Oncofusion

start / graph / exp-wrad-coip-and-degron-timed-proximity-across-kmt2a-fusion-classes

Experimentmoderate confidence 3 of 5: One strong study, or several smaller consistent ones.Q23-wrad-adjudication

Settle the WRAD question: tagged co-IP plus degron-timed proximity across three fusion classes

also called the experiment nobody has run · WRAD versus the fusion, decisively

One set of experiments answers a twenty-two-year-old question. Tag each kind of KMT2A fusion protein, pull it down, and look for the four WRAD proteins - then repeat with the normal KMT2A switched off, so a positive result cannot be explained away as WRAD hitching a ride.

The same thing, for a scientist

Three fusion classes, two assays, one decisive control. **Classes:** (i) direct 5' fusion KMT2A::AFF1 in SEM or RS4;11; (ii) reciprocal AFF1::KMT2A in the same cell, tagged on the der(4) allele - the only construct carrying AFF1 N-terminal sequence upstream of the KMT2A portion, which is what makes it taggable and distinguishable from wild-type MLL-C; (iii) a menin-blind, SET-retaining comparator, ideally NUP98::KMT2A expressed in an isogenic background. **Assays:** stringent anti-tag co-immunoprecipitation blotted for WDR5, RBBP5, ASH2L, DPY30 and menin, and TurboID from the same tagged alleles. **Control that decides the interpretation:** an auxin- or dTAG-inducible degron on the endogenous wild-type KMT2A allele, with proximity labelling performed in a window short enough that the cell is still viable. Under `hyp-wrad-reaches-kmt2a-fusions-only-as-a-second-shell-passenger`, WRAD appears in the proximity map of the direct fusion and vanishes when wild-type KMT2A is degraded; under a direct-contact model it survives; under a no-route model it never appears. No published experiment has run any arm of this.

Go deeper
Design
ArmConstructAssayWhat a positive means
Aendogenously tagged KMT2A::AFF1, SEMstringent anti-tag co-IP, blot WDR5/RBBP5/ASH2L/DPY30/menina direct contact exists and the 2004 inference is wrong
Barm A plus wild-type KMT2A degronTurboID, 30-min labelling, degron on for 4 hWRAD present with degron off and absent with it on = second-shell passenger
Cendogenously tagged AFF1::KMT2A (der(4)) in a reciprocal-positive lineco-IP and TurboIDthe expected positive; its magnitude calibrates arms A and B
DNUP98::KMT2A in an isogenic myeloid backgroundco-IP and TurboIDmenin-blind, SET-retaining control
Eparental untagged and a KMT2A-wild-type leukaemia lineboth assaysthe specificity floor

Readouts: blot intensity normalised to bait; TMT-labelled TurboID with a bait-normalised enrichment score; CUT&RUN for WDR5 and RBBP5 at HOXA9, MEIS1 and the RUNX1-dependent loci (SPI1, MEF2D, JUNB) in each arm, before and after degron.

Decision rule, declared in advance. Arm A positive for any subunit at >3-fold over arm E, reproduced in two independent clones, overturns the founding inference and reopens that subunit. Arm A negative and arm B positive-then-collapsing supports the second-shell model and closes the direct question. Arm B positive and degron-insensitive means a third route exists that nobody has proposed, which is the most informative outcome available.

Why the reciprocal arm is not optional

Arm C is the arm that makes the rest interpretable. It supplies a genuine positive control for a KMT2A-fusion-to-WRAD association within the same cell, the same lysis conditions and the same antibodies. Without it, a negative in arm A is uninterpretable: it could mean no association, or it could mean the assay does not detect WRAD on a KMT2A-derived protein under those conditions. Every published attempt to reason about this question has lacked such a control, because nobody was thinking about the der(4) product.

It also requires resolving something this beat could not: whether the commonly used t(4;11) lines are reciprocal-positive. A single RT-PCR across SEM, RS4;11 and MV4-11 precedes everything else here.

Feasibility

All reagents are commercial or published. Endogenous tagging in SEM and RS4;11 is routine; a CRISPR-engineered t(4;11) model in primary human HSPCs already exists if a cleaner background is wanted 3. dTAG and auxin degron systems for endogenous alleles are standard. The wild-type KMT2A degron is the only risky element, because the wild-type allele is required for maintenance 2 and the viability window may be short - which is why the design specifies a 30-minute labelling pulse and a 4-hour degron.

Facts and figures
designEndogenous tagging of three KMT2A fusion classes, stringent anti-tag co-IP and TurboID, with an inducible degron on the wild-type KMT2A allele as the interpretive control
readoutImmunoblot for WDR5/RBBP5/ASH2L/DPY30/menin normalised to bait; TMT-quantified TurboID enrichment; WDR5 and RBBP5 CUT&RUN at HOXA9, MEIS1, SPI1, MEF2D and JUNB
controlsParental untagged line; a KMT2A-wild-type leukaemia line; menin as the internal positive for the direct fusion; the tagged der(4) product as the internal positive for a WRAD-competent KMT2A fusion
prerequisiteRT-PCR for AFF1::KMT2A transcript in SEM, RS4;11 and MV4-11 to establish reciprocal status - this beat could not find it stated
decision ruleArm A >3-fold over parental in two independent clones overturns the founding inference; arm A negative with a degron-collapsing arm B supports the second-shell model; arm B degron-insensitive indicates an unproposed third route
cost tiermed
timeline9-12 months including clone generation
How this could bite us back
  • A positive in arm A would reopen WDR5, RBBP5 and ASH2L as candidate fusion interactors, and all three are pan-essential or near-pan-essential, so the reopening would deliver targets with very poor therapeutic windows.
  • The degron arm removes wild-type KMT2A, which is itself proposed as a therapeutic stabilisation target; a result showing wild-type KMT2A delivers WRAD to fusion loci would argue against stabilising it, putting two of this graph's strategies in direct conflict.
  • If the answer is 'no association by any route', the experiment closes a question without opening a target, which is the correct outcome and the hardest one to fund.
Still open
  1. Is there a viability window in which the wild-type KMT2A allele can be degraded in a t(4;11) line long enough to label but short enough to survive? A titration precedes the whole design.
  2. Can the der(4) product be endogenously tagged without destabilising it? Taspase1-dependent cleavage means a C-terminal tag would end up on the released MLL-C fragment and an N-terminal tag on the AFF1 portion, and only the latter is diagnostic.
  3. Should the comparator in arm D be NUP98::KMT2A or an engineered SET-restored KMT2A::AFF1? The latter is not a natural species but is a cleaner isogenic control.
Every source behind this entry (4)
  1. E1strong confidence 4 of 5: Replicated in peer-reviewed work by more than one group.paper

    No published experiment has assayed any WRAD subunit for association with any KMT2A fusion protein: the founding paper blotted its fusion immunoprecipitates for menin, HCF-1, MLL-N, MLL-C and ENL only, and alias-expanded PubMed queries pairing each WRAD subunit with the named fusions return 26, 6, 3 and 2 records with no association experiment among them.

    What this evidence cannot show

    The absence claim rests on titles and abstracts plus the founding paper's figures; a co-IP in a supplementary figure of a paper about something else would be invisible. This beat's own counted absence for proximity labelling was falsified by a paper already in this graph, so the bound should be read conservatively.

    Evidence that argues against this (1)
    • Proximity labelling of a NUP98 oncofusion does recover WDR5 and RBBP5, and it is invisible to every WRAD-keyed query because its abstract names the methyltransferases at complex level - proof that this class of absence claim under-counts. Ahn JH et al. 2025
  2. E2strong confidence 4 of 5: Replicated in peer-reviewed work by more than one group.paper

    The wild-type Mll allele is required for MLL-AF9-induced leukemogenesis and for maintenance of transformed cells, which both motivates the degron arm and bounds how long it can run.

    MLL-AF9-induced leukemogenesis requires coexpression of the wild-type Mll allele. · Thiel AT, Blessington P, Zou T, et al. · Cancer Cell 2010
    What this evidence cannot show

    Mouse MLL-AF9 genetics; the tolerable degron window in a human t(4;11) line has not been measured and would need a viability titration first.

    Evidence that argues against this (1)
    • Stabilising rather than degrading wild-type MLL1 displaces MLL chimeras from chromatin and delays leukaemic progression, so wild-type KMT2A has opposing roles and the degron arm may produce a mixture of effects rather than a clean subtraction. Liang K et al. 2017
  3. E3strong confidence 4 of 5: Replicated in peer-reviewed work by more than one group.paper

    CRISPR/Cas9-engineered t(4;11) translocations can be generated in primary human haematopoietic stem and precursor cells with both reciprocal products concomitantly present, supplying an isogenic background for the tagging arms.

    What this evidence cannot show

    A recent model; primary HSPC cultures are short-lived and lower-throughput than cell lines, and whether an endogenous tag can be placed on the der(4) product without perturbing its biology is untested.

    Evidence that argues against this (1)
    • An engineered translocation does not solve the attribution problem by itself, because the resulting cells contain the same three sources of chromatin-bound WRAD; the tag on the der(4) allele, not the engineering, is what resolves it. Wilhelm A et al. 2021
  4. E4strong confidence 4 of 5: Replicated in peer-reviewed work by more than one group.paper

    Proximity labelling output is an abundance-weighted, compartment-structured census rather than a membership test, so a proximity positive for WRAD around a KMT2A fusion requires the degron control to mean anything.

    What this evidence cannot show

    Cited here for the general property demonstrated in a fusion system, not for a KMT2A result. This graph's concept-proximity-labelling-is-not-co-purification states the four rules in full.

    Evidence that argues against this (1)
    • Proximity labelling is uniquely good at transient and chromatin-bound contacts that affinity purification misses, so treating a proximity positive as uninformative is the opposite error and the degron control exists precisely to avoid having to choose. Terlecki-Zaniewicz S et al. 2021
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