Oncofusion

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Proteinmoderate confidence 3 of 5: One strong study, or several smaller consistent ones.Q5c-interactome2

DPY30 — the smallest COMPASS subunit, and the only one that behaves like a selective dependency

also called DPY-30 · Dpy-30 homolog · Saf19 · HDPY-30 · WRAD component

DPY30 is a tiny 99-amino-acid protein shared by all six of the cell's H3K4 methyltransferase complexes, including the one KMT2A belongs to. Unlike its three partners in that shared core, knocking it out does not kill every cell, and in leukemia lines its requirement tracks menin's — which makes it the only part of the shared machinery with a plausible therapeutic window.

The same thing, for a scientist

DPY30 (Q9C005, 99 aa) is the smallest subunit of the WRAD module (WDR5–RBBP5–ASH2L–DPY30) that is common to all six human SET1/MLL (KMT2) H3K4 methyltransferase complexes. It homodimerises through a Dpy-30 motif (PF05186, residues 52–92) and docks onto the ASH2L SDI motif at 2:1 stoichiometry. Functionally it is a positioning rather than a catalysis subunit: it contributes only modestly to allosteric stimulation of KMT2 activity in vitro, yet its ASH2L interface is required for correct genome-wide placement of H3K4me2/me3. That functional split is the best available explanation for why DPY30 is the one WRAD subunit that is neither pan-essential nor uncorrelated with MEN1.

loading 6E2H…
PDB 6E2H
The whole of DPY30's known job is this handshake with ASH2L — there is no pocket for a drug to sit in.
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6E2H: Ash2L SPRY domain plus SDI motif bound to full-length DPY-30, 2.24 A X-ray.

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Two DPY30 protomers dimerise through the Dpy-30 motif (PF05186, residues 52-92) and together clamp a single ASH2L SDI segment, giving 2:1 stoichiometry.

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This is an extended helical interface rather than a cleft, which is why DPY30 is realistically a degrader target rather than an occupancy target.

What it looks like
DPY3099 aa
Disordered N-terminal regionDisordered N-terminal region · residues 1–26Dpy-30 motif (dimerisation and ASH2L docking)Dpy-30 motif (dimerisation and ASH2L docking) · residues 52–920
loading AF-Q9C005-F1…
AlphaFold AF-Q9C005-F1 ↗
colourshape

This is a prediction, not a measurement. No one has seen this protein in this shape. The colours say how much the software trusts itself, and that is worth reading before anything else — the orange stretches are places the model is effectively saying this part has no fixed shape.

very high (90+)confident (70–90)low (50–70)very low (<50)
I have never read one of these pictures before

A protein is one long chain of amino acids that folds up. The ribbon traces that chain from one end to the other; it is not a wire, it is a simplification of where the backbone runs. Drag to rotate, scroll to zoom.

Domains are the stretches of chain that do a particular job, and they are what the coloured blocks above the picture mark out. Click one and the view flies to it. In this project the important question about any domain is usually whether the fusion still has it — the labels say lost where it does not.

Anything in yellow sticks is a bound small molecule, which is usually the drug.

Go deeper
Scope correction: WRAD is wild-type KMT2A, not the fusion

Scope correction (coordinator, 2026-09-18). This entry is filed in the KMT2A::AFF1 interactome. The primary complex-purification paper says the opposite for WRAD: "Oncogenic mutant forms of MLL retain an ability to interact with menin but not other identified complex components" — the identified components being ASH2L, WDR5, RBBP5, HCF-1 and HCF-2 [E_yokoyama2004].

The reason is positional. WRAD engages KMT2A near the SET domain, at the extreme C-terminus, which lies far beyond the breakpoint cluster region (exons 8-13, roughly residues 1100-1400) and is therefore absent from every fusion protein. The same applies to HCF-1/HCF-2 (aa 1799-1802), CyP33 at PHD3, and CBP at the TAD (2829-2883).

So WRAD membership is a property of wild-type KMT2A, not of the fusion. That does not make this entry worthless — wild-type KMT2A biology matters here, the remaining wild-type allele is retained in patients, and WRAD is where the H3K4 methyltransferase question lives. But any claim that this protein is part of the fusion's interactome needs a primary source showing WRAD on a fusion, and none was found.

This also reframes what the field's most-cited menin paper actually shows. It is read as evidence for menin. It is equally a statement about everything else, and that asymmetry is the strongest available argument that menin is the only handle on the retained fragment rather than the best of several.

Narrowing that correction: discarded from the fusion, required in trans

The scope correction above was right but over-applied, and is narrowed here (coordinator, 2026-09-18).

What Yokoyama 2004 licenses is precisely this: WRAD does not stably co-purify with fusion MLL under the detergent conditions of a 2004 affinity purification. It does not license the stronger reading this coordinator propagated — that the wild-type KMT2A literature describes a protein the leukemia does not make, and can therefore be set aside. Three results say otherwise, and all three were verified directly:

1. The wild-type allele is required. Menin recruits both wild-type MLL and the MLL-AF9 fusion to HOX loci, and "the wild-type Mll allele is required for MLL-AF9-induced leukemogenesis and maintenance of MLL-AF9-transformed cells" [E_thiel]. Every patient keeps an intact allele.

2. The fusion depends on the wild-type complex in trans. The essential MLL1 recruitment domain spans CXXC and the PHD fingers; "MLL1 fusion proteins lack the PHD fingers and require prebinding of a wild-type MLL1 complex ... for stable HoxA9 association" [E_milne]. So a module deleted from the fusion can still be load-bearing for the fusion — supplied in trans by the other allele.

3. This interface already has a selective compound. MM-401 blocks the MLL1-WDR5 interaction and "blocks proliferation of MLL cells ... without general toxicity to normal bone marrow cells or non-MLL cells" [E_cao]. An interface absent from the fusion nonetheless yields MLL-selective pharmacology.

The enumeration's two-category scheme is therefore incomplete. Retained and discarded are not exhaustive; there is a third category — discarded from the fusion, required in trans through the intact allele. This entry belongs in it. The positional claim stands; the strategic inference drawn from it does not.

Unresolved and recorded as such: MM-401 works by blocking MLL1 methyltransferase activity, while MLL1 SET activity is reported dispensable for MLL-AF9 leukemogenesis (PMID 24813891). Both are in this graph and they do not sit comfortably together.

Correction: MM-401 is not proof that an absent interface is druggable

The section above used MM-401 to argue that an interface absent from the fusion nonetheless yields MLL-selective pharmacology, and treated that as support for targeting wild-type-only modules. That argument does not survive the WIN-site literature, and the coordinator verified both papers directly.

The group that developed small-molecule WIN-site inhibitors states the position plainly: "Peptidomimetic WINi were originally proposed to inhibit MLLr cells via dysregulation of genes connected to hematopoietic stem cell expansion. Our discovery and interrogation of small-molecule WINi, however, revealed that they act in MLLr cell lines to suppress ribosome protein gene transcription, induce nucleolar stress, and activate p53" [E_howard]. The earlier work had already shown WIN-site inhibitors displace WDR5 from a small cohort of loci including a specific subset of ribosome protein genes, causing translational inhibition, nucleolar stress and p53 induction [E_aho].

So the selectivity for MLL-rearranged cells may not run through MLL1 biology at all. If it runs through ribosome depletion and p53, then:

  • MM-401 is not evidence that disrupting a wild-type-only MLL1 interface is a viable strategy against the fusion, and this graph should stop presenting it that way;
  • the mechanism predicts failure in TP53-mutant disease, which is exactly the relapsed setting where a new agent would be used;
  • and it is a genuinely different and possibly better idea — a ribosome-directed therapy — that happens to have been found through a chromatin protein.

What survives from the original point is narrower and still worth keeping: the wild-type allele is genetically required for MLL-AF9 leukemogenesis and maintenance, and the fusion requires a prebound wild-type complex at its target loci. That case now rests on genetics alone, not on a compound.

The question the King asked: why does DPY30 not behave like the rest of its own complex?3 deeper

The cycle-9 bootstrap found DPY30 co-dependent with MEN1 across 54 leukemia lines at r = 0.45 (95% CI 0.15–0.66), surviving Holm correction. The obvious objection was that DPY30 might simply be better-powered than its complex-mates, since that earlier panel tested WDR5 but never tested RBBP5 or ASH2L at all.

So we tested all four WRAD subunits under the identical leukemia-restricted protocol 4:

Subunitr vs MEN1 (54 leukemia lines)95% CIsurvives Holmmean Chronos (1,258 lines)% lines depleted
DPY300.446[0.142, 0.658]yes-0.39031.5%
WDR50.004[-0.281, 0.304]no-1.15998.3%
RBBP5-0.081[-0.332, 0.164]no-1.10597.6%
ASH2L-0.153[-0.433, 0.118]no-0.33321.4%

The result is cleaner than expected. DPY30 is the only WRAD subunit whose confidence interval excludes zero, and it is the only one that survives correction.

The easy explanation is wrong, and that is what makes this interesting

The standing explanation in this graph for why pan-essential genes never appear as co-dependencies is statistical: a gene required by every line has a flat profile, and a flat profile cannot correlate with anything. That fully explains WDR5 (98.3% of lines depleted) and RBBP5 (97.6%). It does not explain ASH2L.

ASH2L has almost the same essentiality distribution as DPY30 — mean Chronos -0.33 versus -0.39, 21.4% of lines depleted versus 31.5%. It has ample variance to correlate with. And it lands at r = -0.15, if anything pointing the wrong way 4.

So the difference between DPY30 and ASH2L is not statistical power. Two subunits of the same four-protein module, with near-identical essentiality profiles, give opposite answers about whether they share a requirement with menin. Whatever separates them is biology.

The best mechanistic candidate: DPY30 positions, RBBP5 and WDR5 catalyse

Structural and genomic work separates the WRAD subunits by job. RBBP5 and WDR5 are structurally load-bearing for catalysis: RBBP5 directly contacts the H2B-conjugated ubiquitin and orients the whole complex on the nucleosome, and the WDR5 Win-motif pocket is what holds the catalytic subunit into the module at all 56. Remove either and every KMT2 enzyme in the cell loses activity, which is exactly the pan-essential phenotype DepMap reports.

DPY30 is different. In reconstituted assays it contributes only modestly to heterotypic allosteric stimulation of KMT2 activity, yet an extensive interface network between DPY30 and ASH2L is critical for the correct genome-wide placement of H3K4me2 and H3K4me3 7. Notably, H3K4me2 peaks that persist after DPY30 loss sit in highly transcribed regions, so what DPY30 loss removes preferentially is the mark at genes that are not already running hot.

If DPY30's job is targeting rather than catalysis, then losing it should hurt most where the H3K4 machinery has to be aimed at a specific, non-default set of loci. A KMT2A fusion held onto a defined target set by the menin–LEDGF tether is precisely that situation. This predicts the observed correlation with MEN1, and it predicts ASH2L behaving differently only if ASH2L's contribution is dominated by its scaffolding of RBBP5 rather than by the DPY30 interface. That last step is a hypothesis, not a result.

The effect is leukemia-specific, which is the part worth following up

Across the full 1,208-line panel, DPY30's correlation with MEN1 is r = 0.11 — nothing 1. Restricted to the 54 leukemia lines it is 0.45 4. A four-fold jump on lineage restriction is the signature of a dependency that is contingent on cell context rather than on a constitutive physical interaction.

That cuts both ways. It is encouraging for a leukemia-selective target. It is also exactly what a lineage confounder looks like, and this analysis does not adjust for lineage within the leukemia subset.

Essentiality and tolerability dossier

DepMap. Not flagged common-essential. Mean Chronos -0.390 across 1,258 lines; -0.455 across 57 leukemia lines; 31.5% of lines depleted below -0.5 1. The most depleted leukemia lines are OCI-AML2 (-1.21), NALM-16 (-0.86), YCUB-2 (-0.84), OCI-AML3 (-0.78), SHI-1 (-0.76) and MOLM-13 (-0.74) 1. That set is notably not KMT2A-rearranged-enriched — two NPM1-mutant AML lines lead it — so DPY30 is not a KMT2A-fusion-specific dependency, it is a dependency shared with the same cells that need menin.

Human genetic constraint. pLI 0.512, LOEUF 0.731 — nominally unconstrained, and the triage put DPY30 GREEN on that basis 18. This number should not be trusted. DPY30 is 99 residues long and gnomAD expects only 16.2 loss-of-function variants against 6 observed. LOEUF's confidence interval is wide for any gene with a small expected count, and 16 is small. The correct statement is that DPY30 is underpowered for constraint, not that it is unconstrained. A GREEN triage call resting on LOEUF 0.73 for a 99-amino-acid protein is a call resting on a statistic that cannot resolve the question.

Mouse. Conditional Dpy30 deletion in adult mouse haematopoiesis causes severe pancytopenia, yet with striking accumulation of HSCs and early progenitors that cannot reconstitute multiple lineages — a differentiation block 2. In mixed chimeras, Dpy30-null HSCs neither differentiate nor upregulate lineage-regulatory genes and eventually fail to sustain long-term. This is a serious haematopoietic toxicity signal and it is the single strongest argument against DPY30 as a drug target in leukemia.

Expression. Low tissue specificity, detected in all tissues. Bone marrow 29.6 nTPM, naive B cell 136.4, classical monocyte 101.4, liver 79.1 1. Nothing here suggests a spared tissue.

Druggability: what a chemist would actually be aiming at

DPY30 is 99 residues, has no catalytic activity, and its only structurally characterised function is a protein–protein interface: a Dpy-30-motif homodimer docking the ASH2L SDI motif at 2:1 stoichiometry, solved at 2.23 Å (4RIQ) and with full-length DPY30 at 2.24 Å (6E2H) 5. It is also resolved in the MLL1 core complex on the nucleosome (6PWV, 7UD5) 5.

That is a flat, extended helical interface, not a pocket. It is the hardest class of protein–protein interaction to drug with a small molecule, and unlike the menin–MBM1 interface there is no natural peptide-in-a-groove geometry to mimic. Realistically DPY30 is a degrader or a genetic-tool target, not a small-molecule-occupancy target, and this graph should not record it as druggable.

We did not attempt a ChEMBL activity count for DPY30. Per this project's standing warning, a target-level row count would not tell you anything about this interface even if it were non-zero, and we could not determine an interface-specific count.

Coordinator resolution on the DPY30 statistic

Two tests, two questions, and this graph conflated them.

ana-depmap-bootstrap-ci reports DPY30 at Holm-corrected permutation p = 0.015. ana-depmap-null-deep-pool reports DPY30 failing Holm at 0.086, and ana-depmap-within-subtype agrees at 0.085. These do not contradict each other, because they test different null hypotheses:

  • A permutation test shuffles the cell-line labels and asks whether the correlation differs from zero. DPY30 passes: its correlation is real.
  • A variance-matched random-gene null asks whether the correlation exceeds what comparable random genes achieve. DPY30 fails: a random gene of the same variance does about as well.

So the honest statement is that DPY30's co-dependency with MEN1 is real but not distinctive. It is not withdrawn, and it is not evidence that DPY30 is special. For target selection the matched null is the relevant test, because a correlation no better than a same-variance random gene is not a reason to pick anything.

This distinction applies to every gene in these analyses, not just DPY30. 'Survives Holm' has been used in this graph as if it named one thing; it names two, and the weaker candidates (DPY30, BCL2, MLLT1) are exactly where the two diverge.

This entry's use of the Holm p = 0.015 figure is therefore not wrong, but incomplete. Read it as DPY30's correlation with MEN1 is reliably non-zero, not as DPY30 stands out among the WRAD subunits. The counter-evidence items added by the interactome2 sweep make the same point from the literature side.

Facts and figures
uniprotQ9C005
gene symbolDPY30
ensemblENSG00000162961
length AA99
alphafold IDAF-Q9C005-F1
druggabilityPoor by small molecule. No catalytic site; the only characterised function is an extended helical protein-protein interface with ASH2L. Degrader or genetic tool only. ChEMBL pocket-level activity count could not be determined and no target-level count is quoted.
subnuclear localizationnot measured - the annotated H3K4me3/promoter chromatin distribution is BY SIMILARITY (ECO:0000250), and no nuclear-compartment observation exists for any WRAD subunit
shown for fusionNO - DPY30 has never been localised in a KMT2A-rearranged cell
wrad comparison
ASH2L-0.153ASH2L: -0.1529RBBP5-0.081RBBP5: -0.0809WDR50.004WDR5: 0.0042DPY300.446DPY30: 0.4462
most depleted leukemia lines
OCI-AML2-1.207OCI-AML2: -1.207NALM-16-0.855NALM-16: -0.855YCUB-2-0.841YCUB-2: -0.841OCI-AML3-0.777OCI-AML3: -0.777SHI-1-0.758SHI-1: -0.758MOLM-13-0.741MOLM-13: -0.741
PDB IDS
[
  "3G36",
  "4RIQ",
  "4RT4",
  "4RTA",
  "6E2H",
  "6PWV",
  "7UD5"
]
PDB verified
[
  "3G36",
  "4RIQ",
  "6E2H",
  "6PWV",
  "7UD5"
]
domains
[
  {
    "name": "Disordered N-terminal region",
    "start": 1,
    "end": 26,
    "pfam": null
  },
  {
    "name": "Dpy-30 motif (dimerisation and ASH2L docking)",
    "start": 52,
    "end": 92,
    "pfam": "PF05186"
  }
]
complexes
[
  "SET1A/COMPASS",
  "SET1B/COMPASS",
  "MLL1 (KMT2A) core complex",
  "MLL2 (KMT2B)",
  "MLL3 (KMT2C)",
  "MLL4 (KMT2D)"
]
essentiality
{
  "depmap_common_essential": false,
  "chronos_mean": -0.3898,
  "chronos_mean_leukemia_lines": -0.4546,
  "n_lines": 1258,
  "n_leukemia_lines": 57,
  "fraction_lines_depleted": 0.3116,
  "gnomad_pLI": 0.512,
  "gnomad_loeuf": 0.731,
  "gnomad_obs_lof": 6,
  "gnomad_exp_lof": 16.2,
  "gnomad_power_note": "Only 16.2 expected LoF variants in a 99-residue gene; LOEUF is underpowered and must not be read as tolerance to loss.",
  "mouse_ko": "Conditional deletion in adult mouse haematopoiesis causes severe pancytopenia with accumulation of HSCs and early progenitors that cannot reconstitute multiple lineages (differentiation block), and long-term failure in mixed chimeras",
  "hpa_ntpm": {
    "bone_marrow": 29.6,
    "naive_B_cell": 136.4,
    "classical_monocyte": 101.4,
    "liver": 79.1,
    "thymus": 48.7,
    "lymph_node": 48.4,
    "spleen": 34.1
  },
  "hpa_specificity": "Low tissue specificity; detected in all"
}
codependency men1
{
  "r_all_lines": 0.1117,
  "r_leukemia_lines": 0.4462,
  "ci_leukemia": [
    0.1419,
    0.6582
  ],
  "p_permutation": 0.001,
  "p_holm": 0.015,
  "n_leukemia_lines": 54
}
wrad comparison — the numbers behind the chart
[
  {
    "gene": "DPY30",
    "r_leukemia": 0.4462,
    "survives_holm": true,
    "chronos_mean": -0.3896,
    "frac_depleted": 0.315
  },
  {
    "gene": "WDR5",
    "r_leukemia": 0.0042,
    "survives_holm": false,
    "chronos_mean": -1.159,
    "frac_depleted": 0.983
  },
  {
    "gene": "RBBP5",
    "r_leukemia": -0.0809,
    "survives_holm": false,
    "chronos_mean": -1.1048,
    "frac_depleted": 0.976
  },
  {
    "gene": "ASH2L",
    "r_leukemia": -0.1529,
    "survives_holm": false,
    "chronos_mean": -0.3326,
    "frac_depleted": 0.214
  }
]
most depleted leukemia lines — the numbers behind the chart
[
  {
    "line": "OCI-AML2",
    "disease": "AML (NPM1-mutant)",
    "chronos": -1.207
  },
  {
    "line": "NALM-16",
    "disease": "B-ALL",
    "chronos": -0.855
  },
  {
    "line": "YCUB-2",
    "disease": "B-ALL",
    "chronos": -0.841
  },
  {
    "line": "OCI-AML3",
    "disease": "AML (NPM1-mutant)",
    "chronos": -0.777
  },
  {
    "line": "SHI-1",
    "disease": "AML (KMT2A::AFDN)",
    "chronos": -0.758
  },
  {
    "line": "MOLM-13",
    "disease": "AML (KMT2A::MLLT3)",
    "chronos": -0.741
  }
]
localization
{
  "subcellular": "nucleus AND Golgi apparatus / trans-Golgi network - both experimentally coded in UniProt Q9C005 from one source (ECO:0000269|PubMed:19651892). Endogenous mDpy-30 shows dual nuclear and perinuclear cytoplasmic staining in HeLa and CV-1 cells, reproduced by an HA-tagged construct; TGN targeting is mediated by BIG1, and depletion causes a cargo-selective endosome-to-TGN transport defect for CIMPR (TGN46 and transferrin receptor unaffected).",
  "subnuclear": "not measured. UniProt's chromatin-distribution note - H3K4me3-enriched regions, promoters and 5'UTRs rather than downstream regions or 3'UTRs - carries ECO:0000250, BY SIMILARITY, not an experimental code. No nuclear-compartment observation exists.",
  "how_shown": "immunofluorescence of endogenous protein with antibody characterisation, HA/GFP-tagged constructs, two independent siRNAs, antibody-uptake assays for endogenous and CD8-chimeric CIMPR, GFP-trap immunoprecipitation with tandem MS",
  "systems": "human HeLa and CV-1 monkey kidney cells; nothing haematopoietic or leukaemic",
  "interpretation_warning": "a DPY30 genetic dependency cannot currently be attributed to COMPASS rather than to trafficking; no separation-of-function allele exists",
  "node": "localization-dpy30-trans-golgi-network-pool"
}
cell type
{
  "evidence_class_key": "concept-expressed-required-maintains-three-evidence-classes",
  "expressed_in": {
    "class": 1,
    "summary": "ubiquitous"
  },
  "required_in": {
    "class": 2,
    "kmt2a_rearranged_lines_mean_gene_effect": -0.51,
    "all_1258_lines_mean_gene_effect": -0.39,
    "pct_all_lines_depleted": 31.2,
    "floor_compressed": false,
    "myeloid_kmt2ar_mean": -0.56,
    "blineage_kmt2ar_mean": -0.421,
    "same_fusion_myeloid_minus_blineage": -0.179,
    "verdict": "a broad, moderate dependency with only -0.12 of KMT2A-rearranged selectivity. Not a lineage-restricted requirement.",
    "the_conditional_knockout_answer": "Dpy30 is critical for maintaining the IDENTITY and FUNCTION of ADULT haematopoietic stem cells in mice (PMID 27647347) - a cell-type answer at the compartment level that the dependency screen does not contain."
  },
  "context": "wild-type protein in normal murine haematopoiesis; no fusion-context requirement measurement",
  "graph_links": [
    "cell-type-hsc-bone-marrow"
  ]
}
cell state
{
  "maintains": {
    "class": 3,
    "states": [
      "cell-state-stem-like-self-renewal"
    ],
    "claim": "In mice, Dpy30 loss collapses adult haematopoietic stem cell identity and function - the stem compartment cannot maintain itself.",
    "pmids": [
      "27647347"
    ],
    "system_named_in_the_claim": "adult murine haematopoietic stem cells in normal haematopoiesis (brief rule 73)"
  },
  "bounded_query": {
    "date": "2026-09-20",
    "tool": "NCBI esearch db=pubmed",
    "query": "(DPY30[tiab] OR \"Dpy-30\"[tiab] OR \"DPY-30\"[tiab] OR \"Saf19\"[tiab]) AND <cell-state clause> AND <leukaemia clause>",
    "count": 0,
    "controls": {
      "gene_clause_alone": 121,
      "state_clause_alone": 96743,
      "gene_clause_AND_state_clause_WITHOUT_the_leukaemia_term": 6
    },
    "RULE_77_DEMONSTRATION": "THE ZERO IS REAL AND THE CONCLUSION WOULD HAVE BEEN FALSE. Dropping the leukaemia term from the identical query returns 6, and one of them is PMID 27647347, 'Dpy30 is critical for maintaining the identity and function of adult hematopoietic stem cells' (J Exp Med 2016) - the single best cell-type-and-state result for this gene. The DISEASE term removed it, exactly as brief rule 77 warns. Both operands were large (121 and 96,743), so rule 67's control passed and the zero was still misleading.",
    "reading": "DPY30 has never been placed in a defined cell state IN LEUKAEMIA. It has a strong normal-haematopoiesis stem-cell state result. Say which."
  }
}
depmap kmt2a selectivity
{
  "chronos_mean_kmt2a_rearranged": -0.5095,
  "chronos_mean_other_leukaemia": -0.4465,
  "difference": -0.0631,
  "pan_essentiality_all_lines": -0.3896,
  "selectivity_rank": 2590,
  "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."
}
How this could bite us back
  • Essential-function toxicity: conditional Dpy30 loss in adult mouse blood causes severe pancytopenia with a differentiation block in HSCs. That is the same lesion the leukemia has, installed iatrogenically in normal blood, and it is worse than anything reported for menin loss.
  • Compensation: DPY30 is shared by all six SET1/MLL complexes, so partial inhibition is buffered by whichever complex is least dependent on precise targeting, and the residual H3K4me2 after DPY30 loss sits exactly at highly transcribed genes, which is where an oncogenic program already is.
  • Delivery: there is no pocket. A 99-residue protein whose function is one extended helical interface is a degrader problem, and a degrader of a subunit shared by six complexes has no selectivity handle.
  • Safety-triage failure mode: DPY30 was called GREEN on LOEUF 0.73, a statistic that cannot resolve constraint in a gene this short. Any pipeline that promotes targets on LOEUF alone will keep making this mistake on small proteins.
Still open
  1. Why does ASH2L fail the co-dependency test when it has the same essentiality distribution as DPY30? A direct test is to ask whether an ASH2L separation-of-function mutant that keeps RBBP5 scaffolding but loses the DPY30 interface phenocopies DPY30 loss in a KMT2A::AFF1 line.
  2. Is the DPY30-MEN1 correlation a lineage artefact? Repeating the correlation within B-ALL lines and within AML lines separately would show whether it survives a narrower lineage window or evaporates.
  3. Does DPY30 loss reduce H3K4me2/me3 preferentially at KMT2A-fusion target loci rather than globally? That is the direct test of the 'positioning not catalysis' explanation and it is a single CUT&RUN experiment in SEM cells.
  4. DPY30's most depleted leukemia lines are NPM1-mutant AML rather than KMT2A-rearranged. Does the DPY30 requirement in fact track the menin-dependent state generally, of which KMT2A rearrangement is only one entry point?
  5. What is the real human constraint on DPY30? LOEUF cannot answer it at this gene length. A targeted look at biallelic DPY30 variants in developmental-disorder cohorts would.
Every source behind this entry (14)
  1. E1strong confidence 4 of 5: Replicated in peer-reviewed work by more than one group.database

    DPY30 is not DepMap common-essential (mean Chronos -0.390 across 1,258 lines, -0.455 across 57 leukemia lines, 31.5% of lines depleted); gnomAD reports pLI 0.512 and LOEUF 0.731 with 6 observed against 16.2 expected loss-of-function variants; HPA reports low tissue specificity with bone marrow 29.6 nTPM.

    What this evidence cannot show

    Per-line Chronos values were retrieved through Open Targets and the means computed by us; the DepMap release version is not stated in the API response and remains unverified. The leukemia subset is 57 lines of any leukemia type and contains no infant KMT2A-rearranged line. LOEUF for a 99-residue protein is statistically underpowered and should not be read as evidence of tolerance to loss.

    Evidence that argues against this (1)
    • A Chronos mean mixed across a KMT2A-rearranged subset and a comparator arm must be lineage-split before it is stated: the index arm is myeloid-enriched, so a difference between the two mixes fusion status with lineage. Ten or eleven index lines and four KMT2A::AFF1 lines also put wide intervals on every figure quoted. A pLI of 0.512 and LOEUF 0.731 also put DPY30 in the band where constraint metrics are least informative, since a small gene accumulates few expected loss-of-function variants and its interval is correspondingly wide. gnomAD, Broad Institute 2026
  2. E2strong confidence 4 of 5: Replicated in peer-reviewed work by more than one group.paper

    Conditional Dpy30 deletion in the adult mouse haematopoietic system causes severe pancytopenia with accumulation of HSCs and early progenitors that are defective in multilineage reconstitution, and Dpy30-deficient HSCs fail to sustain long term in mixed chimeras.

    Dpy30 is critical for maintaining the identity and function of adult hematopoietic stem cells. · Yang Z, Shah K, Khodadadi-Jamayran A, Jiang H · Journal of Experimental Medicine 2016
    What this evidence cannot show

    Complete conditional gene deletion in mouse, which models total protein removal rather than partial reversible pharmacological inhibition, and mouse haematopoiesis differs from infant human haematopoiesis in ways that matter for this project.

    Evidence that argues against this (1)
    • This is a mouse knockout describing what the gene does in normal development or normal haematopoiesis, over the animal's whole life, with the protein entirely absent. A drug gives partial reversible inhibition in an adult for weeks. The experiment bounds the biological requirement and not the therapeutic window. Severe pancytopenia with defective multilineage reconstitution is the phenotype a therapeutic window would have to avoid, and it appears at complete deletion in adult haematopoiesis — the closest model available to an adult on a drug. Nature 2012
  3. E3moderate confidence 3 of 5: One strong study, or several smaller consistent ones.paper

    DPY30 is required for the growth of several MLL1-fusion-driven leukemia cell lines, and DPY30 knockdown in human CD34+ progenitors impairs proliferation and myelomonocytic differentiation while promoting haemoglobin production.

    The DPY30 subunit in SET1/MLL complexes regulates the proliferation and differentiation of hematopoietic progenitor cells. · Yang Z, Augustin J, Chang C, Hu J, Shah K, Chang CW, Townes T, Jiang H · Blood 2014
    What this evidence cannot show

    The MLL1-fusion leukemia line result is a short shRNA knockdown experiment reported at the end of a paper whose main subject is normal progenitors; the number of lines is small and no KMT2A::AFF1 infant model is included. Knockdown of a shared complex subunit does not distinguish a fusion-specific requirement from a general H3K4 requirement.

    Evidence that argues against this (1)
    • Required for the growth of several MLL1-fusion lines AND impairing proliferation and differentiation of normal human CD34+ progenitors is a two-sided result that the entry reports and does not resolve. The normal-progenitor half is the bite-back. Oncofusion knowledge graph (internal analysis) 2026
  4. E4moderate confidence 3 of 5: One strong study, or several smaller consistent ones.dataset

    Under an identical leukemia-restricted protocol across 54 DepMap leukemia lines, DPY30 correlates with MEN1 at r = 0.446 (95% CI 0.142 to 0.658, permutation p = 0.001, Holm p = 0.015) while the other three WRAD subunits do not: WDR5 r = 0.004, RBBP5 r = -0.081, ASH2L r = -0.153, all with confidence intervals crossing zero.

    Do the other WRAD subunits behave like DPY30? Leukemia-restricted co-dependency with bootstrap CI and permutation test; script and results in analyses/wrad-discrimination/ · Broad Institute DepMap; Open Targets Platform; analysis run by this project · Database and derived analysis 2026
    What this evidence cannot show

    Our own computation, not peer reviewed. 54 leukemia lines is a small sample and the bootstrap interval for DPY30 is wide. Correlation across cell lines does not establish physical interaction or shared pathway and can reflect shared lineage restriction; no lineage adjustment was made within the leukemia subset. The DepMap release version is not reported by the API.

    Evidence that argues against this (2)
    • A co-dependency correlation can be produced entirely by two genes being required in the same lineage rather than in the same process, and cell-line panels drift genetically and transcriptionally in culture. Ben-David U et al. 2018
    • This project's own deeper re-analysis withdraws the DPY30 result that this evidence item rests on. Against variance-matched nulls drawn from 2,743 usable random protein-coding genes across the same 54 leukemia lines, the Holm-corrected survivors are KMT2A (r 0.783), PSIP1 (0.686), DOT1L (0.681), FLT3 (0.645), MEF2C (0.526) and KAT7 (0.517). DPY30 is explicitly among those that do NOT clear correction, alongside MEIS1 (Holm 0.067), MLLT1 and BCL2. The earlier 16-gene panel gave DPY30 Holm p = 0.015 using an 'exceeds the maximum of the null' criterion that the deep-pool run shows to be unstable by construction, because the null maximum rises mechanically as the pool grows. The DPY30-versus-other-WRAD-subunits contrast is therefore a contrast between one uncorrected near-signal and three nulls, not between a survivor and three failures. Broad Institute DepMap; Open Targets Platform; analysis run by this project 2026
  5. E5established confidence 5 of 5: Multiple independent lines of evidence; treated as settled in the field.database

    DPY30 homodimerises and docks the ASH2L SDI motif at 2:1 stoichiometry, and DPY30 is resolved as part of the MLL1 core complex bound to the nucleosome.

    What this evidence cannot show

    6PWV at 6.2 A resolution cannot place side chains, so interface residue assignments from that entry are unreliable. We verified that each accession exists, its title, method and resolution; we did not independently re-refine or re-interpret the models.

    Evidence that argues against this (1)
    • Counting PDB entries measures how tractable a protein was to CRYSTALLISE, which correlates with being small, ordered and well-behaved rather than with being druggable. What decides design value is whether the deposited density covers the site that matters, at a resolution that supports modelling, in the relevant state — and this graph has repeatedly found structures described in the direction that overstates what is resolved. A 2:1 homodimer docking one motif is an architecture; being resolved within the MLL1 core complex on a nucleosome is a reconstitution. Neither reports stoichiometry in a leukaemia cell. RCSB PDB 2026
  6. E6strong confidence 4 of 5: Replicated in peer-reviewed work by more than one group.paper

    RBBP5 directly binds the H2B-conjugated ubiquitin and orients the MLL complex on the nucleosome, and WDR5 holds the catalytic subunit into the module through the conserved Win motif, making both structurally load-bearing for catalysis across the SET1 family.

    Structural basis of nucleosome recognition and modification by MLL methyltransferases. · Xue H, Yao T, Cao M, Zhu G, Li Y, Yuan G, Chen Y, Lei M, Huang J · Nature 2019
    What this evidence cannot show

    Cryo-EM of reconstituted complexes on designed nucleosomes; the in-cell stoichiometry and the contribution of subunits that are poorly resolved in the maps, including DPY30, are not directly addressed. The inference that this explains DepMap pan-essentiality is ours, not the authors'.

    Evidence that argues against this (1)
    • WDR5 is not required in the same way by every SET1-family complex: MLL3 interacts with RAD and shows enhanced activity in the absence of WDR5, so 'WDR5 is structurally required' is true of MLL1 and SETD1A but not uniformly across the family. Alicea-Velazquez NL et al. 2016
  7. E7strong confidence 4 of 5: Replicated in peer-reviewed work by more than one group.paper

    DPY30 contributes only modestly to positive heterotypic allosteric regulation of KMT2 methyltransferase activity in vitro, while the extensive DPY30-ASH2L interface is critical for correct genome-wide placement of H3K4me2 and H3K4me3, with residual H3K4me2 after DPY30 loss concentrated at highly transcribed genes.

    Structural Analysis of the Ash2L/Dpy-30 Complex Reveals a Heterogeneity in H3K4 Methylation. · Haddad JF, Yang Y, Takahashi YH, Joshi M, Chaudhary N, Woodfin AR, Benyoucef A, Yeung S, Brunzelle JS, Skiniotis G, Brand M, Shilatifard A, Couture JF · Structure 2018
    What this evidence cannot show

    In vitro methyltransferase assays and genome-wide profiling in cell lines, not in leukemia models. The paper does not test KMT2A fusions, and the 'positioning not catalysis' framing we build on it is our inference. In vitro allostery assays are sensitive to complex assembly conditions, which are themselves temperature- and concentration-dependent for this complex.

    Evidence that argues against this (2)
    • Reconstituted MLL1 core complex assembly is strongly temperature- and concentration-dependent and the disassembled state is favoured at physiological temperature, so in vitro conclusions about the relative contribution of individual WRAD subunits may not transfer to the cell. Namitz KEW et al. 2023
    • This is the decisive objection to the whole WRAD thread and it should be read before any of it. The SET domain of MLL1 -- the catalytic activity that WRAD exists to stimulate -- is dispensable for maintaining haematopoietic stem cells AND for supporting leukemogenesis driven by the MLL-AF9 fusion oncoprotein in mouse. On Mll1 deletion, what is lost at MLL1 target genes is H4K16 acetylation, and inhibiting SIRT1 is sufficient to restore both the acetylation and target-gene expression. The conclusion the authors draw is that recruited MOF activity, not MLL1's intrinsic methyltransferase activity, is what maintains these genes. If H3K4 methylation by MLL1 is not required for MLL-fusion leukemia, then the subunit whose job is to enable that methylation is not a target in this disease, whatever its biochemistry. Mishra BP et al. 2014
  8. E8moderate confidence 3 of 5: One strong study, or several smaller consistent ones.dataset

    This project's own target-safety triage placed DPY30 GREEN on the declared rule (not common-essential, LOEUF above 0.35, mean gene effect above -0.5), with codependency r 0.446, mean gene effect -0.3898 and LOEUF 0.731.

    Target safety triage, analyses/target-safety-triage/ (this project, cycle 9) · Oncofusion Knowledge Graph project · Derived analysis 2026
    What this evidence cannot show

    The triage rule uses LOEUF as a tolerance proxy without a power check. For DPY30 that proxy is uninformative because only 16.2 loss-of-function variants are expected in a 99-residue gene. The GREEN call should be downgraded to UNKNOWN on the constraint axis, and the mouse conditional-knockout phenotype is a toxicity signal the triage rule does not see at all.

    Evidence that argues against this (1)
    • A GREEN call on this project's own declared triage rule is only as good as the rule, and the rule's thresholds — not common-essential, LOEUF above 0.35, mean gene effect above −0.5 — are cut-points on continuous variables chosen without calibration. The mouse pancytopenia in this same entry is the evidence the rule does not see. Statistics in Medicine 2006
  9. E_yokoyama2004strong confidence 4 of 5: Replicated in peer-reviewed work by more than one group.paper

    Biochemical purification of MLL identified a SET1-like complex containing ASH2L, WDR5, RBBP5, HCF-1, HCF-2 and menin. Oncogenic mutant (fusion) forms of MLL retain the ability to interact with menin but not the other identified complex components.

    Leukemia proto-oncoprotein MLL forms a SET1-like histone methyltransferase complex with menin to regulate Hox gene expression · Yokoyama A, Wang Z, Wysocka J, Sanyal M, Aufiero DJ, Kitabayashi I, Herr W, Cleary ML · Molecular and Cellular Biology 24:5639-49 2004
    What this evidence cannot show

    Read as abstract only by the coordinator; the interactome beat reports reading the full text via PMC480881. 2004 affinity-purification mass spectrometry, at depths well below current practice, so a negative here is a failure to detect rather than a demonstration of absence. No proximity-labelling study of any KMT2A fusion has ever been published, so this negative has never been re-tested with a method capable of catching transient or substoichiometric contacts. **The founding negative is an inference from a deletion mutant, not a measured fusion co-immunoprecipitation.** Read in full 2026-09-20: WRAD subunits were mapped using a C-terminal deletion construct of otherwise wild-type MLL in 293 cells. The paper's only fusion experiments blot for HIS, MLL-C, HCF-1, menin, MLL-N and ENL — **no WRAD subunit is blotted on any fusion anywhere in it**. It is a measured negative for HCF-1 only. **And this paper is out of scope for DPY30 entirely**: the string 'DPY' appears zero times in its full text, and DPY30 was not assigned to the human SET1-like complexes until 2007. DPY30 also binds ASH2L rather than KMT2A directly, so the 2004 result could not cover it even in principle.

    Evidence that argues against this (4)
    • A 2004 co-purification negative is weak evidence of non-interaction. Modern proximity labelling routinely recovers contacts that affinity purification misses, particularly transient ones, and the entire composition literature for this fusion rests on stable-complex purifications from 2004-2012. The claim here should be read as 'not detected as a stable complex member', not 'does not interact'. Yokoyama A et al. 2004
    • CORRECTED 2026-09-21 (cycle 44), and the previous version of this note was too strong. It said "zero published experiments test WRAD-versus-KMT2A-fusion association in either direction" and cited PMID 15199122 for that - a 2004 paper, which cannot establish an absence as of today, in a note whose own next sentence warned against citing that paper for more than it shows. Re-bounded by query today: the subunit-by-fusion co-occurrence search is NOT empty (WDR5 26 records, ASH2L 6, DPY30 3, RBBP5 2), and reading all 26 WDR5 titles returns two that genuinely bear on the question. PMID 27462455 shows MLL1 and MLL-AF9 occupy DISTINCT chromatin regions and attributes MLL1's enhancer recruitment to a C-terminal WDR5 interaction - hedged as "probably" by its own authors - which is an experiment discriminating wild-type from fusion with WDR5 as the proposed discriminator. PMID 36402263 shows genetic Wdr5 deletion attenuates MLL-AF9 leukemogenesis, acting through ribosomal genes rather than through fusion binding. THE SURVIVING ABSENCE IS NARROWER AND STILL WORTH STATING: no direct binding assay - co-IP, structure or proximity labelling - has tested whether WRAD associates with a KMT2A FUSION protein. The two experiments above are genomic occupancy and genetic requirement, neither of which is a binding measurement. The structural argument for exclusion is unchanged, because the WRAD contacts sit thousands of residues past the breakpoint. What this graph must not do is cite a 2004 deletion-mutant result as if it were a fusion co-IP negative. PubMed (bounded query, counts and date recorded) 2026
    • The nearest thing to a published test, and it cuts against the absence being total: MLL1 and MLL-AF9 occupy distinct chromatin regions, and the authors attribute MLL1's enhancer recruitment to a C-terminal WDR5 interaction that the fusion lacks. It is an occupancy experiment, not a binding assay, and the WDR5 attribution is hedged in the source. Xu J et al. 2016
    • And a functional requirement in the fusion context: genetic Wdr5 deletion attenuates MLL-AF9 leukemogenesis in vivo. That WDR5 is REQUIRED where the fusion drives disease does not show WRAD binds the fusion - the reported mechanism is ribosomal gene regulation - but it makes 'WRAD is irrelevant to the fusion' untenable. Liu L et al. 2023
  10. E_thielstrong confidence 4 of 5: Replicated in peer-reviewed work by more than one group.paper

    Menin recruits both wild-type MLL and the oncogenic MLL-AF9 fusion protein to HOX gene loci to activate transcription, and the wild-type Mll allele is required for MLL-AF9-induced leukemogenesis and for maintenance of MLL-AF9-transformed cells.

    MLL-AF9-induced leukemogenesis requires coexpression of the wild-type Mll allele · Thiel AT, Blessington P, Zou T, Feather D, Wu X, Yan J, Zhang H, Liu Z, Ernst P, Koretzky GA, Hua X · Cancer Cell 17:148-59 2010
    What this evidence cannot show

    Read as abstract only. Mouse genetics with a retroviral MLL-AF9 model; the requirement is shown for MLL-AF9, not for KMT2A::AFF1, and this graph has repeatedly found partner-specific differences. 'Required' here is allele-level and does not identify which wild-type MLL module carries the requirement.

    Evidence that argues against this (1)
    • A wild-type-allele requirement shown for MLL-AF9 in mouse need not hold for KMT2A::AFF1 in infant B-ALL, and this project has already been burned generalising across partners. The claim should be carried as strong for MLL-AF9 and untested for the fusion this project is about. Thiel AT et al. 2010
  11. E_milnestrong confidence 4 of 5: Replicated in peer-reviewed work by more than one group.paper

    The essential MLL1 recruitment domain includes both the CXXC domain and the PHD fingers and is controlled by interactions with the PAF elongation complex and H3K4me2/3. MLL1 fusion proteins lack the PHD fingers and require prebinding of a wild-type MLL1 complex, together with CXXC recognition of DNA, for stable HoxA9 association.

    Multiple interactions recruit MLL1 and MLL1 fusion proteins to the HOXA9 locus in leukemogenesis · Milne TA, Kim J, Wang GG, Stadler SC, Basrur V, Whitcomb SJ, Wang Z, Ruthenburg AJ, Elenitoba-Johnson KSJ, Roeder RG, Allis CD · Molecular Cell 38:853-63 2010
    What this evidence cannot show

    Read as abstract only. Establishes a trans requirement at HoxA9 specifically; whether it generalises to the whole fusion target set is not addressed in the abstract. The authors themselves frame the distinct recruitment mechanisms as a therapeutic opportunity rather than an obstacle.

    Evidence that argues against this (1)
    • If the fusion needs the wild-type complex prebound, then wild-type MLL1 recruitment is a potential target — but it is also a normal function in every cell that expresses MLL1, so the therapeutic window argument that applies to menin does not automatically transfer here. Milne TA et al. 2010
  12. E_caostrong confidence 4 of 5: Replicated in peer-reviewed work by more than one group.paper

    MM-401 inhibits MLL1 activity by blocking the MLL1-WDR5 interaction and preventing complex assembly, without affecting other MLL-family methyltransferases, and specifically blocks proliferation of MLL cells by inducing cell-cycle arrest, apoptosis and myeloid differentiation without general toxicity to normal bone marrow cells or non-MLL cells.

    Targeting MLL1 H3K4 methyltransferase activity in mixed-lineage leukemia · Cao F, Townsend EC, Karatas H, Xu J, Li L, Lee S, Liu L, Chen Y, et al. (Dou Y, senior author) · Molecular Cell 53:247-61 2014
    What this evidence cannot show

    Read as abstract only. A peptidomimetic tool compound characterised in cells; no clinical or in vivo efficacy is claimed in the abstract, and 'MLL cells' spans MLL-rearranged lines generally rather than KMT2A::AFF1 specifically. SUPERSEDED IN PART (2026-09-19): MM-401's stated mechanism is inhibition of MLL1 methyltransferase activity, but WIN-site inhibition in MLL-rearranged cells is reported to act through ribosome protein gene suppression and p53 activation (PMIDs 30865883, 38682900). This citation should no longer be used as evidence that a wild-type-only MLL1 interface is druggable through MLL1 biology.

    Evidence that argues against this (1)
    • MM-401's stated mechanism is inhibition of MLL1 H3K4 methyltransferase activity, yet the MLL1 SET domain is reported dispensable for maintaining HSCs and for MLL-AF9-driven leukemogenesis (Mishra 2014, PMID 24813891), which this graph also carries. Either the selectivity of MM-401 runs through something other than catalysis, or the two results are in tension. The graph should hold both rather than choose. Mishra BP et al. 2014
  13. E_ahostrong confidence 4 of 5: Replicated in peer-reviewed work by more than one group.paper

    Potent WIN-site inhibitors show that the WIN site links WDR5 to chromatin at a small cohort of loci including a specific subset of ribosome protein genes; the inhibitors rapidly displace WDR5 from chromatin and decrease expression of those genes, causing translational inhibition, nucleolar stress and p53 induction.

    Displacement of WDR5 from Chromatin by a WIN Site Inhibitor with Picomolar Affinity · Aho ER, Wang J, Gogliotti RD, Howard GC, Phan J, Acharya P, et al. (Tansey WP, senior author) · Cell Reports 26:2916-2928.e13 2019
    What this evidence cannot show

    Read as abstract only. Establishes the mechanism of small-molecule WIN-site inhibitors across cancer contexts; it is not specific to KMT2A::AFF1 and does not directly test the peptidomimetic MM-401.

    Evidence that argues against this (1)
    • MM-401 and the small-molecule WIN-site inhibitors are different chemotypes, and this paper does not test MM-401. It remains formally possible that the peptidomimetic acts differently. But the burden has shifted: the mechanism cannot now be assumed to be MLL1-programme disruption without direct evidence, and this graph previously assumed exactly that. Howard GC et al. 2024
  14. E_howardstrong confidence 4 of 5: Replicated in peer-reviewed work by more than one group.paper

    In MLL-rearranged cancer cells, WDR5 WIN-site inhibition acts by suppressing ribosome protein gene transcription, inducing nucleolar stress and activating p53, with depletion of the ribosome stock, a broad modest translational choke, and alternative-splicing changes that inactivate the p53 antagonist MDM4. The authors state that peptidomimetic WIN-site inhibitors were originally proposed to act via genes connected to haematopoietic stem cell expansion, and that their data show otherwise. WIN-site inhibitors are synergistic with venetoclax and BET-bromodomain inhibitors.

    Ribosome subunit attrition and activation of the p53-MDM4 axis dominate the response of MLL-rearranged cancer cells to WDR5 WIN site inhibition · Howard GC, Wang J, Rose KL, Jones C, Patel P, Tsui T, et al. (Tansey WP, senior author) · eLife 12:e90683 2024
    What this evidence cannot show

    Read as abstract only. Cell-line work in MLL-rearranged lines; the p53 dependence is inferred from the mechanism rather than demonstrated across TP53-mutant and wild-type isogenic pairs in the abstract. Does not address KMT2A::AFF1 infant B-ALL specifically.

    Evidence that argues against this (1)
    • A p53/ribosome mechanism does not make WIN-site inhibition useless in MLL-rearranged leukaemia - the same paper reports synergy with venetoclax and BET inhibitors, and a ribosome-directed strategy is novel in its own right. What it removes is the specific inference this graph drew: that MM-401 demonstrates an absent-from-the-fusion interface can be drugged through MLL1 biology. Howard GC et al. 2024
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