Abstract
Inhibition of the bromodomain of the cAMP response element binding protein (CREB)-binding protein (CBP) and its homologue p300 is an attractive therapeutic approach in oncology, particularly in acute myeloid leukemia (AML). In this study we describe the design, optimization, and evaluation of 5-imidazole-3-methylbenz[d]isoxazoles as novel, potent and selective CBP/p300 bromodomain inhibitors. Two of the representative compounds, 16t (Y16524) and 16u (Y16526), bound to the p300 bromodomain with IC50 values of 0.01 and 0.03 μM, respectively. Furthermore, 16t and 16u potently inhibited the growth of AML cell lines, particularly MV4;11 cells with IC50 values of 0.49 and 0.26 μM, respectively. The potent CBP/p300 bromodomain inhibitors represent a new class of compounds for the development of potential therapeutics against AML.

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Acknowledgements
This work was supported in part by grants from the National Key R&D Program of China (grant 2022YFE0210600), the Guangdong Province Grant for Belt and Road Joint Laboratory (grant 2022B1212050004), the Basic Research Project of Guangzhou Institutes of Biomedicine and Health, Chinese Academy of Sciences (grant GIBHBRP24-04 and GIBHBRP24-03), research initiation project of Guoke Ningbo Life Science and Health Industry Research Institute (grant 2021YJY1007 and 2022YJY0206), the Zhu Xiu Shan Talent Project of Ningbo No. 2 Hospital (grant 2023HMYQ21), Youth Innovation Promotion Association CAS (grant No. 2023372), the National Natural Science Foundation of China (grants 22007088). We thank the staff at BL19U1/BL02U1 beamlines at SSRF of the National Facility for Protein Science in Shanghai (NFPS), Shanghai Advanced Research Institute, Chinese Academy of Sciences, for providing technical support in X-ray diffraction data collection and analysis. We gratefully acknowledge the support from the Guangzhou Branch of the Supercomputing Center, the Analysis and Testing Center and the Laboratory Animal Research Center of Chinese Academy of Sciences. We also thank the Scientific Data Center of Guangzhou Institutes of Biomedicine and Health, CAS (No. 011).
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YX, QPX, and YZ conceived and designed the research. JKH, XT, GLL, CZ, TBW, CW, HS, XFZ, XSW, and YZ conduct the research. QPX, YX, YZ, and JKH wrote the manuscript. QPX, YX, YZ, JBS, and JKH revised the manuscript. All authors reviewed the results and approved the final version of the manuscript.
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Hu, Jk., Tang, X., Luo, Gl. et al. Discovery of 5-imidazole-3-methylbenz[d]isoxazole derivatives as potent and selective CBP/p300 bromodomain inhibitors for the treatment of acute myeloid leukemia. Acta Pharmacol Sin 46, 1706–1721 (2025). https://doi.org/10.1038/s41401-025-01478-x
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DOI: https://doi.org/10.1038/s41401-025-01478-x