• USP2 is identified as a novel deubiquitinase for PML-RARα, regulating its stability.
• Inhibition of USP2 with ML364 or silencing induces degradation of PML-RARα, including drug-resistant mutants.
• USP2 inhibition triggers apoptosis in APL cell lines and primary leukemia cells.
• Targeting USP2 represents a promising therapeutic strategy for APL, especially with PML-RARα mutations.