SETDB1 (SET domain bifurcated 1) and KMT2G (also known as SETD1B) are histone lysine methyltransferases that catalyze H3K9 and H3K4 methylation, respectively, regulating chromatin compaction and transcriptional repression or activation
[1][2][3]. Mechanistically, SETDB1 silences tumor suppressor genes through H3K9 trimethylation, promoting proliferation, migration, and metastasis in multiple cancers, including melanoma and glioma
[1][2][4][5][6][7][8]. KMT2G mediates H3K4 methylation, influencing enhancer activity, neuronal plasticity, and T-cell proliferation
[9][10][3][11]. In disease models, SETDB1 overexpression enhances tumor growth by activating pathways such as AKT/mTOR and modulating macrophage recruitment, whereas cytoplasmic SETDB1 contributes to the Warburg effect and epithelial-mesenchymal transition
[4][7]. KMT2G dysfunction is associated with genome instability, leukemogenesis, and impaired memory function, distinguishing its tumor suppressor and neurodevelopmental roles from other KMT2 family isoforms
[10][12][11][13]. Compared with closely related isoforms, SETDB1 uniquely targets H3K9 residues and exerts both nuclear and cytoplasmic functions, while KMT2G focuses on H3K4 methylation and enhancer regulation
[9][2][3][11]. Experimental modulation of SETDB1 using inhibitors like APQ or mithramycin restores epigenetic balance and suppresses tumorigenic phenotypes, offering translational potential for cancer and neurodegenerative diseases
[14][5][8]. KMT2G-related interventions, including PROTACs and menin-KMT2A inhibitors, demonstrate isoform-specific effects on proliferation, differentiation, and immune checkpoint responses, providing insights for precision therapeutics
[18][12]. Therefore, SETDB1 and KMT2G represent complementary epigenetic regulators with distinct substrate specificity, cellular localization, and therapeutic relevance in cancer, neurodevelopment, and immune modulation
[1][4][3][11].