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TNG-6132 (also known as TNG0746132) is a potent, selective, reversible, and orally bioavailable small molecule allosteric inhibitor of ubiquitin-specific peptidase 1 (USP1). Developed by Tango Therapeutics, TNG-6132 binds to a cryptic allosteric pocket in the USP1-UAF1 complex, preventing the deubiquitination of substrates such as monoubiquitinated proliferating cell nuclear antigen (Ub-PCNA) and Ub-FANCD2. This inhibition leads to replication fork instability, accumulation of single-stranded DNA (ssDNA) gaps, and DNA damage. TNG-6132 is utilized preclinically to demonstrate synthetic lethality in BRCA1/2-deficient and homologous recombination deficient (HRD+) cancer models, and has shown efficacy in overcoming PARP inhibitor resistance in ovarian and breast cancer models.
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