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IKAROS and MENIN coordinate therapeutically actionable leukemogenic gene expression in MLL-r acute myeloid leukemia.

Nature cancer | 2022

Acute myeloid leukemia (AML) remains difficult to treat and requires new therapeutic approaches. Potent inhibitors of the chromatin-associated protein MENIN have recently entered human clinical trials, opening new therapeutic opportunities for some genetic subtypes of this disease. Using genome-scale functional genetic screens, we identified IKAROS (encoded by IKZF1) as an essential transcription factor in KMT2A (MLL1)-rearranged (MLL-r) AML that maintains leukemogenic gene expression while also repressing pathways for tumor suppression, immune regulation and cellular differentiation. Furthermore, IKAROS displays an unexpected functional cooperativity and extensive chromatin co-occupancy with mixed lineage leukemia (MLL)1-MENIN and the regulator MEIS1 and an extensive hematopoietic transcriptional complex involving homeobox (HOX)A10, MEIS1 and IKAROS. This dependency could be therapeutically exploited by inducing IKAROS protein degradation with immunomodulatory imide drugs (IMiDs). Finally, we demonstrate that combined IKAROS degradation and MENIN inhibition effectively disrupts leukemogenic transcriptional networks, resulting in synergistic killing of leukemia cells and providing a paradigm for improved drug targeting of transcription and an opportunity for rapid clinical translation.

Pubmed ID: 35534777 RIS Download

Associated grants

  • Agency: NCI NIH HHS, United States
    Id: R35 CA242427
  • Agency: NCI NIH HHS, United States
    Id: U54 CA231637
  • Agency: NHLBI NIH HHS, United States
    Id: T32 HL007574
  • Agency: NCI NIH HHS, United States
    Id: P50 CA206963
  • Agency: NCI NIH HHS, United States
    Id: F32 CA250240
  • Agency: NCI NIH HHS, United States
    Id: R01 CA176745
  • Agency: NCI NIH HHS, United States
    Id: R01 CA214608
  • Agency: NCI NIH HHS, United States
    Id: K08 CA222684
  • Agency: NCI NIH HHS, United States
    Id: R01 CA204639
  • Agency: NCI NIH HHS, United States
    Id: P01 CA066996

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This is a list of tools and resources that we have found mentioned in this publication.


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