Oncofusion

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Experimentmoderate confidence 3 of 5: One strong study, or several smaller consistent ones.Q47-swi-snf

Separate ncBAF from canonical BAF in KMT2A-rearranged cells: paired degron, paralogue-pair CRISPR, and complex-resolved CUT&RUN

also called Q47 decisive experiment

Three experiments that would settle whether MLL-rearranged leukaemia cells need the minority flavour of the SWI/SNF machine or the common one: degrade each part quickly and watch what happens, knock out the interchangeable pairs together, and map where each flavour sits on the genome.

The same thing, for a scientist

Designed to decide `hyp-ncbaf-not-canonical-baf-is-the-kmt2a-dependency` and, incidentally, the MYC contradiction. Three arms, in increasing cost. **Arm 1 - paired degron (low cost, 8-10 weeks).** dTAG or auxin-inducible degron on BRD9 and on SMARCA4 in matched KMT2A-rearranged lines spanning both lineages: THP-1 (KMT2A::MLLT3, myeloid), MV4-11 (KMT2A::AFF1, myeloid), SEM and RS4;11 (KMT2A::AFF1, B-lineage), with REH and a BCR::ABL1 line as non-KMT2A leukaemia comparators. Readouts at 2, 6 and 24 h: viability, c-Kit/CD11b or B-lineage equivalents, and nascent transcription. **Acute degradation rather than knockdown is the point** - it removes the days-long window in which a paralogue can be upregulated, which is the alternative explanation the whole hypothesis rests on. **Arm 2 - paralogue-pair CRISPR (medium cost).** Dual-guide knockout of SMARCA4+SMARCA2, ARID1A+ARID1B, SMARCD1+SMARCD2, DPF2+DPF1 and BICRA+BICRAL in the same panel. This is the direct test of the single biggest confound in this beat's dependency data, and no public dataset contains it. **Arm 3 - complex-resolved CUT&RUN (medium cost).** BRD9, BICRA, ARID1A, ARID2 and SMARCA4 against KMT2A-N-terminal and partner-C-terminal occupancy in one KMT2A-rearranged line, with menin-inhibitor treatment as a second condition. Answers which complex sits at the E1-E5 MYC enhancers, whether ncBAF occupancy is fusion-independent, and whether menin inhibition moves it. **Controls that are not optional**: MEN1 and KMT2A degrons as positive controls in arm 1, since the lineage-split panel establishes both as lineage-independent dependencies; and a MYC cDNA rescue in every arm-1 experiment, using a construct validated against an unrelated gene in the same line, because that is the control whose failure created the MYC contradiction.

Go deeper
What each arm decides
armdecidesfalsifies the hypothesis if
1 - paired degronwhether the ncBAF dependency is acute and real, or a slow-knockdown artefactSMARCA4 degradation kills KMT2A-rearranged lines selectively while BRD9 degradation does not
2 - paralogue-pair CRISPRwhether canonical BAF has a dependency that single-gene CRISPR cannot seeSMARCA4+SMARCA2 or ARID1A+ARID1B shows strong KMT2A selectivity
3 - complex CUT&RUNwhich complex is at the fusion's loci and at E1-E5cBAF, not ncBAF, is the complex at the enhancers and it overlaps fusion occupancy

Arm 2 is the one this beat most wants run, because the empty canonical-BAF column in ana-swi-snf-lineage-split-dependency-scan is either the beat's main finding or its main artefact, and nothing currently distinguishes those.

Facts and figures
designthree arms: (1) dTAG/AID degron on BRD9 and SMARCA4 across six lines spanning both lineages and a non-KMT2A comparator, with MEN1 and KMT2A degrons as positive controls and a validated MYC cDNA rescue; (2) dual-guide CRISPR over five paralogue pairs; (3) CUT&RUN for BRD9, BICRA, ARID1A, ARID2, SMARCA4 against fusion occupancy, plus and minus acute menin inhibition
readoutviability and differentiation markers at 2/6/24 h; nascent transcription (TT-seq or PRO-seq) for the MYC and HOXA arms; occupancy overlap with fusion-bound loci and with the E1-E5 MYC enhancer orthologues
controlsMEN1 and KMT2A degrons as lineage-independent positive controls; BRD9 bromodomain-swap allele for any inhibitor arm; MYC cDNA validated against an unrelated gene in the same line; RAS-mutant and RAS-wild-type KMT2A-rearranged lines to address the NrasG12D confound in the MYC contradiction
cost tiermed
timelinearm 1: 8-10 weeks from existing degron lines; arm 2: 12-16 weeks; arm 3: 10-12 weeks
known gapsno infant-derived KMT2A-rearranged line exists; a patient-derived xenograft from an infant would be required to address the index population, and that is outside the cost tier above
lines
[
  "THP-1 (KMT2A::MLLT3, myeloid)",
  "MV4-11 (KMT2A::AFF1, myeloid)",
  "SEM (KMT2A::AFF1, B-lineage)",
  "RS4;11 (KMT2A::AFF1, B-lineage)",
  "REH (non-KMT2A B-ALL)",
  "a BCR::ABL1 line"
]
How this could bite us back
  • Arm 1 could produce a clean ncBAF result in cell lines and still be irrelevant to infant KMT2A::AFF1 disease, because no infant line exists and the chromatin state may differ.
  • A degron reports the acute consequence of losing a protein, which is not the same as the consequence of inhibiting it chronically with a drug - the clinically relevant perturbation remains untested by any of these arms.
  • If arm 2 finds a strong SMARCA4+SMARCA2 dependency, the conclusion is that the existing drug is right and the beat's headline is wrong; the experiment should be run by someone willing to publish that.
Still open
  1. Do degron-tagged KMT2A-rearranged B-lineage lines exist in any collaborating laboratory, or would they have to be made? That determines whether arm 1 is 8 weeks or 6 months.
  2. Can arm 3 be done in a primary infant sample rather than a line? Occupancy in a cell line may not reproduce the infant chromatin state, and the entire beat is bounded by that gap.
  3. Is a BRD9 degrader with paediatric-suitable properties available for the in vivo follow-on, or would the arm stop at cell culture?
Every source behind this entry (4)
  1. E1moderate confidence 3 of 5: One strong study, or several smaller consistent ones.dataset

    Single-gene CRISPR knockout of every canonical-BAF slot in this complex is confounded by a paralogue, while the ncBAF survivors are not covered by each other in the same data - making a paralogue-pair screen the decisive missing measurement.

    SWI/SNF panel lineage-split DepMap dependency scan, 28 genes · Oncofusion knowledge graph, analyses/swi-snf-lineage-split/run.py · DepMap Chronos gene effect via Open Targets GraphQL 2026
    What this evidence cannot show

    The confound is an inference from complex composition plus the observed pattern, not a demonstrated effect; no public combinatorial screen over these pairs exists to check it against.

    Evidence that argues against this (1)
    • Paralogues are not always functionally redundant - SMARCD1 and SMARCD2 behave oppositely in this very dataset - so a pair knockout could be uninformative if only one paralogue is expressed. Mashtalir N et al. 2018
  2. E2established confidence 5 of 5: Multiple independent lines of evidence; treated as settled in the field.paper

    A bromodomain-swap allele of BRD9 that retains function despite a radically altered pocket confers resistance to a BRD9 inhibitor series, establishing the compound's on-target activity - a ready-made genetic control for any BRD9 arm.

    Sensitivity and engineered resistance of myeloid leukemia cells to BRD9 inhibition. · Hohmann AF, Martin LJ, Minder JL, Roe JS, et al. · Nat Chem Biol 2016
    What this evidence cannot show

    Established in AML lines not selected for KMT2A rearrangement; the swap allele is a tool for the inhibitor series in that paper and would need re-validation against a degrader.

    Evidence that argues against this (1)
    • A bromodomain-swap allele controls for bromodomain engagement, not for degradation of the whole protein, so it does not transfer unmodified to a degrader arm. Brien GL et al. 2018
  3. E3strong confidence 4 of 5: Replicated in peer-reviewed work by more than one group.paper

    A MYC cDNA that complements RNAi against Jmjd1c in the same system failed to rescue Smarca4 knockdown, which is why a validated-rescue control is mandatory in any experiment re-testing the MYC node.

    SWI/SNF Subunits SMARCA4, SMARCD2 and DPF2 Collaborate in MLL-Rearranged Leukaemia Maintenance. · Cruickshank VA, Sroczynska P, Sankar A, Miyagi S, et al. · PLoS One 2015
    What this evidence cannot show

    The failed rescue is a negative result and inherits the usual limits - the over-expressed MYC level may be wrong - but the internal positive control is what makes it worth designing around.

    Evidence that argues against this (1)
    • The opposite result, MYC rescuing Brg1 knockdown, was obtained in a line carrying NrasG12D; the design should therefore include a RAS-mutant and a RAS-wild-type KMT2A-rearranged line or it will not resolve the contradiction. Shi J et al. 2013
  4. E4strong confidence 4 of 5: Replicated in peer-reviewed work by more than one group.paper

    Menin inhibition is the relevant second condition because the menin-inhibitor-resistant state carries SMARCA4 and BRD4 as CRISPR co-dependencies, so ncBAF occupancy under menin inhibition is directly decision-relevant.

    What this evidence cannot show

    The resistant state was derived in two lines; occupancy under acute menin inhibition in a sensitive line is a different question from the steady state of a derived resistant line, and the experiment should do the former.

    Evidence that argues against this (1)
    • A CRISPR co-dependency does not predict chromatin occupancy; the experiment could find no occupancy change and the resistance result would still stand. Fiskus W et al. 2024
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