Oncofusion

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Analogyspeculative confidence 1 of 5: Our own inference or analogy. Not shown to be true.Q12-analogy

Agency law — actual authority, apparent authority, and what revocation cannot undo

also called power of attorney analogy · agency coupled with an interest

Menin acts on behalf of the fusion protein, the way an agent acts on behalf of a principal. Law has spent centuries working out exactly what happens when you revoke an agent's authority, and almost none of it is instantaneous — which is a strange and useful thing to notice about a drug we dose every twelve hours.

The same thing, for a scientist

Menin is an adaptor: it holds no independent function in the leukemic program and exists in this story only as the thing that lets KMT2A::AFF1 act on chromatin. That is exactly the legal relation of agent to principal. Agency law then supplies three structures that biology has not systematically applied here. (1) Revocation operates prospectively; acts already completed under authority continue to bind, which predicts hysteresis between drug occupancy and program output. (2) Apparent authority survives revocation until third parties have notice, which predicts a residual set of fusion binding sites held by menin-independent tethering. (3) An agency coupled with an interest is irrevocable, which is a precise description of what a MEN1 interface mutation does. The first two generate testable hypotheses that are not in the graph; the third re-describes something already known and is included only to show the mapping is not arbitrary.

Go deeper
Why menin is an agent and not a partner1 deeper

Menin contributes no catalytic activity to the leukemic complex. Its role is to bind the extreme N-terminus of KMT2A at MBM1 and bridge it, via LEDGF/PSIP1, onto chromatin. It is a conduit for someone else's authority, which is the defining feature of agency rather than partnership. The same protein simultaneously acts for other principals, most notably JUND, using the same pocket and producing the opposite transcriptional effect 2 — in agency terms, a single agent serving conflicting principals, which is the subject of analogy-law-fiduciary-conflicted-menin.

Revocation is prospective, and that is the interesting part

A principal may revoke an agent's authority at will, but the revocation does not unwind acts already performed. The biological counterpart is that removing menin stops new recruitment; it does not directly erase H3K79me2 already deposited, loops already formed, or a transcriptional state already established. Degron removal of MLL::AF9 changes elongation within 15 minutes, with loss of the active chromatin landscape occurring subsequently 1 — elongation first, chromatin after. The ordering is precisely what prospective revocation predicts, and it means occupancy and output are separated in time in both directions.

The three imported structures and what each predicts
Agency doctrineBiological counterpartPrediction
Revocation is prospective; completed acts bindDeposited marks and established loops persist after menin is displacedHysteresis: program collapse and program recovery have different time constants (hyp-agency-revocation-hysteresis-pulsed-menin)
Apparent authority survives until third parties have noticeThe fusion retains CXXC-DNA binding and LEDGF tethering independent of meninA residual occupancy set under saturating drug (hyp-apparent-authority-residual-fusion-occupancy)
Agency coupled with an interest is irrevocableMEN1 interface mutation: the drug can no longer revoke, while the natural grant to MLL1 is untouchedAlready observed in patients 3; the mapping is validated rather than predictive here
Ratification: a principal may adopt an unauthorised act, making it its ownA cell that has adopted the fusion program as its identity no longer needs the fusion to maintain itThe adaptive, non-genetic resistance state already recorded in the graph
Where the analogy fails

Agency has an intending principal who chooses to revoke. Nothing in this system intends anything, and the direction of the metaphor can invert without warning: it is equally coherent to call the fusion the agent and chromatin the principal. The mapping is only useful because the three doctrines above happen to be statements about timing and residue — what survives a withdrawal of authority and for how long — and timing is exactly what has not been measured here.

The analogy also offers nothing about dose-response, cooperativity or pharmacokinetics, which is where most of the real difficulty in an intermittent-dosing proposal lives.

Facts and figures
domainlaw
source doctrineagency: actual and apparent authority, prospective revocation, ratification, agency coupled with an interest
already validated mappingagency coupled with an interest maps onto MEN1 interface mutation, which is observed; this is a check on the mapping rather than a new prediction
mapping
[
  {
    "bio": "KMT2A::AFF1 fusion protein",
    "analog": "the principal"
  },
  {
    "bio": "menin, a non-catalytic adaptor bridging the fusion to chromatin via LEDGF",
    "analog": "the agent holding a power of attorney"
  },
  {
    "bio": "chromatin and the target gene loci",
    "analog": "third parties who deal with the agent"
  },
  {
    "bio": "a menin inhibitor occupying the MBM1 pocket",
    "analog": "revocation of the power of attorney"
  },
  {
    "bio": "H3K79me2, established enhancer-promoter loops and an established transcriptional state persisting after menin displacement",
    "analog": "acts completed under authority, which revocation does not unwind"
  },
  {
    "bio": "CXXC-DNA binding and LEDGF/PSIP1 tethering, which do not require menin",
    "analog": "apparent authority, which survives revocation until third parties have notice"
  },
  {
    "bio": "MEN1 interface mutation, which blocks drug binding while preserving MLL1 binding",
    "analog": "an agency coupled with an interest, which the principal cannot revoke"
  },
  {
    "bio": "a cell state that maintains the leukemic program without the fusion circuit",
    "analog": "ratification — the principal adopts the act and no longer needs the agent"
  },
  {
    "bio": "menin also binding JUND in the same pocket with opposite transcriptional effect",
    "analog": "an agent acting for two principals with conflicting interests"
  }
]
generated hypotheses
[
  "hyp-agency-revocation-hysteresis-pulsed-menin",
  "hyp-apparent-authority-residual-fusion-occupancy"
]
How this could bite us back
  • If completed acts really do persist, then a drug holiday is not a clean off-state and intermittent dosing could allow the program to be maintained on deposited marks alone while relieving selection pressure on nothing.
  • Apparent authority cuts against the whole interface strategy: any residual menin-independent occupancy is, by construction, a ceiling on what a menin inhibitor can achieve no matter how good the chemistry is.
Still open
  1. How fast does the KMT2A::AFF1 program re-establish after a menin inhibitor is withdrawn? The collapse rate is known within minutes and the recovery rate has never been reported for any KMT2A fusion.
  2. Is there a measurable fraction of fusion chromatin occupancy that survives saturating menin inhibition, and is it the same fraction across patients?
  3. Does displacing JUND from the same pocket contribute to any of the observed toxicity, and would a partner-selective ligand avoid it?
Every source behind this entry (4)
  1. E1strong confidence 4 of 5: Replicated in peer-reviewed work by more than one group.paper

    Degron-mediated degradation of MLL::AF9 changes transcriptional elongation at a core subset of target genes within 15 minutes, with loss of the active chromatin landscape occurring subsequently, establishing that elongation change precedes chromatin change.

    What this evidence cannot show

    MLL::AF9, not KMT2A::AFF1; a degron removes the whole protein, which is not the same perturbation as displacing one of its adaptors. No KMT2A::AFF1 degron model exists.

    Evidence that argues against this (1)
    • Recovery kinetics after restoring the protein were not reported, so the asymmetry this analogy depends on is unmeasured rather than supported. Molecular Cell 2022
  2. E2strong confidence 4 of 5: Replicated in peer-reviewed work by more than one group.paper

    The same central pocket in menin binds both MLL and JUND, with opposite effects on transcription, so menin acts for more than one principal through a single binding site.

    What this evidence cannot show

    Structural and biochemical; the transcriptional consequence of displacing JUND in a treated patient has never been measured.

    Evidence that argues against this (1)
    • The shared pocket is the strongest biological fact this analogy has and it is also where the analogy strains: an agent acting for two principals CHOOSES; menin binds whichever ligand is present at sufficient concentration, with no mechanism corresponding to loyalty, notice or breach. Nature 2012
  3. E3strong confidence 4 of 5: Replicated in peer-reviewed work by more than one group.paper

    Somatic MEN1 mutations at the drug-menin interface cause clinical resistance to menin inhibition; the mutants attenuate small-molecule binding through structural perturbation while preserving the interaction with the natural ligand MLL1 and preventing inhibitor-induced eviction of menin and MLL1 from chromatin.

    MEN1 mutations mediate clinical resistance to menin inhibition · Perner F, Stein EM, Wenge DV, et al. · Nature 2023
    What this evidence cannot show

    Adults with AML on a phase 1 trial; no paediatric or infant data exist.

    Evidence that argues against this (1)
    • Interface mutations preserving the natural ligand map onto "revocation fails while the underlying relationship persists" only loosely: the mutation is a permanent change to the principal, not a defect in the revoking act, and it arises by selection rather than by intent. The analogy names the phenomenon without predicting which mutations arise. Nature 2023
  4. E4established confidence 5 of 5: Multiple independent lines of evidence; treated as settled in the field.database

    Agency law distinguishes actual from apparent authority, treats revocation of authority as prospective rather than retroactive, allows a principal to ratify an unauthorised act after the fact, and recognises that an agency coupled with an interest is irrevocable.

    Agency (Wex legal encyclopedia) · Legal Information Institute, Cornell Law School · Cornell Law School Legal Information Institute 2024
    What this evidence cannot show

    Source-domain reference. It constrains the analogy and is evidence for nothing biological.

    Evidence that argues against this (1)
    • A legal doctrine is a normative rule about what courts do, not a fact about molecules. The analogy is generative — it suggests what to look for — and it cannot supply evidence, because the doctrine was constructed to serve purposes that have nothing to do with this system, and its edge cases were settled by argument rather than by measurement. Every prediction it produces still has to be tested against biology. U.S. National Library of Medicine 2026
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