The
histone acetyltransferases CBP and p300, often referred to as CBP/p300 due to their sequence homology and functional overlap and co-operation, are emerging as critical drivers of
oncogenesis in the past several years. CBP/p300 induces
histone H3 lysine 27 acetylation (H3K27ac) at target gene promoters, enhancers and super-enhancers, thereby activating gene transcription. While earlier studies indicate that CBP/p300 deletion/loss can promote
tumorigenesis, CBP/p300 have more recently been shown to be over-expressed in
cancer cells and drug-resistant
cancer cells, activate oncogene transcription and induce
cancer cell proliferation, survival,
tumorigenesis,
metastasis, immune evasion and drug-resistance. Small molecule CBP/p300
histone acetyltransferase inhibitors, bromodomain inhibitors, CBP/p300 and BET bromodomain dual inhibitors and p300
protein degraders have recently been discovered. The CBP/p300 inhibitors and degraders reduce H3K27ac, down-regulate oncogene transcription, induce
cancer cell growth inhibition and cell death, activate immune response, overcome drug resistance and suppress
tumor progression in vivo. In addition, CBP/p300 inhibitors enhance the anticancer efficacy of
chemotherapy,
radiotherapy and epigenetic
anticancer agents, including BET bromodomain inhibitors; and the combination
therapies exert substantial anticancer effects in mouse models of human
cancers including drug-resistant
cancers. Currently, two CBP/p300 inhibitors are under clinical evaluation in patients with advanced and drug-resistant solid
tumors or
hematological malignancies. In summary, CBP/p300 have recently been identified as critical tumorigenic drivers, and CBP/p300 inhibitors and
protein degraders are emerging as promising novel
anticancer agents for clinical translation.