SK) ¶ These authors contributed equally to this work 1 Abstract 2 3 Inhibitors of bromodomain and extra-terminal motif proteins ("BET inhibitors") are emerging 4 epigenetic therapeutics that exert their effects by suppressing the expression of genes that drive 5 cancer and inflammation. The present study examined the anti-inflammatory effects of a 6 quinazoline-based BET inhibitor, CN210, which also inhibits bromodomains of two paralogous 7 histone acetyltransferases (HATs), such as cAMP-responsive element binding protein-binding 8 protein (CBP) and p300. To assess its effectiveness against inflammatory bowel disease (IBD), 9 CN210 was tested in an experimentally-induced murine Crohn's disease (CD)-like ileitis model.10 Ileitis was induced in mice by subcutaneous administration of indomethacin and CN210 was 11 given orally 30 min before and 24 h after the indomethacin administration. Whilst indomethacin 12 produced severe ileitis accompanied by an increase in ileal mucosal myeloperoxidase (MPO) 13 activity, administration of CN210 reduced the severity of ileitis in a dose-dependent manner 14 and suppressed the MPO activity. Similarly, upregulation of inflammatory cytokines was 15 observed in ileitis mucosa after indomethacin injection but this response was significantly 16 attenuated by CN210 administration. To further characterize the effects of CN210 on 17 inflammatory pathways, monocyte/macrophage-like cell line RAW264 treated with 18 lipopolysaccharide (LPS) was exposed to CN210. CN210 significantly attenuated the 19 expression of inflammatory cytokines and reversed the activation of NF-κB and MAP kinases 20 induced by LPS. These findings suggest that CN210 ameliorates indomethacin-induced ileitis 21 due at least in part to the inhibition of inflammatory cytokine expression via attenuation of NF-22 κB and MAP kinase pathways, thus representing a new mode of therapy for CD. 23 Introduction 24 25 Bromodomain and extra-terminal motif (BET) proteins, including BRD2, BRD3, BRD4 26 and BRDT, are epigenetic 'reader' proteins that bind to acetylated lysine residues on proteins, 27 including histones, by means of their bromodomains [1, 2]. Of the four BET proteins, BRD4 28 associates with general transcription cofactor complex 'Mediator' and is a key structural 29 component of extensive transcription factor complexes formed at the genomic regions termed 30 Super-Enhancers (SEs) [2-4]. Small-molecule inhibitors of BRD4 was shown to suppress the 31 expression of MYC oncogene and the genes that encode pro-inflammatory cytokines, such as 32 IL-6, IFN-β, IL-1β, IL-12α, CXCL9 and CCL12 in mice [5-7], and showed efficacy in a wide 33 range of cancer models including pancreatic, breast, ovarian, and colon cancers [8-12]. 34 Accordingly, small molecule inhibitors of BET proteins ("BET inhibitors") are now considered 35 as promising drug candidates for both cancer and inflammatory diseases [13, 14]. 36 Whilst several BET inhibitors currently are evaluated clinically [15], early results showed 37 mixed results with undesirable s...