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Proteinmoderate confidence 3 of 5: One strong study, or several smaller consistent ones.Q-fa-replication

BRIP1 — downstream effector; rank 22 of 8,269 for KMT2A-selective dependency, and no KMT2A literature at all

also called BRIP1 · BACH1 · FANCJ · Q9BX63

BRIP1 is part of a cellular repair crew that fixes DNA when the copying machinery gets stuck. A screen run by this project found that leukaemia cells carrying the KMT2A fusion need it more than other leukaemia cells do — and nobody has ever published a paper on this gene in KMT2A leukaemia, so the finding is genuinely new and genuinely unconfirmed.

The same thing, for a scientist

BRIP1 (UniProt Q9BX63, 1249 aa, primary gene name asserted against the accession) sits in the downstream effector — a 5'-to-3' DNA helicase acting AFTER FANCD2 ubiquitination, not a core complex subunit. It entered this graph through a DepMap sweep in which the 26-gene FA/BRCA annotation beats a permutation null at p = 5e-05, BRIP1 ranking 22 of 8,269 by raw effect (d = -0.293) [E2]. Re-testing here: the depletion is present in BOTH lineage halves (-0.2971 myeloid, -0.4238 lymphoid) and stronger in the lymphoid one; it survives a line-label permutation that preserves subunit correlations (p = 0.0016); and BRIP1 is not pan-essential (mean Chronos -0.3147 across all screened lines) [E3][E4]. Three things cut against it. Non-KMT2A B-ALL lines show about half the same effect, so a large part of this is B-lymphoid lineage rather than KMT2A rearrangement [E3]. The obligate FA core subunits do NOT move together, which is hard to reconcile with a canonical pathway dependency. And Fanconi anaemia patients, who have no FA pathway at all, nonetheless develop KMT2A-rearranged leukaemia [E7].

Go deeper
What the protein does, and which part of the pathway it sits in

Module: downstream effector — a 5'-to-3' DNA helicase acting AFTER FANCD2 ubiquitination, not a core complex subunit.

UniProt describes BRIP1 as a DNA-dependent ATPase and 5'-3' DNA helicase required for chromosomal stability that acts late in the Fanconi anemia pathway, after FANCD2 ubiquitination, and binds directly to the BRCT domains of BRCA1 1.

Why the module matters for reading the DepMap result: the FA core complex is an obligate multi-subunit ubiquitin ligase whose only well-established job is to monoubiquitinate the FANCD2-FANCI (ID2) heterodimer. If the dependency seen here were the canonical pathway working as a unit, every obligate core subunit and the ID2 substrate should move together. They do not — see mech-fa-core-complex-heterogeneity-kmt2a. That is the single most important caveat on this entry and it is not a small one.

How this gene entered the graph, and the numbers

BRIP1 was not found in the literature. It was found by a scan, and then by a pathway permutation over a gene set fixed before any result was read 2.

statisticvalue
rank by raw effect, 8,269-gene sweep22
rank by scaled z28
d (Chronos difference), whole index arm-0.293
d, myeloid half-0.2971
d, lymphoid half-0.4238
z, myeloid half-0.991
z, lymphoid half-1.414
pan-cancer Chronos, all screened lines-0.3147
fraction of all lines below -0.516.6%
line-label permutation p0.0016

Two of those rows carry most of the weight. The lineage split 3 is the one the project asked for, and the answer is not the one the myeloid-artefact worry predicted: this gene is depleted MORE in the four B-lineage lines than in the seven myeloid ones. The line-label permutation 3 is the answer to the complex-correlation objection: redrawing which lines are the index arm, with the gene set held fixed and the 7-myeloid/4-lymphoid composition reproduced, preserves every correlation between subunits, and the observed depletion still sits at p = 0.0016.

And BRIP1 is not pan-essential 4, which is the filter that removed most of the earlier scan's contaminants.

The published literature, and a counted absence

On BRIP1 in KMT2A-rearranged leukaemia there is nothing. 5 The exact query and the title-checked count are in the evidence item; aliases searched were BRIP1, BACH1, FANCJ.

On BRIP1 in leukaemia at all, 18 records. 6

And the counter-direction. Human FA patients develop KMT2A-rearranged leukaemia 7. A cell that has lost the FA pathway entirely can still acquire a KMT2A fusion and expand into a clinical leukaemia, which rules out the strongest reading of the DepMap result — that KMT2A-rearranged cells REQUIRE this pathway — and leaves only the quantitative one.

Facts and figures
uniprotQ9BX63
length AA1249
uniprot resolutiongene_exact:BRIP1 AND organism_id:9606 AND reviewed:true; primary gene name read back as BRIP1; length 1249 aa checked against the entry
fa moduledownstream effector — a 5'-to-3' DNA helicase acting AFTER FANCD2 ubiquitination, not a core complex subunit
subnuclear localizationINFERRED, NOT MEASURED. BRIP1 binds directly to BRCA1's BRCT repeats and a helicase mutant blocks DSB repair through that interaction [E_q71_loc1], which places it at damage sites by inference. No imaging of BRIP1 foci is cited here and none was found in the searched literature. [EXPLICIT NEGATIVE] SAY IT PLAINLY: no measured subnuclear compartment for BRIP1 in any system, and nothing at all in a KMT2A-rearranged cell. UNPUBLISHED, not not-applicable.
essentiality
{
  "depmap_common_essential": false,
  "chronos_mean": -0.3147,
  "frac_lines_below_minus_0_5": 0.166
}
depmap kmt2a selectivity
{
  "chronos_mean_kmt2a_rearranged": -0.8174,
  "chronos_mean_other_leukaemia": -0.4717,
  "difference": -0.3457,
  "pan_essentiality_all_lines": -0.3147,
  "selectivity_rank": 63,
  "rank_denominator": 17728,
  "provenance": "Joined 2026-09-21 from analyses/depmap-kmt2a-selective-scan-full (generated 2026-09-19T10:12:06Z), the project's own genome-wide scan over 11 KMT2A-rearranged and 43 other leukaemia DepMap lines. NOT re-fetched and NOT independent of that scan: every caveat it carries applies here, including that the KMT2A-rearranged arm is a small number of lines drawn from nine individuals, that the rank denominator is 17,728 genes, and that a difference is not a dependency. Added because only 26 of 308 gene entries carried this number, which made any KMT2A-selectivity question answerable for 8% of the corpus.",
  "how_to_read": "A negative difference means MORE required in KMT2A-rearranged lines than in other leukaemia lines. A rank near 17,728 is ANTI-selective. Neither is evidence of a fusion-driven dependency on its own: check pan_essentiality_all_lines before calling anything selective, and note that a paralogue-redundant gene can score near zero for reasons that have nothing to do with this disease - see ana-the-paralogue-redundancy-excuse-is-not-tested-and-my-proxy-decided-the-answer."
}
literature
{
  "kmt2a_records_raw": 2,
  "kmt2a_records_title_checked": 0,
  "leukaemia_records": 18,
  "aliases_searched": [
    "BRIP1",
    "BACH1",
    "FANCJ"
  ],
  "kmt2a_query": "(KMT2A[tiab] OR MLL[tiab] OR \"mixed-lineage leukemia\"[tiab]) AND (BRIP1[tiab] OR FANCJ[tiab] OR BACH1[tiab])",
  "leukaemia_query": "(BRIP1[tiab] OR FANCJ[tiab]) AND (leukemia[tiab] OR leukaemia[tiab])"
}
localization
{
  "subcellular": "NUCLEUS AND CYTOPLASM, both at ECO:0000269 in UniProt Q9BX63 (fetched 2026-09-21). The cytoplasmic pool is experimental, not inferred, and every therapeutic argument in this entry is nuclear - so the compartment the drug would also hit is not the compartment the rationale is about.",
  "subnuclear": "INFERRED, NOT MEASURED. BRIP1 binds directly to BRCA1's BRCT repeats and a helicase mutant blocks DSB repair through that interaction [E_q71_loc1], which places it at damage sites by inference. No imaging of BRIP1 foci is cited here and none was found in the searched literature.",
  "explicit_no": "SAY IT PLAINLY: no measured subnuclear compartment for BRIP1 in any system, and nothing at all in a KMT2A-rearranged cell. UNPUBLISHED, not not-applicable.",
  "how_shown": "co-immunoprecipitation and direct binding to BRCA1 BRCT repeats plus a helicase-domain separation-of-function mutant (PMID 11301010); UniProt Q9BX63 SUBCELLULAR LOCATION comment, fetched 2026-09-21",
  "systems": "human breast-cancer and non-haematopoietic cells; no KMT2A-rearranged system",
  "shown_for_fusion_localisation": "no",
  "node": "localization-chromatin-bound-versus-soluble-fraction-kmt2a"
}
cell type
{
  "evidence_class_key": "concept-expressed-required-maintains-three-evidence-classes",
  "identifier_note": "NEW IDENTIFIER TRAP, verified live 2026-09-21 and added to data/symbol-collisions.json. gene_exact:BACH1 AND organism_id:9606 AND reviewed:true returns TWO reviewed human records, and the one you probably do not want is FIRST: O14867 BACH1_HUMAN, primary gene BACH1, 'Transcription regulator protein BACH1 (BTB and CNC homolog 1)', 736 aa; then Q9BX63 FANCJ_HUMAN, primary gene BRIP1, synonyms BACH1 and FANCJ, 1249 aa. The whole 2001-2006 DNA-repair literature calls this gene BACH1. Length discriminates cleanly (513 aa apart), gene_primary discriminates, and the protein names do NOT collide - so this is a rule-63 alias trap that the standard defences catch, provided you run them. It is live in this beat: PMID 21362551, cited on gene-mat2a, is about MafK, whose canonical partner is BACH1 the transcription factor.",
  "expressed_in": {
    "class": 1,
    "summary": "ubiquitous; no reported cell-type restriction. A DNA helicase, not a lineage factor."
  },
  "required_in": {
    "class": 2,
    "claim": "In FANCONI ANAEMIA PATIENTS, the FA pathway is required in HAEMATOPOIETIC STEM AND PROGENITOR CELLS [E_q71_ct1]; biallelic BRIP1 loss defines complementation group FA-J. Pathway-level, not BRIP1-specific.",
    "pmids": [
      "22683204"
    ],
    "system_named_in_the_claim": "human Fanconi anaemia patients and FA/FA-like cells, normal haematopoiesis - no fusion present",
    "nodes": [
      "cell-type-hsc-bone-marrow"
    ]
  },
  "the_selectivity_and_what_it_does_not_show": {
    "claim": "Rank 63 of 17,728: Chronos -0.8174 in KMT2A-rearranged against -0.4717 in other leukaemias, difference -0.3457, pan-essentiality -0.3147. Selective half, no floor compression.",
    "but": "Three FA genes - FANCF 24, FANCI 52, BRIP1 63 - cluster in the top 0.4% of the same scan while FANCD2, the pathway's effector, ranks 465. A coherent pathway signal would not usually look like that, and the cleanest alternative explanation is that the KMT2A-rearranged arm (11 lines, none infant-derived) carries a replication-stress phenotype the comparator arm does not - which is a property of those eleven lines, not of the fusion."
  },
  "context": "human FA patients for the requirement; this project's DepMap scan for the selectivity"
}
cell state
{
  "evidence_class_key": "concept-expressed-required-maintains-three-evidence-classes",
  "maintains_state": {
    "class": 3,
    "states": [
      "cell-state-quiescence"
    ],
    "claim": "In FANCONI ANAEMIA patient HSPCs, FA-pathway loss IMPOSES a p53/p21-dependent G0/G1 arrest rather than maintaining a state [E_q71_ct1].",
    "pmids": [
      "22683204"
    ],
    "system_named_in_the_claim": "human Fanconi anaemia patient HSPCs and FA-like cells"
  },
  "declined_vocabulary": "No 'replication stress' state exists in this graph's cell vocabulary; recorded as a gap rather than approximated. CLOSED 2026-09-21 by Q73: cell-state-replication-stress-icl-repair now exists and this entry is edged to it with type `regulates` (a mechanism relation - the gene serves the state; it is not a residency claim). The direction this field records is preserved in that node: FA-pathway loss IMPOSES arrest rather than maintaining it, so an edge to cell-state-quiescence would still be wrong.",
  "confidence": "strong",
  "caveats": "All cell-type and cell-state evidence is from fusion-free FA patients. The selectivity rank is a between-arm difference from this project's own scan. This gene has no KMT2A literature.",
  "counter_evidence": {
    "note": "The fork-protection state this gene is invoked for can be produced by a gene that is not in the FA pathway at all: depleting SETD1A, or expressing a chaperone-defective FANCD2 mutant, causes the same DNA2-dependent resection and the same loss of RAD51 nucleofilament stability. So observing fork instability in a KMT2A-rearranged line does not point at BRIP1.",
    "citation": {
      "title": "Histone Methylation by SETD1A Protects Nascent DNA through the Nucleosome Chaperone Activity of FANCD2.",
      "authors": "Higgs MR, Sato K, Reynolds JJ, Begum S, Bayley R, Goula A, Vernet A, Paquin KL, Skalnik DG, Kobayashi W, Takata M, Howlett NG, Kurumizaka H, Kimura H, Stewart GS",
      "year": 2018,
      "venue": "Mol Cell",
      "pmid": "29937342",
      "doi": "10.1016/j.molcel.2018.05.018",
      "type": "paper"
    }
  }
}
depmap release backfill
{
  "open_targets_dataversion": "26.06",
  "note": "Added by Q71 per brief rule 83; Open Targets dataVersion fetched live 2026-09-21 as year 26 month 06. Scan denominator for this gene: n_all_lines 1208."
}
How this could bite us back
  • The FA pathway is a tumour suppressor pathway. Inhibiting it in a leukaemia patient would be expected to raise, not lower, the mutation rate in surviving cells and in normal haematopoiesis — the exact phenotype Fanconi anaemia patients have.
  • Fanconi anaemia is a bone-marrow-failure syndrome. A systemic inhibitor of this pathway carries a named, well-characterised on-target toxicity in the tissue the disease lives in.
  • Children cured of leukaemia live for decades. A drug that disables interstrand cross-link repair sits badly beside the secondary-malignancy risk that already follows topoisomerase-II-directed therapy for KMT2A-rearranged disease.
  • BRIP1 has no reported small-molecule ligand, and only UBE2T among the eight carries a catalytic site of the kind ligand discovery usually needs.
  • A quarter-Chronos difference is a narrow therapeutic window even if it is real.
  • BRIP1 is a bona fide cancer-predisposition gene: germline helicase-domain mutations segregate with early-onset breast cancer (PMID 11301010) and biallelic loss causes Fanconi anaemia group J. A drug that phenocopies a predisposition allele in a surviving infant is a second-malignancy risk, not a clean vulnerability.
  • The literature reaches this gene under BACH1, a symbol shared with an unrelated transcription factor. Any pharmacology search, patent search or target-tractability assessment keyed to one spelling will return the wrong protein's chemical matter.
Still open
  1. Is BRIP1 depleted in KMT2A-rearranged cells because of replication stress at transcribed loci, because of endogenous aldehyde damage as the ALDH2 work in AML argues, or for a third reason?
  2. Does BRIP1 knockout cause measurable fork slowing or R-loop accumulation in a KMT2A-rearranged line, or only loss of viability?
  3. Is the B-lymphoid component of this signal a property of B-ALL biology, or of the nine non-KMT2A B-ALL lines that happen to be in DepMap?
  4. Do primary KMT2A-rearranged blasts or patient-derived xenografts show the same BRIP1 requirement, or is it a property of decades-passaged lines?
  5. Has BRIP1 ever been imaged at a damage focus, as opposed to inferred there from its BRCA1-BRCT interaction? The searched literature gave no such measurement.
  6. Do the eleven KMT2A-rearranged DepMap lines carry more baseline replication stress than the 43 comparator lines? If they do, the FANCF/FANCI/BRIP1 cluster near the top of the scan is a property of the panel and not of the fusion, and a single gamma-H2AX or fork-speed measurement across the two arms would settle it.
Every source behind this entry (9)
  1. E1established confidence 5 of 5: Multiple independent lines of evidence; treated as settled in the field.database

    BRIP1 is UniProt Q9BX63, 1249 aa, and the accession's PRIMARY gene name reads back as BRIP1. UniProt describes BRIP1 as a DNA-dependent ATPase and 5'-3' DNA helicase required for chromosomal stability that acts late in the Fanconi anemia pathway, after FANCD2 ubiquitination, and binds directly to the BRCT domains of BRCA1.

    UniProtKB entry Q9BX63 · UniProtKB/Swiss-Prot 2026
    What this evidence cannot show

    A database record, not an experiment. The accession was resolved by a gene_exact query and then read back: gene_exact matches SYNONYMS, so the primary gene name and the sequence length were both checked against the entry rather than assumed. This mattered here: the same query also returns MRPL36 (Q9P0J6, 103 aa), which lists BRIP1 among its synonyms and is a mitochondrial ribosomal protein.

    Evidence that argues against this (1)
    • UniProt function text for the FA core subunits is hedged ('may operate in', 'may be implicated in') and largely predates the structural work on the complex; it should not be read as a precise mechanistic claim. UniProtKB/Swiss-Prot 2026
  2. E2moderate confidence 3 of 5: One strong study, or several smaller consistent ones.dataset

    In the project's own genome-scale sweep, BRIP1 ranks 22 of 8,269 by raw effect (d = -0.293) and 28 by the scaled z (-0.986), and the 26-gene FA/BRCA set as a whole beats its permutation null at p = 5e-05 on both statistics.

    Effect-size versus z re-ranking of the genome-scale lineage-consistency sweep, with a permutation test of the Fanconi/FA-BRCA pathway · Oncofusion knowledge graph, analyses/effect-size-vs-z-reranking; DepMap Chronos via Open Targets 2026
    What this evidence cannot show

    DepMap CRISPR gene effect in 11 KMT2A-rearranged leukaemia lines against 43 other leukaemia lines. Eleven immortalised lines, none infant-derived, lineage assigned from DepMap free-text disease strings. A rank is not an effect: d here is a Chronos difference of roughly a quarter to a half, which is real but far from the -0.86 of MEN1.

    Evidence that argues against this (1)
  3. E3moderate confidence 3 of 5: One strong study, or several smaller consistent ones.dataset

    Splitting the index arm, BRIP1 is depleted in BOTH halves (d = -0.2971 myeloid, -0.4238 lymphoid; z = -0.991 and -1.414), and the LYMPHOID half is the stronger one. A line-label permutation that holds the gene set fixed and redraws the index arm as 7 myeloid + 4 lymphoid leukaemia lines gives p = 0.0016 for BRIP1, and p = 0.0002 for the eight-gene headline set.

    What this evidence cannot show

    The lymphoid half is four cell lines. The line-label permutation is the right null for correlated subunits because it preserves every gene-gene correlation, but it cannot tell a KMT2A effect from anything else those eleven particular lines share.

    Evidence that argues against this (1)
  4. E4moderate confidence 3 of 5: One strong study, or several smaller consistent ones.dataset

    BRIP1 is not pan-essential: mean Chronos across every screened cell line is -0.3147, and only 16.6% of lines fall below -0.5. For contrast ACTB is -0.815 with 72.1%.

    What this evidence cannot show

    Computed from the Open Targets slice of DepMap, which does not state its release version. 'Not pan-essential' is a weaker statement than 'selective': a gene can be non-essential everywhere and still not be selectively required in KMT2A-rearranged cells.

    Evidence that argues against this (1)
  5. E5strong confidence 4 of 5: Replicated in peer-reviewed work by more than one group.database

    There is no published literature on BRIP1 in KMT2A-rearranged leukaemia. A PubMed title/abstract search including the retired and alternative symbols BRIP1, BACH1, FANCJ against KMT2A, MLL and 'mixed-lineage leukemia' returns 2 records, of which 0 are substantive after title-checking every hit. Both hits are the alias BACH1 meaning the BTB-and-CNC-homology transcription factor, a different gene entirely — one on FBXO22 degrading BACH1 in MLL-rearranged AML, one on BACH1 recruiting MLL/SET1 in mouse ES cells. Neither concerns BRIP1. Searching BRIP1 and FANCJ alone against KMT2A or MLL returns zero.

    What this evidence cannot show

    A counted absence is only as good as its symbol set, and short or word-like aliases inflate counts rather than shrink them, so every hit was title-checked and the checked number is the one reported. Title/abstract search misses work buried in supplementary tables and in screens that name a pathway rather than a gene.

    Evidence that argues against this (1)
    • The pathway is not unstudied even where the gene is: a Hoxa-dependency transcriptome in MLL-rearranged mouse leukaemia returns an FA-pathway-enriched signature, which no gene-symbol query would find. Kettyle LM et al. 2019
  6. E6moderate confidence 3 of 5: One strong study, or several smaller consistent ones.paper

    BRIP1 in leukaemia more broadly: 18 PubMed records for the symbol and its aliases against leukaemia or leukaemia. SLX4, the other late-acting FA-annotated gene that ranks well in this sweep, works with RTEL1 to prevent transcription-mediated perturbation of DNA replication - the class of problem the late FA branch is being invoked to solve here.

    SLX4 interacts with RTEL1 to prevent transcription-mediated DNA replication perturbations. · Takedachi A, Despras E, et al. · Nat Struct Mol Biol 2020
    What this evidence cannot show

    This is SLX4, not BRIP1, and it is in human fibroblast and cancer-line systems with no leukaemia and no KMT2A.

    Evidence that argues against this (1)
    • Offered as a statement about what the late FA branch does, not as evidence about BRIP1 in leukaemia. BRIP1's own best-known disease association is ovarian and breast cancer predisposition, a context in which it behaves as a tumour suppressor. Takedachi A et al. 2020
  7. E7moderate confidence 3 of 5: One strong study, or several smaller consistent ones.paper

    Human Fanconi anaemia patients, who are biallelically null for an FA gene, do develop KMT2A-rearranged leukaemia — a documented case of therapy-related AML carrying MLL-CBP t(11;16) arising in a child with Fanconi anaemia after topoisomerase-II-directed chemotherapy for ALL.

    What this evidence cannot show

    A single 2000 case report, and the FA complementation group is not stated in the abstract, so which FA gene was lost is not established from this record. Therapy-related leukaemia in an FA background is also a special case.

    Evidence that argues against this (1)
    • This is the sharpest argument against reading the DepMap signal as an absolute requirement: a KMT2A-rearranged clone arose and expanded in a host with a disabled FA pathway. It does not exclude a quantitative dependency, and the DepMap effect sizes are quantitative, not absolute. Quentin S et al. 2011
  8. E_q71_loc1established confidence 5 of 5: Multiple independent lines of evidence; treated as settled in the field.paper

    In HUMAN breast-cancer and non-haematopoietic cells, BRIP1 - reported under its original name BACH1, a DEAH-family helicase-like protein - binds DIRECTLY to the BRCT repeats of BRCA1 in vivo, and a helicase-domain point mutant interferes with normal double-strand break repair in a manner dependent on its BRCA1-binding function; germline BRIP1 helicase-domain mutations were found in 2 of 2 early-onset breast cancer patients and 0 of 200 matched controls.

    BACH1, a novel helicase-like protein, interacts directly with BRCA1 and contributes to its DNA repair function. · Cantor SB, Bell DW, Ganesan S, Kass EM, Drapkin R, Grossman S, Wahrer DC, Sgroi DC, Lane WS, Haber DA, Livingston DM · Cell 2001
    What this evidence cannot show

    Abstract read in full; full text not read. Human breast tissue and non-haematopoietic cells - not leukaemia, not haematopoietic, not KMT2A-rearranged (brief rule 73). THIS PAPER CONTAINS NO SUBNUCLEAR IMAGING: it establishes a direct protein-protein interaction with BRCA1's BRCT repeats, from which a DSB-site address is inferred, not measured. The paper calls the protein BACH1, which collides with an unrelated bZIP transcription factor of the same symbol - see identifier_note and the row added to data/symbol-collisions.json.

    Evidence that argues against this (1)
    • Reading BRIP1 as a purely nuclear DSB-site protein overstates what is annotated. UniProt Q9BX63 records BOTH Nucleus and Cytoplasm at ECO:0000269, so a fraction of the protein is outside the compartment the repair rationale uses. And the FA pathway's own imaged compartment belongs to the ID complex, not to the downstream helicase: FANCI and FANCD2 are the proteins shown to load onto chromatin as a unit after damage. Smogorzewska A et al. 2007
  9. E_q71_ct1strong confidence 4 of 5: Replicated in peer-reviewed work by more than one group.paper

    In FANCONI ANAEMIA PATIENTS (all complementation groups pooled) and in human FA or FA-like cells, haematopoietic stem and progenitor cells show a profound defect that is present BEFORE the onset of clinical bone marrow failure; in response to replicative stress and unresolved DNA damage p53 is hyperactivated and triggers a late p21(Cdkn1a)-dependent G0/G1 cell-cycle arrest, and knockdown of p53 rescues the HSPC defect in several in vitro and in vivo models.

    Bone marrow failure in Fanconi anemia is triggered by an exacerbated p53/p21 DNA damage response that impairs hematopoietic stem and progenitor cells. · Ceccaldi R, Parmar K, Mouly E, Delord M, Kim JM, Regairaz M, Pla M, Vasquez N, Zhang QS, Pondarre C, Peffault de Latour R, Gluckman E, Cavazzana-Calvo M, Leblanc T, Larghero J, Grompe M, Socié G, D'Andrea AD, Soulier J · Cell Stem Cell 2012
    What this evidence cannot show

    Abstract read in full; full text not read. HUMAN FA patients and FA/FA-like cells in NORMAL haematopoiesis - not leukaemia, not KMT2A-rearranged, not an infant B-lineage measurement (brief rule 73). This is a PATHWAY-LEVEL result: the abstract pools complementation groups and does not attribute the HSPC defect to any single FA gene, so it is cited here as the cell-type context of the FA pathway and NOT as a measurement on this gene.

    Evidence that argues against this (1)
    • This is the strongest single argument that an FA-gene requirement in a haematopoietic cell is a LINEAGE property and not a fusion property. The HSPC defect is measured in Fanconi anaemia patients who carry no fusion oncoprotein at all, and it is driven by a generic p53/p21 response to replication stress rather than by anything specific to KMT2A. Ceccaldi R et al. 2012
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