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Super-Enhancers in the Control of Cell Identity and Disease
Open accessAbstract
Super-enhancers are large clusters of transcriptional enhancers that drive expression of genes that define cell identity. Improved understanding of the roles that super-enhancers play in biology would be afforded by knowing the constellation of factors that constitute these domains and by identifying super-enhancers across the spectrum of human cell types. We describe here the population of transcription factors, cofactors, chromatin regulators, and transcription apparatus occupying super-enhancers in embryonic stem cells and evidence that super-enhancers are highly transcribed. We produce a catalog of super-enhancers in a broad range of human cell types and find that super-enhancers associate with genes that control and define the biology of these cells. Interestingly, disease-associated variation is especially enriched in the super-enhancers of disease-relevant cell types. Furthermore, we find that cancer cells generate super-enhancers at oncogenes and other genes important in tumor pathogenesis. Thus, super-enhancers play key roles in human cell identity in health and in disease.
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“In mammals, cellular identity is established prenatally and maintained by H3K27ac-enriched super-enhancers (Hnisz et al., 2013; Whyte et al., 2013).”
From Loss of epigenetic information as a cause of mammalian aging (2023) · cites this paper as Hnisz et al., 2013
Experimental — accuracy not yet measuredThe source backs part of the claim, not all of it — or backs it for a different population, condition or comparison.
In the citing paper
“The level of the active enhancer chromatin mark, H3K27ac, is not skewed in a similar manner towards these two locations, indicating that these regions are not super-enhancers”
From The transcriptional cofactor TRIM33 prevents apoptosis in B lymphoblastic leukemia by deactivating a single enhancer (2015) · cites this paper as Hnisz et al., 2013
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“Super-enhancers commonly drive high-level expression of tissue-specific genes, including miRNA genes, with evolutionarily conserved cell type-specific function11–13.”
From Gain-of-function mutation of microRNA-140 in human skeletal dysplasia (2019) · cites this paper as [13]
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In the citing paper
“SEs in both HCC and TAN were associated with GO terms related to metabolic genes (e.g. CYP3A4, SLC38A4, and IGFBP1) (Fig. 2c)20,21,58.”
From Multi-omic analysis of hepatocellular carcinoma reveals aberrant cis-regulatory changes and dysregulated retrotransposons with prognostic potential (2025) · cites this paper as [20]
Experimental — accuracy not yet measuredThe cited source says what the claim attributes to it.
In the citing paper
“Clusters of multiple enhancers, referred to as super enhancers, are particularly important in driving the expression of cell identity genes (6).”
From Brain cell type–specific enhancer–promoter interactome maps and disease - risk association (2019) · cites this paper as [6]
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“Many Hep‐IDCONNECT TFs, including NR1H3 and THRB, do not display typically used features to define hepatocyte identity TFs such as hepatocyte‐specific expression and association with super‐enhancers (Hnisz et al, 2013; Dubois et al, 2020a; Table EV3).”
From An extended transcription factor regulatory network controls hepatocyte identity (2023) · cites this paper as Hnisz et al, 2013
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In the citing paper
“Some enhancers reside in clusters of a handful116 to even hundreds (‘super enhancers’76,117), whereas many are solo.”
From Towards a comprehensive catalogue of validated and target-linked human enhancers (2020) · cites this paper as [117]
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In the citing paper
“we detected binding of liver-restricted TFs (C/EBPα/β, HNF1A, and HNF4A), pioneering TFs (CEBPα/β, FOXA2, and FOXA3), and Wnt-signaling TFs (TCF7) at individual constituent enhancers (Fig. 3b)20,21.”
From Multi-omic analysis of hepatocellular carcinoma reveals aberrant cis-regulatory changes and dysregulated retrotransposons with prognostic potential (2025) · cites this paper as [20]
Experimental — accuracy not yet measuredIn the citing paper
“suggesting that H3K27M participates in the formation of super enhancer-like elements purported to play a key role in cancer14.”
From Therapeutic targeting of polycomb and BET bromodomain proteins in diffuse intrinsic pontine gliomas (2017) · cites this paper as [14]
In the citing paper
“This mystery, which we will call the enhancer-gene specificity conundrum, is important to solve because the majority of disease-associated non-coding variation occurs in the vicinity of enhancers and thus likely impacts these enhancers’ target genes (Ernst et al., 2011; Farh et al., 2015; Hnisz et al., 2013; Maurano et al., 2012).”
From Insulated Neighborhoods: Structural and Functional Units of Mammalian Gene Control (2016) · cites this paper as Hnisz et al., 2013
In the citing paper
“Tens of thousands of non-coding genetic variants have been linked with various human diseases and traits in genome-wide association studies (GWAS), and the majority of these variants occur in enhancers (Ernst et al., 2011; Farh et al., 2015; Hnisz et al., 2013; Maurano et al., 2012).”
From Insulated Neighborhoods: Structural and Functional Units of Mammalian Gene Control (2016) · cites this paper as Hnisz et al., 2013
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BackgroundStructure and function of the Nppa–Nppb cluster locus during heart development and disease
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“Recent work suggests that this is a so-called “super-enhancer” locus, where a dense cluster of putative regulatory elements are active in T cells (71).”
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Multi-omic profiling of the developing human cerebral cortex at the single-cell level
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“In previous studies, it has been shown that DORCs are often associated with super-enhancers — large clusters of enhancer regions that are known to play key regulatory roles in defining cell identity and are affected across multiple diseases ( 29 , 30 ).”
Enhancer methylation dynamics contribute to cancer plasticity and patient mortalityPreprint
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“ing expression programs (Hnisz et al. 2013) and are characterized”
Clinical activity of alvocidib (flavopiridol) in acute myeloid leukemia
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CDK7 Inhibition Suppresses Castration-Resistant Prostate Cancer through MED1 Inactivation
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Nested epistasis enhancer networks for robust genome regulation
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A simple method for generating high-resolution maps of genome-wide protein binding
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“High resolution is especially a requirement at closely spaced transcription factor binding sites, such as locus control regions and super-enhancers, which have been shown to be vital to cell fate decisions and human diseases (Hnisz et al., 2013; Pott and Lieb, 2014).”
BackgroundMediator kinase module and human tumorigenesis
Clark, A. D., Oldenbroek, M., & Boyer, T. (2015) · Critical Reviews in Biochemistry and Molecular Biology · doi:10.3109/10409238.2015.1064854 · Cited by 121
“…is required for super-enhancer activity and also promotes physical and functional communion between regulator-bound enhancers and the basal transcriptional apparatus on core promoters (Hnisz et al., 2013; Kagey et al., 2010; Muto et al., 2014; Phillips-Cremins et al., 2013; Whyte et al., 2013).”
In the loop: promoter–enhancer interactions and bioinformatics
Mora, A., Sandve, G. K., Gabrielsen, O. S., & Eskeland, R. (2015) · Briefings in Bioinformatics · doi:10.1093/bib/bbv097 · Cited by 126
“group of putative strong enhancers spanning from a few kb to 50 kb, termed ‘super-enhancers’ [120, 164].”
BackgroundEmbryonic transcription is controlled by maternally defined chromatin state
Hontelez, S., van Kruijsbergen, I., Γεωργίου, Γ., van Heeringen, S. J., Bogdanović, O., Lister, R., & Veenstra, G. J. C. (2015) · Nature Communications · doi:10.1038/ncomms10148 · Cited by 117
“Large enhancer clusters (ECs) are thought to improve the stability of enhancer–promoter interactions, are associated with genes coding for developmental regulators, and have been implicated in cell differentiation 42–44 .”
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“Previous studies have compared the number of GWAS SNPs overlapping a feature against the number expected for a randomly chosen region of similar size ( Maurano et al., 2012 ; Hnisz et al., 2013 ).”
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Evidence for additive and synergistic action of mammalian enhancers during cell fate determination
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Genome-wide profiling in colorectal cancer identifies PHF19 and TBC1D16 as oncogenic super enhancers
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7SK-BAF axis controls pervasive transcription at enhancers
Flynn, R. A., Do, B. T., Rubin, A. J., Calo, E., Lee, B., Kuchelmeister, H. Y., Rale, M. J., Chu, C., Kool, E. T., Wysocka, J., et al. (2016) · Nature Structural & Molecular Biology · doi:10.1038/nsmb.3176 · Cited by 113
IL-2 imprints human naive B cell fate towards plasma cell through ERK/ELK1-mediated BACH2 repression
Hipp, N., Symington, H. L., Pastoret, C., Caron, G., Monvoisin, C., Tarte, K., Fest, T., & Delaloy, C. (2017) · Nature Communications · doi:10.1038/s41467-017-01475-7 · Cited by 120
Into the Wild: GWAS Exploration of Non-coding RNAs
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“, in trans location to the variant), may help unravel the complex regulatory events of cardiovascular disease including underlying importance of enhancers or super-enhancers (88).”
BackgroundProtein phase separation and its role in tumorigenesis
Jiang, S., Fagman, J. B., Chen, C., Alberti, S., & Liu, B. (2020) · eLife · doi:10.7554/elife.60264 · Cited by 119
“For example, super-enhancers, which are clusters of several hundred enhancers, are bound cooperatively by transcription factors to drive robust transcription of genes for defining cell identity (Hnisz et al., 2013).”
BackgroundAPOBEC3B-Mediated Cytidine Deamination Is Required for Estrogen Receptor Action in Breast Cancer
Periyasamy, M., Patel, H., Lai, C., Nguyen, V. T. M., Nevedomskaya, E., Harrod, A., Russell, R., Reményi, J., Ochocka, A. M., Thomas, R. S., et al. (2015) · Cell Reports · doi:10.1016/j.celrep.2015.08.066 · Cited by 110
“This was confirmed by strong enrichment for BRD4 and p300, two ubiquitous co-activators found at active regulatory elements (Hnisz et al., 2013).”
BackgroundJohnson, K. C., Houseman, E. A., King, J. E., von Herrmann, K. M., Fadul, C. E., & Christensen, B. C. (2016) · Nature Communications · doi:10.1038/ncomms13177 · Cited by 123
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Transcriptional Regulation by (Super)Enhancers: From Discovery to Mechanisms
Grosveld, F., van Staalduinen, J., & Stadhouders, R. (2021) · Annual Review of Genomics and Human Genetics · doi:10.1146/annurev-genom-122220-093818 · Cited by 115
From trans to cis: transcriptional regulatory networks in neocortical development
Shibata, M., Gulden, F. O., & Sestan, N. (2015) · Trends in Genetics · doi:10.1016/j.tig.2014.12.004 · Cited by 109
Enhanced Identification of Transcriptional Enhancers Provides Mechanistic Insights into Diseases
Murakawa, Y., Yoshihara, M., Kawaji, H., Nishikawa, M., Zayed, H., Suzuki, H., & Hayashizaki, Y. (2016) · Trends in Genetics · doi:10.1016/j.tig.2015.11.004 · Cited by 112
Nuclear receptors in cancer — uncovering new and evolving roles through genomic analysis
Dhiman, V. K., Bolt, M. J., & White, K. P. (2017) · Nature Reviews Genetics · doi:10.1038/nrg.2017.102 · Cited by 117
Scholz, B. A., Sumida, N., de Lima, C. D. M., Chachoua, I., Martino, M., Tzelepis, I., Nikoshkov, A., Zhao, H., Mehmood, R., Sifakis, E. G., et al. (2019) · Nature Genetics · doi:10.1038/s41588-019-0535-3 · Cited by 114
DNA methylation dynamics in cellular commitment and differentiation
Suelves, M., Carrió, E., Núñez‐Álvarez, Y., & Peinado, M. A. (2016) · Briefings in Functional Genomics · doi:10.1093/bfgp/elw017 · Cited by 120
Non-coding RNAs, epigenetics, and cancer: tying it all together
Ferreira, H. J., & Esteller, M. (2018) · Cancer and Metastasis Reviews · doi:10.1007/s10555-017-9715-8 · Cited by 116
Domenico, A. D., Pipinikas, C., Maire, R., Bräutigam, K., Simillion, C., Dettmer, M. S., Vassella, E., Thirlwell, C., Perren, A. A., & Marinoni, I. (2020) · Communications Biology · doi:10.1038/s42003-020-01479-y · Cited by 115
GWAS of bone size yields twelve loci that also affect height, BMD, osteoarthritis or fractures
Styrkársdóttir, U., Stefánsson, Ó. A., Gunnarsdóttir, K., Þorleifsson, G., Lund, S. H., Stefánsdóttir, L., Juliusson, K., Agustsdottir, A. B., Zink, F., Halldorsson, G. H., et al. (2019) · Nature Communications · doi:10.1038/s41467-019-09860-0 · Cited by 105
Super-enhancers: critical roles and therapeutic targets in hematologic malignancies
Jia, Y., Chng, W. J., & Zhou, J. (2019) · Journal of Hematology & Oncology · doi:10.1186/s13045-019-0757-y · Cited by 120
TETs compete with DNMT3 activity in pluripotent cells at thousands of methylated somatic enhancers
Charlton, J., Jung, E. J., Mattei, A. L., Bailly, N., Liao, J., Martin, E. J., Gießelmann, P., Brändl, B., Stamenova, E. K., Müller, F.-J., et al. (2020) · Nature Genetics · doi:10.1038/s41588-020-0639-9 · Cited by 111
“For comparison to genomic features, BedTools was used to intersect methylation data within CpG islands 63 , coding features (RefSeq), H1 ESC-defined typical and super enhancers 32 and repeats (RepeatMasker).”
InfluentialRNA and liquid-liquid phase separation
Guo, Q., Shi, X., & Wang, X. (2021) · Non-coding RNA Research · doi:10.1016/j.ncrna.2021.04.003 · Cited by 121
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Enhancer deregulation in cancer and other diseases
Herz, H. (2016) · BioEssays · doi:10.1002/bies.201600106 · Cited by 110
“BRD4 has a strong preference to bind to enhancers of oncogenic and lineage-specific genes also known as super enhancers (see above) making it a promising target [84, 85].”
BackgroundInfluentialWyss, A. B., Sofer, T., Lee, M. K., Terzikhan, N., Nguyen, J. N., Lahousse, L., Latourelle, J. C., Smith, A. V., Bartz, T. M., Feitosa, M. F., et al. (2018) · Nature Communications · doi:10.1038/s41467-018-05369-0 · Cited by 111
SEdb 2.0: a comprehensive super-enhancer database of human and mouse
Wang, Y., Song, C., Zhao, J., Zhang, Y., Zhao, X., Feng, C., Zhang, G., Zhu, J., Wang, F., Qian, F., et al. (2022) · Nucleic Acids Research · doi:10.1093/nar/gkac968 · Cited by 111
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“To test this, a list of enhancer clusters/super-enhanc-ers identified as functioning during human T-cell activation by H3K27ac accumulation (Hnisz et al. 2013) were compared to Jurkat activation LADs.”
BackgroundPugacheva, E. M., Rivero-Hinojosa, S., Espinoza, C. A., Méndez-Catalá, C. F., Kang, S., Suzuki, T., Kosaka-Suzuki, N., Robinson, S., Nagarajan, V., Ye, Z., et al. (2015) · Genome biology · doi:10.1186/s13059-015-0736-8 · Cited by 110
“The list of super enhancers (742) was adopted from [41].”
BackgroundMethodRecent developments in epigenetics of acute and chronic kidney diseases
Reddy, M. A., & Natarajan, R. D. (2015) · Kidney International · doi:10.1038/ki.2015.148 · Cited by 115
Suzuki, A., Makinoshima, H., Wakaguri, H., Esumi, H., Sugano, S., Kohno, T., Tsuchihara, K., & Suzuki, Y. (2014) · Nucleic Acids Research · doi:10.1093/nar/gku885 · Cited by 109
The Role of STAT Signaling Pathways in the Pathogenesis of Systemic Lupus Erythematosus
Goropevšek, A., Holcar, M., & Avčin, T. (2016) · Clinical Reviews in Allergy & Immunology · doi:10.1007/s12016-016-8550-y · Cited by 113
“enriched in B and T helper cell enhancer clusters or superenhancers (SEs) [9, 10].”
BackgroundShared heritability and functional enrichment across six solid cancers
Jiang, X., Finucane, H. K., Schumacher, F. R., Schmit, S. L., Tyrer, J. P., Han, Y., Michailidou, K., Lesseur, C., Kuchenbaecker, K. B., Dennis, J., et al. (2019) · Nature Communications · doi:10.1038/s41467-018-08054-4 · Cited by 110
Long non-coding RNAs: An emerging powerhouse in the battle between life and death of tumor cells
Xiong, X.-D., Ren, X., Cai, M., Yang, J. W., Liu, X., & Yang, J. (2016) · Drug Resistance Updates · doi:10.1016/j.drup.2016.04.001 · Cited by 109
Spatially clustered loci with multiple enhancers are frequent targets of HIV-1 integration
Lucic, B., Chen, H., Kuzman, M., Zorita, E. V., Wegner, J., Minneker, V., Wang, W., Fronza, R., Laufs, S., Schmidt, M., et al. (2019) · Nature Communications · doi:10.1038/s41467-019-12046-3 · Cited by 111
Lee, K.-W., Yeo, S.-Y., Gong, J.-R., Koo, O.-J., Sohn, I., Lee, W. Y., Kim, H. C., Yun, S. H., Cho, Y. B., Choi, M.-A., et al. (2022) · Nature Communications · doi:10.1038/s41467-022-30484-4 · Cited by 103
Zic2 Is an Enhancer-Binding Factor Required for Embryonic Stem Cell Specification
Luo, Z., Gao, X., Lin, C., Smith, E. R., Marshall, S. A., Swanson, S. K., Florens, L. A., Washburn, M. P., & Shilatifard, A. (2015) · Molecular Cell · doi:10.1016/j.molcel.2015.01.007 · Cited by 110
Predicting chromatin organization using histone marks
Huang, J., Marco, E., Pinello, L., & Yuan, G. (2015) · Genome biology · doi:10.1186/s13059-015-0740-z · Cited by 116
“We also compared the hub locations with super-enhancers, which were previously shown to play an important role in the control of cell identity and diseases [19], and observed a 5-fold enrichment comparing to the genomic background.”
BackgroundInhibitors of bromodomain and extra‐terminal proteins for treating multiple human diseases
Kulikowski, E., Rakai, B. D., & Wong, N. C. W. (2020) · Medicinal Research Reviews · doi:10.1002/med.21730 · Cited by 109
“This developmental differentiation process involves a coordinated program requiring abundant expression of a well‐defined, but limited panel of genes, including lineage‐determining genes octamer‐binding transcription factor 4 (OCT4), sex determining region Y‐box transcription factor 2 (SOX2) and homeobox protein NANOG…”
BackgroundInfluential
Metadata
- Authors
- Hnisz, D., Abraham, B. J., Lee, T. I., Lau, A., Saint-André, V., Sigova, A. A., Hoke, H. A., & Young, R. A.
- Affiliations
- Whitehead Institute for Biomedical Research (US)
- Corresponding author
- Young, Richard A.
- Venue
- Cell
- Publisher
- Elsevier BV
- Published
- 2013-11
- Volume
- 155
- Issue
- 4
- Pages
- 934-947
- ISSN
- 0092-8674 (ISSN-L)
- PMC
- PMC3841062
- OpenAlex
- W2004966039
- Cited by
- 3,662
- References
- 164
- Citations by year
- 2026: 182 · 2025: 294 · 2024: 332 · 2023: 321 · 2022: 360 · 2021: 406 · 2020: 331 · 2019: 315 · 2018: 291 · 2017: 259 · 2016: 232 · 2015: 215 · 2014: 110 · 2013: 5
- FWCI
- 83.97
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Cell (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- HAL (submittedVersion)
- DSpace@MIT (Massachusetts Institute of Technology) (submittedVersion, cc-by-nc-nd)
- PMC
- Funders
- University of California
- National Institutes of Health (CA146445, HG002668, CA109901, P30AG10161, R01AG36042, R01AG17917, RC2AG36547)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Genomics and Chromatin Dynamics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Chromatin Remodeling and Cancer
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Epigenetics and DNA Methylation
- Keywords
- super-enhancers, enhancers, cell identity, transcription factors, chromatin regulators, embryonic stem cells, oncogenes, cancer, enhancer transcription, human cell types
- MeSH terms
- Animals, Chromatin, Enhancer Elements, Genetic, Humans, Neoplasms, RNA Polymerase II, Transcription Factors, Transcription, Genetic, Polymorphism, Single Nucleotide, Embryonic Stem Cells
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