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Polycomb repressive complexes as therapeutic targets in hematologic malignancies
Makoto Yamagishi, Atsushi Iwama, Issay Kitabayashi
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Polycomb-group proteins form PRC1 and PRC2 complexes that mediate heritable transcriptional repression via H2AK119 ubiquitination and H3K27 trimethylation. Components of PRC1, including BMI1, BCOR, and PCGF1, and those of PRC2, such as EZH1/2, SUZ12, and EED, are essential for hematopoietic stem cell self-renewal and differentiation. Mutations in these complexes drive AML, MDS, and lymphomas. Elevated H3K27me3 is an early epigenetic hallmark of lymphoid malignancies. Because EZH2-selective inhibitors are limited by EZH1 redundancy, dual EZH1/2 inhibitors like valemetostat more effectively restore tumor-suppressor activity.
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