Oncofusion

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Proteinstrong confidence 4 of 5: Replicated in peer-reviewed work by more than one group.Q36-menin-interactome

RELA (p65) — menin binds it and represses it, and it is required to keep MLL oncoproteins on chromatin

also called RELA · p65 · NFKB3 · NF-kappa-B p65 · Q04206

RELA is the business end of the classical NF-kB switch, and menin binds it and holds it down. Separately, RELA is required to keep the KMT2A fusion protein sitting on the genes it controls, so a drug that removes menin may be letting go of a brake on the very thing it is trying to switch off.

The same thing, for a scientist

RELA (UniProt Q04206, 551 aa, primary gene name read back) is the transactivating subunit of canonical NF-kB. Two facts about it are individually well established and have never been put together. **One:** menin binds RELA directly, and represses p65-mediated transcriptional activation on NF-kB sites in a dose-dependent, specific manner; the region of menin necessary for the contact is **amino acids 305-381** and the region of RELA sufficient is its N-terminus [E1]. IntAct's curation of the same paper records the menin necessary binding region as **300-376** [E2]. **Two:** in MLL-rearranged leukaemia, **RELA occupies the promoters of crucial MLL target genes and sustains the MLL-dependent leukaemia stem cell programme**, and IKK/NF-kB signalling is required for retention of both wild-type and fusion MLL protein on chromatin, with suppression of NF-kB phenocopying loss of the MLL oncoprotein [E3]. Put the two together and a prediction falls out that nobody has tested: **a menin inhibitor, by displacing menin, should release RELA from menin's restraint — and released RELA supports rather than opposes the fusion programme.** That is the JunD shape (`resistance-jund-liberation-menin`) with the sign that matters for a drug. It is written as `hyp-menin-inhibition-liberates-rela-and-reinforces-the-fusion-programme`. Neither half of the chain was done in the other's presence: the 2013 Cancer Cell paper mentions menin nowhere except its reference list, despite coming from the laboratory that established the menin-MLL axis.

Go deeper
The menin side: a direct, mapped, repressive contact

The 2001 Oncogene paper from the NIH group that cloned MEN1 used immunoprecipitation to find menin's partners and recovered the NF-kB proteins p50, p52 and p65, interacting specifically and directly with menin both in vitro and in vivo 1. Three things in it are unusually sharp for a 2001 interaction paper:

  • The binding region on NF-kB is the N-terminus — the Rel homology domain end, i.e. the DNA-binding/dimerisation half, not the transactivation domain.
  • Menin residues 305-381 are essential for the binding 1; IntAct's curation of the same experiments records a necessary binding region of 300-376 on menin 2. The two numbers are the same claim read off different figures and they should not be treated as independent.
  • The consequence is repression, and it is dose-dependent and specific: menin represses p65-mediated activation on NF-kB sites, and suppresses PMA-stimulated NF-kB activation 1.

Two later papers supply mechanism and a release valve. In hepatocellular carcinoma, menin represses p65 by recruiting SIRT1, which deacetylates p65 at K310; a SIRT1 inhibitor or SIRT1 siRNA abolishes menin's inhibitory effect 4. In breast cancer, RPA2 competes: ectopic RPA2 inhibits formation of the menin-p65 complex and relieves menin's repression of NF-kB target genes, while RPA2 knockdown promotes the complex 5. So the menin-RelA contact is a real, regulated node with a known cofactor and a known antagonist — in epithelial tissues. None of this work is haematopoietic.

The leukaemia side: RELA holds the fusion on chromatin

PMID 24054986 (Kuo, Wang, Lee, Iwasaki, Duque-Afonso, Wong, Lin, Figueroa, Su, Lemischka, Cleary; Cancer Cell 2013) is the paper this graph did not have 3. Its findings, in its own terms:

  • NF-kB signalling is essential in MLL leukaemia; suppressing it gives "robust anti-leukemia effects that phenocopied loss of functional MLL oncoprotein or associated epigenetic cofactors".
  • RELA occupies promoter regions of crucial MLL target genes and sustains the MLL-dependent leukaemia stem cell programme.
  • IKK/NF-kB signalling is required for wild-type and fusion MLL protein retention on chromatin and for maintenance of the associated histone modifications.

That third point is the load-bearing one for this beat. It makes RELA an upstream requirement for the fusion's chromatin occupancy, not a parallel pathway. The paper also notes that Toll-like-receptor transcripts mediating p105-dependent NF-kB activation are enriched in MLL-AF1p and MLL-AF10 leukaemia cells relative to normal marrow, and that MLL-translocated AMLs are distinguished by hypomethylation of genes organising into NF-kB networks 3.

And there is disease-matched precedent for NF-kB as a resistance axis: in t(4;11) ALL — KMT2A::AFF1, the index fusion of this project — NF-kB activation was identified as the mechanism of acquired resistance to interferon beta, and inhibiting NF-kB resensitised the cells 6.

The join nobody made, and the bounded absence

The two halves were never brought together. Full text of the 2013 paper was read (PMC3816582, efetch db=pmc, 61,463 characters). The word menin appears twice in it, both times inside the reference list, in the titles of Yokoyama 2005 and Yokoyama 2004 3. There is no menin experiment, no menin blot, and no discussion of the 2001 menin-NF-kB result — in a paper from the laboratory that established the menin-MLL requirement.

Counted absence. (menin OR MEN1) AND (NF-kappaB OR NFkB) AND (leukemia OR leukaemia) returns 3 records; title-checking removes all three (a paediatric AML microenvironment review, a pharmacognosy review of Ailanthone, and the chidamide/MI-3 combination paper, which names NF-kB only among pathways altered in an RNA-seq panel) 7. Title-checked count: 0. Nobody has published on menin and NF-kB in leukaemia of any kind.

Subtraction check. Before writing that absence, the graph's own citations were searched for each PMID in the underlying literature. 24054986, 20130599, 29320732, 18590796, 28007956 and 23224434 were all absent from all 1,266 entries. 24054986 in particular is a Cancer Cell paper about the mechanism of MLL fusion chromatin retention and its absence from this graph is a gap worth reporting on its own account.

Facts and figures
uniprotQ04206
length AA551
uniprot resolutiongene_exact:RELA AND organism_id:9606 AND reviewed:true; exactly one reviewed record; primary gene name read back as RELA; length 551 aa checked against the entry on 2026-09-20
nfkb armcanonical; the transactivating subunit, usually as a RELA/NFKB1 p50 heterodimer
subnuclear localizationUNPUBLISHED as a compartment. RELA has a genomic address in MLL-fusion leukaemia (promoters of MLL target genes, by ChIP) and a well-defined nucleocytoplasmic partition, and no subnuclear body assignment at all. A genomic address is not a subnuclear compartment.
shown for fusionPARTIAL. The CHROMATIN half is shown in an MLL-fusion context and is load-bearing: RELA occupies MLL target promoters and IKK/NF-kappaB signalling is required for MLL protein retention there (PMID 24054986). The SPATIAL half is not: no fractionation, imaging or nucleocytoplasmic measurement of RELA has been made in any KMT2A-rearranged cell, and (RELA OR "NF-kappaB p65")[tiab] AND (KMT2A OR MLL)[tiab] returns only 9 records. That gap is consequential rather than clerical - the entire therapeutic reading of PMID 24054986 is that blocking IKK removes RELA from MLL target promoters, which is a claim about relocation, and the relocation has never been imaged in this disease. Zero in titles and abstracts; supporting figures not searched.
menin contact
{
  "menin_region_paper": "aa 305-381 essential (PMID 11526476 abstract)",
  "menin_region_intact": "aa 300-376 necessary binding region (IntAct curation of the same paper)",
  "rela_region": "N-terminus sufficient",
  "method": "GST pull-down, western blot",
  "consequence": "menin represses p65-mediated transactivation, dose-dependently and specifically",
  "cofactor": "SIRT1 (deacetylates p65 K310)",
  "antagonist": "RPA2 (dissolves the menin-p65 complex)",
  "n_source_publications_in_intact": 1
}
leukaemia role
{
  "finding": "RELA occupies promoters of crucial MLL target genes and sustains the MLL-dependent LSC programme; IKK/NF-kB required for wild-type and fusion MLL retention on chromatin",
  "source_pmid": "24054986",
  "models": "mouse MLL-AF1p, MLL-AF10, MLL-AF9; human AML methylation and expression cohorts",
  "menin_mentions_in_that_paper": 2,
  "menin_mentions_outside_reference_list": 0
}
literature
{
  "kmt2a_records_raw": 16,
  "kmt2a_records_substantive": 3,
  "substantive_pmids": [
    "24054986",
    "36503469",
    "29320732"
  ],
  "aliases_searched": [
    "RELA",
    "p65",
    "NFKB3"
  ],
  "kmt2a_query": "(RELA[tiab] OR p65[tiab] OR NFKB3[tiab]) AND (KMT2A[tiab] OR MLL[tiab] OR \"mixed-lineage leukemia\"[tiab])",
  "alias_precision_note": "p65 is a word-like alias that labels several unrelated proteins and gel bands; every one of the 16 hits was title-checked and 13 were removed"
}
localization
{
  "subcellular": "Cytoplasm and nucleus, with the partition under active control in BOTH directions. Import on stimulation is the textbook half; the half that matters for this graph is EXPORT - efficient nuclear export of p65-IkappaB-alpha complexes requires 14-3-3 proteins, and pharmacological XPO1 inhibition (eltanexor) causes nuclear accumulation of the IkappaB-alpha/NF-kappaB p65 complex. UniProt Q04206 (TF65_HUMAN, Transcription factor p65, 551 aa) was read back only to confirm the identifier; no localisation string was taken from it.",
  "subnuclear": "chromatin, at defined promoters - a genomic address in the right disease family. In MLL-fusion leukaemia the NF-kappaB subunit RELA occupies the promoter regions of crucial MLL target genes and sustains the MLL-dependent leukaemia stem cell program, and IKK/NF-kappaB signalling is required for retention of both wild-type and fusion MLL protein at those promoters. NO nuclear-body, speckle, nucleolar or heterochromatin assignment for RELA was found in any source read for this beat: (RELA OR \"NF-kappaB p65\")[tiab] AND (\"PML nuclear bodies\" OR speckle* OR \"nuclear bodies\")[tiab] returns 20 records and every one title-checked is either herbal/inflammation pharmacology or about a DIFFERENT protein's body localisation (IKK-epsilon, Tax, PML-RARA).",
  "how_shown": "chromatin immunoprecipitation of RELA at MLL target promoters with NF-kappaB suppression in MLL-fusion leukaemia (PMID 24054986); 14-3-3 dependence of p65-IkappaB-alpha export (PMID 27307493); XPO1 inhibitor-driven nuclear accumulation of the IkappaB-alpha/p65 complex (PMID 36110547)",
  "systems": "MLL-fusion leukaemia models for the chromatin work; non-haematopoietic cell lines and osteoclasts for the transport work",
  "node": "localization-chromatin-bound-versus-soluble-fraction-kmt2a"
}
localization counted absence
{
  "query": "(RELA[tiab] OR \"NF-kappaB p65\"[tiab]) AND (KMT2A[tiab] OR MLL[tiab])",
  "records": 9,
  "records_with_rela_localization": 0,
  "operand_controls": {
    "(RELA OR \"p65\" OR \"NF-kappaB p65\")[tiab] AND (\"PML nuclear bodies\" OR speckle* OR \"nuclear bodies\")[tiab]": 20
  },
  "date": "2026-09-21",
  "tool": "PubMed E-utilities esearch",
  "bound": "zero in titles and abstracts; supporting figures not searched. Rule 64 note: the complex form was run - 'IKK/NF-kB' is how PMID 24054986 frames itself and is why a bare CHUK/IKBKB subunit query misses it."
}
counted absence caveat names searched
[
  "RELA",
  "p65",
  "NF-kappaB p65",
  "NFKB3"
]
depmap kmt2a selectivity
{
  "chronos_mean_kmt2a_rearranged": -0.2156,
  "chronos_mean_other_leukaemia": -0.2752,
  "difference": 0.0595,
  "pan_essentiality_all_lines": -0.4057,
  "selectivity_rank": 15425,
  "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."
}
cell type
{
  "evidence_class_key": "concept-expressed-required-maintains-three-evidence-classes",
  "expressed_in": {
    "class": 1,
    "summary": "ubiquitous. RELA is a component of the classical NF-kB heterodimer and is expressed in essentially every nucleated cell; no cell-type-restricted expression claim is made or needed here.",
    "how_shown": "not measured in this beat; asserted as background, not as a finding"
  },
  "required_in": {
    "class": 2,
    "claim": "In MURINE MLL-AF9 myeloid leukaemia and human MLL-rearranged lines, RELA occupies the promoter regions of crucial MLL target genes and IKK/NF-kB signalling sustains the MLL-dependent LEUKAEMIA STEM CELL programme; suppressing NF-kB phenocopies loss of the functional MLL oncoprotein [E_q69_ct1].",
    "system_named_in_the_claim": "murine MLL-AF9 and human MLL-rearranged leukaemia cells - NOT infant B-lineage KMT2A::AFF1 (brief rule 73)",
    "pmids": [
      "24054986"
    ],
    "the_cell_type_is_a_STATE_not_a_LINEAGE": "the requirement reported is for the leukaemia-stem-cell compartment within an MLL-rearranged leukaemia, not for a lineage. That is a cell-STATE claim wearing cell-type clothing, and it is recorded in cell_state below as well as here."
  },
  "not_required_in": {
    "claim": "NO KMT2A-rearranged-SELECTIVE requirement is visible in this project's own genome-wide dependency scan. RELA sits in the ANTI-SELECTIVE half: Chronos -0.2156 in the 11 KMT2A-rearranged lines against -0.2752 in the 43 other leukaemia lines, difference +0.0595, selectivity rank 15,425 of 17,728.",
    "how_to_read_it": "a difference is not a dependency and this is not floor-compressed (pan-essentiality -0.4057, plenty of dynamic range), so the anti-selective placement is interpretable rather than uninterpretable. What it says is that a 21-day proliferation screen sees no EXTRA requirement for RELA in KMT2A-rearranged lines. It cannot see a differentiation block, a stem-cell-frequency phenotype, or an in vivo self-renewal requirement, which is exactly what PMID 24054986 measures.",
    "rescoping_this_forces": "the entry's NF-kB claim should be read as 'required for the LSC programme and for fusion retention on chromatin', which is what the paper shows, and NOT as 'KMT2A-rearranged cells need RELA more than other leukaemias do', which the scan contradicts."
  },
  "nodes": [
    "cell-state-stem-like-self-renewal",
    "cell-state-gmp-like"
  ],
  "context": "wild-type RELA in an MLL-fusion leukaemia; no measurement in normal human infant B-lymphopoiesis"
}
cell state
{
  "evidence_class_key": "concept-expressed-required-maintains-three-evidence-classes",
  "maintains_state": {
    "class": 3,
    "states": [
      "cell-state-stem-like-self-renewal"
    ],
    "claim": "In murine MLL-AF9 leukaemia, IKK/NF-kB signalling with RELA at MLL target promoters SUSTAINS the MLL-dependent leukaemia stem cell programme and is required for retention of both wild-type and fusion MLL protein on chromatin together with the associated histone modifications [E_q69_ct1].",
    "pmids": [
      "24054986"
    ],
    "system_named_in_the_claim": "murine MLL-AF9 myeloid leukaemia and human MLL-rearranged cell lines"
  },
  "regulates_state": {
    "note": "the state RELA maintains is a TRANSCRIPTIONAL-RETENTION state rather than a metabolic or cell-cycle one: the readout is fusion occupancy and H3K79/H3K4 retention, not proliferation index."
  },
  "bounded_query": {
    "date": "2026-09-21",
    "tool": "NCBI esearch db=pubmed",
    "query": "(\"NF-kappaB\" OR NFKB OR RELA OR p65)[tiab] AND (\"leukemia stem cell\" OR \"leukaemia stem cell\" OR \"leukemic stem cell\")[tiab] AND (MLL OR KMT2A)[tiab]",
    "count": 3,
    "on_topic_after_title_check": 1,
    "the_other_two": "PMID 41460961 is NUTM1-rearranged leukaemia and PMID 34877491 is TIFAB in MLL-AF9 - neither measures a RELA-dependent cell state.",
    "positive_control": "the bare operand RELA[tiab] AND (MLL OR KMT2A)[tiab] returns a non-zero count, and the joined query returns 3 rather than 0, so the instrument demonstrably returns a one (brief rule 67).",
    "bound": "titles and abstracts only; supporting figures not searched (brief rule 80)"
  },
  "confidence": "moderate",
  "caveats": "Every cell-state statement here is from ONE laboratory's 2013 paper in a murine MLL-AF9 system plus human MLL-rearranged lines. No infant KMT2A::AFF1 primary sample, no xenograft, no B-lineage measurement. The LSC claim is a functional-transplant claim in mouse; nothing here measures a human infant leukaemia stem cell. And the DepMap arm of this entry points the other way, which is recorded above rather than reconciled.",
  "counter_evidence": {
    "note": "This project's own genome-wide CRISPR scan places RELA 15,425th of 17,728 on KMT2A-rearranged selectivity, i.e. in the anti-selective half, with the KMT2A-rearranged arm LESS depleted than the comparator leukaemias. A 21-day proliferation screen and an in vivo LSC assay are different instruments measuring different things, and both results stand; but the entry must not be read as claiming a fusion-selective RELA dependency.",
    "citation": {
      "title": "DepMap KMT2A-selective dependency scan (this project, genome-wide, 11 KMT2A-rearranged vs 43 other leukaemia lines)",
      "url": "analyses/depmap-kmt2a-selective-scan-full/results.json",
      "type": "analysis"
    }
  }
}
How this could bite us back
  • If a menin inhibitor liberates RELA, the drug is partially undoing its own mechanism, and the effect would be invisible to any assay that reads only HOXA9/MEIS1 output at a single late timepoint.
  • Combining a menin inhibitor with an IKK inhibitor is the obvious countermeasure and is also a combination of two agents with overlapping myelosuppression in infants.
  • NF-kB is not one target. Canonical suppression is anti-leukaemic and non-canonical activation is also anti-leukaemic; an intervention that moves both arms at once could cancel itself.
  • an IKK inhibitor is a relocation, not a deletion - Blocking IKK is proposed to strip RELA from MLL target promoters and destabilise MLL retention there. Nothing has imaged where RELA goes, and XPO1 inhibition - already in this graph's therapeutic space - traps the IkappaB-alpha/p65 complex in the nucleus. Combining an XPO1 inhibitor with an IKK inhibitor could act on RELA's compartment in opposing directions with no way to predict the net effect.
Still open
  1. Does a clinical menin inhibitor increase RELA-dependent transcription in a KMT2A-rearranged cell? One reporter assay and one RELA ChIP would answer it.
  2. Does menin's repression of p65 require the MBM pocket, or only the SIRT1 contact? If the latter, an MBM-pocket inhibitor would not release RELA and the liberation hypothesis dies cheaply.
  3. Is the menin-RELA contact detectable at all in a haematopoietic cell? Every experiment supporting it is epithelial or endocrine.
  4. If IKK/NF-kB is required for fusion retention on chromatin and menin is also required for fusion retention, are they the same requirement measured twice, or two independent ones?
  5. Where does RELA go when IKK is inhibited in a KMT2A-rearranged cell - out of the nucleus, or off chromatin while still nuclear? The distinction decides whether an XPO1 inhibitor would antagonise or reinforce an IKK inhibitor, and both drug classes are already in this graph.
Every source behind this entry (11)
  1. E1established confidence 5 of 5: Multiple independent lines of evidence; treated as settled in the field.paper

    The NF-kB proteins p50, p52 and p65 interact specifically and directly with menin in vitro and in vivo; the region of NF-kB proteins sufficient for binding menin is the N-terminus; amino acids 305-381 of menin are essential for this binding; and menin represses p65-mediated transcriptional activation on NF-kB sites in a dose-dependent and specific manner, also suppressing PMA-stimulated NF-kB activation.

    The tumor suppressor protein menin interacts with NF-kappaB proteins and inhibits NF-kappaB-mediated transactivation. · Heppner C, Bilimoria KY, Agarwal SK, Kester M, Whitty LJ, Guru SC, Chandrasekharappa SC, Collins FS, Spiegel AM, Marx SJ, Burns AL · Oncogene 2001
    What this evidence cannot show

    `established` for the reported system only. 2001, before the structure of menin was known; the reporter assays are transfected NF-kB-site luciferase constructs, and the cell backgrounds are not haematopoietic. Full text unreadable here: no PMCID from Europe PMC or efetch, and the DOI resolves to a 303-character stub, which is the Elsevier/Nature-portfolio redirect failure mode. All detail is from the abstract and from IntAct's curation of the same paper.

    Evidence that argues against this (1)
    • Menin's repression of p65 is not unconditional: it requires SIRT1 recruitment, and RPA2 over-expression dissolves the menin-p65 complex. A repression that two other proteins can switch off is a weaker constraint than the 2001 abstract implies. Chen CC et al. 2017
  2. E2established confidence 5 of 5: Multiple independent lines of evidence; treated as settled in the field.database

    IntAct curates the MEN1-RELA interaction from PMID 11526476 as a GST pull-down with western blot read-out, annotating a necessary binding region on MEN1 of residues 300-376; MEN1-NFKB1 is curated from the same paper as both an anti-bait co-immunoprecipitation and a pull-down, and MEN1-NFKB2 as a pull-down only.

    What this evidence cannot show

    A structured transcription of one paper, not independent evidence. The asymmetry across the three subunits is informative about assay coverage, not about affinity: NFKB1 got a co-IP and the other two did not, which may reflect antibody availability in 2001 rather than biology.

    Evidence that argues against this (1)
    • IntAct holds no source for this interaction other than the 2001 paper, so twenty-five years of interaction proteomics has not re-detected it either. The same caveat as for FANCD2 applies: steady-state AP-MS may be the wrong condition for a signal-dependent contact. Huttlin EL et al. 2021
  3. E3established confidence 5 of 5: Multiple independent lines of evidence; treated as settled in the field.paper

    NF-kB signalling has an essential role in MLL leukaemia: suppressing NF-kB produces robust anti-leukaemia effects that phenocopy loss of the functional MLL oncoprotein or its epigenetic cofactors; RELA occupies promoter regions of crucial MLL target genes and sustains the MLL-dependent leukaemia stem cell programme; and IKK/NF-kB signalling is required for retention of both wild-type and fusion MLL protein on chromatin and for maintenance of the associated histone modifications. The word 'menin' appears in this paper only in its reference list.

    Epigenetic roles of MLL oncoproteins are dependent on NF-κB. · Kuo HP, Wang Z, Lee DF, Iwasaki M, Duque-Afonso J, Wong SH, Lin CH, Figueroa ME, Su J, Lemischka IR, Cleary ML · Cancer Cell 2013
    What this evidence cannot show

    Mouse MLL-AF1p, MLL-AF10 and MLL-AF9 models plus human AML cohorts; myeloid throughout, with no infant B-ALL. 'Suppression of NF-kB' is achieved pharmacologically and genetically, and pharmacological IKK inhibition has substantial off-target liability. The menin count was made on the full text retrieved from PMC3816582 via efetch db=pmc, 61,463 characters, and is a count of the string, so a discussion phrased as 'the MLL tumour suppressor cofactor' would not be caught.

    Evidence that argues against this (1)
    • The non-canonical arm points the other way: stabilising NF-kB-inducing kinase activates non-canonical signalling, REPRESSES canonical signalling, and SUPPRESSES MLL-AF9 AML. So 'NF-kB' is not one thing in this disease, and a menin inhibitor that liberated all three menin-bound subunits at once would be doing two opposing things. Xiu Y et al. 2018
  4. E4established confidence 5 of 5: Multiple independent lines of evidence; treated as settled in the field.paper

    Menin represses p65 acetylation by recruiting SIRT1, the deacetylase for p65 lysine 310; a SIRT1 inhibitor or SIRT1-specific siRNA abolishes menin's inhibitory role, and menin expression is frequently down-regulated in hepatocellular carcinoma tissues and cell lines.

    What this evidence cannot show

    Hepatocellular carcinoma tissue and cell lines. A menin partner is not a KMT2A::AFF1 partner: nothing here is haematopoietic and the SIRT1 dependence has never been tested in a leukaemia cell. Mol Biol Rep is a low-visibility venue and the result has not been independently replicated.

    Evidence that argues against this (1)
    • If menin's repression of p65 runs through SIRT1 recruitment rather than through steric occlusion, then displacing menin from its MBM pocket need not release p65 at all - the repression would survive as long as the SIRT1 contact does. This is the strongest single argument against the liberation hypothesis. Gang D et al. 2013
  5. E5established confidence 5 of 5: Multiple independent lines of evidence; treated as settled in the field.paper

    Menin interacts with RPA2; ectopic RPA2 expression inhibits formation of the menin-p65 complex and relieves menin's inhibition of NF-kB-regulated genes, while RPA2 knockdown promotes menin-p65 complex formation and represses NF-kB-mediated gene expression. RPA2 is induced via an E2F1-dependent mechanism on NF-kB activation.

    What this evidence cannot show

    MCF7 and MDA-MB-231 breast cancer lines, with over-expression and knockdown rather than endogenous perturbation. Not haematopoietic. Worth noting for this graph's own thread: RPA2 is a replication-protein-A subunit, so this result places a menin-NF-kB regulator inside the replication machinery that the Fanconi analyses keep circling - but RPA1/2/3 do not rank in this project's KMT2A selectivity scan.

    Evidence that argues against this (1)
    • This is a BREAST CANCER study, and RPA2's principal role is in replication rather than transcription - so an RPA2-dependent change in menin-p65 complex formation is at least as consistent with replication stress altering chromatin availability as with a dedicated menin-NF-kB axis. Nothing here was measured in a leukaemic cell. Heppner C et al. 2001
  6. E6established confidence 5 of 5: Multiple independent lines of evidence; treated as settled in the field.paper

    In a murine model of t(4;11) acute lymphoblastic leukaemia treated with continuous AAV-delivered interferon beta, leukaemic cells eventually became resistant and relapsed; NF-kB activation was identified as the mechanism of that resistance, and inhibiting NF-kB activity in resistant cells resensitised them to interferon beta.

    NF-kappaB activation mediates resistance to IFN beta in MLL-rearranged acute lymphoblastic leukemia. · Tracey L, Streck CJ, Du Z, Williams RF, Pfeffer LM, Nathwani AC, Davidoff AM · Leukemia 2010
    What this evidence cannot show

    A murine xenograft model and a therapy nobody uses; the resistance is to interferon beta, not to a menin inhibitor. It is cited here as disease-matched precedent that NF-kB can act as an acquired-resistance axis in t(4;11) specifically, not as evidence about menin inhibitors.

    Evidence that argues against this (1)
    • Continuous AAV-delivered interferon beta is not a clinical exposure, and resistance to a sustained non-physiological cytokine is a weak model for resistance to any therapy used in this disease. That NF-kB activation was IDENTIFIED as the mechanism in that setting does not make it the mechanism of relapse generally. Xiu Y et al. 2018
  7. E7strong confidence 4 of 5: Replicated in peer-reviewed work by more than one group.database

    No published work connects menin and NF-kB in leukaemia. A PubMed title/abstract search for (menin OR MEN1) AND (NF-kappaB OR NFkB) AND (leukemia OR leukaemia) returns 3 records and title-checking removes all three: a paediatric AML extracellular-matrix review, a pharmacognosy review of Ailanthone, and the chidamide/MI-3 study in which NF-kB appears only as one of several pathways in an RNA-seq list. Title-checked count: 0.

    What this evidence cannot show

    The wider query without the leukaemia term returns 21 records, so the menin-NF-kB literature exists and is simply all endocrine, hepatic, intestinal, breast and neural. Title/abstract search cannot see a supplementary blot. And a paper framing the question as 'the MLL complex' rather than naming menin would be invisible - which is precisely how PMID 24054986 escapes this query.

    Evidence that argues against this (1)
    • The most important record this query misses by construction is 24054986 itself, which establishes the leukaemia half of the axis and never names menin. A counted absence keyed to both terms cannot find a paper that carries only one of them. Kuo HP et al. 2013
  8. E_q65_loc1strong confidence 4 of 5: Replicated in peer-reviewed work by more than one group.paper

    In MLL-fusion leukaemia the NF-kappaB subunit RELA occupies the promoter regions of crucial MLL target genes and sustains the MLL-dependent leukaemia stem cell programme, and IKK/NF-kappaB signalling is required for retention of both wild-type and fusion MLL protein and for maintenance of the associated histone modifications.

    Epigenetic roles of MLL oncoproteins are dependent on NF-κB. · Kuo HP, et al. · Cancer Cell 2013;24:423-37 2013
    What this evidence cannot show

    A genomic address by ChIP, not a spatial compartment. The paper frames everything at 'IKK/NF-kB' and names no subunit in its abstract, which is exactly the rule-64 case this brief cites: a query on CHUK, IKBKB or IKBKG cannot reach it. The systems are MLL-fusion leukaemia models, predominantly murine and myeloid, not infant KMT2A::AFF1 (brief rule 73). Abstract only.

    Evidence that argues against this (1)
    • RELA's promoter occupancy in this disease is inferred from ChIP after NF-kappaB suppression; because IKK inhibition also changes MLL retention and histone marks at the same promoters, the causal order between RELA leaving and MLL leaving is not resolved by the experiment, and no imaging distinguishes loss of nuclear RELA from loss of RELA binding. Aguilera C et al. 2016
  9. E_q65_loc2moderate confidence 3 of 5: One strong study, or several smaller consistent ones.paper

    Nuclear export of p65-IkappaB-alpha complexes requires 14-3-3 proteins, establishing that RELA's nuclear exit is an actively brokered step and not simple diffusion.

    Efficient nuclear export of p65-IκBα complexes requires 14-3-3 proteins. · Aguilera C, et al. · J Cell Sci 2016;129:2472 2016
    What this evidence cannot show

    The PubMed record for this paper carries NO abstract, so this claim is restricted to what its title asserts and nothing about the cell system, magnitude or method is recorded here. Not a leukaemia system as far as can be determined from the record. Graded moderate for that reason.

    Evidence that argues against this (1)
    • A second route to the same compartment is pharmacologically demonstrated and does not involve 14-3-3: the XPO1 inhibitor eltanexor causes nuclear accumulation of the IkappaB-alpha/p65 complex in osteoclasts, so the export step is XPO1-dependent and 14-3-3 may be an accessory rather than the determinant. Chen J et al. 2022
  10. E_q65_loc3moderate confidence 3 of 5: One strong study, or several smaller consistent ones.paper

    The selective XPO1 inhibitor eltanexor produces nuclear accumulation of the IkappaB-alpha/NF-kappaB p65 complex in osteoclasts, and its anti-osteoclast effect depends on that accumulation - a pharmacological demonstration that RELA's compartment is drug-movable through the same exportin this graph already tracks.

    What this evidence cannot show

    Osteoclasts and osteoporosis, a system with no relationship to this disease; the conclusion that the effect 'depends on' nuclear accumulation is the authors' inference from inhibitor experiments. Cited for the transport mechanism and the XPO1 link, not for the bone phenotype. Abstract only.

    Evidence that argues against this (1)
    • Trapping p65 in the nucleus AS AN IkappaB-alpha COMPLEX is inhibitory, not activating, so 'XPO1 inhibition raises nuclear RELA' does not predict raised NF-kappaB output; an entry that reads a nuclear-accumulation result as a gain of function would invert the pharmacology. Kuo HP et al. 2013
  11. E_q69_ct1strong confidence 4 of 5: Replicated in peer-reviewed work by more than one group.paper

    In murine MLL-AF9 leukaemia and human MLL-rearranged cell lines, the NF-kB subunit RELA occupies the promoter regions of crucial MLL target genes and sustains the MLL-dependent leukaemia stem cell programme; IKK/NF-kB signalling is required for retention of wild-type and fusion MLL protein on chromatin and for maintenance of the associated histone modifications, and suppressing NF-kB phenocopies loss of the functional MLL oncoprotein.

    Epigenetic roles of MLL oncoproteins are dependent on NF-κB. · Kuo HP, Wang Z, Lee DF, Iwasaki M, Duque-Afonso J, Wong SH, Lin CH, Figueroa ME, Su J, Lemischka IR, Cleary ML · Cancer Cell 2013
    What this evidence cannot show

    Abstract read in full; full text not read this session. Murine MLL-AF9 myeloid system plus human MLL-rearranged lines - NOT infant B-lineage KMT2A::AFF1 (brief rule 73). 'Leukaemia stem cell programme' here is a transcriptional-programme and transplant claim, not a measurement of human infant LSC frequency. This PMID was already cited in this entry for the chromatin-retention result; it is re-fetched here and re-cited for the CELL-STATE result, which is a different claim from the same paper.

    Evidence that argues against this (1)
    • The cell-state requirement does not appear as a KMT2A-selective dependency. In this project's own genome-wide Chronos scan RELA is 15,425th of 17,728 for KMT2A-selectivity (difference +0.0595, LESS required in the KMT2A-rearranged arm), and pan-essentiality is -0.4057 so the measurement is not floor-compressed. The two instruments are not in direct contradiction - a proliferation screen cannot see a self-renewal or differentiation phenotype - but any claim that KMT2A-rearranged cells are distinctively NF-kB-addicted is unsupported by the screen. source
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