Target intelligence / Profile preview

Friend leukemia integration 1 transcription factor (FLI1) (FLI1)

Target
FLI1
Molecular classification
Transcription factor, ETS family
01

Overview

Friend leukemia integration 1 (Fli-1) is a member of the ETS family of transcription factors that serves as a master regulator of hematopoiesis and vasculogenesis [1, 6]. In healthy tissues, it is primarily expressed in hematopoietic stem cells and endothelial cells, where it orchestrates the development of erythroid and megakaryocytic lineages [3, 6]. Fli-1 is clinically significant as the primary fusion partner with the EWSR1 gene in approximately 85% of Ewing sarcoma cases, resulting in the oncogenic EWSR1-FLI1 fusion protein [11, 14]. Beyond pediatric bone tumors, aberrant Fli-1 expression is implicated in several leukemias and autoimmune conditions, such as systemic lupus erythematosus and systemic sclerosis [1, 9]. Therapeutic development focuses on small molecules that disrupt the protein's interaction with critical co-factors like RNA helicase A or its direct binding to DNA [9, 13]. However, drug development remains challenging due to the protein's essential role in maintaining normal blood cell production and vascular stability [3, 11].

Other names
Friend leukemia virus integration 1Proto-oncogene Fli-1Transcription factor ERGBEWSR2SIC-1BDPLT21
02

Mechanism of action

Inhibition of DNA binding, disruption of protein-protein interactions (such as with RNA helicase A), inhibition of transcription and translation, and induction of protein degradation [6, 9, 12, 13].

03

Biological functions

HematopoiesisVasculogenesisAngiogenesisCell proliferationCell differentiationImmune response
04

Disease associations

CancerInfectionInflammationAutoimmune diseaseLeukemiaEwing sarcomaSystemic lupus erythematosusSystemic sclerosis
05

Safety considerations

Hematological toxicity including thrombocytopenia and leukopenia [6, 11]Off-target effects on normal hematopoietic stem cell maintenance [3, 6]Potential for inducing systemic sclerosis-like fibrotic phenotypes [1, 9]General toxicity associated with DNA-binding inhibitors [3, 12]
06

Interacting drugs

Mithramycin

7 more in the full profile.

07

Biomarkers

FLI1 nuclear expression (IHC) [11]EWSR1-FLI1 translocation [t(11;22)] [14]GGAA microsatellite binding patterns [12]

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