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MYCN proto-oncogene, basic helix-loop-helix (bHLH) transcription factor (MYCN)

Target
MYCN
Molecular classification
Transcription factor (specifically, a basic helix-loop-helix-leucine-zipper [bHLHZip] family member), Oncogene (member of the MYC family of oncogenes), DNA-binding protein
01

Overview

The MYCN proto-oncogene, basic helix-loop-helix transcription factor (MYCN), is a transcription factor that regulates the expression of genes essential for cell proliferation, apoptosis, development, and differentiation. MYCN is normally expressed during early embryonic development and is critical for the formation of multiple tissues and organs. It is a member of the MYC family of oncogenes and exerts its function by binding DNA as part of the MYC/MAX protein complex, modulating chromatin structure and gene transcription. MYCN gene amplification or overexpression is closely associated with aggressive behavior in neuroblastoma and other cancers, making it a key therapeutic target despite the challenges of directly drugging transcription factors. Aberrations of MYCN also cause Feingold syndrome type 1 and may play a role in other developmental disorders

Other names
N-mycNMYCN-myc proto-oncogene proteinbHLHe37MYCN_HUMANMYCNOTNeuroblastoma MYC oncogenev-myc avian myelocytomatosis viral oncogene, neuroblastoma derived homologOncogene NMYCpp65/67
02

Mechanism of action

Transcriptional inhibition (block MYCN’s ability to bind DNA and activate target genes) Protein destabilization (promote degradation of MYCN protein) Indirect inhibition (target pathways cooperating with or regulated by MYCN, e.g., ALK, Aurora kinases, chromatin modifiers) Epigenetic modulation (BET inhibitors block MYCN expression by affecting chromatin accessibility)

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Biological functions

Cell proliferation (regulates cell growth and division)Apoptosis (controls self-destruction of cells)Cell cycle regulationTranscriptional regulation (binds DNA and controls gene expression)Developmental regulation (normal tissue and organ development)Metabolism regulationDifferentiation (impacts developmental pathways and cell differentiation)
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Disease associations

Cancer (especially neuroblastoma, medulloblastoma, retinoblastoma, and some lung cancers)Developmental disorders (e.g., Feingold syndrome type 1)Other cancers with MYCN amplification
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Safety considerations

Difficulty of direct targeting: MYCN is a transcription factor with few druggable sites (“undruggable” target)Off-target toxicity risks for developmental and cellular homeostasis due to MYCN’s essential roles in normal tissuesResistance mechanisms due to redundancy in MYC family and compensatory pathwaysNon-specific effects of broad transcriptional or epigenetic inhibitorsSide effects of chemotherapy intensification in MYCN-amplified neuroblastomas
06

Interacting drugs

BET inhibitors (e.g., JQ1; under investigation for MYCN-amplified tumors)

4 more in the full profile.

07

Biomarkers

MYCN amplification status (used for risk stratification and patient selection in neuroblastoma)mRNA/protein levels of MYCN (predict prognosis, used for therapeutic decisions in pediatric cancers)LIN28B/let-7 microRNA expression (associated with MYCN stability and neuroblastoma development)

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