Blocking the interactions between
bromodomain and extraterminal
(BET) proteins and acetylated lysines of histones by small molecules
has important implications for the treatment of cancers and other
diseases. Many pan-BET inhibitors have shown satisfactory results
in clinical trials, but their potential for poor tolerability and
toxicity persist. However, recently reported studies illustrate that
some BET bromodomain (BET-BD1 or BET-BD2)-selective inhibitors have
advantage over pan-inhibitors, including reduced toxicity concerns.
Furthermore, some selective BET inhibitors have similar or even better
therapeutic efficacy in inflammatory diseases or cancers. Therefore,
the development of selective BET inhibitors has become a hot spot
for medicinal chemists. Here, we summarize the known selective BET-BD1
and BET-BD2 inhibitors and review the methods for enhancing the selectivity
and potency of these inhibitors based on their different modes of
interactions with BET-BD1 or BET-BD2. Finally, we discuss prospective
strategies that selectively target the bromodomains of BET proteins.