Cited by 1,188Epigenetics and DNA MethylationCancer, Hypoxia, and MetabolismChromatin Remodeling and Cancer

Inhibition of α-KG-dependent histone and DNA demethylases by fumarate and succinate that are accumulated in mutations of FH and SDH tumor suppressors

Open access
Xiao, Mengtao, Yang, Hui, Xu, Wei, Ma, Shenghong, Lin, Huaipeng, Zhu, Honguang, Liu, Lixia, Liu, Ying +6 more·2012·Genes & Development

Abstract

Two Krebs cycle genes, fumarate hydratase ( FH ) and succinate dehydrogenase ( SDH ), are mutated in a subset of human cancers, leading to accumulation of their substrates, fumarate and succinate, respectively. Here we demonstrate that fumarate and succinate are competitive inhibitors of multiple α-ketoglutarate (α-KG)-dependent dioxygenases, including histone demethylases, prolyl hydroxylases, collagen prolyl-4-hydroxylases, and the TET (ten-eleven translocation) family of 5-methlycytosine (5mC) hydroxylases. Knockdown of FH and SDH results in elevated intracellular levels of fumarate and succinate, respectively, which act as competitors of α-KG to broadly inhibit the activity of α-KG-dependent dioxygenases. In addition, ectopic expression of tumor-derived FH and SDH mutants inhibits histone demethylation and hydroxylation of 5mC. Our study suggests that tumor-derived FH and SDH mutations accumulate fumarate and succinate, leading to enzymatic inhibition of multiple α-KG-dependent dioxygenases and consequent alterations of genome-wide histone and DNA methylation. These epigenetic alterations associated with mutations of FH and SDH likely contribute to tumorigenesis.

AI snapshot

Written from the paper’s full text.

TL;DR

Fumarate and succinate, which accumulate when FH or SDH is lost, act as α-KG competitors and suppress multiple α-KG-dependent dioxygenases, including histone demethylases and TET DNA hydroxylases. This connects FH/SDH mutations to broad histone and DNA methylation changes that may contribute to tumorigenesis.

Key findings

  • In vitro, fumarate and succinate inhibited CeKDM7A by more than 80% at 1–10 mM; for HsKDM4A, fumarate caused 22%, 41%, and 73% inhibition and succinate caused 43%, 68%, and 85% inhibition at 1, 3, and 10 mM, with succinate more potent (IC50 0.8 mM) than fumarate (IC50 1.5 mM).
  • In cultured cells, cell-permeable fumarate or succinate increased H3K4 monomethylation about fourfold, H3K27 and H3K79 dimethylation about fourfold and threefold, and H3K4 trimethylation about twofold; FH or SDHA/B knockdown increased histone methylation three- to fivefold, raised HIF1α about fivefold, and lowered endostatin about sevenfold, effects diminished by cell-permeable α-KG.
  • TET-catalyzed 5hmC production was reduced in FH, SDHA, or SDHB knockdown cells by 71%, 73%, and 82% for TET1 and by 80%, 83%, and 69% for TET2; in mouse liver, Fh or Sdha knockdown reduced 5hmC by 72% and 63% and increased Hoxa gene expression more than tenfold.
  • Tumor-derived mutants were impaired: FH R190H and H137R retained 17% and 10% of wild-type activity; SDHA G555E and R554W retained 51% and 46%; SDHB R46Q and A43P retained 48% and 61%; wild-type but not mutant re-expression restored demethylation and 5hmC and reduced fumarate/succinate.

Methods

  • In vitro demethylase assays used synthetic H3K9me1 and H3K36me3 peptides with MALDI-TOF/TOF mass spectrometry; FH and SDH enzyme activities were measured by absorbance-based assays.
  • Cell work used HeLa and HEK293T cells with siRNA or stable knockdown of FH, SDHA, or SDHB, treatment with cell-permeable fumarate/succinate or octyl-α-KG, and TET1/TET2 catalytic-domain expression; readouts included GC-MS, Western blot, immunofluorescence, dot blot, and quantitative RT-PCR.
  • In vivo work used hydrodynamic tail-vein siRNA delivery to knock down mouse liver Fh or Sdha (n = 3 per group); statistics used two-tailed unpaired Student’s t-test, triplicate experiments, and P < 0.05.

Limitations

  • The paper notes an alternative product-inhibition model, observes that the succinate/α-KG ratio did not change in cells expressing tumor-derived FH mutants, and states that FH/SDH tumorigenesis may involve mechanisms independent of α-KG-dependent dioxygenases; it also says fumarate-mediated KEAP1 succination and NRF2 signaling require further exploration.
  • The corrigendum reports that Figure 2B mislabeled SDHA and SDHB as FH and duplicated an actin control, though the authors state this does not affect the conclusions.
  • Evident from the text: TET inhibition is inferred mainly from 5hmC readouts rather than direct TET enzyme kinetics, and the study relies on knockdown/overexpression and cell-permeable metabolite esters rather than direct human tumor metabolite-epigenome correlations.

Model-written summary. Check it against the paper before relying on it.

Integrity signals

Registry

Crossref · 10.1101/gad.191056.112

Cites

50 of 50 references verified0 citation errors · 0 not checkable

Statistics

Nothing to recompute.

Claims the paper makes

0 of 29 cited sources checked · 0 supported · 0 flagged

  • Findingown data

    Fumarate and succinate act as competitive inhibitors of several α-ketoglutarate-dependent dioxygenases, including histone demethylases, prolyl hydroxylases, collagen prolyl-4-hydroxylases, and TET 5-methylcytosine hydroxylases.

    “Here we demonstrate that fumarate and succinate are competitive inhibitors of multiple a-ketoglutarate (a-KG)dependent dioxygenases, including histone demethylases, prolyl hydroxylases, collagen prolyl-4-hydroxylases, and the TET (ten-eleven translocation) family of 5-methlycytosine (5mC) hydroxylases.”
    Quote in the paperSubstantial claim
  • Findingown data

    Ectopic expression of tumor-derived FH and SDH mutants inhibits histone demethylation and 5mC hydroxylation.

    “ectopic expression of tumor-derived FH and SDH mutants inhibits histone demethylation and hydroxylation of 5mC.”
    Quote in the paperSubstantial claim
  • Findingown data

    Fumarate and succinate inhibit the demethylase activity of human KDM4A (HsKDM4A) on trimethylated H3K36.

    “Fumarate and succinate inhibit the demethylase activity of human KDM4A (HsKDM4A) toward trimethylated H3K36, determined by mass spectrometry (MS) assay as in B.”
    Quote in the paperSubstantial claim
  • Findingown data

    Wild-type FH, SDHA, or SDHB, but not their tumor-derived mutants, rescues the reduction of 5hmC in FH or SDH knockdown cells.

    “Cotransfection with wild-type FH, SDHA, or SDHB, but not their mutants (i.e., FH R190H , SDHA G555E , or SDHB R46Q ), could rescue the reduction of 5hmC levels in FH or SDH stable knockdown cells”
    Quote in the paperSubstantial claim
  • Findingown data

    Knockdown of FH or SDH decreases TET-catalyzed production of 5-hydroxymethylcytosine in cultured cells.

    “Knocking down FH or SDH reduces the TET-catalyzed 5hmC production in cultured cells.”
    Quote in the paperSubstantial claim
  • May combine two claims. 30
  • The quote only partly states this claim. 6
  • Classified as probably not a substantial claim. 6
  • May combine two claims.

    Findingown data

    Reducing FH or SDH expression raises intracellular fumarate or succinate levels, respectively.

    “Knockdown of FH and SDH results in elevated intracellular levels of fumarate and succinate, respectively”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    Knockdown of FH, SDHA, or SDHB reduces TET1-induced 5hmC by 71%, 73%, and 82%, and TET2-induced 5hmC by 80%, 83%, and 69%, respectively.

    “Knockdown of FH, SDHA, and SDHB reduced TET1-induced 5hmC levels by 71%, 73%, and 82%, respectively, as compared with control cells coinfected with retrovirus containing the control shRNA vector pMKO.”
    • Also stated in: § Suppression of FH or SDH expression reduces TET-catalyzed 5hmC production in cultured cells · plain
      “A virtually identical result was obtained for TET2-catalyzed 5hmC production, which was also decreased by 80%, 83% and 69% in cells with stable knockdown of FH, SDHA, and SDHB, respectively.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    Transient knockdown of Fh and Sdha in mouse liver reduces their mRNA by 62% and 78% and their proteins by threefold and twofold, respectively.

    “At 12-h after siRNA injection, we were able to achieve 62% and 78% reduction of Fh and Sdha mRNA expression, respectively, in mouse livers”
    • Also stated in: § Knocking down Fh or Sdha inhibits multiple a-KG-dependent dioxygenases and regulates target gene expression in vivo · plain
      “hepatic expression of Fh and Sdha proteins was decreased by threefold and twofold, respectively”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    Tumor-derived FH and SDH mutants have reduced enzyme activity: FH R190H and H137R at 17% and 10% of wild-type; SDHA G555E and R554W at 51% and 46%; SDHB R46Q and A43P at 48% and 61%.

    “the activity of FH R190H (the most frequent mutation in hereditary leiomyomatosis and renal cell cancer [HLRCC] patients) and FH H137R is only 17% and 10%, respectively, of wild-type FH”
    • Also stated in: § Tumor-derived FH and SDH mutants inhibit a-KG-dependent dioxygenases · plain
      “The activity of tumor-derived mutants SDHA G555E and SDHA R554W is 51% and 46%, respectively, of wild-type SDHA, and the activity of SDHB R46Q (the most frequent SDHB mutation in paraganglioma) and SDHB A43P mutants is 48% and 61%, respectively, of wild-type SDHB.”
    Quote in the paperSubstantial claim
  • May combine two claims. The quote only partly states this claim.

    Findingown data

    Cell-permeable methyl-fumarate and methyl-succinate increase intracellular fumarate and succinate and elevate fumarate/α-KG and succinate/α-KG ratios.

    “addition of 2.5 mM methyl-fumarate and 5 mM methyl-succinate to the cultured HeLa cells resulted in a significant increase of intracellular fumarate and succinate, respectively, as determined by gas chromatography-mass spectrometry (GC-MS)”
    • Also stated in: § Both fumarate and succinate increase genome-wide histone methylations, accumulate HIF1a, and reduce endostatin in cultured cells · plain
      “The fumarate/ a-KG and succinate/a-KG ratios were elevated in these cells”
    Quote in the paperSubstantial claim
  • May combine two claims. The quote only partly states this claim.

    Findingown data

    Fumarate or succinate at 1, 3, and 10 mM inhibits CeKDM7A by more than 80%, and higher α-KG reduces this inhibition.

    “Addition of 1 mM, 3 mM, and 10 mM fumarate resulted in >80% inhibition of CeKDM7A”
    • Also stated in: § Both fumarate and succinate inhibit the activity of a-KG-dependent KDMs in vitro · plain
      “inhibition of CeKDM7A by fumarate or succinate became less effective, along with increased concentrations of a-KG”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    Transient knockdown of Fh or Sdha decreases 5hmC in mouse liver cells, with 5hmC production reduced by 72% and 63%, respectively.

    “Transient knockdown of Fh or Sdha by siRNA significantly decreased 5hmC in liver cells, especially near hepatic portal veins”
    • Also stated in: § Knocking down Fh or Sdha inhibits multiple a-KG-dependent dioxygenases and regulates target gene expression in vivo · boosted
      “a dot blot assay demonstrated that 5hmC production was decreased by 72% and 63% in the livers of Fh and Sdha siRNA knockdown mice, respectively”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    Cell-permeable fumarate and succinate increase H3K4 monomethylation, H3K27 and H3K79 dimethylation, and H3K4 trimethylation in cultured cells.

    “Cell-permeable fumarate and succinate increased H3K4 monomethylation (by fourfold), H3K27 and H3K79 dimethylation (by fourfold and threefold, respectively), and H3K4 trimethylation (by twofold)”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    siRNA depletion of FH and SDHA/B elevates fumarate and succinate and increases histone methylation, HIF1α, and decreases endostatin in HeLa cells.

    “depletion of FH and SDHA/B by siRNA resulted in elevated levels of fumarate and succinate in HeLa cells, as determined by GC-MS assay”
    • Also stated in: § Fumarate and succinate alter epigenetics · plain
      “Knocking down FH and SDHA/B resulted in a significant increase of histone methylations on H3K4, H3K9, and H3K79 (by threefold to fivefold); accumulation of HIF1a (by fivefold); and a decrease of endostatin (by sevenfold)”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    Knockdown of FH or SDHA/B upregulates HOXA genes; wild-type FH or SDH reduces HOXA expression, while mutant FH or SDH has no effect or increases it.

    “knockdown of FH or SDHA/B resulted in up-regulation of several HOXA genes (e.g., HOXA2, HOXA4, and HOXA5)”
    • Also stated in: § Tumor-derived FH and SDH mutants inhibit a-KG-dependent dioxygenases · plain
      “Re-expression of wild-type FH or SDH reduced HOXA gene expression to the control levels.”
    • Also stated in: § Tumor-derived FH and SDH mutants inhibit a-KG-dependent dioxygenases · plain
      “In contrast, re-expression of mutant FH or SDH had no effect or even increased HOXA gene expression”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S1 (asserted), S4 (based). May combine two claims. The quote only partly states this claim.

    Findingown data

    Fh or Sdha knockdown in mouse liver increases histone methylations on H3K4, H3K9, H3K27, and H3K79 and upregulates several Hoxa genes by more than 10-fold.

    “Transient knockdown of Fh in mouse livers significantly increased monomethylation on H3K4 (by 2.5-fold); dimethylation on H3K9 (by 4.2fold), H3K27 (by 4.3-fold), and H3K79 (by 5.2-fold); and trimethylation on H3K4 (by 2.8-fold).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Krivtsov et al. 2008

      Not checked in the free run.

  • May combine two claims. The quote only partly states this claim.

    Findingown data

    Transient knockdown of Fh or Sdha in mouse liver increases fumarate or succinate, respectively, and elevates the succinate/α-KG ratio in Fh knockdown less than in Sdha knockdown.

    “Transient knockdown of Fh or Sdha in mouse livers led to accumulation of intracellular fumarate or succinate, respectively, as determined by GC-MS”
    • Also stated in: § Knocking down Fh or Sdha inhibits multiple a-KG-dependent dioxygenases and regulates target gene expression in vivo · plain
      “Notably, the succinate/a-KG ratio was also elevated in Fh knockdown liver cells, although less dramatically than Sdha knockdown.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    Tumor-derived FH or SDH mutants lack function in fumarate or succinate metabolism.

    “Tumor-derived FH or SDH mutants are not functional in fumarate or succinate metabolism.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingcitation

    5hmC is undetectable in most cultured cells but increases substantially when wild-type TET1 or TET2 catalytic domains are expressed.

    “The 5hmC level in most cultured cells is undetectable, but is substantially increased in cells transiently expressing the wild-type catalytic domain of TET1 and TET2 proteins (TET1-CD and TET2-CD)”
    Quote in the paperSubstantial claim0 of 3 sources checked
    • cites Tahiliani et al. 2009

      Not checked in the free run.

    • cites Ito et al. 2010

      Not checked in the free run.

    • cites He et al. 2011

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S1 (asserted), S4 (based). May combine two claims. The quote only partly states this claim.

    Findingown data

    Wild-type FH or SDHA/B re-expression decreases histone methylation, HIF1α, and increases endostatin, while tumor-derived mutants do not show these changes.

    “ectopic expression of wild-type FH or SDHA/B resulted in decreases of dimethylation on H3K9 (by 1.5fold) as well as monomethylation and trimethylation on H3K4 (by 2.5-fold and twofold, respectively), consistent with increased KDM activity”
    • Also stated in: § Tumor-derived FH and SDH mutants inhibit a-KG-dependent dioxygenases · plain
      “these changes in genome-wide histone methylations were not observed in cells re-expressing tumor-derived FH or SDHA/B mutants”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Findingown data

    Cell-permeable fumarate and succinate increase HIF1α and decrease endostatin in HeLa and HEK293T cells.

    “We found that cell-permeable fumarate and succinate increased HIF1a and decreased endostatin in both cell types”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    Fumarate and succinate inhibit HsKDM4A in a dose-dependent manner, with succinate more potent (IC50 0.8 mM vs 1.5 mM).

    “Our results demonstrated that succinate (IC 50 = 0.8 mM) is more potent than fumarate (IC 50 = 1.5 mM) in inhibiting HsKDM4A”
    Quote in the paperSubstantial claim
  • The quote only partly states this claim.

    Findingown data

    Adding 5 mM octyl-α-KG diminishes the effects of FH or SDHA/B knockdown on histone methylation, HIF1α, and endostatin in a dose-dependent manner.

    “Addition of 5 mM octyl-a-KG diminished the effect of FH or SDHA/B suppression on increasing histone methylations, accumulating HIF1a, and decreasing endostatin”
    • Also stated in: § Fumarate and succinate alter epigenetics · plain
      “these effects of octyl-a-KG were in a dose-dependent manner”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Premisecitation

    Functionally characterized FH or SDH mutations cause complete loss or reduced enzymatic activity, indicating that FH and SDH act as tumor suppressors.

    “Thus far, all functionally characterized FH or SDH mutations result in either a complete loss or reduction of enzymatic activity (Tomlinson et al. 2002;Pollard et al. 2005), indicating that both FH and SDH function as tumor suppressors.”
    Quote in the paperSubstantial claim0 of 2 sources checked
    • cites Tomlinson et al. 2002

      Not checked in the free run.

    • cites Pollard et al. 2005

      Not checked in the free run.

  • May combine two claims.

    Premisecitation

    IDH1 and IDH2 mutations simultaneously reduce α-KG production and increase 2-HG production.

    “These mutations in IDH1/2 result in simultaneous loss and gain of activities in the production of a-ketoglutarate (a-KG) and 2-hydroxyglutarate (2-HG), respectively”
    Quote in the paperNot a substantial claim0 of 3 sources checked
    • cites Dang et al. 2009

      Not checked in the free run.

    • cites Yan et al. 2009

      Not checked in the free run.

    • cites Zhao et al. 2009

      Not checked in the free run.

  • Classified as probably not a substantial claim.

    Premisecitation

    JmjC domain histone demethylases and TET DNA hydroxylases are central to epigenetic control.

    “Of the >60 estimated a-KGdependent dioxygenases in mammalian cells (Rose et al. 2011), the JmjC domain-containing histone demethylases (KDMs) and the TET (ten-eleven translocation) family of DNA hydroxylases play central roles in epigenetic control of genomic information.”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Rose et al. 2011

      Not checked in the free run.

  • Classified as probably not a substantial claim.

    Premisereasoning

    The dioxygenase reaction uses α-KG as a cosubstrate and releases succinate and CO2.

    “These enzymes require Fe(II) as a cofactor metal and a-KG as a cosubstrate to catalyze the reactions in which one oxygen atom from molecular oxygen (O 2 ) is attached to a hydroxyl group in the substrate (hydroxylation) while the other is taken up by a-KG, leading to the decarboxylation of a-KG and subsequent release of carbon dioxide (CO 2 ) and succinate.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Interpretationown data

    Tumor-derived FH and SDH mutations cause fumarate and succinate accumulation, which inhibits multiple α-KG-dependent dioxygenases and alters genome-wide histone and DNA methylation.

    “Our study suggests that tumor-derived FH and SDH mutations accumulate fumarate and succinate, leading to enzymatic inhibition of multiple a-KG-dependent dioxygenases and consequent alterations of genome-wide histone and DNA methylation.”
    Quote in the paperSubstantial claim
  • Classified as probably not a substantial claim.

    Premisecitation

    TET enzymes oxidize 5mC in three steps to 5hmC, 5fC, and 5caC.

    “the recently discovered TET family of DNA hydroxylases catalyzes a three-step iterative oxidation reaction: converting 5mC to 5-hydroxymethylcytosine (5hmC), then converting 5hmC to 5-formylcytosine (5fC), and finally converting 5fC to 5-carboxylcytosine (5caC)”
    Quote in the paperSubstantial claim0 of 3 sources checked
    • cites Tahiliani et al. 2009

      Not checked in the free run.

    • cites Ito et al. 2010

      Not checked in the free run.

    • cites He et al. 2011

      Not checked in the free run.

  • May combine two claims.

    Premisecitation

    Tumor-derived mutant IDH1 and IDH2 inhibit α-KG-dependent dioxygenases, and 2-HG competitively inhibits KDMs and TETs.

    “We and others recently demonstrated that ectopic expression of tumor-derived mutated IDH1 and IDH2 inhibits the activity of a-KG-dependent dioxygenases and, more importantly, produces 2-HG, which acts as an antagonist of a-KG to competitively inhibit the activity of a-KG-dependent dioxygenases, including both KDMs and TETs”
    Quote in the paperNot a substantial claim0 of 2 sources checked
    • cites Chowdhury et al. 2011

      Not checked in the free run.

    • cites Xu et al. 2011

      Not checked in the free run.

  • May combine two claims.

    Premisecitation

    Fumarate and succinate accumulated in FH/SDH mutant cells inhibit PHDs, which hydroxylate HIF1α and promote its degradation.

    “Studies into the mechanism behind how mutations in FH and SDH trigger elevated levels of HIF1a provided evidence that fumarate and succinate accumulated in cells with mutations in either FH or SDH inhibit prolyl hydroxylases (PHDs), which hydroxylates and promotes the degradation of HIF1a”
    Quote in the paperSubstantial claim0 of 3 sources checked
    • cites Epstein et al. 2001

      Not checked in the free run.

    • cites Yu et al. 2001

      Not checked in the free run.

    • cites Isaacs et al. 2005

      Not checked in the free run.

  • Classified as probably not a substantial claim. May combine two claims.

    Premisecitation

    TET catalytic activity depends on α-KG and is inhibited by 2-HG.

    “Given the dependence of TET catalytic activity on a-KG and its inhibition by 2-HG (Xu et al. 2011)”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Xu et al. 2011

      Not checked in the free run.

  • May combine two claims.

    Interpretationreasoning

    Alterations of histone methylation likely have broad effects on gene expression, which may contribute to the tumor suppressor functions of FH and SDH.

    “Moreover, alterations of histone methylation will likely have a broad impact on gene expression, which may also contribute to the tumor suppressor functions of FH and SDH.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Interpretationown data

    Re-expression of wild-type FH and SDH reduces fumarate and succinate and increases 5hmC by relieving TET inhibition.

    “Re-expression of wild-type FH and SDH dramatically reduced fumarate and succinate, respectively, in the FH or SDH knockdown cells and thus increased 5hmC by relieving inhibition on TETs.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Interpretationown data

    Decreased FH and SDHA activity leads to fumarate and succinate accumulation, which inhibits α-KG-dependent dioxygenases and regulates target gene expression.

    “Taken together, the above findings provide in vivo evidence supporting the notion that decreased activity of FH and SDHA leads to accumulation of fumarate and succinate, which inhibit a-KG-dependent dioxygenases and regulate target gene expression.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Interpretationown data

    Knockdown of FH and SDHA/B elevates fumarate and succinate, which compete with α-KG to inhibit TET-catalyzed 5mC hydroxylation.

    “Taken together, these data indicate that knockdown of FH and SDHA/B leads to elevated levels of intracellular fumarate and succinate, respectively, which act as competitors of a-KG to inhibit TET-catalyzed hydroxylation of 5mC.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Interpretationreasoning

    Tumor cells with FH or SDH mutations accumulate fumarate and succinate, which inhibit histone and DNA demethylation.

    “These observations suggest that tumor cells containing FH or SDH mutations accumulate fumarate and succinate, which then inhibit histone and DNA demethylations.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Interpretationown data

    Transient knockdown of Fh or Sdha inhibits TET activity without downregulating Tet gene transcription.

    “Suppression of Fh or Sdha did not significantly affect the hepatic mRNA levels of Tet genes”
    • Also stated in: § Knocking down Fh or Sdha inhibits multiple a-KG-dependent dioxygenases and regulates target gene expression in vivo · hedged
      “indicating that transient knockdown of Fh or Sdha would inhibit the activity of TETs by not down-regulating the transcription of TET genes.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Interpretationown data

    Fumarate and succinate act as α-KG antagonists to inhibit α-KG-dependent KDMs, with succinate being more potent than fumarate.

    “Together, these results suggest that both fumarate and succinate act as antagonists of a-KG to inhibit a-KG- dependent KDMs, with succinate being more potent than fumarate.”
    Quote in the paperSubstantial claim
34 of 34
  • The paper relies on this without support.

    TET family enzymes function as tumor suppressors.

    “Given the well-characterized tumor suppressor function of TET”
  • The paper relies on this without support.

    Many missense mutations in FH or SDH have unknown functional consequences.

    “There are also many missense mutations whose exact functional consequences have not been characterized.”
2 of 2

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

  • Fumarate and succinate accumulation can inhibit some alpha-ketoglutarate-dependent dioxygenases, resulting in hypermethylation of DNA and histones in tumors with FH or SDH loss.

    “Like D-2HG, fumarate and succinate accumulation can inhibit some αKG-dependent dioxygenases, resulting in hypermethylation of DNA and histones in tumors exhibiting loss of FH or SDH (Hoekstra et al., 2015; Letouze et al., 2013; Xiao et al., 2012).”

    From Targeting Metabolism for Cancer Therapy (2017) · cites this paper as Xiao et al., 2012

  • Increased levels of succinate and fumarate can inhibit Jumonji C-domain-containing histone demethylases and TET enzymes, driving a widespread hypermethylation phenotype that disrupts normal cell differentiation.

    “Like 2HG accumulation, increased levels of succinate and fumarate can inhibit Jumonji C-domain–containing histone demethylases and TET enzymes, driving a widespread hypermethylation phenotype that disrupts normal cell differentiation (179, 180).”
  • Tumors with SDH and FH loss share phenotypic features consistent with dioxygenase inhibition, including global increase in DNA methylation and elevated HIF1α.

    “Tumors that exhibit SDH- and FH loss share a number of phenotypic features that are consistent with dioxygenase inhibition, among which is a characteristic global increase in DNA methylation (Killian et al., 2013; Letouze et al., 2013; Xiao et al., 2012), as well as elevated levels of HIF1α (Selak et al., 2005).”

    From The emerging hallmarks of cancer metabolism (2016) · cites this paper as Xiao et al., 2012

  • Fumarate drives succination of Fe-S cluster biogenesis proteins, causing depletion of Fe-S clusters required for mitochondrial enzymes including complex I.

    “Finally, it was shown that fumarate can drive succination of several members of the family of Iron Sulfur (Fe-S) cluster biogenesis proteins, causing a depletion of Fe-S clusters required for the activity of mitochondrial enzymes, including complex I88.”
  • Succinate inhibits HIF-1α signaling through inhibition of PHD2 but can also impact the activity of numerous α-ketoglutarate-dependent dioxygenases.

    “Succinate inhibits HIF-1␣ signaling through inhibition of PHD2 but can also impact the activity of numerous ␣-ketoglutarate-dependent dioxygenases (42,43).”

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

Each contradiction between two passages listed here was confirmed by an independent check.

  • KDM7A substrate is described as both dimethylated and monomethylated

    Minor

    The assay description calls the H3K9 substrate dimethylated, but the peptide it says was used is monomethylated.

1 of 1

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Authors
Xiao, M., Yang, H., Xu, W., Ma, S., Lin, H., Zhu, H., Liu, L., Liu, Y., Yang, C., Xu, Y., Zhao, S., Ye, D., Xiong, Y., & Guan, K.-L.
Affiliations
  • Fudan University (CN)
  • Shanghai Medical College of Fudan University (CN)
  • Chinese Academy of Sciences (CN)
  • University of North Carolina at Chapel Hill (US)
Venue
Genes & Development
Published
2012-06-07
Volume
26
Issue
12
Pages
1326-1338
ISSN
  • 0890-9369 (ISSN-L)
  • 1549-5477
OpenAlex
W2104852749
Cited by
1,188
References
50
Citations by year
2026: 141 · 2025: 96 · 2024: 85 · 2023: 100 · 2022: 99 · 2021: 96 · 2020: 105 · 2019: 91 · 2018: 70 · 2017: 84 · 2016: 74 · 2015: 54 · 2014: 50 · 2013: 33 · 2012: 9
Type
posted content
Language
en
Open access
Locations
  • Genes & Development (publishedVersion)
  • Europe PMC (PubMed Central) (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • James S. McDonnell Foundation
  • Samuel Waxman Cancer Research Foundation
  • National Natural Science Foundation of China (2012CB910101, 2012CB910300, 30600112, 31071192, 81120108016, 30871255)
  • National Institutes of Health
  • Shanghai Leading Academic Discipline Project
  • National Cancer Institute (F31CA260794)
Topics
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Epigenetics and DNA Methylation
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Cancer Research › Cancer, Hypoxia, and Metabolism
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Chromatin Remodeling and Cancer
Keywords
fumarate hydratase, succinate dehydrogenase, fumarate, succinic acid, alpha-ketoglutarate-dependent dioxygenase, histone demethylase, DNA demethylase, prolyl hydroxylase, collagen prolyl 4-hydroxylase, competitive inhibition, tumor suppressor mutations, epigenetic modifications, DNA methylation, histone methylation, TCA cycle, carcinogenesis
MeSH terms
Animals, Cells, Cultured, Fumarate Hydratase, Fumarates, Gene Expression Regulation, Humans, Ketoglutaric Acids, Models, Biological, Mutation, Succinate Dehydrogenase, Genome, Human, DNA Methylation, Succinic Acid, Tumor Suppressor Proteins, Endostatins, Dioxygenases, Mice, Hypoxia-Inducible Factor 1, alpha Subunit, Biocatalysis, Gene Knockdown Techniques, Histone Demethylases, HEK293 Cells

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Claims read by deepseek-v4.1-flash under definition version 3 (extract-v3) on 2026-10-06.

Classified by jev-1.13-20260917 (gold-guideline-v0.2) on 2026-10-06.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

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