bioRxiv · 10.1101/2025.05.11.653221
Targeting USP2 induces degradation of PML-RARα with or without drug-resistant mutations in acute promyelocytic leukemia
Abstract
Despite the high efficacy of all-trans retinoic acid (ATRA) and arsenic trioxide (ATO) in treating acute promyelocytic leukemia (APL), approximately 10-20% of patients develop drug resistance due to mutations in PML-RAR and other factors. Here, it is demonstrated that inhibiting USP2 with ML364 or silencing USP2 reduces PML-RAR protein levels in both ATRA-sensitive and -resistant APL cells, an effect reversed by proteasome inhibition. Conversely, USP2 overexpression enhances PML-RAR stability. Mechanistically, USP2 interacts with and deubiquitinates PML-RAR, including drug-resistant mutants. Consistent with PML-RAR degradation, ML364 treatment significantly induces apoptosis in APL cell lines and primary leukemia cells. In conclusion, this study identifies USP2 as a novel deubiquitinating enzyme for PML-RAR and highlights USP2 inhibition as a potential therapeutic strategy for APL with PML-RAR mutations.
Source connections
Explore related subjects
Keep this discovery
Explore connections, maps & timelines
Zhang, J., Wu, W., Wang, Y., Zhang, Y., Bai, W., Zhang, Z., Zhu, C., Wu, Y., Yang, L., Lei, H., Xu, H., Zhou, L.. 2025-05-14. Targeting USP2 induces degradation of PML-RARα with or without drug-resistant mutations in acute promyelocytic leukemia. https://doi.org/10.1101/2025.05.11.653221
Cite the original work for its findings. Save a collection to share your selection of sources.