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TAK-243 preferentially sure to UBA1 about the relevant E1 enzymes UBA2, UBA3, and UBA6 in intact AML cells. Inhibition of UBA1 with TAK-243 decreased amounts of ubiquitylated proteins, greater markers of proteotoxic pressure and DNA harm tension. In vivo, TAK-243 lowered leukemic burden and qualified leukemic stem cells without proof of toxicity. E