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BMS-986456 is an orally bioavailable small molecule inhibitor of methionine adenosyltransferase 2A (MAT2A), currently under development by Bristol Myers Squibb for the treatment of MTAP-deleted advanced solid tumors, including pancreatic ductal adenocarcinoma. MAT2A is the primary enzyme responsible for the synthesis of S-adenosylmethionine (SAM) from methionine and ATP. In tumors harboring a deletion of the methylthioadenosine phosphorylase (MTAP) gene, the metabolite methylthioadenosine (MTA) accumulates and acts as a partial endogenous inhibitor of the protein arginine methyltransferase PRMT5. By further depleting SAM levels through MAT2A inhibition, BMS-986456 induces a state of synthetic lethality, leading to profound inhibition of PRMT5 activity, disruption of RNA splicing, and subsequent tumor cell death.
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