Target intelligence / Profile preview

Lysine methyltransferase 2A (KMT2A) mRNA (KMT2A mRNA)

Target
KMT2A mRNA
Molecular classification
Messenger RNA, Nucleic acid
01

Overview

KMT2A (Lysine methyltransferase 2A) mRNA is the transcript of the KMT2A gene, which encodes a critical histone methyltransferase responsible for methylating histone H3 at lysine 4 (H3K4). This epigenetic modification is essential for maintaining the expression of developmental genes, particularly the HOX cluster, which governs hematopoiesis and embryonic patterning. In many aggressive acute leukemias, the KMT2A gene undergoes chromosomal translocations, resulting in chimeric mRNAs that produce oncogenic fusion proteins. Targeting the KMT2A mRNA directly via RNA-based therapeutics, such as small interfering RNAs (siRNAs) or antisense oligonucleotides (ASOs), represents a strategy to silence the expression of these drivers at the pre-translational level. While clinical development has largely focused on small-molecule inhibitors of the KMT2A-Menin protein interaction, mRNA-directed approaches are being explored to address both leukemias and solid tumors where KMT2A is overexpressed. Additionally, KMT2A mRNA levels are a key focus in understanding the pathogenesis of Wiedemann-Steiner syndrome, a neurodevelopmental disorder caused by haploinsufficiency of the gene.

Other names
MLL mRNAMLL1 mRNAHRX mRNAALL-1 mRNACXXC7 mRNAHTRX1 mRNATRX1 mRNAMixed lineage leukemia mRNA
02

Mechanism of action

RNA interference (siRNA) and antisense-mediated mRNA degradation (ASO) leading to reduced translation of the KMT2A protein or its oncogenic fusion variants.

03

Biological functions

Protein synthesisRegulation of gene expressionHematopoiesisEmbryonic developmentNeurodevelopmentEpigenetic regulation
04

Disease associations

Acute myeloid leukemia (AML)Acute lymphoblastic leukemia (ALL)Wiedemann-Steiner syndrome (WSS)High-grade serous ovarian carcinoma (HGSOC)Glioma
05

Safety considerations

Off-target RNA bindingDelivery challenges to the bone marrow and central nervous systemInnate immune activation (Toll-like receptor response to exogenous RNA)Potential hematological toxicity due to suppression of wild-type KMT2A essential for normal hematopoiesis
06

Interacting drugs

Experimental KMT2A-targeted siRNA

1 more in the full profile.

07

Biomarkers

KMT2A rearrangement (translocation)KMT2A mRNA expression levelHOXA9 expression levelMEIS1 expression levelH3K4 methylation status

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