lociStitched
chr8
24104754
24143595


21_U87_MED1_5003_lociStitched
chr11
12100995
12218222


11_U87_MED1_26945_lociStitched
chr6
158359374
158413800


10_U87_MED1_3959_lociStitched
chr10
73725225
73767483


5_U87_MED1_3340_lociStitched
chr10
17280959
17321940


5_U87_MED1_11362_lociStitched
chr16
75864680
75900842


4_U87_MED1_26256_lociStitched
chr6
86210398
86250125


10_U87_MED1_8940_lociStitched
chr14
61060615
61131816


7_U87_MED1_20945_lociStitched
chr3
128935531
128978089


7_U87_MED1_9371_lociStitched
chr14
95781765
95823179


7_U87_MED1_17803_lociStitched
chr20
29638882
29664742


6_U87_MED1_11435_lociStitched
chr16
81214233
81249274


8_U87_MED1_23347_lociStitched
chr5
14195028
14261996


21_U87_MED1_25200_lociStitched
chr5
172209298
172316383


6_U87_MED1_22301_lociStitched
chr4
74786901
74829347


8_U87_MED1_31350_lociStitched
chr9
117391466
117456436


2_U87_MED1_11091_lociStitched
chr16
55196851
55207509


3_U87_MED1_16900_lociStitched
chr2
207810793
207833238


14_U87_MED1_4025_lociStitched
chr10
76895156
76977932


7_U87_MED1_7635_lociStitched
chr12
119145594
119188677


15_U87_MED1_10048_lociStitched
chr15
65153353
65230563


12_U87_MED1_27257_lociStitched
chr7
22565898
22624022


1_U87_MED1_25943_lociStitched
chr6
43843596
43867854


4_U87_MED1_5758_lociStitched
chr11
68819807
68846515


3_U87_MED1_22330_lociStitched
chr4
75290119
75317605


12_U87_MED1_9569_lociStitched
chr15
30898025
30959213


14_U87_MED1_25174_lociStitched
chr5
172116992
172191454


15_U87_MED1_29037_lociStitched
chr8
28260823
28333470


5_U87_MED1_17455_lociStitched
chr2
238996356
239014679


4_U87_MED1_22339_lociStitched
chr4
75448510
75480580


2_U87_MED1_12177_lociStitched
chr17
35423480
35437302


9_U87_MED1_19052_lociStitched
chr22
28954187
29006184


5_U87_MED1_20569_lociStitched
chr3
100162550
100188309


9_U87_MED1_23186_lociStitched
chr4
189557679
189609237


11_U87_MED1_31536_lociStitched
chr9
129340908
129389008


4_U87_MED1_23355_lociStitched
chr5
14450202
14474301


U87_MED1_6146
chr11
121515959
121540976


8_U87_MED1_25729_lociStitched
chr6
30816520
30858966


10_U87_MED1_4983_lociStitched
chr11
12020084
12069159


16_U87_MED1_18248_lociStitched
chr20
51915427
52011299


2_U87_MED1_23778_lociStitched
chr5
64520345
64541781


9_U87_MED1_7528_lociStitched
chr12
110318731
110366261


1_U87_MED1_7124_lociStitched
chr12
64501251
64520825


12_U87_MED1_12963_lociStitched
chr17
73791501
73869039


11_U87_MED1_19190_lociStitched
chr22
35053881
35115041


10_U87_MED1_21395_lociStitched
chr3
171889621
171955016


8_U87_MED1_1494_lociStitched
chr1
94946918
94980513


11_U87_MED1_18744_lociStitched
chr21
41905622
41959032


5_U87_MED1_16409_lociStitched
chr2
160767297
160807533


7_U87_MED1_24782_lociStitched
chr5
149368846
149428980


11_U87_MED1_30075_lociStitched
chr8
128970951
129032504


7_U87_MED1_3670_lociStitched
chr10
49466581
49513686


11_U87_MED1_96_lociStitched
chr1
7976379
8045080


7_U87_MED1_18338_lociStitched
chr20
58219251
58265651


7_U87_MED1_24799_lociStitched
chr5
149623193
149663216


13_U87_MED1_31238_lociStitched
chr9
113811355
113877599


11_U87_MED1_4127_lociStitched
chr10
80528198
80590428


2_U87_MED1_26448_lociStitched
chr6
112461732
112477579


7_U87_MED1_28103_lociStitched
chr7
105771944
105806491


18_U87_MED1_31033_lociStitched
chr9
100772868
100889180


14_U87_MED1_30675_lociStitched
chr9
37974257
38060126


8_U87_MED1_10549_lociStitched
chr15
99038601
99089992


11_U87_MED1_9182_lociStitched
chr14
76439874
76498969


7_U87_MED1_24848_lociStitched
chr5
150413621
150465246


6_U87_MED1_23363_lociStitched
chr5
14492548
14555243


3_U87_MED1_13121_lociStitched
chr18
3575542
3597033


12_U87_MED1_24585_lociStitched
chr5
138995233
139071634


6_U87_MED1_5284_1ociStitched
chr11
35116090
35159659


8_U87_MED1_3521_lociStitched
chr10
33284148
33345221


7_U87_MED1_3616_lociStitched
chr10
43658240
43708520


13_U87_MED1_9361_lociStitched
chr14
95621243
95685962


4_U87_MED1_1127_lociStitched
chr1
58992223
59025064


7_U87_MED1_12194_lociStitched
chr17
35693162
35742563


8_U87_MED1_16879_lociStitched
chr2
206252656
206308088


9_U87_MED1_8736_lociStitched
chr14
34901740
34946481


4_U87_MED1_31655_lociStitched
chr9
132701910
132727822


9_U87_MED1_28850_lociStitched
chr8
22269372
22319900


6_U87_MED1_1768_lociStitched
chr1
143784496
143840429


4_U87_MED1_103_lociStitched
chr1
8059282
8081510


7_U87_MED1_2854_lociStitched
chr1
222980231
223015835


8_U87_MED1_10117_lociStitched
chr15
68542055
68588784


7_U87_MED1_9901_lociStitched
chr15
58441168
58488832


3_U87_MED1_15883_lociStitched
chr2
101938979
101958391


3_U87_MED1_2303_lociStitched
chr1
181502080
181517873


3_U87_MED1_9993_lociStitched
chr15
63374614
63385055


5_U87_MED1_4927_lociStitched
chr11
10276396
10310109


8_U87_MED1_152_lociStitched
chr1
9145323
9194908


7_U87_MED1_9271_lociStitched
chr14
90758863
90795031


5_U87_MED1_292_lociStitched
chr1
16147097
16166359


9_U87_MED1_21428_lociStitched
chr3
173326232
173383239


3_U87_MED1_1480_lociStitched
chr1
94764000
94783945


8_U87_MED1_23764_lociStitched
chr5
64362972
64408615


3_U87_MED1_29946_lociStitched
chr8
123392549
123407278


7_U87_MED1_12906_lociStitched
chr17
72195710
72225546


8_U87_MED1_15990_lociStitched
chr2
113267162
113314982


7_U87_MED1_116_lociStitched
chr1
8176575
8201970


5_U87_MED1_3649_lociStitched
chr10
44783418
44814443


U87_MED1_12057
chr17
26944014
26950786


2_U87_MED1_28437_lociStitched
chr7
137207368
137218994


5_U87_MED1_12467_lociStitched
chr17
45458793
45498200


6_U87_MED1_7769_lociStitched
chr12
123954906
123991790


8_U87_MED1_31230_lociStitched
chr9
113739183
113777283


5_U87_MED1_31605_lociStitched
chr9
131283335
131311945


7_U87_MED1_13271_lociStitched
chr18
18500819
18546785


6_U87_MED1_11526_lociStitched
chr16
85154494
85187872


6_U87_MED1_10162_lociStitched
chr15
72000419
72046025


2_U87_MED1_23340_lociStitched
chr5
14085673
14095662


2_U87_MED1_19978_lociStitched
chr3
43871898
43892096


3_U87_MED1_6430_lociStitched
chr12
6511065
6534804


9_U87_MED1_19998_lociStitched
chr3
45053955
45084099


7_U87_MED1_16195_lociStitched
chr2
134284761
134318932


11_U87_MED1_23940_lociStitched
chr5
77835851
77885336


6_U87_MED1_27845_lociStitched
chr7
81142953
81184064


4_U87_MED1_17882_lociStitched
chr20
33353373
33372955


10_U87_MED1_28600_lociStitched
chr7
154610962
154658753


5_U87_MED1_4664_lociStitched
chr10
124030434
124058691


4_U87_MED1_31381_lociStitched
chr9
118068405
118091501


3_U87_MED1_29735_lociStitched
chr8
103869131
103893137


5_U87_MED1_10189_lociStitched
chr15
72475467
72510666


10_U87_MED1_24811_lociStitched
chr5
149818464
149877985


7_U87_MED1_30097_lociStitched
chr8
129248470
129279733


3_U87_MED1_9036_lociStitched
chr14
68314932
68333600


5_U87_MED1_20051_lociStitched
chr3
46104252
46131876


4_U87_MED1_1138_lociStitched
chr1
59085582
59122632


4_U87_MED1_15701_lociStitched
chr2
75667467
75701638


4_U87_MED1_711_lociStitched
chr1
33565656
33589393


8_U87_MED1_13446_lociStitched
chr18
42508896
42556266


10_U87_MED1_30394_lociStitched
chr9
3846346
3907818


3_U87_MED1_19433_lociStitched
chr22
44770633
44789144


8_U87_MED1_12920_lociStitched
chr17
72792423
72841736


3_U87_MED1_29401_lociStitched
chr8
62831256
62843484


8_U87_MED1_23950_lociStitched
chr5
77897945
77947772


4_U87_MED1_11532_lociStitched
chr16
85244100
85274282


3_U87_MED1_17802_lociStitched
chr20
29610545
29626036


9_U87_MED1_7003_lociStitched
chr12
55806899
55852250


9_U87_MED1_30667_lociStitched
chr9
37919181
37959597


5_U87_MED1_23475_lociStitched
chr5
34599305
34646619


9_U87_MED1_21809_lociStitched
chr4
5774565
5812219


5_U87_MED1_2484_lociStitched
chr1
199931838
199958314


2_U87_MED1_18366_lociStitched
chr20
60595254
60615120


3_U87_MED1_7103_lociStitched
chr12
64204208
64218785


2_U87_MED1_20034_lociStitched
chr3
45560540
45571271


3_U87_MED1_12304_lociStitched
chr17
38789690
38802753


5_U87_MED1_22699_lociStitched
chr4
123904338
123939922


4_U87_MED1_9736_lociStitched
chr15
43521877
43538803


7_U87_MED1_11894_lociStitched
chr17
16864733
16908403


5_U87_MED1_22347_lociStitched
chr4
75606560
75632402


7_U87_MED1_3329_lociStitched
chr10
17067573
17112416


7_U87_MED1_11080_lociStitched
chr16
54061119
54092821


6_U87_MED1_3934_lociStitched
chr10
73013845
73035645


8_U87_MED1_9304_lociStitched
chr14
92160646
92214011


8_U87_MED1_131_lociStitched
chr1
8851431
8891614


6_U87_MED1_2968_lociStitched
chr1
232801400
232834869


7_U87_MED1_4111_lociStitched
chr10
80355085
80408481


7_U87_MED1_6339_lociStitched
chr12
2222492
2249299


4_U87_MED1_26068_lociStitched
chr6
52475692
52496081


10_U87_MED1_27934_lociStitched
chr7
93489372
93537292


5_U87_MED1_3808_lociStitched
chr10
64315142
64346977


3_U87_MED1_944_lociStitched
chr1
44945138
44970174


3_U87_MED1_18034_lociStitched
chr20
43147144
43169721


3_U87_MED1_325_lociStitched
chr1
17094881
17113779


3_U87_MED1_3042_lociStitched
chr1
238461272
238489689


9_U87_MED1_1156_lociStitched
chr1
59361216
59425669


6_U87_MED1_30197_lociStitched
chr8
134210870
134248321


3_U87_MED1_32076_lociStitched
chrX
43702439
43721105


8_U87_MED1_5161_lociStitched
chr11
27864823
27914163


9_U87_MED1_2459_lociStitched
chr1
199680258
199726111


4_U87_MED1_7235_lociStitched
chr12
74697858
74717726


5_U87_MED1_4730_lociStitched
chr10
127900118
127932927


6_U87_MED1_22320_lociStitched
chr4
75178405
75219573


5_U87_MED1_7127_lociStitched
chr12
64537567
64575468


4_U87_MED1_17184_lociStitched
chr2
226993280
227021635


5_U87_MED1_16908_lociStitched
chr2
207958570
207998045


5_U87_MED1_15976_lociStitched
chr2
113096151
113124471


5_U87_MED1_19506_lociStitched
chr3
4727890
4764151


1_U87_MED1_204_lociStitched
chr1
11889850
11893062


3_U87_MED1_13789_lociStitched
chr19
1198622
1219360


5_U87_MED1_4735_lociStitched
chr10
128052098
128101696


5_U87_MED1_31406_lociStitched
chr9
122171758
122206963


5_U87_MED1_9188_lociStitched
chr14
76558717
76596203


2_U87_MED1_8973_lociStitched
chr14
64612804
64614687


11_U87_MED1_18186_lociStitched
chr20
49369237
49419385


2_U87_MED1_29678_lociStitched
chr8
99439088
99452526


4_U87_MED1_5551_lociStitched
chr11
61478002
61500583


10_U87_MED1_2485_lociStitched
chr1
199971787
200011527


6_U87_MED1_3459_lociStitched
chr10
29949767
29989251


7_U87_MED1_17938_lociStitched
chr20
36229309
36280924


6_U87_MED1_21893_lociStitched
chr4
13498370
13544429


5_U87_MED1_18845_lociStitched
chr21
46282572
46307112


5_U87_MED1_28712_lociStitched
chr8
11343022
11377910


5_U87_MED1_11837_lociStitched
chr17
13568637
13595972


5_U87_MED1_26443_lociStitched
chr6
112399077
112447095


10_U87_MED1_27794_lociStitched
chr7
76875842
76933318


6_U87_MED1_3787_lociStitched
chr10
63974312
64024395


3_U87_MED1_32094_lociStitched
chrX
45249029
45269337


7_U87_MED1_2818_lociStitched
chr1
221956329
221986465


1_U87_MED1_7642_lociStitched
chr12
119212723
119216302


5_U87_MED1_15994_lociStitched
chr2
113341276
113362882


5_U87_MED1_20226_lociStitched
chr3
55462763
55499466


8_U87_MED1_25357_lociStitched
chr5
179683140
179713756


10_U87_MED1_21194_lociStitched
chr3
150772593
150825135


4_U87_MED1_19522_lociStitched
chr3
5033023
5054218


4_U87_MED1_15905_lociStitched
chr2
105378414
105401351


3_U87_MED1_17219_lociStitched
chr2
228388427
228408117


2_U87_MED1_13120_lociStitched
chr18
3436350
3456896


4_U87_MED1_3990_lociStitched
chr10
75315563
75338505


4_U87_MED1_11024_lociStitched
chr16
49738943
49767162


5_U87_MED1_770_lociStitched
chr1
36580667
36626685


4_U87_MED1_719_lociStitched
chr1
33647773
33674750


3_U87_MED1_24071_lociStitched
chr5
90698489
90717110


12_U87_MED1_5468_lociStitched
chr11
56798699
56850272


4_U87_MED1_15820_lociStitched
chr2
99841615
99866659


4_U87_MED1_12059_lociStitched
chr17
27024805
27048099


4_U87_MED1_19578_lociStitched
chr3
10205559
10223302


9_U87_MED1_31314_lociStitched
chr9
116906615
116969979


5_U87_MED1_17381_lociStitched
chr2
237695304
237731727


4_U87_MED1_15023_lociStitched
chr2
28463256
28486432


6_U87_MED1_16974_lociStitched
chr2
216253277
216287004


6_U87_MED1_16311_lociStitched
chr2
151031128
151061882


6_U87_MED1_3547_lociStitched
chr10
33659030
33711377


5_U87_MED1_11814_lociStitched
chr17
13181474
13210125


4_U87_MED1_28576_lociStitched
chr7
151008488
151029657


1_U87_MED1_13124_lociStitched
chr18
3611922
3616326


8_U87_MED1_3534_lociStitched
chr10
33444568
33494188


6_U87_MED1_1871_lociStitched
chr1
150209432
150241437


2_U87_MED1_18051_lociStitched
chr20
43832868
43845622


3_U87_MED1_10146_lociStitched
chr15
70301493
70317899


7_U87_MED1_2527_lociStitched
chr1
201747626
201796040


13_U87_MED1_24272_lociStitched
chr5
112383768
112458948


5_U87_MED1_26430_lociStitched
chr6
112137473
112179561


4_U87_MED1_13429_lociStitched
chr18
41626488
41662617


6_U87_MED1_8590_lociStitched
chr13
113882656
113916801


9_U87_MED1_9551_lociStitched
chr15
30738592
30802325


6_U87_MED1_17744_lociStitched
chr20
23071349
23090627


6_U87_MED1_10416_lociStitched
chr15
88161556
88193745


3_U87_MED1_5273_lociStitched
chr11
35007450
35019639


2_U87_MED1_1556_lociStitched
chr1
100859494
100870177


4_U87_MED1_29271_lociStitched
chr8
49481932
49508141


5_U87_MED1_19225_lociStitched
chr22
36029312
36057715


5_U87_MED1_29265_lociStitched
chr8
49377506
49400335


10_U87_MED1_9028_lociStitched
chr14
68199644
68255143


8_U87_MED1_12801_lociStitched
chr17
67895139
67931773


2_U87_MED1_4101_lociStitched
chr10
79683341
79694556


5_U87_MED1_16956_lociStitched
chr2
215974532
216011850


6_U87_MED1_32082_lociStitched
chrX
43746648
43786932


4_U87_MED1_18137_lociStitched
chr20
48353990
48372553


1_U87_MED1_5584_lociStitched
chr11
62363092
62367099


6_U87_MED1_15922_lociStitched
chr2
108226124
108262222


5_U87_MED1_16864_lociStitched
chr2
204370112
204385649


14_U87_MED1_16427_lociStitched
chr2
160916322
160997972


8_U87_MED1_23630_lociStitched
chr5
52329945
52369930


5_U87_MED1_17309_lociStitched
chr2
234814049
234832679


U87_MED1_12055
chr17
26929956
26934384


6_U87_MED1_23098_lociStitched
chr4
182794994
182847907


7_U87_MED1_2995_lociStitched
chr1
233157788
233200699


4_U87_MED1_4147_lociStitched
chr10
80745860
80764435


10_U87_MED1_25839_lociStitched
chr6
35221878
35273955


2_U87_MED1_3179_lociStitched
chr10
4794967
4808857


5_U87_MED1_12475_lociStitched
chr17
45628535
45655344


3_U87_MED1_28098_lociStitched
chr7
105697048
105714277


1_U87_MED1_23343_lociStitched
chr5
14157879
14165158


6_U87_MED1_20739_lociStitched
chr3
113836451
113858193


6_U87_MED1_2468_lociStitched
chr1
199766249
199799338


4_U87_MED1_4913_lociStitched
chr11
9730174
9767132


2_U87_MED1_20084_lociStitched
chr3
48567365
48579540


6_U87_MED1_28721_lociStitched
chr8
11390711
11411534


5_U87_MED1_7081_lociStitched
chr12
62839721
62868417


4_U87_MED1_23208_lociStitched
chr4
190929117
190951845


8_U87_MED1_15178_lociStitched
chr2
37846146
37884311


5_U87_MED1_9939_lociStitched
chr15
60965417
60980962


9_U87_MED1_18605_lociStitched
chr21
35076849
35141236


7_U87_MED1_9763_lociStitched
chr15
46746824
46776787


3_U87_MED1_27564_lociStitched
chr7
45880224
45893741


5_U87_MED1_28912_lociStitched
chr8
23294269
23325787


2_U87_MED1_4059_lociStitched
chr10
78777531
78788869


5_U87_MED1_23069_lociStitched
chr4
178139337
178175485


3_U87_MED1_12646_lociStitched
chr17
56755482
56771755


3_U87_MED1_16239_lociStitched
chr2
143331502
143355637


3_U87_MED1_29002_lociStitched
chr8
26540715
26557275


6_U87_MED1_29815_lociStitched
chr8
116499299
116540088


6_U87_MED1_31373_lociStitched
chr9
118032147
118053805


4_U87_MED1_1780_lociStitched
chr1
144138664
144168151


5_U87_MED1_30166_lociStitched
chr8
132922317
132943207


9_U87_MED1_30246_lociStitched
chr8
134963771
135009147


3_U87_MED1_23445_lociStitched
chr5
33334716
33357539


6_U87_MED1_17250_lociStitched
chr2
230173938
230207111


5_U87_MED1_18788_lociStitched
chr21
43737139
43761842


6_U87_MED1_26457_lociStitched
chr6
112629871
112666312


6_U87_MED1_12208_lociStitched
chr17
35930846
35971407


9_U87_MED1_28935_lociStitched
chr8
23632043
23677190


6_U87_MED1_15610_lociStitched
chr2
72004300
72031901


4_U87_MED1_28289_lociStitched
chr7
128254122
128269877


1_U87_MED1_5182_lociStitched
chr11
28810629
28817709


2_U87_MED1_18609_lociStitched
chr21
35174645
35187060


5_U87_MED1_28350_lociStitched
chr7
130960595
130990571


4_U87_MED1_22927_lociStitched
chr4
158071384
158094259


5_U87_MED1_4012_lociStitched
chr10
76826281
76861798


7_U87_MED1_379_lociStitched
chr1
19621887
19652224


6_U87_MED1_18585_lociStitched
chr21
34818327
34848489


5_U87_MED1_904_lociStitched
chr1
43160882
43182066


2_U87_MED1_15586_lociStitched
chr2
70676208
70689547


2_U87_MED1_31394_lociStitched
chr9
118343216
118354200


1_U87_MED1_23352_lociStitched
chr5
14316952
14324472


10_U87_MED1_19673_lociStitched
chr3
14426598
14490180


6_U87_MED1_4067_lociStitched
chr10
78929913
78962884


4_U87_MED1_29950_lociStitched
chr8
123509564
123529619


4_U87_MED1_31528_lociStitched
chr9
129297192
129326262


4_U87_MED1_20561_lociStitched
chr3
100091920
100125071


5_U87_MED1_28581_lociStitched
chr7
151055255
151084698


5_U87_MED1_26426_lociStitched
chr6
111980027
112035051


2_U87_MED1_18956_lociStitched
chr22
23149440
23163217


2_U87_MED1_1656_lociStitched
chr1
112077002
112088768


4_U87_MED1_15603_lociStitched
chr2
71956835
71971756


3_U87_MED1_30321_lociStitched
chr8
145079732
145099991


3_U87_MED1_233_lociStitched
chr1
12575481
12603692


6_U87_MED1_28749_lociStitched
chr8
13254372
13279984


7_U87_MED1_1977_lociStitched
chr1
154332675
154367183


2_U87_MED1_18293_lociStitched
chr20
56022630
56028783


9_U87_MED1_886_lociStitched
chr1
41966619
42023301


6_U87_MED1_16981_lociStitched
chr2
216300355
216347664


6_U87_MED1_28927_lociStitched
chr8
23451758
23481764


1_U87_MED1_30073_lociStitched
chr8
128932139
128937025


5_U87_MED1_19816_lociStitched
chr3
27537533
27571776


7_U87_MED1_7805_lociStitched
chr12
126597650
126639572


5_U87_MED1_25946_lociStitched
chr6
43985976
44003858


3_U87_MED1_28109_lociStitched
chr7
105844701
105854365


2_U87_MED1_9252_lociStitched
chr14
89810151
89818908


4_U87_MED1_27267_lociStitched
chr7
22723409
22739542


13_U87_MED1_28793_lociStitched
chr8
19068482
19131291


6_U87_MED1_5481_lociStitched
chr11
56930199
56959561


2_U87_MED1_27568_lociStitched
chr7
45915902
45931369


6_U87_MED1_4303_lociStitched
chr10
95208065
95226275


7_U87_MED1_7132_lociStitched
chr12
64596525
64639788


6_U87_MED1_16065_lociStitched
chr2
121175738
121225198


U87_MED1_14366
chr19
47304243
47311641


7_U87_MED1_18808_lociStitched
chr21
43994975
44024520


2_U87_MED1_5008_lociStitched
chr11
12259582
12267357


4_U87_MED1_26112_lociStitched
chr6
56306428
56344388


2_U87_MED1_3174_lociStitched
chr10
4694138
4705791


7_U87_MED1_17815_lociStitched
chr20
29747030
29779683


4_U87_MED1_8309_lociStitched
chr13
79502139
79529052


8_U87_MED1_15724_lociStitched
chr2
84968849
85007114


5_U87_MED1_24412_lociStitched
chr5
131448786
131468778


6_U87_MED1_3854_lociStitched
chr10
69512331
69537255


4_U87_MED1_14415_lociStitched
chr19
49931469
49950265


5_U87_MED1_14037_lociStitched
chr19
13121190
13144815


4_U87_MED1_7978_lociStitched
chr13
32722777
32758954


6_U87_MED1_8934_lociStitched
chr14
60998858
61027173


1_U87_MED1_31355_lociStitched
chr9
117490731
117497452


4_U87_MED1_16010_lociStitched
chr2
113713570
113730597


8_U87_MED1_29905_lociStitched
chr8
120625584
120684952


1_U87_MED1_12621_lociStitched
chr17
55214356
55220009


4_U87_MED1_18033_lociStitched
chr20
43105683
43130852


1_U87_MED1_14566_lociStitched
chr19
56760348
56770942


3_U87_MED1_6635_lociStitched
chr12
26157496
26179828


10_U87_MED1_26800_lociStitched
chr6
148859778
148930005


11_U87_MED1_3404_lociStitched
chr10
24761351
24796199


U87_MED1_6149
chr11
121571509
121574883


4_U87_MED1_30210_lociStitched
chr8
134368437
134385618


6_U87_MED1_1544_lociStitched
chr1
99882905
99924721


5_U87_MED1_12392_lociStitched
chr17
42688819
42727303


8_U87_MED1_20455_lociStitched
chr3
72114549
72164267


9_U87_MED1_28371_lociStitched
chr7
133767195
133816793


4_U87_MED1_1833_lociStitched
chr1
148842282
148859888


1_U87_MED1_16194_lociStitched
chr2
134260935
134266764


5_U87_MED1_3298_lociStitched
chr10
14467377
14497715


5_U87_MED1_19494_lociStitched
chr3
4417975
4444229


5_U87_MED1_23525_lociStitched
chr5
37806374
37829663


7_U87_MED1_20638_lociStitched
chr3
103127775
103167026


5_U87_MED1_15026_lociStitched
chr2
28518271
28546447


5_U87_MED1_24346_lociStitched
chr5
121505170
121548141


1_U87_MED1_72_lociStitched
chr1
7279930
7284880


2_U87_MED1_22344_lociStitched
chr4
75583830
75590802


2_U87_MED1_19612_lociStitched
chr3
11295015
11308874


5_U87_MED1_6644_lociStitched
chr12
26315522
26344028


4_U87_MED1_18578_lociStitched
chr21
34262111
34276116


3_U87_MED1_16960_lociStitched
chr2
216100277
216111305


3_U87_MED1_11901_lociStitched
chr17
16984314
17001391


3_U87_MED1_5664_lociStitched
chr11
65079515
65090536


4_U87_MED1_14346_lociStitched
chr19
46416158
46427894


2_U87_MED1_24022_lociStitched
chr5
86448382
86461105


3_U87_MED1_12721_lociStitched
chr17
61694793
61709067


6_U87_MED1_24200_lociStitched
chr5
106725129
106753981


11_U87_MED1_25306_lociStitched
chr5
177709555
177748817


7_U87_MED1_13705_lociStitched
chr18
66175119
66216988


5_U87_MED1_14892_lociStitched
chr2
20229043
20250537


5_U87_MED1_358_lociStitched
chr1
18060509
18078661


8_U87_MED1_29868_lociStitched
chr8
119059307
119101868


2_U87_MED1_31353_lociStitched
chr9
117468982
117476962


4_U87_MED1_26509_lociStitched
chr6
117867944
117880133


4_U87_MED1_6791_lociStitched
chr12
45948501
45963507


1_U87_MED1_7316_lociStitched
chr12
88263372
88272888


1_U87_MED1_28454_lociStitched
chr7
139014545
139019742


3_U87_MED1_29676_lociStitched
chr8
99413377
99423302


6_U87_MED1_23651_lociStitched
chr5
52728355
52762900


4_U87_MED1_29126_lociStitched
chr8
32294513
32321547


1_U87_MED1_16937_lociStitched
chr2
213414737
213420189


5_U87_MED1_9017_lociStitched
chr14
68071320
68092309


2_U87_MED1_7050_lociStitched
chr12
61281616
61290216


2_U87_MED1_8479_lociStitched
chr13
105600869
105608876


3_U87_MED1_28991_lociStitched
chr8
26361671
26378373


9_U87_MED1_3200_lociStitched
chr10
5566940
5627226


3_U87_MED1_30976_lociStitched
chr9
96662387
96672240


4_U87_MED1_29291_lociStitched
chr8
49966143
50006378


6_U87_MED1_9106_lociStitched
chr14
72173702
72203999


8_U87_MED1_16377_lociStitched
chr2
158024751
158054345


5_U87_MED1_21864_lociStitched
chr4
9775313
9798168


4_U87_MED1_11370_lociStitched
chr16
75998735
76031950


7_U87_MED1_15218_lociStitched
chr2
39560078
39595092


8_U87_MED1_12696_lociStitched
chr17
59756987
59812906


8_U87_MED1_25005_lociStitched
chr5
159233084
159273365


2_U87_MED1_14996_lociStitched
chr2
27872924
27887411


1_U87_MED1_9389_lociStitched
chr14
96712814
96717531


5_U87_MED1_27903_lociStitched
chr7
92088104
92112431


7_U87_MED1_4679_lociStitched
chr10
124239479
124271216


6_U87_MED1_30005_lociStitched
chr8
125807278
125854903


6_U87_MED1_28456_lociStitched
chr7
139069397
139084495


2_U87_MED1_24155_lociStitched
chr5
97670802
97679322


8_U87_MED1_21597_lociStitched
chr3
189462566
189498548


6_U87_MED1_11827_lociStitched
chr17
13364635
13408579


7_U87_MED1_3680_lociStitched
chr10
50039199
50063569


2_U87_MED1_19061_lociStitched
chr22
29134450
29153278


3_U87_MED1_23518_lociStitched
chr5
37750719
37760798


3_U87_MED1_7310_lociStitched
chr12
88073577
88084969


1_U87_MED1_13590_lociStitched
chr18
54176974
54185409


8_U87_MED1_8053_lociStitched
chr13
42279138
42321467


4_U87_MED1_12184_lociStitched
chr17
35505423
35524108


4_U87_MED1_13264_lociStitched
chr18
18384075
18398874


2_U87_MED1_9121_lociStitched
chr14
72995992
73005780


1_U87_MED1_318_lociStitched
chr1
16712459
16713704


4_U87_MED1_28428_lociStitched
chr7
136991184
137032443


1_U87_MED1_21899_lociStitched
chr4
13595377
13602846


6_U87_MED1_1236_lociStitched
chr1
66500300
66532014


2_U87_MED1_23649_lociStitched
chr5
52691426
52701566


2_U87_MED1_1146_lociStitched
chr1
59278815
59285007


3_U87_MED1_4738_lociStitched
chr10
128136077
128148428


1_U87_MED1_16895_lociStitched
chr2
207733794
207741019


U87_MED1_6147
chr11
121541171
121547835


8_U87_MED1_18611_lociStitched
chr21
35259187
35300591


5_U87_MED1_21690_lociStitched
chr3
195673864
195696713


6_U87_MED1_24681_lociStitched
chr5
142535854
142577824


4_U87_MED1_25215_lociStitched
chr5
172809327
172835222


4_U87_MED1_14706_lociStitched
chr2
9220694
9250055


5_U87_MED1_17204_lociStitched
chr2
227939599
227962404


8_U87_MED1_28194_lociStitched
chr7
115849254
115893839


5_U87_MED1_19772_lociStitched
chr3
23665020
23703368


3_U87_MED1_15004_lociStitched
chr2
28029902
28039153


4_U87_MED1_106_lociStitched
chr1
8103590
8124963


5_U87_MED1_817_lociStitched
chr1
39625358
39648692


6_U87_MED1_28612_lociStitched
chr7
154678056
154722945


7_U87_MED1_432_lociStitched
chr1
21495634
21538118


2_U87_MED1_31267_lociStitched
chr9
115421719
115435645


7_U87_MED1_12576_lociStitched
chr17
53290132
53326319


6_U87_MED1_19801_lociStitched
chr3
25588763
25621509


3_U87_MED1_27050_lociStitched
chr7
183514
197682


9_U87_MED1_14480_lociStitched
chr19
52127006
52186848


6_U87_MED1_19418_lociStitched
chr22
44358335
44388085


2_U87_MED1_30163_lociStitched
chr8
132894337
132909622


U87_MED1_14367
chr19
47316482
47321267


4_U87_MED1_12273_lociStitched
chr17
37922830
37933478


5_U87_MED1_24689_lociStitched
chr5
142592522
142623091


4_U87_MED1_20269_lociStitched
chr3
58004870
58021097


3_U87_MED1_27523_lociStitched
chr7
43645607
43666145


1_U87_MED1_17177_lociStitched
chr2
226687043
226693005


2_U87_MED1_6543_lociStitched
chr12
13239108
13252365


5_U87_MED1_17087_lociStitched
chr2
220013772
220043266


1_U87_MED1_30069_lociStitched
chr8
128815091
128825309


4_U87_MED1_29371_lociStitched
chr8
59816874
59844700


1_U87_MED1_6537_lociStitched
chr12
13141485
13148287


7_U87_MED1_5290_lociStitched
chr11
35188819
35225440


2_U87_MED1_27570_lociStitched
chr7
45982964
45992590


2_U87_MED1_14283_lociStitched
chr19
43180211
43188202


4_U87_MED1_15878_lociStitched
chr2
101801067
101827913


7_U87_MED1_3818_lociStitched
chr10
64389081
64435800


1_U87_MED1_1809_lociStitched
chr1
148122343
148127505


7_U87_MED1_4527_lociStitched
chr10
112142380
112177089


3_U87_MED1_779_lociStitched
chr1
37709463
37726142


3_U87_MED1_28080_lociStitched
chr7
104399029
104413643


8_U87_MED1_18902_lociStitched
chr22
19188215
19237227


2_U87_MED1_16544_lociStitched
chr2
173720790
173735078


3_U87_MED1_14022_lociStitched
chr19
12749117
12766578


4_U87_MED1_1829_lociStitched
chr1
148799756
148819583


3_U87_MED1_1539_lociStitched
chr1
99827254
99845083


3_U87_MED1_4484_lociStitched
chr10
106077029
106101948


5_U87_MED1_30974_lociStitched
chr9
96582128
96608518


5_U87_MED1_8539_lociStitched
chr13
109840351
109863235


2_U87_MED1_21146_lociStitched
chr3
147358174
147368300


3_U87_MED1_13125_lociStitched
chr18
3638374
3656877


6_U87_MED1_24416_lociStitched
chr5
131578682
131630139


6_U87_MED1_27818_1ociStitched
chr7
80166238
80194389


4_U87_MED1_31023_lociStitched
chr9
100662763
100685315


2_U87_MED1_15229_lociStitched
chr2
40176624
40187049
















TABLE 4







SCLC Super-Enhancers Based on Gene Build hg 18










REGION_ID
CHROM
START
STOP













1_H2171_MED1_1_1640_lociStitched
chr12
6920935
6927602


3_H2171_MED1_1_4743_lociStitched
chr20
20467079
20497912


7_H2171_MED1_1_1324_lociStitched
chr11
44999379
45032693


7_H2171_MED1_1_4739_lociStitched
chr20
20368291
20422337


3_H2171_MED1_1_4728_lociStitched
chr20
20127551
20146821


5_H2171_MED1_1_2525_lociStitched
chr14
100006544
100041089


10_H2171_MED1_1_1318_lociStitched
chr11
44914282
44976798


7_H2171_MED1_1_3367_lociStitched
chr17
52974161
53020737


5_H2171_MED1_1_2568_lociStitched
chr14
105386944
105407220


4_H2171_MED1_1_2193_lociStitched
chr13
70984696
70997790


4_H2171_MED1_1_1411_lociStitched
chr11
65001189
65034088


5_H2171_MED1_1_2727_lociStitched
chr15
67058222
67081109


4_H2171_MED1_1_4448_lociStitched
chr2
182187487
182216832


2_H2171_MED1_1_3306_lociStitched
chr17
38792864
38802484


7_H2171_MED1_1_3117_lociStitched
chr16
84027236
84077758


4_H2171_MED1_1_2523_lociStitched
chr14
99952877
99984071


4_H2171_MED1_1_6398_lociStitched
chr6
20798985
20817496


1_H2171_MED1_1_5368_lociStitched
chr3
73242222
73243091


2_H2171_MED1_1_1409_lociStitched
chr11
64938799
64950566


10_H2171_MED1_1_5063_lociStitched
chr22
28420926
28471660


3_H2171_MED1_1_1518_lociStitched
chr11
110675092
110687227


2_H2171_MED1_1_106_lociStitched
chr1
17094879
17105111


7_H2171_MED1_1_370_lociStitched
chr1
61124688
61164318


3_H2171_MED1_1_4670_lociStitched
chr20
5763423
5778470


3_H2171_MED1_1_2458_lociStitched
chr14
80493803
80524114


2_H2171_MED1_1_2703_lociStitched
chr15
63374895
63384854


2_H2171_MED1_1_196_lociStitched
chr1
27718317
27729348


1_H2171_MED1_1_1626_lociStitched
chr12
1909405
1917933


1_H2171_MED1_1_2022_lociStitched
chr12
119212791
119216166


7_H2171_MED1_1_2994_lociStitched
chr16
48115499
48154218


1_H2171_MED1_1_1385_lociStitched
chr11
62364199
62367040


3_H2171_MED1_1_355_lociStitched
chr1
60460911
60473852


8_H2171_MED1_1_4077_lociStitched
chr2
50900527
50957040


3_H2171_MED1_1_4992_lociStitched
chr21
45354314
45373451


3_H2171_MED1_1_4776_lociStitched
chr20
29744744
29765111


1_H2171_MED1_1_86_lociStitched
chr1
11890040
11892976


1_H2171_MED1_1_4772_lociStitched
chr20
29655198
29660784


1_H2171_MED1_1_1806_lociStitched
chr12
55914077
55924333


6_H2171_MED1_1_4832_lociStitched
chr20
44860383
44878078


7_H2171_MED1_1_2352_lociStitched
chr14
54625929
54653893


4_H2171_MED1_1_2589_lociStitched
chr15
29345063
29360788


9_H2171_MED1_1_1076_lociStitched
chr10
80658480
80712619


2_H2171_MED1_1_6438_lociStitched
chr6
26263284
26281349


5_H2171_MED1_1_4748_lociStitched
chr20
20518980
20554248


3_H2171_MED1_1_1797_lociStitched
chr12
53731066
53749016


5_H2171_MED1_1_259_lociStitched
chr1
41603873
41629260


2_H2171_MED1_1_4451_lociStitched
chr2
182245805
182255349


7_H2171_MED1_1_4066_lociStitched
chr2
50831888
50874042


3_H2171_MED1_1_1331_lociStitched
chr11
45063502
45081811


3_H2171_MED1_1_7960_lociStitched
chr9
131283833
131300537


1_H2171_MED1_1_3376_lociStitched
chr17
54062985
54065019


2_H2171_MED1_1_3964_lociStitched
chr2
8734984
8744081


1_H2171_MED1_1_844_lociStitched
chr1
232925154
232930496


2_H2171_MED1_1_3925_lociStitehed
chr2
2305821
2317044


1_H2171_MED1_1_7716_lociStitched
chr9
72222711
72226329


1_H2171_MED1_1_3377_lociStitched
chr17
54090881
54092427


1_H2171_MED1_1_2879_lociStitched
chr16
2456826
2462820


3_H2171_MED1_1_2486_lociStitched
chr14
90046046
90059450


3_H2171_MED1_1_6363_lociStitched
chr6
17580996
17600893


4_H2171_MED1_1_2646_lociStitched
chr15
44378691
44396308


3_H2171_MED1_1_7981_lociStitched
chr9
133669354
133683692


5_H2171_MED1_1_7401_lociStitehed
chr8
63107445
63135528


2_H2171_MED1_1_873_lociStitched
chr1
241942356
241953358


1_H2171_MED1_1_1285_lociStitched
chr11
31851717
31855125


4_H2171_MED1_1_7215_lociStitched
chr7
127256053
127272711


4_H2171_MED1_1_2597_lociStitched
chr15
29404315
29442687


2_H2171_MED1_1_4761_lociStitched
chr20
24646465
24652204


3_H2171_MED1_1_4781_lociStitched
chr20
30575765
30589140


2_H2171_MED1_1_3111_lociStitched
chr16
83975326
83989531


4_H2171_MED1_1_488_lociStitched
chr1
116596631
116613122


3_H2171_MED1_1_7399_lociStitched
chr8
62993333
63023912


4_H2171_MED1_1_4597_lociStitched
chr2
232245138
232257967


5_H2171_MED1_1_1703_lociStitehed
chr12
28479296
28497904


4_H2171_MED1_1_8014_lociStitched
chr9
136814438
136833329


2_H2171_MED1_1_2533_lociStitched
chr14
100108519
100126673


5_H2171_MED1_1_6671_lociStitched
chr6
112078789
112091156


3_H2171_MED1_1_6930_lociStitched
chr7
31684707
31699272


2_H2171_MED1_1_277_lociStitched
chr1
44959548
44969924


1_H2171_MED1_1_4770_lociStitched
chr20
29623515
29626066


3_H2171_MED1_1_3229_lociStitched
chr17
18824205
18838508


5_H2171_MED1_1_7373_lociStitched
chr8
53305190
53330760


2_H2171_MED1_1_4445_lociStitched
chr2
182146929
182160614


5_H2171_MED1_1_6182_lociStitched
chr5
142369672
142397549


3_H2171_MED1_1_3109_lociStitched
chr16
83939477
83957133


1_H2171_MED1_1_6436_lociStitched
chr6
26230266
26234969


2_H2171_MED1_1_5573_lociStitched
chr3
171666644
171672601


4_H2171_MED1_1_7990_lociStitched
chr9
133870805
133889409


7_H2171_MED1_1_324_lociStitched
chr1
54535842
54595884


3_H2171_MED1_1_4733_lociStitched
chr20
20330857
20340022


1_H2171_MED1_1_1286_lociStitched
chr11
31970692
31975143


3_H2171_MED1_1_6477_lociStitched
chr6
33819339
33828849


4_H2171_MED1_1_5144_lociStitched
chr22
41520431
41540832


2_H2171_MED1_1_5576_lociStitched
chr3
171727766
171734092


3_H2171_MED1_1_7552_lociStitched
chr8
125856085
125872149


3_H2171_MED1_1_7535_lociStitched
chr8
123754555
123765925


3_H2171_MED1_1_5948_lociStitched
chr5
14793111
14810119


2_H2171_MED1_1_5868_lociStitched
chr4
141377946
141394403


2_H2171_MED1_1_1526_lociStitched
chr11
110802193
110813715


1_H2171_MED1_1_3506_lociStitched
chr17
75396929
75402414


4_H2171_MED1_1_4283_lociStitched
chr2
134996095
135011003


3_H2171_MED1_1_6663_lociStitched
chr6
111978600
111995752


3_H2171_MED1_1_858_lociStitched
chr1
235546011
235556631


1_H2171_MED1_1_3207_lociStitched
chr17
8016708
8018589


4_H2171_MED1_1_303_lociStitched
chr1
53346865
53379175


3_H2171_MED1_1_6854_lociStitched
chr7
3273583
3282459


4_H2171_MED1_1_2201_lociStitched
chr13
71269244
71287635


2_H2171_MED1_1_5514_lociStitched
chr3
141542495
141547705


1_H2171_MED1_1_102_lociStitched
chr1
16712502
16713836


1_H2171_MED1_1_3304_lociStitched
chr17
38747760
38749588


4_H2171_MED1_1_3851_lociStitched
chr19
43240289
43257408


3_H2171_MED1_1_7984_lociStitched
chr9
133750060
133767255


2_H2171_MED1_1_2593_lociStitched
chr15
29374833
29382092


4_H2171_MED1_1_1632_lociStitched
chr12
3191844
3208689


3_H2171_MED1_1_613_lociStitched
chr1
181446125
181455812


1_H2171_MED1_1_515_lociStitched
chr1
147489769
147491715


1_H2171_MED1_1_7564_lociStitched
chr8
127859208
127871721


2_H2171_MED1_1_4141_lociStitched
chr2
70212694
70224525


1_H2171_MED1_1_3928_lociStitched
chr2
2827367
2830692


3_H2171_MED1_1_3104_lociStitched
chr16
83865721
83879079


3_H2171_MED1_1_7998_lociStitched
chr9
134078841
134097047


3_H2171_MED1_1_7465_lociStitched
chr8
93687205
93693913


3_H2171_MED1_1_2733_lociStitched
chr15
67212499
67237556


4_H2171_MED1_1_2715_lociStitched
chr15
64230622
64250211


2_H2171_MED1_1_1770_lociStitched
chr12
48729670
48733984


5_H2171_MED1_1_5251_lociStitched
chr3
16817691
16841285


2_H2171_MED1_1_8026_lociStitched
chr9
137161098
137170211


4_H2171_MED1_1_5775_lociStitched
chr4
80519421
80536721


3_H2171_MED1_1_4835_lociStitched
chr20
45030700
45042538


2_H2171_MED1_1_5461_lociStitched
chr3
127738334
127747382


1_H2171_MED1_1_3360_lociStitched
chr17
52949374
52952330


3_H2171_MED1_1_4792_lociStitched
chr20
31606072
31629076


3_H2171_MED1_1_5099_lociStitched
chr22
36154719
36175974


3_H2171_MED1_1_3453_lociStitched
chr17
69839454
69850658


2_H2171_MED1_1_606_lociStitched
chr1
180846204
180855565


3_H2171_MED1_1_2977_lociStitched
chr16
47549993
47564543


5_H2171_MED1_1_5509_lociStitched
chr3
141387464
141408827


4_H2171_MED1_1_6832_lociStitched
chr7
1281279
1305738


3_H2171_MED1_1_7419_1ociStitched
chr8
64128807
64152294


3_H2171_MED1_1_392_lociStitched
chr1
67883445
67891831


3_H2171_MED1_1_7851_lociStitched
chr9
111073312
111081518


1_H2171_MED1_1_3482_lociStitched
chr17
73307672
73311962


1_H2171_MED1_1_677_lociStitched
chr1
200341028
200344953


4_H2171_MED1_1_2770_lociStitched
chr15
72303789
72325673


1_H2171_MED1_1_1390_lociStitched
chr11
63440196
63445356


5_H2171_MED1_1_5682_lociStitched
chr4
8071726
8098132


2_H2171_MED1_1_358_lociStitched
chr1
60514461
60520511


2_H2171_MED1_1_8028_lociStitched
chr9
137386784
137396443


4_H2171_MED1_1_4955_lociStitched
chr21
38139981
38165165


6_H2171_MED1_1_1142_lociStitched
chr10
112592513
112615109


4_H2171_MED1_1_672_lociStitched
chr1
200253434
200274407


2_H2171_MED1_1_1016_lociStitched
chr10
73690165
73706428


3_H2171_MED1_1_5762_lociStitehed
chr4
80338728
80352494


2_H2171_MED1_1_6852_lociStitched
chr7
3187356
3195840


2_H2171_MED1_1_4985_lociStitched
chr21
44518734
44524811


3_H2171_MED1_1_4943_lociStitched
chr21
33430682
33447308


1_H2171_MED1_1_3368_lociStitched
chr17
53035354
53040644


4_H2171_MED1_1_2427_lociStitched
chr14
76442631
76461700


4_H2171_MED1_1_4558_lociStitched
chr2
217169924
217196187


3_H2171_MED1_1_7744_lociStitched
chr9
85109090
85122979


5_H2171_MED1_1_1691_lociStitched
chr12
28264210
28281514


3_H2171_MED1_1_2892_lociStitched
chr16
11047692
11059849


2_H2171_MED1_1_4899_lociStitched
chr20
60880400
60885360


1_H2171_MED1_1_7947_lociStitched
chr9
129461873
129464518


2_H2171_MED1_1_674_lociStitched
chr1
200292057
200306846


2_H2171_MED1_1_2203_lociStitched
chr13
71325559
71338429


2_H2171_MED1_1_3186_lociStitched
chr17
3729010
3741942


2_H2171_MED1_1_2909_lociStitched
chr16
11781980
11794751


2_H2171_MED1_1_4766_lociStitched
chr20
25613739
25620530


3_H2171_MED1_1_2897_lociStitched
chr16
11144367
11154452


1_H2171_MED1_1_5910_lociStitched
chr5
451422
454266


4_H2171_MED1_1_7415_lociStitched
chr8
63776687
63806155


1_H2171_MED1_1_1453_lociStitched
chr11
78328712
78331262


3_H2171_MED1_1_6678_lociStitched
chr6
112348676
112356273


2_H2171_MED1_1_1765_lociStitched
chr12
48546951
48555151


1_H2171_MED1_1_2433_lociStitched
chr14
76568042
76570777


1_H2171_MED1_1_7993_lociStitched
chr9
133904790
133908837


2_H2171_MED1_1_3164_lociStitched
chr17
1642357
1647888


4_H2171_MED1_1_1653_lociStitched
chr12
8501768
8523291


2_H2171_MED1_1_8030_lociStitched
chr9
138135585
138142078


4_H2171_MED1_1_6697_lociStitched
chr6
114858043
114874406


2_H2171_MED1_1_2731_lociStitched
chr15
67146253
67153108


1_H2171_MED1_1_676_lociStitched
chr1
200320223
200323463


3_H2171_MED1_1_7106_lociStitched
chr7
90891248
90904646


3_H2171_MED1_1_1282_lociStitched
chr11
31605924
31622763


1_H2171_MED1_1_6439_lociStitched
chr6
26304930
26308840


3_H2171_MED1_1_6542_lociStitched
chr6
43874271
43891627


2_H2171_MED1_1_362_lociStitched
chr1
61095855
61105484


3_H2171_MED1_1_4288_lociStitched
chr2
135067807
135078675


1_H2171_MED1_1_2649_lociStitched
chr15
44422399
44425293


4_H2171_MED1_1_1859_lociStitched
chr12
74259275
74282803


2_H2171_MED1_1_6347_lociStitched
chr6
15255876
15261598


3_H2171_MED1_1_3953_lociStitched
chr2
7321393
7328314


1_H2171_MED1_1_3540_lociStitched
chr17
77837805
77840024


2_H2171_MED1_1_6860_lociStitched
chr7
5429395
5446166


2_H2171_MED1_1_3999_lociStitched
chr2
23567475
23572888


1_H2171_MED1_1_5475_lociStitched
chr3
130776820
130781469


1_H2171_MED1_1_4528_lociStitched
chr2
207882381
207885158


2_H2171_MED1_1_842_lociStitched
chr1
232900985
232903673


2_H2171_MED1_1_3986_lociStitched
chr2
20412482
20420065


2_H2171_MED1_1_3326_lociStitched
chr17
43434796
43447830


3_H2171_MED1_1_5929_lociStitched
chr5
8720521
8737555


2_H2171_MED1_1_4569_lociStitched
chr2
218968606
218980938


3_H2171_MED1_1_890_lociStitched
chr10
1486532
1493897


1_H2171_MED1_1_7959_lociStitched
chr9
131260227
131263591


3_H2171_MED1_1_2166_lociStitched
chr13
58914764
58925684


1_H2171_MED1_1_8018_lociStitched
chr9
136926589
136930226


4_H2171_MED1_1_3837_lociStitched
chr19
40215562
40239946


2_H2171_MED1_1_6546_lociStitehed
chr6
43906068
43912657


1_H2171_MED1_1_331_lociStitched
chr1
54796212
54799014


2_H2171_MED1_1_1637_lociStitched
chr12
3677173
3687680


2_H2171_MED1_1_4907_lociStitched
chr20
61600274
61610725


]_H2171_MED1_1_4771_lociStitched
chr20
29638614
29640239


1_H2171_MED1_1_6475_lociStitched
chr6
33043033
33048720


4_H2171_MED1_1_6405_lociStitched
chr6
21296380
21310734


2_H2171_MED1_1_5758_lociStitched
chr4
80183595
80191861


1_H2171_MED1_1_7556_lociStitched
chr8
126466494
126468843


2_H2171_MED1_1_4002_lociStitched
chr2
23606108
23613290


2_H2171_MED1_1_2058_lociStitched
chr12
123805217
123810213


2_H2171_MED1_1_849_lociStitched
chr1
233312827
233321459


3_H2171_MED1_1_3899_lociStitched
chr19
53527025
53546826


2_H2171_MED1_1_395_lociStitched
chr1
67912539
67916665


4_H2171_MED1_1_6138_lociStitched
chr5
134851883
134865995


2_H2171_MED1_1_4060_lociStitched
chr2
50612904
50617830


2_H2171_MED1_1_4365_lociStitched
chr2
155710278
155720040


2_H2171_MED1_1_7889_lociStitched
chr9
119201834
119207212


1_H2171_MED1_1_7587_lociStitched
chr8
134455564
134458775


3_H2171_MED1_1_2601_lociStitched
chr15
29458295
29478793


3_H2171_MED1_1_1260_lociStitched
chr11
22313265
22322600


3_H2171_MED1_1_5218_lociStitched
chr3
10469904
10487109


3_H2171_MED1_1_6827_lociStitched
chr7
1204071
1217969


5_H2171_MED1_1_2046_lociStitehed
chr12
123556670
123583312


2_H2171_MED1_1_193_lociStitched
chr1
27053645
27065430


2_H2171_MED1_1_4672_lociStitched
chr20
5798497
5808334


4_H2171_MED1_1_1335_lociStitched
chr11
45327480
45350583


2_H2171_MED1_1_3922_lociStitched
chr2
1989631
2000522


3_H2171_MED1_1_1783_lociStitched
chr12
51552711
51560557


1_H2171_MED1_1_4572_lociStitched
chr2
219568763
219574266


1_H2171_MED1_1_8038_lociStitched
chr9
138634973
138640138


2_H2171_MED1_1_450_lociStitched
chr1
107836814
107840728


1_H2171_MED1_1_6340_lociStitched
chr6
15092300
15095311


1_H2171_MED1_1_3904_lociStitched
chr19
53829063
53833837


5_H2171_MED1_1_5224_lociStitched
chr3
11299162
11324095


2_H2171_MED1_1_5986_lociStitched
chr5
35395346
35406891


3_H2171_MED1_1_1693_lociStitched
chr12
28296478
28309575


1_H2171_MED1_1_5922_lociStitched
chr5
3542098
3546382


3_H2171_MED1_1_2604_lociStitched
chr15
29544679
29560827


2_H2171_MED1_1_2254_lociStitched
chr13
99297247
99306503


4_H2171_MED1_1_2041_lociStitched
chr12
123445277
123474714


2_H2171_MED1_1_2141_lociStitched
chr13
52466506
52478601


6_H2171_MED1_1_817_lociStitched
chr1
230727775
230758255


3_H2171_MED1_1_2411_lociStitched
chr14
73925775
73939983


1_H2171_MED1_1_6346_lociStitched
chr6
15239481
15242062


2_H2171_MED1_1_31_lociStitched
chr1
6252175
6261523


2_H2171_MED1_1_6334_lociStitched
chr6
14651962
14658490


1_H2171_MED1_1_10_lociStitched
chr1
1355263
1360155


1_H2171_MED1_1_534_lociStitched
chr1
153237908
153244271


1_H2171_MED1_1_3988_lociStitched
chr2
20600392
20605469


1_H2171_MED1_1_5909_lociStitched
chr5
423764
428358


1_H2171_MED1_1_4170_lociStitched
chr2
86115761
86118411


1_H2171_MED1_1_7411_lociStitched
chr8
63579148
63586116


3_H2171_MED1_1_2624_lociStitched
chr15
37633152
37638629


1_H2171_MED1_1_5911_lociStitched
chr5
695232
697860


3_H2171_MED1_1_1253_lociStitched
chr11
19713467
19724753


3_H2171_MED1_1_2541_lociStitched
chr14
100247113
100254243


2_H2171_MED1_1_7301_lociStitched
chr7
157275487
157282112


1_H2171_MED1_1_5103_lociStitched
chr22
36214156
36218182


3_H2171_MED1_1_3372_lociStitched
chr17
53332524
53350328


2_H2171_MED1_1_2657_lociStitched
chr15
45586454
45593969


2_H2171_MED1_1_4694_lociStitched
chr20
12456692
12465019


2_H2171_MED1_1_6684_lociStitched
chr6
112571616
112582817


1_H2171_MED1_1_3996_lociStitched
chr2
22829298
22831811


2_H2171_MED1_1_8040_lociStitched
chr9
138704382
138711169


1_H2171_MED1_1_5920_lociStitched
chr5
3445869
3449196


1_H2171_MED1_1_5760_lociStitehed
chr4
80303607
80306058








Claims
  • 1.-26. (canceled)
  • 27. A cell transfected with a nucleic acid construct comprising a super-enhancer, the super-enhancer comprising: a genomic region of deoxyribonucleic acid (DNA) that contains at least two enhancers, wherein the genomic region is occupied when present within a cell by an order of magnitude more transcriptional coactivator or chromatin regulator than the average single enhancer within the cell,
  • 28. The cell of claim 27, wherein the cell is a mammalian cell.
  • 29. The cell of claim 27, wherein the cell is a human cell.
  • 30. The cell of claim 27, wherein the cell is an embryonic stem cell or embryonic stem cell-like cell.
  • 31. The cell of claim 27, wherein the cell is a muscle cell.
  • 32. The cell of claim 31, wherein the muscle cell is a myotube.
  • 33. The cell of claim 27, wherein the cell is a B cell.
  • 34. The cell of claim 33, wherein the B cell is a Pro-B cell.
  • 35. A method of increasing the level of expression of a target gene in a cell, comprising transfecting a cell under conditions suitable for expression of the target gene with a nucleic acid expression construct comprising a nucleic acid sequence encoding the target gene operatively linked to a super-enhancer, wherein upon transfection of the cell endogenous transcriptional coactivators and chromatin regulators within the cell co-occupy enhancers clustered within the super-enhancer by an order of magnitude more than the average single enhancer within the cell and active transcription start sites of the target gene to increase the level of expression of the target gene within the cell.
  • 36. The method of claim 35, wherein the level of expression of the target gene is increased 2-fold, 3-fold, 4-fold, 5-fold, 6-fold, or more within the cell.
  • 37. A kit for increasing the expression of a target gene in a cell, comprising: (a) a nucleic acid construct comprising an artificial super-enhancer operatively linked to the target gene; (b) a population of cells suitable for expression of said target gene; and (c) a reagent for transfecting said population of cells with said nucleic acid construct.
  • 38. A method of identifying a super-enhancer in a cell, comprising: (a) identifying a genomic region of DNA within said cell characterized by a cluster of enhancers each of which bind a cognate transcription factor capable of interacting with Mediator to stimulate transcription of the target gene within said cell; (b) measuring in the identified genomic region a level of Mediator; and (c) identifying the genomic region as a super-enhancer if the level of Mediator identified in the genomic region is an order of magnitude greater than the level of Mediator occupying the average single enhancer.
  • 39.-40. (canceled)
  • 41. The method of claim 38, wherein the super-enhancer is identified by performing chromatin immunoprecipitation high-throughput sequencing (ChIP-Seq).
  • 42.-50. (canceled)
  • 51. A method of treating a proliferative disorder in a patient in need of such treatment, said proliferative disorder characterized by an oncogene-associated super-enhancer occupied by more Mediator or BRD4 than an average single enhancer, comprising administering to the patient an effective amount of an agent that disrupts the function of the oncogene-associated super-enhancer, thereby selectively inhibiting proliferation of the oncogene in the patient.
  • 52. The method of claim 51, wherein the proliferative disorder is a hematological malignancy.
  • 53. The method of claim 51, wherein the proliferative disorder is selected from the group consisting of acute lymphoblastic leukemia (ALL), acute myelogenous leukemia (AML), chronic myelogenous leukemia (CML), chronic lymphocytic leukemia (CLL), hairy cell leukemia, Hodgkin's lymphoma, non-Hodgkin's lymphoma, cutaneous T-cell lymphoma (CTCL), peripheral T-cell lymphoma (PTCL), Mantle cell lymphoma, B-cell lymphoma, acute lymphoblastic T cell leukemia (T-ALL), acute promyelocytic leukemia, and multiple myeloma.
  • 54. The method of claim 51, wherein the agent is a BRD4 inhibitor.
  • 55. The method of claim 51, wherein the agent is JQ1.
  • 56. (canceled)
  • 57. A method of treating multiple myeloma involving an IGH-MYC locus that results in aberrant expression of oncogene c-Myc, comprising administering to a patient in need of such treatment an effective amount of an agent that decreases occupancy levels of BRD4 and MED1 at a super-enhancer region associated with the IGH-MYC locus, wherein decreased occupancy levels of BRD4 and MED1 at the super-enhancer disrupt function of the super-enhancer thereby decreasing aberrant expression of oncogene c-Myc such that the multiple myeloma is treated.
  • 58. The method of claim 57, wherein the agent is JQ1 or iBET.
  • 59. (canceled)
  • 60. A method of identifying an agent that disrupts a super-enhancer comprising: (a) transfecting a cell with a super-enhancer operably linked to a reporter construct comprising a reporter gene under conditions suitable for the super-enhancer to drive high levels of expression of the reporter gene; (b) contacting the cell with a test agent; (c) and measuring the level of expression of the reporter gene, wherein decreased expression of the reporter gene in the presence of the test agent indicates that the test agent is as an agent that disrupts the super-enhancer.
  • 61. The method of claim 60, wherein the super-enhancer is naturally associated with a gene of interest, wherein the gene of interest is optionally a disease-associated gene, optionally an oncogene.
  • 62. The method of claim 60 wherein expression is measured at least in part by measuring the level of a gene product encoded by the gene or by measuring activity of a gene product encoded by the gene.
  • 63. The method of claim 62 wherein a gene product is mRNA or polypeptide encoded by the gene.
  • 64. The method of claim 61 wherein expression is measured at least in part by measuring the level of a gene product encoded by the gene or by measuring activity of a gene product encoded by the gene.
RELATED APPLICATION(S)

This application claims the benefit of U.S. Provisional Application Nos. 61/718,697, filed Oct. 25, 2012 and 61/799,646, filed Mar. 15, 2013. The entire teachings of the above application(s) are incorporated herein by reference.

GOVERNMENT SUPPORT

This invention was made with government support under RO1-HG002668 and RO1-CA146445 awarded by the National Institutes of Health. The government has certain rights in the invention.

Provisional Applications (2)
Number Date Country
61799646 Mar 2013 US
61718697 Oct 2012 US