Oncofusion

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Genemoderate confidence 3 of 5: One strong study, or several smaller consistent ones.Q39-acetylation-cycle

HDAC5 - the eraser in an existing entry's own id, and the one HDAC in this graph that erases a mark on a fusion partner protein rather than on a histone

also called HD5 · NY-CO-9 · KIAA0600 · histone deacetylase 5

HDAC5 is an eraser enzyme that this graph has already named in the title of another entry without ever describing it. What makes it unusual is that the acetyl tag it removes is not on a histone at all - it is on AF9, one of the proteins that fuses to KMT2A - and the switch it controls is thrown by kicking HDAC5 out of the nucleus.

The same thing, for a scientist

HDAC5 (Q9UQL6, 1122 aa) is a class IIa deacetylase. It appears in this graph twice over before this entry existed: **named in the id of `mechanism-pcaf-af9-k339-camkii-hdac5-oligomer-switch`**, and implicated as a therapeutic target in `gene-hdac7`'s class IIA literature. Two distinct roles, and they are not the same kind of claim. **First, and unique in this beat: HDAC5 is a non-histone eraser here.** It deacetylates **AF9 at K339**, a PCAF-installed mark whose acetylation monomerises AF9 and reduces Poly-Ser-dependent oligomerisation and TFIID interaction; the eraser is controlled not by regulating its activity but by **regulating its location** - CaMKII phosphorylates HDAC5 at S259 and S498, driving nuclear export and allowing K339 acetylation to accumulate after ionising radiation, and an HDAC5(S259A,S498A) phospho-defective mutant blocks the change [E1]. **K339 lies N-terminal of residue 376, so this entire arm is absent from the fusion protein in about 92% of KMT2A::MLLT3 patients** - the existing mechanism entry's central point, which this entry does not restate but does depend on. **Second: HDAC5 is one of the three class IIA isoforms whose knock-down kills KMT2A-rearranged ALL cells, and the HDAC4/5-selective inhibitor LMK-235 eradicates KMT2A-rearranged ALL lines and primary patient samples in vitro - and then fails in vivo at the maximum achievable dose** [E2]. That in vivo negative is the most directly relevant clinical-translational fact about class IIa in this disease and it is a genuine, well-designed null.

Go deeper
A non-histone substrate, and why it changes what 'eraser' means here

Every other HDAC in this beat is discussed as a histone deacetylase. HDAC5's only fusion-adjacent result is not about histones at all 1:

  • writer - PCAF (KAT2B), acetylating AF9 at K339
  • mark - acetyl-K339 on a protein, not on chromatin
  • reader - the mark's effect is on AF9's own oligomerisation and on its TFIID contact
  • eraser - HDAC5
  • control - CaMKII phosphorylation of HDAC5 at S259/S498, which exports the eraser from the nucleus

That is a complete writer-reader-eraser cycle, and it is the only complete one in this graph, which is why mechanism-acetylation-is-a-cycle-not-a-mark is anchored on it. Note the control topology: the switch is thrown not by changing the eraser's catalysis but by moving the eraser out of the compartment. A drug that inhibits HDAC5 catalytically and a kinase that exports HDAC5 are doing the same thing to the substrate by completely different means, and only one of them is available pharmacologically.

The consequence for this disease is subtractive and is the existing entry's point: K339 is lost from the fusion. So the system HDAC5 governs here is one the leukaemic protein does not have. An HDAC5 inhibitor would act on this axis in the wild-type allele and in normal cells, and not on the fusion at all.

The class IIa in vivo failure, stated as a result rather than as a disappointment

Verbeek et al. ran the full sequence and reported each step honestly 2:

stepresult
shRNA knock-down of HDAC4, HDAC5, HDAC7apoptosis and cell-cycle arrest in KMT2A-rearranged ALL cells
LMK-235 (HDAC4/5-selective) in vitroeradicates KMT2A-rearranged ALL cell lines and primary patient samples
LMK-235 in a KMT2A-rearranged ALL xenograftmaximum achievable dose insufficient - no anti-leukaemic effect
MC1568, TMP195 (class IIA-selective)similar, i.e. also failed
LMK-235 + venetoclax in vivominimal effects, did not prolong survival

Three chemically distinct class IIA-selective compounds, one xenograft model, all negative in vivo after a clean positive in vitro including in primary patient cells. The authors attribute the failure to compound stability and efficiency rather than to the biology, and conclude that class IIA isoforms remain an attractive target "although clinical applications require the development of more stable and efficient specific HDAC inhibitors" 2.

This graph should record both halves. The target hypothesis survives; the three available tools do not reach it in an animal. Those are different statements and the literature routinely collapses them in whichever direction the author prefers. What the result definitively forecloses is using LMK-235, MC1568 or TMP195 as evidence that class IIa inhibition works in this disease - it has been tried and it did not.

Facts and figures
uniprotQ9UQL6
length AA1122
gene symbolHDAC5
accession resolutiongene_exact:HDAC5 AND organism_id:9606 AND reviewed:true returned exactly 1 reviewed row; primary gene name read back as HDAC5 (rule 62 applied).
classclass IIa histone deacetylase
non histone substrateAF9 (MLLT3) at K339 - the only non-histone acetylation substrate in this beat
writer of that markgene-kat2b (PCAF)
control mechanismCaMKII phosphorylation of HDAC5 at S259/S498 drives nuclear export - the eraser is regulated by LOCATION, not by catalysis
retained in fusionfalse
retained basisK339 is N-terminal of AF9 residue 376; about 92% of KMT2A::MLLT3 breakpoints fall at or after 376, so the substrate site is absent from the fusion protein
class iia knockdown resultHDAC4/5/7 shRNA induces apoptosis and cell-cycle arrest in KMT2A-rearranged ALL cells
class iia in vivo resultNEGATIVE - LMK-235, MC1568 and TMP195 all failed at maximum achievable dose in a KMT2A-rearranged ALL xenograft; LMK-235 plus venetoclax did not prolong survival
in vivo failure attributed tocompound stability and efficiency, per the authors - not demonstrated, and no target-engagement measurement is reported
residue coordinates verifiedfalse
subnuclear localizationNO SUBNUCLEAR COMPARTMENT HAS EVER BEEN MEASURED FOR HDAC5 - and for this protein that is a smaller gap than it looks, because the regulated variable is one level up. What is established, repeatedly and mechanistically, is the NUCLEUS-VERSUS-CYTOPLASM partition: a 14-3-3-dependent export driven by phosphorylation at Ser-259 and Ser-498 [E_q77_loc2], a signal-responsive nuclear export sequence at the extreme C-terminus [E_q77_loc3], and at least three distinct kinases throwing the switch - CaMK in muscle [E_q77_loc2], CaMKII in the AF9 system this entry already holds at [E1], and CK2 under DNA damage [E_q77_loc4]. Within the nucleus nobody has asked where it goes. UNPUBLISHED rather than not-applicable: HDAC5 is a MEF2 corepressor that must reach MEF2 target promoters, and the obvious question - is the nuclear pool at promoters, in a body, or diffuse - has no answer.
shown for fusionPARTIAL for KMT2A::MLLT3 and NO for everything else. What is shown is that HDAC5's own nuclear export, driven by CaMKII phosphorylation at S259/S498, governs acetylation of the fusion partner AF9 at K339 after ionising radiation [E1] - a localisation-dependent mechanism in an MLLT3-relevant system. Nothing has been measured in KMT2A::AFF1, in a KMT2A-rearranged patient sample, or in any other fusion. And the site the mechanism acts on is lost from the fusion protein in about 92% of KMT2A::MLLT3 breakpoints, so the demonstrated axis runs through the wild-type allele.
selective tool compounds
[
  "LMK-235 (HDAC4/5)",
  "MC1568 (class IIA)",
  "TMP195 (class IIA)"
]
essentiality
{
  "depmap_common_essential": null,
  "note": "DepMap not queried in this beat. As with HDAC1/HDAC2, a single-gene score is weak evidence for a class whose members were perturbed together in the only functional study."
}
depmap kmt2a selectivity
{
  "chronos_mean_kmt2a_rearranged": -0.0246,
  "chronos_mean_other_leukaemia": -0.1215,
  "difference": 0.0969,
  "pan_essentiality_all_lines": -0.0786,
  "selectivity_rank": 16829,
  "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."
}
localization
{
  "subcellular": "SHUTTLES BETWEEN NUCLEUS AND CYTOPLASM, AND THE UNIPROT RECORD HAS NO EXPERIMENTAL CODE FOR ANY OF IT. Q9UQL6 fetched 2026-09-21 annotates 'Nucleus' and 'Cytoplasm' with EMPTY evidence arrays, and an UNCODED note that states the whole mechanism: 'Shuttles between the nucleus and the cytoplasm. In muscle cells, it shuttles into the cytoplasm during myocyte differentiation. The export to cytoplasm depends on the interaction with a 14-3-3 chaperone protein and is due to its phosphorylation at Ser-259 and Ser-498 by AMPK, CaMK1 and SIK1' [E_q77_loc1]. THE UNCODED NOTE IS THE MOST INFORMATIVE THING IN THE RECORD - it names the residues, the chaperone and three kinases - and an ECO:0000269 filter discards all of it. Brief rule 91 item 2, on a protein whose entire biology in this graph is a location switch.",
  "subnuclear": "NO SUBNUCLEAR COMPARTMENT HAS EVER BEEN MEASURED FOR HDAC5 - and for this protein that is a smaller gap than it looks, because the regulated variable is one level up. What is established, repeatedly and mechanistically, is the NUCLEUS-VERSUS-CYTOPLASM partition: a 14-3-3-dependent export driven by phosphorylation at Ser-259 and Ser-498 [E_q77_loc2], a signal-responsive nuclear export sequence at the extreme C-terminus [E_q77_loc3], and at least three distinct kinases throwing the switch - CaMK in muscle [E_q77_loc2], CaMKII in the AF9 system this entry already holds at [E1], and CK2 under DNA damage [E_q77_loc4]. Within the nucleus nobody has asked where it goes. UNPUBLISHED rather than not-applicable: HDAC5 is a MEF2 corepressor that must reach MEF2 target promoters, and the obvious question - is the nuclear pool at promoters, in a body, or diffuse - has no answer.",
  "how_shown": "yeast two-hybrid, 14-3-3 binding assays and CaMK-stimulated export in muscle cells [E_q77_loc2]; deletion and mutation mapping of a C-terminal signal-responsive NES [E_q77_loc3]; CK2-dependent shuttling with Ku70 deacetylation and DNA-end-resection readouts in pancreatic cancer models [E_q77_loc4]; and, already in this entry, CaMKII phosphorylation at S259/S498 with an S259A/S498A phospho-defective mutant as the control [E1]",
  "systems": "skeletal muscle and C2C12 myocytes for the founding work; pancreatic ductal adenocarcinoma lines, mouse models and patient-derived organoids for the CK2/Ku70 work. NO haematopoietic localisation system and nothing KMT2A-rearranged - the haematopoietic HDAC5 literature is functional, not spatial.",
  "shown_for_fusion_localisation": "PARTIAL, and it is the most fusion-proximal localisation result in the acetylation beat - but the fusion in question is KMT2A::MLLT3 and the protein whose compartment matters is AF9, not HDAC5. This entry's [E1] shows that CaMKII-driven NUCLEAR EXPORT OF HDAC5 is what allows AF9 K339 acetylation to accumulate after ionising radiation, with an HDAC5(S259A,S498A) mutant blocking the change. So HDAC5's compartment is a documented upstream determinant of a fusion partner's modification state. NOTHING has been measured in KMT2A::AFF1, and K339 is absent from the fusion protein in about 92% of KMT2A::MLLT3 patients, so the axis operates on the wild-type allele.",
  "node": "localization-af9-cytoplasmic-pool-and-hsp90-dependent-nuclear-residence",
  "the_eraser_is_regulated_by_address_not_by_activity": "This entry already states the principle in its data block - 'the eraser is regulated by LOCATION, not by catalysis' - and the localisation audit turns it into a bounded, sourced claim with a residue-level mechanism and three independent kinase inputs. The therapeutic consequence is sharp and is not in the literature: a catalytic HDAC5 inhibitor and a kinase that exports HDAC5 produce the same substrate outcome by different means, but ONLY THE KINASE ROUTE IS ALREADY WIRED INTO THE CELL. The class IIA in vivo failure recorded at [E2] - LMK-235, MC1568 and TMP195 all negative at maximum achievable dose in a KMT2A-rearranged ALL xenograft - is a failure of the catalytic route. Nobody has tested whether forcing HDAC5 export, or blocking it, does anything in these cells."
}
cell type
{
  "evidence_class_key": "concept-expressed-required-maintains-three-evidence-classes",
  "identifier_note": "HDAC5 is Q9UQL6, 1,122 aa, one clean reviewed row. data/symbol-collisions.json was grepped for HDAC5 before the first query and has NO row; the adjacent HDAC7 row DOES exist and is the family warning - gene_exact:HDAC7 returns HDAC9 first because HDAC9's protein name reads 'Histone deacetylase 7B'. Within class IIa the lengths are HDAC4 1,084, HDAC5 1,122, HDAC7 952 and HDAC9 1,011, so HDAC4 and HDAC5 are only 38 residues apart - which matters here because the only selective tool compound in this entry, LMK-235, is an HDAC4/5 inhibitor and cannot separate them either.",
  "expressed_in": {
    "class": 1,
    "summary": "of the eleven classic HDAC family members, six are expressed in human erythroid cells - HDAC1, 2, 3, 5, 6 and 7 - and HDAC5 IS THE MOST SIGNIFICANTLY UPREGULATED during terminal erythroid differentiation [E_q77_ct1]. That is a specific, human, lineage-resolved expression statement, which is rare in this beat."
  },
  "required_in": {
    "class": 2,
    "claim": "IN HUMAN CD34+ CELLS, HDAC5 IS REQUIRED FOR TERMINAL ERYTHROID DIFFERENTIATION: shRNA or siRNA knockdown followed by erythroid culture increases apoptosis, DECREASES CHROMATIN CONDENSATION and IMPAIRS ENUCLEATION of erythroblasts, with activation of p53 in association with increased p53 ACETYLATION [E_q77_ct1]. Separately and in the same cell source, HDAC5 acts as a NEGATIVE regulator of stem-cell homing: specific HDAC5 inhibition strongly upregulates surface CXCR4 on human cord-blood HSCs and progenitors, enhancing SDF-1/CXCR4 chemotaxis, bone-marrow homing, SCID-repopulating-cell frequency and long-term and secondary engraftment in NSG mice, through raised nuclear acetylated p65 and NF-kB-dependent CXCR4 transcription [E_q77_ct2].",
    "pmids": [
      "34036344",
      "30013077"
    ],
    "system_named_in_the_claim": "HUMAN CD34+ cells and human cord-blood HSC/HPC in culture and in NSG xenografts - human primary haematopoietic material in both arms, and no fusion in either",
    "nodes": [
      "cell-type-erythroid-progenitor",
      "cell-type-hsc-bone-marrow"
    ],
    "why_both_substrates_are_non_histone": "The erythroid requirement runs through p53 acetylation and the homing effect runs through p65 acetylation. Together with the AF9 K339 result this entry already holds, ALL THREE of HDAC5's mechanistically characterised substrates in relevant cells are NON-HISTONE. This entry's title claim - that HDAC5 is the one HDAC here erasing a mark on a protein rather than on a histone - generalises further than the entry originally claimed."
  },
  "context": "human primary haematopoietic cells in both arms; no fusion, no leukaemia"
}
cell state
{
  "evidence_class_key": "concept-expressed-required-maintains-three-evidence-classes",
  "maintains_state": {
    "class": 3,
    "states": [
      "cell-state-stem-like-self-renewal",
      "cell-state-differentiation-block"
    ],
    "claim": "HDAC5 SETS A DIFFERENTIATION-VERSUS-HOMING TRADE-OFF IN HUMAN HAEMATOPOIETIC CELLS, AND THE TWO ARMS POINT IN OPPOSITE THERAPEUTIC DIRECTIONS. Losing HDAC5 BLOCKS terminal erythroid differentiation - failed chromatin condensation, failed enucleation, apoptosis, acetylated p53 up [E_q77_ct1]. Inhibiting HDAC5 IMPROVES stem-cell function - CXCR4 up, homing up, long-term and secondary engraftment up [E_q77_ct2]. So the same perturbation makes progenitors better at being stem cells and worse at finishing differentiation, which is the shape of the state this graph calls a differentiation block.",
    "pmids": [
      "34036344",
      "30013077"
    ],
    "system_named_in_the_claim": "human CD34+ erythroid cultures and human cord-blood HSC xenografts - no fusion in either"
  },
  "what_this_predicts_for_the_class_iia_proposal": "This entry records that class IIA knockdown kills KMT2A-rearranged ALL cells in vitro and that three selective compounds then failed in vivo. The human cell-type data adds a prediction the xenograft could not have shown, because NSG mice have no human erythropoiesis to lose: an HDAC5 inhibitor that did reach its target would be expected to impair terminal erythroid differentiation AND to mobilise or retain stem/progenitor cells. In an infant, an enucleation defect is a transfusion-dependent anaemia.",
  "confidence": "strong",
  "caveats": "Both arms are knockdown or pharmacological inhibition in normal human cells, not genetic knockout and not leukaemia. The homing study uses 'specific HDAC5 inhibition' whose selectivity within class IIa is the standing problem for this family - LMK-235 is HDAC4/5 and the class IIA compounds are not isoform-selective, so an HDAC4 contribution cannot be excluded in either study. The erythroid mechanism rests on p53 acetylation, which is an association in the paper rather than a demonstrated requirement. No fusion anywhere.",
  "counter_evidence": [
    {
      "note": "The two human results disagree about whether losing HDAC5 is good or bad for a haematopoietic cell, and the disagreement is not resolvable from the papers: knockdown impairs erythroid differentiation and increases apoptosis, while inhibition improves HSC homing and engraftment. Both used human CD34+ or cord-blood cells. The most likely reconciliation is cell-stage - HDAC5 is most highly expressed at TERMINAL erythroid differentiation and the homing work is in uncommitted HSC/HPC - but nobody has run both readouts in one experiment, and a graph that quotes either alone would misrepresent the toxicity profile of an HDAC5-directed agent.",
      "citation": {
        "title": "Neutralizing negative epigenetic regulation by HDAC5 enhances human haematopoietic stem cell homing and engraftment.",
        "authors": "Huang X, Guo B, Liu S, Wan J, Broxmeyer HE",
        "year": 2018,
        "venue": "Nat Commun",
        "pmid": "30013077",
        "doi": "10.1038/s41467-018-05178-5",
        "type": "paper"
      }
    }
  ]
}
How this could bite us back
  • Three class IIA-selective compounds have already failed in vivo in this exact disease at maximum achievable dose. Any new class IIa proposal starts from a documented translational failure, not from open ground.
  • The AF9 K339 axis HDAC5 governs is absent from the fusion protein in about 92% of KMT2A::MLLT3 patients. An HDAC5 inhibitor prescribed on this rationale would be acting everywhere except on the oncoprotein.
  • Class IIa HDACs have essential roles in cardiac and skeletal muscle and in neuronal survival, largely through MEF2. In an infant those programmes are under construction, and MEF2 derepression is the predictable toxicity.
  • Because HDAC4, HDAC5 and HDAC7 were perturbed together in the only functional study, a clinical programme aimed at HDAC5 would be built on a result that does not name HDAC5 - and the sibling isoform HDAC7 is claimed by another group to need raising rather than lowering.
Still open
  1. Is the class IIA in vivo failure a pharmacokinetic failure or a biological one? No target-engagement measurement is reported, and the two answers point to opposite next steps - better chemistry versus abandoning the target.
  2. Does HDAC5 have any role at histones in KMT2A-rearranged cells, as opposed to the non-histone AF9 role? Nothing found in this beat addresses it.
  3. Since CaMKII controls HDAC5 by exporting it, could a CaMKII inhibitor phenocopy an HDAC5 inhibitor on the AF9 axis - and is that a more tractable chemical problem?
  4. HDAC4 is also active on AF9 K339 in vitro. Which enzyme does it in a cell, and does that change between compartments or cell types?
Every source behind this entry (9)
  1. E1moderate confidence 3 of 5: One strong study, or several smaller consistent ones.paper

    HDAC5 deacetylates AF9 at K339, a site acetylated by PCAF whose acetylation reduces AF9 oligomerisation and TFIID interaction, and CaMKII-mediated phosphorylation of HDAC5 at S259 and S498, which regulates its nuclear-cytoplasmic shuttling, is required for genotoxic-stress-dependent modulation of AF9 acetylation; an HDAC5(S259A,S498A) phospho-defective mutant blocks the ionising-radiation-induced change in AF9's interaction with TFIID and SEC components.

    What this evidence cannot show

    HEK293T with ionising radiation at 10 Gy, not a leukaemia cell and not a fusion protein - this is wild-type AF9 biology. HDAC4 is also active on the site in vitro, so the eraser is not uniquely HDAC5. Most importantly the site is SUBTRACTIVE for this disease: K339 is N-terminal of AF9 residue 376 and is therefore absent from the fusion in approximately 92% of KMT2A::MLLT3 patients. All citation fields were fetched from PubMed on 2026-09-20; a first draft of this entry carried a title completed from a 90-character truncated listing (ending '...by AF9' instead of '...during genotoxic stress'), together with a wrong author and a wrong journal, and the graph's eleven existing blocks for this PMID were all correct - the error was introduced here and caught by re-fetching before hand-back.

    Evidence that argues against this (1)
    • Because K339 sits in the discarded portion of AF9, an HDAC5 inhibitor cannot act on this axis in the fusion protein. Any therapeutic argument built on the AF9 acetylation switch is an argument about wild-type AF9 and about the reciprocal product, not about the oncoprotein, and this graph's existing entry on the switch makes exactly that point. Hu H et al. 2023
  2. E2strong confidence 4 of 5: Replicated in peer-reviewed work by more than one group.paper

    shRNA knock-down of the class IIA HDAC isoforms HDAC4, HDAC5 and HDAC7 induces apoptosis and cell cycle arrest in KMT2A-rearranged ALL cells; the HDAC4/5-selective inhibitor LMK-235 effectively eradicates KMT2A-rearranged ALL cell lines and primary patient samples in vitro; but in a KMT2A-rearranged ALL xenograft mouse model the maximum achievable dose of LMK-235 was insufficient to induce anti-leukaemic effects in vivo, with similar results for MC1568 and TMP195, and LMK-235 with venetoclax produced only minimal in vivo effects and did not prolong survival.

    Selective inhibition of HDAC class IIA as therapeutic intervention for KMT2A-rearranged acute lymphoblastic leukemia. · Verbeek TCAI, Vrenken KS, Arentsen-Peters STCJM, Castro PG, van de Ven M, van Tellingen O, et al. · Communications Biology 7(1):1257 2024
    What this evidence cannot show

    HDAC4, HDAC5 and HDAC7 were knocked down and reported as a class, so nothing here attributes the killing to HDAC5 individually. The in vivo failure is attributed by the authors to compound properties rather than to the biology, which is a reasonable reading but is not demonstrated - a pharmacokinetic or target-engagement measurement would be needed to separate 'the drug never got there' from 'the target does not matter in vivo', and the abstract does not report one. Single xenograft model. Abstract read; PMCID PMC11450098, full text not fetched in this beat.

    Evidence that argues against this (1)
    • The same class IIA family contains HDAC7, which a separate group reports is LOW in t(4;11) infant B-ALL and whose RESTORATION is therapeutic. A class-level knockdown result and a single-isoform induction result cannot both be straightforwardly right, and this beat does not resolve them. de Barrios O et al. 2025
  3. E3established confidence 5 of 5: Multiple independent lines of evidence; treated as settled in the field.database

    Human HDAC5 is UniProt Q9UQL6, primary gene name HDAC5, 1122 amino acids, primary protein name 'Histone deacetylase 5'.

    UniProtKB Q9UQL6 (HDAC5_HUMAN), Histone deacetylase 5 · UniProt Consortium · UniProtKB, retrieved 2026-09-20 2026
    What this evidence cannot show

    Resolved per rule 62: gene_exact:HDAC5 AND organism_id:9606 AND reviewed:true returned exactly one reviewed row and the PRIMARY gene name was read back as HDAC5. The S259 and S498 residue numbers cited in E1 are taken from the primary paper and were NOT independently mapped onto this 1122-aa canonical sequence in this beat; a figure or design depending on those coordinates should verify them by alignment, per this project's rule that residue indices read off a publication are often offset from the canonical isoform.

    Evidence that argues against this (1)
    • A reviewed database record fixes the canonical sequence on the date it was read and nothing more. It does not establish which isoform is expressed in KMT2A-rearranged blasts, and this beat's own findings turn on distinctions a canonical record hides - HDAC9's catalytically inactive MITR form, and the nomenclature collision in which HDAC9's protein name reads 'Histone deacetylase 7B'. Accession and length are asserted here so a swap fails the validator, not because they carry biological weight. Vega-Garcia N et al. 2018
  4. E_q77_loc1established confidence 5 of 5: Multiple independent lines of evidence; treated as settled in the field.database

    HDAC5's subcellular record in UniProt Q9UQL6 (fetched 2026-09-21) carries NO EVIDENCE CODE AT ALL: 'Nucleus' and 'Cytoplasm' both have empty evidence arrays, and the note describing the entire shuttling mechanism - 14-3-3-dependent export, phosphorylation at Ser-259 and Ser-498, and AMPK, CaMK1 and SIK1 as the kinases - is likewise uncoded.

    What this evidence cannot show

    A measurement of the database, read from the comment array with evidence attached on 2026-09-21 rather than from the flattened field. The annotation is not wrong and is extremely well supported in the primary literature [E_q77_loc2][E_q77_loc3]; the point is that the record carries no pointer to it. HDAC5 joins MED26 (curator inference only), HDAC9 (by similarity only), and HOXA10 and STAG2 (no code at all) as the five of sixteen proteins in this tranche whose subcellular block would return nothing under an experimental-evidence filter.

    Evidence that argues against this (1)
    • The uncoded note is, unusually, MORE specific than most coded annotations in this tranche - it names two phosphosites, a chaperone and three kinases. That is the sharpest available illustration of brief rule 91 item 2: the uncoded comments carry the condition-scoped, mechanistically useful content, and filtering them out is a systematic loss rather than a conservative choice. McKinsey TA et al. 2001
  5. E_q77_loc2established confidence 5 of 5: Multiple independent lines of evidence; treated as settled in the field.paper

    HDAC5's nucleocytoplasmic trafficking is mediated by binding of the 14-3-3 chaperone to two PHOSPHOSERINES, Ser-259 and Ser-498, in its amino-terminal extension, and HDAC5's binding to 14-3-3 is LARGELY DEPENDENT ON CaMK SIGNALLING - whereas HDAC4 binds 14-3-3 constitutively.

    What this evidence cannot show

    Skeletal-muscle differentiation and yeast two-hybrid systems; no haematopoietic material. The HDAC4-versus-HDAC5 distinction is the part worth carrying into this graph: the two paralogues that the only available tool compound (LMK-235) cannot separate are DIFFERENTLY regulated at exactly the step that controls their location, so a dual HDAC4/5 inhibitor is acting on two proteins with different signal dependencies.

    Evidence that argues against this (1)
    • The founding mechanism is a MUSCLE mechanism and the kinases UniProt names - AMPK, CaMK1 and SIK1 - are not the kinase this graph's own AF9 result uses, which is CaMKII, nor the one the DNA-damage result uses, which is CK2. At least five kinases have been proposed to phosphorylate the same two serines in different systems, so 'HDAC5 export is signal-dependent' is well established while 'this signal exports HDAC5 in this cell type' has to be shown each time. Liang X et al. 2026
  6. E_q77_loc3established confidence 5 of 5: Multiple independent lines of evidence; treated as settled in the field.paper

    HDAC4 and HDAC5 each contain a SIGNAL-RESPONSIVE NUCLEAR EXPORT SEQUENCE at their extreme carboxy termini; the NES is conserved in HDAC7 but is ABSENT from class I HDACs and absent from the HDAC-related corepressor MITR.

    What this evidence cannot show

    Muscle-cell systems again. The final clause is the load-bearing one for this tranche: MITR is an isoform of HDAC9, the next entry in this beat, and it LACKS the export sequence - so within class IIa, HDAC9's shortest isoform is constitutively nuclear while HDAC4, HDAC5 and HDAC7 shuttle. A class-level statement about class IIa localisation is therefore false for one member's major isoform.

    Evidence that argues against this (1)
    • Two export determinants are described for the same protein - 14-3-3 binding at S259/S498 in the N-terminal extension, and a C-terminal NES - and their relative contribution in any given cell is not resolved. An intervention aimed at one may be bypassed by the other, which is a specific reason to doubt that pharmacologically controlling HDAC5's address would be simple. McKinsey TA et al. 2000
  7. E_q77_loc4moderate confidence 3 of 5: One strong study, or several smaller consistent ones.paper

    A THIRD KINASE THROWS THE SAME SWITCH, UNDER DNA DAMAGE: CK2-mediated HDAC5 shuttling regulates DNA END RESECTION through deacetylation of Ku70, identifying HDAC5 as a regulator of double-strand-break repair pathway choice and of homologous recombination, with consequences for PARP-inhibitor response.

    CK2-mediated HDAC5 shuttling regulates DNA end resection through Ku70 deacetylation. · Liang X, Zhao J, Li S, Wei R, Yu H, Zhang Q, Fu Q, Qin G, Zhao Y, Liu J, Liu Z, Peng T, Meng J, Gou S, Yin T, Wu H, Wang B, Zhou Y · Theranostics 2026
    What this evidence cannot show

    Pancreatic ductal adenocarcinoma cell lines, genetically engineered mouse models and patient-derived organoids - not haematopoietic and not fusion-bearing. Published 2026 and not independently replicated. Included because it is a THIRD independent system in which HDAC5's compartment is the regulated variable, because the substrate is again non-histone, and because homologous-recombination pathway choice is exactly the axis the sibling gene-chek1 entry warns about in this disease.

    Evidence that argues against this (1)
    • Three systems, three kinases, three substrates - muscle/MEF2 via CaMK, AF9 K339 via CaMKII, Ku70 via CK2 - is a pattern that can equally mean HDAC5 export is a general stress response with no specificity, in which case attributing any one outcome to it requires the kinase to be pinned down in that cell. None of the three has been tested in a leukaemic cell. UniProt Consortium 2026
  8. E_q77_ct1strong confidence 4 of 5: Replicated in peer-reviewed work by more than one group.paper

    IN HUMAN CD34+ CELLS, HDAC5 IS THE MOST SIGNIFICANTLY UPREGULATED HDAC DURING TERMINAL ERYTHROID DIFFERENTIATION AND IS REQUIRED FOR IT: of the eleven classic HDACs, six are expressed in human erythroid cells and HDAC5 is the most strongly induced; shRNA or siRNA knockdown followed by erythroid culture increases apoptosis, decreases CHROMATIN CONDENSATION and impairs ENUCLEATION of erythroblasts, with activation of p53 in association with increased p53 acetylation.

    Impairment of human terminal erythroid differentiation by histone deacetylase 5 deficiency. · Wang Y, Li W, Schulz VP, Zhao H, Qu X, Qi Q, Cheng Y, Guo X, Zhang S, Wei X, Liu D, Yazdanbakhsh K, Hillyer CD, Mohandas N, Chen L, Gallagher PG, An X · Blood 2021
    What this evidence cannot show

    HUMAN primary CD34+ cells in erythroid culture - one of the few human-primary cell-type results in this whole tranche - but with no fusion and no leukaemia. Knockdown rather than knockout. The p53-acetylation mechanism is an association reported alongside the phenotype rather than a demonstrated requirement, and p53 acetylation is a substrate of several HDACs and sirtuins, so attributing it to HDAC5 specifically needs the rescue experiment the abstract does not describe.

    Evidence that argues against this (1)
    • An HDAC5 loss-of-function result in the erythroid lineage points the OPPOSITE way to the stem-cell one in the same cell source: inhibiting HDAC5 improves human HSC homing, SCID-repopulating frequency and long-term engraftment. The most likely explanation is differentiation stage - HDAC5 is induced at the terminal step - but no experiment has put the two readouts side by side, so the net haematopoietic consequence of lowering HDAC5 in a patient is genuinely unknown. Huang X et al. 2018
  9. E_q77_ct2strong confidence 4 of 5: Replicated in peer-reviewed work by more than one group.paper

    IN HUMAN CORD-BLOOD HSCs AND PROGENITORS, HDAC5 IS A NEGATIVE REGULATOR OF HOMING: specific HDAC5 inhibition strongly upregulates surface CXCR4, enhancing SDF-1/CXCR4-mediated chemotaxis, bone-marrow homing, SCID-repopulating-cell frequency and both long-term and SECONDARY engraftment in NSG mice; the mechanism is increased nuclear acetylated p65 driving CXCR4 transcription, and NF-kB inhibition abolishes the effect.

    What this evidence cannot show

    HUMAN cord-blood cells with a murine xenograft readout; no leukaemia and no fusion. The selectivity of 'specific HDAC5 inhibition' within class IIa is the standing problem for this family - HDAC4 differs from HDAC5 by 38 residues and the available compounds are HDAC4/5 dual or class-IIA-wide - so an HDAC4 contribution is not excluded. Secondary engraftment is the stringent readout and is the reason this is graded strong.

    Evidence that argues against this (1)
    • Read as a safety signal rather than as an efficacy one, this result is uncomfortable for any HDAC5-lowering strategy in leukaemia: raising CXCR4 and improving marrow homing is precisely what one would NOT want to do to a residual leukaemic clone, since SDF-1/CXCR4 is the axis by which blasts occupy the protective niche. The study measured normal HSCs; nobody has asked whether HDAC5 inhibition also improves homing of KMT2A-rearranged blasts. Wang Y et al. 2021
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