KMT2A: Difference between revisions

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'''KMT2A''' (Lysine Methyltransferase 2A), formerly known as '''MLL''' (Mixed-Lineage Leukemia), is a gene located on chromosome 11q23 that plays a critical role in the regulation of gene expression through histone modification. This gene is particularly significant in the context of developmental processes and hematopoiesis. Mutations and translocations involving the KMT2A gene are closely associated with various types of leukemia and other hematologic malignancies.
{{Short description|Overview of the KMT2A gene and its significance in human biology}}
 
==KMT2A Gene==
The '''KMT2A''' gene, also known as '''MLL''' (Mixed-Lineage Leukemia), is a crucial gene located on chromosome 11q23.3. It encodes a protein that functions as a histone methyltransferase, which is essential for the regulation of gene expression through chromatin modification. The KMT2A protein plays a significant role in the regulation of [[gene expression]], [[cell cycle]], and [[developmental processes]].
 
[[File:Histone methylation.png|thumb|right|300px|Histone methylation is a key process regulated by KMT2A.]]


==Function==
==Function==
The KMT2A gene encodes a protein that is a member of the SET domain methyltransferase family. This protein functions as a histone methyltransferase that specifically mono-, di-, and trimethylates 'Lys-4' of histone H3. The methylation of histone H3 at Lys-4 (H3K4me) is a key epigenetic modification associated with gene activation. By modifying chromatin structure, KMT2A plays a pivotal role in the transcriptional regulation of genes involved in embryonic development and hematopoiesis.
The KMT2A protein is part of a large multiprotein complex that specifically methylates histone H3 at lysine 4 (H3K4). This methylation is a marker of active chromatin and is associated with transcriptional activation. The KMT2A complex is involved in the regulation of [[homeobox]] (HOX) genes, which are critical for embryonic development and hematopoiesis.


==Clinical Significance==
==Clinical Significance==
Alterations in the KMT2A gene, including point mutations, partial tandem duplications, and chromosomal translocations, are implicated in the pathogenesis of several hematological malignancies. The most common alteration is the KMT2A rearrangement, which occurs through translocations with various partner genes. These translocations result in the production of fusion proteins that possess altered epigenetic regulatory functions, contributing to leukemogenesis.
Mutations and translocations involving the KMT2A gene are implicated in various forms of [[leukemia]], particularly acute lymphoblastic leukemia (ALL) and acute myeloid leukemia (AML). These genetic alterations often result in the formation of fusion proteins that disrupt normal gene regulation, leading to uncontrolled cell proliferation.


===Leukemia===
===Leukemia===
KMT2A rearrangements are most frequently observed in acute lymphoblastic leukemia (ALL) and acute myeloid leukemia (AML). In particular, the t(4;11)(q21;q23) translocation involving the KMT2A and AFF1 genes is a hallmark of infant ALL. These genetic alterations disrupt normal hematopoiesis and lead to the uncontrolled proliferation of leukemic cells.
Translocations involving KMT2A are found in approximately 5-10% of acute leukemias. The most common translocation is t(4;11)(q21;q23), which results in the fusion of KMT2A with the AF4 gene. This fusion protein acts as an aberrant transcription factor, driving the expression of genes that promote leukemogenesis.
 
==Diagnosis and Prognosis==
The detection of KMT2A rearrangements is crucial for the diagnosis and risk stratification of leukemia. Various molecular biology techniques, including fluorescence in situ hybridization (FISH), polymerase chain reaction (PCR), and next-generation sequencing (NGS), are employed to identify KMT2A gene alterations. Patients with KMT2A-rearranged leukemia often have a poor prognosis and require aggressive treatment strategies.


==Treatment==
[[File:Leukemia cells.png|thumb|left|300px|Leukemia cells often exhibit chromosomal translocations involving KMT2A.]]
The treatment of KMT2A-rearranged leukemia typically involves intensive chemotherapy, targeted therapy, and, in some cases, hematopoietic stem cell transplantation. Recent advances in targeted therapy have led to the development of small molecule inhibitors that specifically target the enzymatic activity of KMT2A fusion proteins, offering a promising therapeutic approach for patients with this genetic alteration.


==Research Directions==
==Research and Therapeutic Approaches==
Ongoing research aims to better understand the molecular mechanisms by which KMT2A alterations contribute to leukemogenesis and to develop more effective and less toxic therapeutic strategies. The identification of novel therapeutic targets and the design of targeted therapies hold the potential to improve outcomes for patients with KMT2A-rearranged leukemia.
Research into the KMT2A gene and its associated pathways is ongoing, with the aim of developing targeted therapies for leukemias involving KMT2A translocations. Strategies include the use of small molecule inhibitors that target the KMT2A fusion proteins or their downstream signaling pathways.


[[Category:Genes]]
==Related Pages==
[[Category:Oncology]]
* [[Histone methylation]]
[[Category:Hematology]]
* [[Chromatin remodeling]]
* [[Acute lymphoblastic leukemia]]
* [[Acute myeloid leukemia]]
* [[Gene expression regulation]]


{{DEFAULTSORT:Kmt2a}}
[[Category:Genes on human chromosome 11]]
{{Gene-stub}}
[[Category:Histone-modifying enzymes]]
{{Medicine-stub}}
[[Category:Leukemia]]
== KMT2A ==
<gallery>
File:KMT2A.jpg|KMT2A protein structure
File:9aaTADs_in_the_E_protein_family.jpg|9aaTADs in the E protein family
File:Piskacek_Figures_v9b.jpg|Piskacek Figures version 9b
File:Gray626.png|Gray's Anatomy illustration 626
</gallery>

Revision as of 17:31, 18 February 2025

Overview of the KMT2A gene and its significance in human biology


KMT2A Gene

The KMT2A gene, also known as MLL (Mixed-Lineage Leukemia), is a crucial gene located on chromosome 11q23.3. It encodes a protein that functions as a histone methyltransferase, which is essential for the regulation of gene expression through chromatin modification. The KMT2A protein plays a significant role in the regulation of gene expression, cell cycle, and developmental processes.

File:Histone methylation.png
Histone methylation is a key process regulated by KMT2A.

Function

The KMT2A protein is part of a large multiprotein complex that specifically methylates histone H3 at lysine 4 (H3K4). This methylation is a marker of active chromatin and is associated with transcriptional activation. The KMT2A complex is involved in the regulation of homeobox (HOX) genes, which are critical for embryonic development and hematopoiesis.

Clinical Significance

Mutations and translocations involving the KMT2A gene are implicated in various forms of leukemia, particularly acute lymphoblastic leukemia (ALL) and acute myeloid leukemia (AML). These genetic alterations often result in the formation of fusion proteins that disrupt normal gene regulation, leading to uncontrolled cell proliferation.

Leukemia

Translocations involving KMT2A are found in approximately 5-10% of acute leukemias. The most common translocation is t(4;11)(q21;q23), which results in the fusion of KMT2A with the AF4 gene. This fusion protein acts as an aberrant transcription factor, driving the expression of genes that promote leukemogenesis.

Leukemia cells often exhibit chromosomal translocations involving KMT2A.

Research and Therapeutic Approaches

Research into the KMT2A gene and its associated pathways is ongoing, with the aim of developing targeted therapies for leukemias involving KMT2A translocations. Strategies include the use of small molecule inhibitors that target the KMT2A fusion proteins or their downstream signaling pathways.

Related Pages