Evidence map›Paper›PMID 38890447›Full record

ArticleLeukemia2024

Combination of menin and kinase inhibitors as an effective treatment for leukemia with NUP98 translocations.

Hongzhi Miao, Dong Chen, James Ropa, Trupta Purohit, EunGi Kim, Maria-Luisa Sulis, Adolfo Ferrando, Tomasz Cierpicki, Jolanta Grembecka

Abstract read
In one paragraph

Article in Leukemia, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed.

  1. Article
  2. Review
  3. Review
  4. Article
  5. Article
  6. Article
  7. Strategies for identifyingHaematologica · 2026
    Article
  8. Review
  9. RareAmerican journal of cancer research · 2026
    Article
  10. The promise of menin inhibitors: from approval to triplet regimens.Hematology. American Society of Hematology. Education Program · 2025
    Review
  11. Review
  12. Review
  13. Article
  14. Review
  15. Review
  16. Complete remission ofHaematologica · 2025
    Article
  17. Review
  18. Review
  19. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Hongzhi Miao *Department of Pathology, University of Michigan, Ann Arbor, MI, 48109, USA.
Dong Chen *Department of Pathology, University of Michigan, Ann Arbor, MI, 48109, USA.
James Ropa *Department of Microbiology and Immunology, Indiana University, School of Medicine, Indianapolis, IN, 46202, USA.ORCID 0000-0001-6120-1859
Trupta PurohitDepartment of Pathology, University of Michigan, Ann Arbor, MI, 48109, USA.
EunGi KimDepartment of Pathology, University of Michigan, Ann Arbor, MI, 48109, USA.
Maria-Luisa SulisDepartment of Pediatrics, Memorial Sloan Kettering Cancer Center, New York, NY, 10065, USA.
Adolfo FerrandoInstitute for Cancer Genetics, Columbia University, New York, NY, 10032, USA.ORCID 0000-0002-6212-8574
Tomasz CierpickiDepartment of Pathology, University of Michigan, Ann Arbor, MI, 48109, USA. tomaszc@umich.edu.ORCID 0000-0003-2058-0658
Jolanta GrembeckaDepartment of Pathology, University of Michigan, Ann Arbor, MI, 48109, USA. jolantag@umich.edu.ORCID 0000-0002-6180-9095

Funding

Development of novel anti-leukemia agents targeting the menin-MLL interactionR01CA160467 · NCI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI GREMBECKA, JOLANTA · 2011 to 2021
$3.4M
Development of ASH1L inhibitors for acute leukemiaR01CA244254 · NCI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI GREMBECKA, JOLANTA · 2020 to 2024
$2.8M
Targeting Menin in Acute Leukemia with Upregulated HOX GenesR01CA272561 · NCI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Jolanta Grembecka · 2023 to 2026
$2.5M
Targeting PRC1 in leukemiaR01CA282082 · NCI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Tomasz Cierpicki · 2023 to 2026
$2.5M
Targeting NSD1 in leukemiaR01CA226759 · NCI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI CIERPICKI, TOMASZ · 2019 to 2023
$2.3M
Omics interrogation of functionally competent hematopoieitic stem cellsK99HL166790 · NHLBI · INDIANA UNIVERSITY INDIANAPOLIS · PI ROPA, JAMES PATRICK · 2023 to 2023
$106k
Proteotranscriptomic regulation of homing and engraftment in hematopoietic stem and progenitor cells for hematopoietic cell transplantationF32HL160072 · NHLBI · INDIANA UNIVERSITY INDIANAPOLIS · PI ROPA, JAMES PATRICK · 2021 to 2022
$80k
Alex's Lemonade Stand Foundation for Childhood Cancer (Alex's Lemonade Stand Foundation) 22-25561Leukemia and Lymphoma Society (Leukemia & Lymphoma Society) 6649-23NCI NIH HHS R01 CA160467NCI NIH HHS R01 CA226759NCI NIH HHS R01 CA244254NCI NIH HHS R01 CA272561NCI NIH HHS R01 CA282082NHLBI NIH HHS F32 HL160072NHLBI NIH HHS K99 HL166790U.S. Department of Health & Human Services | NIH | Center for Scientific Review (NIH Center for Scientific Review) F31 HL160072U.S. Department of Health & Human Services | NIH | National Cancer Institute (NCI) 1R01CA160467U.S. Department of Health & Human Services | NIH | National Cancer Institute (NCI) 1R01 CA226759U.S. Department of Health & Human Services | NIH | National Cancer Institute (NCI) 1R01CA272561U.S. Department of Health & Human Services | NIH | National Cancer Institute (NCI) 1R01 CA282082U.S. Department of Health & Human Services | NIH | National Cancer Institute (NCI) R01CA244254
6 · The paper itself

Abstract

Chromosomal translocations of the nucleoporin 98 (NUP98) gene are found in acute myeloid leukemia (AML) patients leading to very poor outcomes. The oncogenic activity of NUP98 fusion proteins is dependent on the interaction between Mixed Lineage Leukemia 1 and menin. NUP98-rearranged (NUP98-r) leukemia cells also rely on specific kinases, including CDK6 and/or FLT3, suggesting that simultaneous targeting of these kinases and menin could overcome limited sensitivity to single agents. Here, we found that combinations of menin inhibitor, MI-3454, with kinase inhibitors targeting either CDK6 (Palbociclib) or FLT3 (Gilteritinib) strongly enhance the anti-leukemic effect of menin inhibition in NUP98-r leukemia models. We found strong synergistic effects of both combinations on cell growth, colony formation and differentiation in patient samples with NUP98 translocations. These combinations also markedly augmented anti-leukemic efficacy of menin inhibitor in Patient Derived Xenograft models of NUP98-r leukemia. Despite inhibiting two unrelated kinases, when Palbociclib or Gilteritinib were combined with the menin inhibitor, they affected similar pathways relevant to leukemogenesis, including cell cycle regulation, cell proliferation and differentiation. This study provides strong rationale for clinical translation of the combination of menin and kinase inhibitors as novel treatments for NUP98-r leukemia, supporting the unexplored combinations of epigenetic drugs with kinase inhibitors.

Indexed as

Nuclear Pore Complex ProteinsProtein Kinase InhibitorsProto-Oncogene ProteinsTranslocation, GeneticAniline CompoundsAnimalsAntineoplastic Combined Chemotherapy ProtocolsCell Line, TumorCell ProliferationCyclin-Dependent Kinase 6Drug Synergismfms-Like Tyrosine Kinase 3HumansLeukemia, Myeloid, AcuteMicePiperazinesAniline CompoundsCyclin-Dependent Kinase 6FLT3 protein, humanfms-Like Tyrosine Kinase 3gilteritinibMEN1 protein, humanNuclear Pore Complex ProteinsNup98 protein, humanpalbociclibPiperazinesProtein Kinase InhibitorsProto-Oncogene ProteinsPyrazinesPyridines

Identifiers

PMID38890447
PMCPMC11963213

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.