Oncofusion

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Mechanismestablished confidence 5 of 5: Multiple independent lines of evidence; treated as settled in the field.Q-histone-marks

H2BK120ub (H2Bub1) — the ubiquitin tag on histone H2B that licenses H3K79 methylation, and the mark this graph was missing

also called H2Bub1 · uH2B · H2B-Ub · H2BK120ub1 · monoubiquitinated histone H2B · H2BK123ub (yeast)

A whole ubiquitin protein is clipped onto lysine 120 of histone H2B while a gene is being read, and that tag is what allows DOT1L to place the H3K79 mark that KMT2A-fusion leukaemia depends on. It is written by the RNF20/RNF40 enzyme as the gene is transcribed and stripped off again by deubiquitinases, so the level on any gene is a balance rather than a switch.

The same thing, for a scientist

H2BK120 monoubiquitination (H2Bub1; K123 in budding yeast) is a bulky, dynamic, co-transcriptional histone mark deposited on nucleosomes in the bodies of actively transcribed genes. In human cells the E3 is the RNF20/RNF40 heterodimer (BRE1A/BRE1B), stabilised and targeted by the WAC adaptor and recruited through the PAF1 complex riding elongating Pol II; the identity of the E2 is disputed between UbcH6/UBE2E1 and hRAD6/UBE2A-UBE2B. Unlike a methyl or acetyl group, the modification adds an entire 8.5 kDa protein to the nucleosome surface adjacent to the H3 core, which is why it acts as a docking and allosteric platform rather than only as a reader site: it directly stimulates DOT1L-mediated H3K79 methylation and SET1/COMPASS-mediated H3K4me2/3. **The reason this entry exists is arithmetic.** This graph carried 35 entries resting on H3K79me2 and 43 on H3K4me3, and not one entry on the modification that licenses both. Wang et al. showed by ChIP-seq that H2B ubiquitination is enriched across the bodies of MLL-fusion target genes, correlating with H3K79 methylation and elongation, and that Rnf20 is required to maintain Dot1l-dependent H3K79 methylation at *Hoxa9* and *Meis1* specifically [E3]. So the mark is not merely upstream in the abstract; it has been measured at the exact loci this disease runs on.

Go deeper
What it physically is, and why that matters mechanistically

H2Bub1 is not a small chemical group. It is a 76-residue ubiquitin moiety joined by an isopeptide bond to the epsilon-amine of H2B K120, sitting at the C-terminal end of the H2B alpha-C helix on the nucleosome disc face, near the H2A/H2B acidic patch and within a few nanometres of H3 K79 in the nucleosome core 12.

Three consequences follow, and they are why this mark behaves differently from every other mark in this graph:

  1. It is a direct allosteric effector, not just a reader docking site. Chemically ubiquitylated H2B reconstituted into defined nucleosomes stimulates hDOT1L methylation of H3K79 within the same nucleosome, through the DOT1L catalytic domain, with no reader protein required 4. Asymmetric dinucleosomes showed the stimulation is restricted to the nucleosome that carries the tag — an intranucleosomal effect, not a spreading one 4.
  2. It is deposited by the elongation machinery, so it is a record of transcription as much as an instruction to transcribe. In reconstituted human systems H2B ubiquitination per se does not change the level of hPAF-, SII- and p300-dependent transcription; it functions downstream of elongation and feeds forward into methylation 2.
  3. It is reversible and fast. The SAGA deubiquitinase module removes it, and the steady-state level at any gene is a writer/eraser balance. That is why knocking down the writer and knocking down the eraser can both be deleterious — see mechanism-h2bub-removal-and-dub-redundancy.
The measurement that makes this a KMT2A entry rather than a chromatin-textbook entry

Wang et al. 2013 did the experiment that connects the mark to this disease 3:

ExperimentResult
ChIP-seq for H2B ubiquitination in MLL-rearranged leukaemiaH2Bub enriched across the bodies of MLL-fusion target genes, correlating with H3K79 methylation and elongation
Rnf20 knockdown, H3K79me at Hoxa9 and Meis1local H3K79 methylation falls
Rnf20 knockdown, transcriptional outputreduced expression of MLL-fusion target genes, resembling Dot1l inhibition
Rnf20 knockdown, proliferation in vitro and in vivoinhibited

The authors' model — co-transcriptional recruitment of Rnf20 at fusion target genes amplifying Dot1l-mediated H3K79 methylation — places H2Bub1 upstream of the single most-cited mechanistic step in KMT2A-rearranged leukaemia.

What it does not establish, and what this beat found on re-examination, is that this upstream position translates into a therapeutic window. See ana-depmap-h2bub-machinery-kmt2a-selectivity: across 11 KMT2A-rearranged and 43 other leukaemia lines, RNF20 is less selectively required in the rearranged lines (difference +0.076, rank 16,229 of 17,728), while being broadly essential everywhere (pan-essentiality -0.734). Required is not the same as selective, and this beat's central correction is that the H2Bub machinery is the former and not the latter.

Where the mark sits in the graph's existing chain

The graph's mechanistic spine runs: fusion binds chromatin via menin/LEDGF (mechanism-menin-ledgf-chromatin-tethering) → recruits elongation machinery (mechanism-chromatin-elongation-hijack) → DOT1L deposits H3K79me2/3 (mechanism-dot1l-h3k79-methylation).

H2Bub1 inserts between the second and third steps and is a genuine requirement of the third, not a decoration on it. It also inserts into the second: H2BK34 ubiquitination stabilises MSL, PAF1 and RNF20/40 at active promoters and feeds back on P-TEFb chromatin association and Pol II processivity 5 — and P-TEFb is the component the KMT2A::AFF1 fusion recruits through AFF1/AFF4. So the ubiquitin layer touches both the mark and the elongation machinery.

Facts and figures
markH2BK120ub1
histoneH2B
residueK120 (human); K123 (S. cerevisiae)
chemistrymonoubiquitination - isopeptide bond to a full 76-residue ubiquitin, not a small chemical group
genomic distributiongene bodies of actively transcribed genes; in MLL-rearranged leukaemia enriched across the bodies of MLL-fusion target genes
kmt2a relevancerequired to maintain Dot1l-dependent H3K79 methylation at Hoxa9 and Meis1
graph gap closedBefore this entry the graph held 35 entries mentioning H3K79me2 and 43 mentioning H3K4me3, with one passing mention of H2Bub and one of RNF20 and nothing else.
writers
[
  "gene-rnf20",
  "gene-rnf40",
  "gene-wac",
  "gene-ube2a",
  "gene-ube2b"
]
e2 disputed
[
  "UBE2E1 (UbcH6; Zhu 2005)",
  "UBE2A/UBE2B (hRAD6; Kim 2009)"
]
erasers
[
  "gene-usp22",
  "gene-atxn7l3",
  "USP27X",
  "USP51"
]
licenses
[
  "H3K79me1/me2/me3 by DOT1L",
  "H3K4me2/me3 by SET1/COMPASS"
]
How this could bite us back
  • The machinery that writes this mark is required by nearly every dividing cell (RNF20 pan-essentiality -0.734 across 1,208 DepMap lines), so an inhibitor of the writer is a general anti-proliferative with no KMT2A window, not a targeted agent.
  • H2Bub1 also licenses H3K4me2/3 by SET1/COMPASS, so suppressing it hits the wild-type KMT2A/SET1-family programme as well as the fusion programme - the opposite of the selectivity that made DOT1L attractive.
  • The mark is a writer/eraser balance, so incomplete inhibition of the writer will be partly buffered by reduced eraser flux, and the dose-response is likely narrower than a simple knockdown suggests.
  • H2Bub1 has a substantial DNA-damage-response role independent of transcription; an agent that lowers it globally risks genotoxicity in normal tissue on top of proliferative toxicity.
Still open
  1. Has H2BK120ub ever been profiled in a human KMT2A::AFF1 infant B-ALL sample or line? Wang et al. worked in MLL-fusion models whose fusion identity the abstract does not state, and every H2Bub measurement in this disease that this beat could find is AML-weighted.
  2. Which E2 actually charges RNF20/RNF40 on chromatin in a leukaemia cell - UBE2E1 or UBE2A/UBE2B? The two primary papers disagree and DepMap gives neither a selective phenotype, so the question is open and cheap to answer with a degron pair.
  3. Does the H2Bub level at fusion target genes change under menin inhibition? If the fusion's chromatin residence drives co-transcriptional RNF20 recruitment, revumenib should collapse H2Bub at HOXA9/MEIS1 before H3K79me2 falls, and nobody has looked.
  4. Is there a subset of fusion target genes whose H3K79me2 is H2Bub-independent? Those genes would be the ones that survive an RNF20 loss and would predict the escape route from any writer-directed strategy.
Every source behind this entry (5)
  1. E1established confidence 5 of 5: Multiple independent lines of evidence; treated as settled in the field.paper

    In human cells the 600 kDa RNF20/RNF40 complex is the E3 ligase and UbcH6 the E2-conjugating enzyme for H2B-Lys120 monoubiquitination; UbcH6 interacts with RNF20/40 and with the hPAF complex, the trimeric complex stimulates activity in vitro, all three are recruited to transcriptionally active genes, RNF20 overexpression raises H2Bub1 and subsequently H3K4 and H3K79 methylation and HOX gene expression, and RNAi against RNF20/40 or hPAF lowers all three.

    Monoubiquitination of human histone H2B: the factors involved and their roles in HOX gene regulation. · Zhu B, Zheng Y, Pham AD, Mandal SS, Erdjument-Bromage H, Tempst P, Reinberg D · Mol Cell 2005
    What this evidence cannot show

    Abstract read in full from the eutils record; full text not read. The HOX-gene readout is in a non-leukaemic human cell context and concerns HOX genes generally, not a KMT2A fusion. This paper assigns the E2 to UbcH6 (UBE2E1); a later paper assigns it to hRAD6 - see counter-evidence and `gene-ube2a`.

    Evidence that argues against this (1)
    • The E2 identity is genuinely contested in the primary literature. Zhu et al. 2005 name UbcH6 (UBE2E1); Kim et al. 2009 in Cell state that hRAD6 serves as the cognate E2 and is recruited through direct interaction with hPAF-bound hBRE1. This graph records both and asserts neither as settled. Kim J et al. 2009
  2. E2established confidence 5 of 5: Multiple independent lines of evidence; treated as settled in the field.paper

    hRAD6 serves as the cognate E2-conjugating enzyme for human H2B ubiquitylation, is recruited to transcribed genes through direct interaction with hPAF-bound hBRE1 and ubiquitylates chromatinised H2B at lysine 120; hPAF-mediated transcription is required for efficient H2B ubiquitylation; H2B ubiquitylation per se does not affect the level of hPAF-, SII- and p300-dependent transcription and functions downstream; and H2B ubiquitylation directly stimulates hSET1-dependent H3K4 di- and trimethylation.

    RAD6-Mediated transcription-coupled H2B ubiquitylation directly stimulates H3K4 methylation in human cells. · Kim J, Guermah M, McGinty RK, Lee JS, Tang Z, Milne TA, Shilatifard A, Muir TW, Roeder RG · Cell 2009
    What this evidence cannot show

    Abstract read in full; full text not read. Reconstituted chromatin transcription systems plus cell work; not leukaemia. The paper's direct-stimulation result is for hSET1/H3K4, not for DOT1L/H3K79 - the H3K79 arm rests on separate papers cited in `mechanism-h2bub-dot1l-trans-histone-crosstalk`.

    Evidence that argues against this (1)
    • hRAD6 recruitment through hPAF-bound hBRE1 was established in human cells with the pathway reconstituted, and RAD6 has two human paralogues (UBE2A and UBE2B) that are not distinguished by the antibodies and reagents typical of this era. Which paralogue operates at a given locus is not settled by this work. Cell 2009
  3. E3strong confidence 4 of 5: Replicated in peer-reviewed work by more than one group.paper

    In MLL-rearranged leukaemia, ChIP-seq showed H2B ubiquitination is enriched in the body of MLL-fusion target genes, correlating with sites of H3K79 methylation and transcription elongation; Rnf20 is required to maintain local H3K79 methylation by Dot1l at Hoxa9 and Meis1; Rnf20 suppression reduced expression of MLL-fusion target genes resembling Dot1l inhibition, and inhibited proliferation in tissue culture and in vivo.

    Histone H2B ubiquitin ligase RNF20 is required for MLL-rearranged leukemia. · Wang E, Kawaoka S, Yu M, Shi J, Ni T, Yang W, Zhu J, Roeder RG, Vakoc CR · Proc Natl Acad Sci U S A 2013
    What this evidence cannot show

    Abstract read in full; full text not read. shRNA knockdown rather than genetic deletion or degron, so hypomorphic and subject to off-target and partial-knockdown effects. Mouse MLL-fusion models; the abstract does not state which fusions or whether any B-ALL/KMT2A::AFF1 model was included, and this project's disease is infant B-ALL. 'Required for MLL-rearranged leukaemia' is a statement about necessity in those models, not a demonstration of selectivity against non-MLL leukaemia. **Resolved:** GSE43725 is three samples of one murine RN2 (MLL-AF9/NrasG12D) line, n=1 per hairpin, with an unflagged cooperating NRAS G12D. Resolved 2026-09-19 by the Q18b unstated-systems sweep from the study's deposition, not from its text; bounded as a statement about the deposited data rather than about the whole study.

    Evidence that argues against this (2)
    • DepMap CRISPR across 11 KMT2A-rearranged and 43 other leukaemia lines finds RNF20 is not selectively required in the rearranged group: difference +0.076 (rank 16,229 of 17,728 scanned genes, i.e. in the tail pointing the opposite way), on a pan-essentiality of -0.734 across 1,208 lines. RNF20 is required by nearly every cancer line, which is compatible with the knockdown phenotype but removes the selectivity that would make it a target. Broad Institute DepMap; Cellosaurus; Open Targets Platform; analysis run by this project 2026
    • Two entries in this graph that read as independent support for H2B-ubiquitination biology in KMT2A-rearranged leukaemia rest on the same three mouse samples. Source independence at the dataset level is lower here than the citation count suggests. NCBI Gene Expression Omnibus 2026
  4. E4established confidence 5 of 5: Multiple independent lines of evidence; treated as settled in the field.paper

    Chemically ubiquitylated H2B reconstituted into chemically defined nucleosomes directly stimulates hDot1L-mediated intranucleosomal methylation of H3 K79; the effect is mediated through the catalytic domain of hDot1L, most likely allosterically, and asymmetric incorporation into dinucleosomes showed the enhancement is limited to the nucleosome bearing ubiquitylated H2B.

    Chemically ubiquitylated histone H2B stimulates hDot1L-mediated intranucleosomal methylation. · McGinty RK, Kim J, Chatterjee C, Roeder RG, Muir TW · Nature 2008
    What this evidence cannot show

    Abstract read in full; full text not read. Fully reconstituted in vitro system with semisynthetic histones; the isopeptide linkage is a chemical mimic produced by expressed protein ligation and desulphurisation, not the native enzymatic product. The quantitative stimulation fold is not given in the abstract.

    Evidence that argues against this (1)
    • Chemically ubiquitylated H2B in chemically defined nucleosomes is the cleanest possible demonstration of direct stimulation and the furthest from chromatin. Intranucleosomal methylation in a defined system does not establish the magnitude of the effect on a real gene, where nucleosome density, competing marks and Pol II passage all intervene. Nature 2008
  5. E5strong confidence 4 of 5: Replicated in peer-reviewed work by more than one group.paper

    H2B K34 ubiquitylation by the MOF-MSL complex is part of the network operating in early transcription elongation; MSL, PAF1 and RNF20/40 complexes are recruited and stabilised at active gene promoters by direct binary interactions, and the stabilised complexes regulate chromatin association of P-TEFb through a positive feedback loop, facilitating Pol II transition during early elongation.

    H2B ubiquitylation promotes RNA Pol II processivity via PAF1 and pTEFb. · Wu L, Li L, Zhou B, Qin Z, Dou Y · Mol Cell 2014
    What this evidence cannot show

    Abstract read in full; full text not read. Not a leukaemia system and not a KMT2A-fusion system; the P-TEFb link is inferred here to be relevant to KMT2A::AFF1 because the fusion recruits P-TEFb through AFF1/AFF4, which is this project's inference and not the paper's claim.

    Evidence that argues against this (1)
    • H2B K34 ubiquitylation by MOF-MSL is a SECOND H2B ubiquitination site, and the entry is about K120. Placing them together invites the reader to treat H2Bub as one quantity when the two marks have different writers, different positions and different reported consequences for elongation. Molecular Cell 2014
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