Synthesis, structure-activity relationships, antitumor activities and mechanistic studies of ENL-degrading compounds

Eur J Med Chem. 2026 Oct 15:316:118989. doi: 10.1016/j.ejmech.2026.118989. Epub 2026 May 19.

Abstract

Transcription cofactor ENL is a novel target for MLL-rearranged (MLL-r) leukemia and other blood cancers. We designed and synthesized several series of ENL-degrading compounds. Cereblon-recruiting, proteolysis targeting chimera (PROTAC) compounds 1-6 and 14 can efficiently degrade and deplete ENL with DC50 as low as 4.2 nM, but not its paralog AF9. Mechanistic studies showed that the lysine residues of ENL(173-190) are critical for selective ENL degradation. These compounds selectively inhibited proliferation of MLL-r leukemia and multiple myeloma cells with EC50s as low as 130 nM. Depletion of ENL mimicked ENL-knockdown and significantly suppressed expression of MYC and its target genes, causing inhibited cell proliferation. Combination treatment with a BRD4 inhibitor was synergistic. Compound 14 underwent rapid metabolic degradations when exposed to human microsomes. More medicinal chemistry optimization is therefore needed in the perspective of drug discovery targeting MLL-r leukemia and other blood cancers.

Keywords: Cancer therapeutics; ENL; MLL-Rearranged leukemia; Multiple myeloma; Targeted protein degradation.

MeSH terms

  • Antineoplastic Agents* / chemical synthesis
  • Antineoplastic Agents* / chemistry
  • Antineoplastic Agents* / pharmacology
  • Cell Line, Tumor
  • Cell Proliferation / drug effects
  • Dose-Response Relationship, Drug
  • Drug Screening Assays, Antitumor
  • Humans
  • Molecular Structure
  • Nuclear Proteins* / antagonists & inhibitors
  • Nuclear Proteins* / metabolism
  • Proteolysis / drug effects
  • Proteolysis Targeting Chimera
  • Structure-Activity Relationship
  • Transcription Factors / antagonists & inhibitors
  • Transcription Factors / metabolism
  • Transcriptional Elongation Factors* / antagonists & inhibitors
  • Transcriptional Elongation Factors* / metabolism

Substances

  • Antineoplastic Agents
  • Transcriptional Elongation Factors
  • ELL protein, human
  • Proteolysis Targeting Chimera
  • Nuclear Proteins
  • Transcription Factors