Recent Progress of Small Molecule Menin-MLL Interaction Inhibitors as Therapeutic Agents for Acute Leukemia

Hao Lei1, San-Qi Zhang1, Shu Fan1

  • 1Department of Medicinal Chemistry, School of Pharmacy, Xi'an Jiaotong University, Xi'an, Shaanxi 710061, PR China.

Insights

Targeting the menin-Mixed Lineage Leukemia (MLL) protein interaction offers a new therapeutic strategy for acute leukemia. Inhibitors blocking this interaction are being developed to combat MLL gene rearrangements.

Area of Science:

  • Oncology
  • Molecular Biology
  • Drug Discovery

Background:

  • Mixed lineage leukemia (MLL) gene rearrangements are a key driver of acute leukemia.
  • The protein menin acts as an oncogenic cofactor for MLL fusion proteins, essential for leukemogenesis.
  • Inhibition of the menin-MLL interaction is a promising therapeutic strategy.

Purpose of the Study:

  • To comprehensively summarize current classes of menin-MLL interaction inhibitors.
  • To discuss the research potential, challenges, and opportunities in developing these inhibitors.

Main Methods:

  • Review of recent advancements in structural biology and chemical reactivity.
  • Analysis of different classes of selective and potent menin-MLL interaction inhibitors.

Main Results:

  • Development of selective and potent inhibitors targeting the menin-MLL interaction.
  • Identification of various inhibitor classes based on structural and chemical properties.

Conclusions:

  • Menin-MLL interaction inhibitors represent a novel therapeutic avenue for MLL-associated acute leukemias.
  • Further research is needed to overcome challenges and capitalize on opportunities in this field.