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What is the role of MED12 in acute myeloid leukemia (AML)? 


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MED12 plays a crucial role in acute myeloid leukemia (AML) by being epigenetically regulated and over-expressed in specific AML subgroups, particularly the core-binding factor (CBF) subgroups like inv(16) and t(8;21) . Mutations in MED12 can lead to dysregulated CDK8 kinase activity, impacting tumorigenesis in benign and malignant tumors . Additionally, MED12 is involved in antibody class switching recombination (CSR) by activating the IgH 3’ regulatory region (3’RR) super-enhancer, essential for AID-induced DNA double strand breaks and S-S synapse formation . Furthermore, MED12 mutations are associated with enhanced immune checkpoint inhibitor (ICI) therapy responses across various cancers, indicating its potential as a predictive biomarker for ICIs in pan-cancer treatment .

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MED12 over-expression in core-binding factor AML subgroups is epigenetically regulated, fostering leukemic growth. It recruits transcription factors on super-enhancers, impacting cell fate determination and oncogenesis in AML.
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