Target intelligence / Profile preview

Histone-lysine N-methyltransferase 2D (KMT2D)

Target
KMT2D
Molecular classification
Enzyme, Histone methyltransferase, Epigenetic regulator, Histone modification
01

Overview

Histone-lysine N-methyltransferase 2D (KMT2D) is a large, widely expressed enzyme that mediates mono-, di-, and trimethylation of histone H3 at lysine 4 (H3K4), a chromatin modification associated with gene activation and enhancer function. KMT2D acts as a key epigenetic regulator, functioning as part of multi-protein complexes to activate gene expression critical for embryonic development, tissue-specific differentiation, and cellular metabolism. It is essential for the proper formation and activity of enhancers and is required for binding of additional co-activators such as CBP and p300. Loss-of-function mutations in KMT2D cause Kabuki syndrome, a multisystem developmental disorder, and KMT2D is frequently mutated in various cancers, particularly lymphomas, where it serves as a major tumor suppressor. Disruption of its activity can result in impaired gene regulation, defective differentiation, abnormal metabolism, and predisposition to malignancy[1][2][3][4][5][6][7].

Other names
MLL2MLL4Lysine methyltransferase 2DALL1-related proteinMyeloid/lymphoid or mixed-lineage leukemia protein 2ALRCAGL114AAD10BCAHHKABUK1KMSTNRC21Trinucleotide repeat containing 21
02

Mechanism of action

Inhibition or modulation of KMT2D catalytic activity (H3K4 methyltransferase activity) Epigenetic reactivation or suppression of target gene expression

03

Biological functions

Regulation of gene expression (epigenetic regulation)Histone H3 lysine 4 mono-, di-, and trimethylationEmbryonic developmentCell differentiationCell-type specific enhancer activationMetabolic regulationTumor suppression
04

Disease associations

Cancer (tumor suppressor, often mutated in lymphoma and solid tumors)Developmental disorders (Kabuki syndrome, congenital heart disease)Other (metabolic reprogramming in disease context)
05

Safety considerations

Systemic inhibition may disrupt normal development, differentiation, and enhancer activity, leading to widespread gene dysregulationPotential tumorigenesis from loss-of-function or inappropriate inhibitionDevelopmental abnormalities (given its critical roles in organogenesis and cell differentiation)
06

Interacting drugs

None directly approved or well-established; experimental epigenetic modulators under research (e.g., histone methyltransferase inhibitors or modulators targeting KMT2D deficiency) – no specific clinical drugs currently listed
07

Biomarkers

Loss-of-function or mutations in KMT2D (indicative for Kabuki syndrome)KMT2D mutation status as potential cancer biomarker (e.g., lymphoma prognosis)H3K4me1, H3K4me2, and H3K4me3 levels (as readouts of enzymatic activity and enhancer states)

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