Journal: Blood / Year: 2026 Title: NSD2 Degradation Remediates the Oncogenic Cistrome in t(4;14) Multiple Myeloma. Authors: Bo Hu / Jacob Edwards / Hardik Modi / Jim Gamez / Oscar Enrique Echeagaray / Kyle Hess / Yue Ren / Diana Anderson / Marta Larrayoz / Jinyi Zhu / Scott Arne Johnson / Gauri Deb / Diana ...Authors: Bo Hu / Jacob Edwards / Hardik Modi / Jim Gamez / Oscar Enrique Echeagaray / Kyle Hess / Yue Ren / Diana Anderson / Marta Larrayoz / Jinyi Zhu / Scott Arne Johnson / Gauri Deb / Diana Jankeel / Preethi Janardhanan / Jim Leisten / Sophie Peng / Andy Christoforou / Nicholas Stong / Celia Fontanillo / Chad C Bjorklund / Patrick Ryan Hagner / Anita Krithivas Gandhi / Jose A Martínez-Climent / Rama Krishna Narla / Antonia Lopez-Girona / Mark Rolfe / Neil Bence / Deborah S Mortensen / Lynda Groocock / Abstract: The t(4;14) chromosomal translocation drives overexpression of the histone methyltransferase NSD2 and defines a high-risk segment of multiple myeloma (MM) patients. Herein, we report the discovery of ...The t(4;14) chromosomal translocation drives overexpression of the histone methyltransferase NSD2 and defines a high-risk segment of multiple myeloma (MM) patients. Herein, we report the discovery of NSD2-LDD, a cereblon-recruiting and PWWP1-mediated ligand directed degrader (LDD) that selectively and potently eliminates full length and PWWP1 domain containing NSD2 protein isoforms. NSD2-LDD treatment induces global loss of H3K36me2 leading to promoter-proximal spreading of H3K27me3 and re-wiring of cis-regulatory interactions that reverse t(4;14) transcriptional programs. These effects suppress MM disease-associated phenotypes including stromal adhesion, three-dimensional colony growth and paracrine signaling. By integrating patient single cell profiles with model 3D epigenomic and spatial transcriptomics, we delineate t(4;14) disease state together with the tumor-intrinsic reprogramming and resultant remodeling of the bone marrow microenvironment upon NSD2 degradation. In cell line derived xenografts and genetically engineered mouse models of t(4;14), NSD2-LDD extends median survival accompanied by tumoral H3K36me2 loss and niche re-modelling. Although the NSD2-LDD response is restricted to PWWP1-containining models, collectively this work validates NSD2 as a tractable dependency and supports clinical development of NSD2 degradation as a novel, targeted therapeutic strategy in high-risk MM.
Histone-lysineN-methyltransferaseNSD2 / Multiple myeloma SET domain-containing protein / MMSET / Nuclear SET domain-containing protein 2 / ...Multiple myeloma SET domain-containing protein / MMSET / Nuclear SET domain-containing protein 2 / Protein trithorax-5 / Wolf-Hirschhorn syndrome candidate 1 protein
Mass: 19760.605 Da / Num. of mol.: 1 / Fragment: UNP residues 202-368 Source method: isolated from a genetically manipulated source Source: (gene. exp.) Homo sapiens (human) / Gene: NSD2, KIAA1090, MMSET, TRX5, WHSC1 / Production host: Escherichia coli BL21(DE3) (bacteria) References: UniProt: O96028, [histone H3]-lysine36 N-dimethyltransferase
Method to determine structure: MOLECULAR REPLACEMENT / Resolution: 2.023→20.04 Å / Cor.coef. Fo:Fc: 0.933 / Cor.coef. Fo:Fc free: 0.91 / Cross valid method: THROUGHOUT / σ(F): 0 / SU R Blow DPI: 0.43 / SU Rfree Blow DPI: 0.276 Details: HYDROGENS WERE FULLY REFINED WITH ZERO OCCUPANCY AT NUCLEAR POSITION.
Rfactor
Num. reflection
% reflection
Selection details
Rfree
0.2725
430
5.18 %
RANDOM
Rwork
0.2206
-
-
-
obs
0.2234
8308
58.5 %
-
Displacement parameters
Biso mean: 60.71 Å2
Baniso -1
Baniso -2
Baniso -3
1-
3.0906 Å2
0 Å2
0 Å2
2-
-
3.0906 Å2
0 Å2
3-
-
-
-6.1812 Å2
Refine analyze
Luzzati coordinate error obs: 0.36 Å
Refinement step
Cycle: LAST / Resolution: 2.023→20.04 Å
Protein
Nucleic acid
Ligand
Solvent
Total
Num. atoms
1290
0
15
75
1380
Refine LS restraints
Refine-ID
Type
Dev ideal
Number
Restraint function
Weight
X-RAY DIFFRACTION
t_bond_d
0.008
2556
HARMONIC
2
X-RAY DIFFRACTION
t_angle_deg
0.97
4601
HARMONIC
2
X-RAY DIFFRACTION
t_dihedral_angle_d
729
SINUSOIDAL
2
X-RAY DIFFRACTION
t_incorr_chiral_ct
X-RAY DIFFRACTION
t_pseud_angle
X-RAY DIFFRACTION
t_trig_c_planes
X-RAY DIFFRACTION
t_gen_planes
427
HARMONIC
5
X-RAY DIFFRACTION
t_it
1342
HARMONIC
10
X-RAY DIFFRACTION
t_nbd
X-RAY DIFFRACTION
t_omega_torsion
3.38
X-RAY DIFFRACTION
t_other_torsion
17.85
X-RAY DIFFRACTION
t_improper_torsion
X-RAY DIFFRACTION
t_chiral_improper_torsion
168
SEMIHARMONIC
5
X-RAY DIFFRACTION
t_sum_occupancies
X-RAY DIFFRACTION
t_utility_distance
X-RAY DIFFRACTION
t_utility_angle
X-RAY DIFFRACTION
t_utility_torsion
X-RAY DIFFRACTION
t_ideal_dist_contact
2024
SEMIHARMONIC
4
LS refinement shell
Resolution: 2.023→2.269 Å
Rfactor
Num. reflection
% reflection
Rfree
0.4126
-
6.57 %
Rwork
0.3266
370
-
obs
-
-
10.01 %
Refinement TLS params.
Method: refined / Refine-ID: X-RAY DIFFRACTION
ID
L11 (°2)
L12 (°2)
L13 (°2)
L22 (°2)
L23 (°2)
L33 (°2)
S11 (Å °)
S12 (Å °)
S13 (Å °)
S21 (Å °)
S22 (Å °)
S23 (Å °)
S31 (Å °)
S32 (Å °)
S33 (Å °)
T11 (Å2)
T12 (Å2)
T13 (Å2)
T22 (Å2)
T23 (Å2)
T33 (Å2)
Origin x (Å)
Origin y (Å)
Origin z (Å)
1
0
-7.6365
-5.2308
16.6222
3.7009
23.1992
0.7786
-1.0204
-0.33
0.6198
-0.8541
0.3739
0.6195
1.0526
0.0755
0.2966
-0.0312
-0.0802
-0.2459
-0.0154
-0.4031
20.459
-10.3552
-3.2077
2
2.5404
-4.8326
0.6379
4.8673
-2.7
9.1335
0.0625
-0.0302
-0.1319
-0.9326
-0.1446
0.5531
1.6327
-0.8718
0.0821
0.3748
-0.2646
0.0617
-0.0942
-0.0849
-0.205
16.2191
-6.5027
7.7471
3
4.0851
0.6042
-2.1068
2.6427
-0.6939
11.1572
-0.0756
0.112
-0.0273
-0.218
-0.1256
-0.4996
0.9004
0.0326
0.2012
-0.0587
0.0048
0.0759
0.0629
-0.0016
-0.0666
21.2127
2.8437
11.0743
4
7.1583
2.2189
-0.604
10.2467
-4.2939
8.9265
-0.1999
-0.1514
-0.1015
-0.2809
-0.1479
-0.9192
1.0879
-0.0815
0.3479
-0.0426
-0.0047
0.0454
0.0534
-0.0126
-0.2156
19.8788
-0.0557
13.8259
5
3.6739
-1.4845
8.7312
6.0361
-7.3345
24.9426
-0.2743
-1.3428
-0.699
0.9528
0.7684
0.2
1.2394
-1.302
-0.4942
0.1686
-0.031
0.1559
-0.1488
0.1371
-0.2213
16.234
-6.6503
27.5137
6
6.1427
2.1147
8.7312
4.1832
-1.1731
6.6003
0.573
-0.6497
-0.5947
0.0486
0.0752
-1.352
1.2852
0.4847
-0.6482
0.075
0.0873
-0.0619
0.3565
0.1579
-0.0055
27.6652
-0.8939
32.1082
7
2.2626
0.4309
1.7749
3.2105
3.6116
13.4172
-0.035
-0.0086
0.1381
0.1681
0.0022
0.1758
0.0735
-1.5477
0.0328
-0.2927
-0.1106
0.001
0.4547
-0.0211
-0.1909
7.5735
5.5955
18.3207
8
11.047
-5.962
-0.0457
14.8799
-1.8999
24.9463
0.4853
1.6327
1.2569
-0.7336
-0.521
-1.0194
-1.2407
0.4209
0.0357
-0.1578
0.1212
0.0602
0.1346
0.1185
-0.1053
13.7863
15.6891
8.3664
9
20.2471
-7.2512
-8.7312
18.3503
7.5871
2.3561
-0.0179
1.2494
1.1623
0.4149
-0.8656
-0.9475
-0.3168
0.0819
0.8835
-0.3752
0.072
0.0331
0.1732
0.0244
-0.0727
3.5826
15.5466
22.4927
Refinement TLS group
ID
Refine-ID
Refine TLS-ID
Selection details
1
X-RAY DIFFRACTION
1
{A|203 - 212}
2
X-RAY DIFFRACTION
2
{A|213 - 228}
3
X-RAY DIFFRACTION
3
{A|229 - 271}
4
X-RAY DIFFRACTION
4
{A|272 - 286}
5
X-RAY DIFFRACTION
5
{A|287 - 299}
6
X-RAY DIFFRACTION
6
{A|300 - 315}
7
X-RAY DIFFRACTION
7
{A|316 - 344}
8
X-RAY DIFFRACTION
8
{A|345 - 356}
9
X-RAY DIFFRACTION
9
{A|357 - 371}
+
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