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The menin–MLL interaction is a protein–protein interface critical for the function of wild-type and fusion forms of mixed lineage leukemia 1 protein (MLL1/KMT2A). Menin, an adapter protein encoded by MEN1, binds to an N-terminal region of MLL1 and related MLL fusion proteins, helping recruit the histone methyltransferase complex to target gene loci—especially key homeobox genes driving hematopoietic cell fate. In MLL-rearranged leukemias, this interaction is essential for the maintenance of aberrant gene expression programs. Disrupting the menin–MLL interaction with small-molecule inhibitors has become a leading therapeutic strategy in these leukemia subtypes, with several compounds in clinical or preclinical development[1][2][3][4]. This target is well-characterized and highly validated in oncology drug discovery as a disease-driving protein–protein interaction.
Inhibition of menin–MLL interaction, which disrupts MLL-fusion-driven transcriptional programs critical for leukemic cell proliferation and survival[1][4]
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