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DOT1L is a non-SET domain containing methyltransferase whose function is important for the transcriptional activation of certain genes, DNA damage repair, and cell cycle regulation. DOT1L is known to play an essential role in MLL-rearranged leukemias, and thus has emerged as a drug target for these leukemias.1,2 EPZ5676 is a highly potent aminonucleoside inhibitor of DOT1L histone methyltransferase activity (Ki = 80 pM) that demonstrates 37,000-fold selectivity over other methyltransferases.3,4 In various human leukemia cell lines, EPZ5676 has been shown to inhibit the methylation of lysine 79 on histone 3 (IC50s = 3-5 nM), decreasing MLL-fusion target gene expression (IC50s = 53-
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1. Essential role of DOT1L in maintaining normal adult hematopoiesis. Cell Res. 21(9), 1370-1373 (2011).
2. A role for DOT1L in MLL-
3. Potent inhibition of DOT1L as treatment of MLL-
4. Nonclinical pharmacokinetics and metabolism of EPZ-