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Loss of TET2 in hematopoietic cells leads to DNA hypermethylation of active enhancers and induction of leukemogenesis
Open accessAbstract
DNA methylation is tightly regulated throughout mammalian development, and altered DNA methylation patterns are a general hallmark of cancer. The methylcytosine dioxygenase TET2 is frequently mutated in hematological disorders, including acute myeloid leukemia (AML), and has been suggested to protect CG dinucleotide (CpG) islands and promoters from aberrant DNA methylation. In this study, we present a novel Tet2-dependent leukemia mouse model that closely recapitulates gene expression profiles and hallmarks of human AML1-ETO-induced AML. Using this model, we show that the primary effect of Tet2 loss in preleukemic hematopoietic cells is progressive and widespread DNA hypermethylation affecting up to 25% of active enhancer elements. In contrast, CpG island and promoter methylation does not change in a Tet2-dependent manner but increases relative to population doublings. We confirmed this specific enhancer hypermethylation phenotype in human AML patients with TET2 mutations. Analysis of immediate gene expression changes reveals rapid deregulation of a large number of genes implicated in tumorigenesis, including many down-regulated tumor suppressor genes. Hence, we propose that TET2 prevents leukemic transformation by protecting enhancers from aberrant DNA methylation and that it is the combined silencing of several tumor suppressor genes in TET2 mutated hematopoietic cells that contributes to increased stem cell proliferation and leukemogenesis.
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“Compound mutant cells also exhibited greater serial colony-forming activity than Tet2KO cells, which showed extended serial replating activity, in line with past reports (17, 32).”
From PU.1-Dependent Enhancer Inhibition Separates Tet2 -Deficient Hematopoiesis from Malignant Transformation (2022) · cites this paper as [32]
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“Consistently, TET2-mutant immature and myeloid cells present with hypermethylation of active enhancers and perturbed TF activity (28, 32, 53).”
From PU.1-Dependent Enhancer Inhibition Separates Tet2 -Deficient Hematopoiesis from Malignant Transformation (2022) · cites this paper as [32]
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“Hypermethylation at enhancer elements coincides with leukaemogenesis in haematopoietic progenitor cells of TET2−/− mice expressing the AML–ETO9a fusion.40”
From Vitamin C-induced epigenomic remodelling in IDH1 mutant acute myeloid leukaemia (2018) · cites this paper as [40]
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Self-citationLao, Z., Ding, L., Sun, Q.-Y., Li, J., Yan, B., Ng, A. Y. J., Capinpin, S. M., Wang, R., Li, Y., Chng, W. J., et al. (2024) · Clinical Cancer Research · doi:10.1158/1078-0432.ccr-22-3804 · Cited by 7
Yao, S., Guo, R., Tian, W., Zheng, Y., Hu, J. J., Han, G., Yin, R., Zhou, F., & Zhang, H. (2024) · Blood Science · doi:10.1097/bs9.0000000000000206 · Cited by 7
RNA splicing factor Rbm25 underlies heterogeneous preleukemic clonal expansion in mice
Bramlett, C. S., Eerdeng, J., Du, J., Lee, Y., Garcia, I., Vergel-Rodriguez, M., Condie, P., Nogalska, A., & Lu, R. (2023) · Blood · doi:10.1182/blood.2023019620 · Cited by 8
Reilly, B. M., Luger, T., Park, S., Lio, C. J., González‐Avalos, E., Wheeler, E. C., Lee, M., Williamson, L. M., Tanaka, T. N., Diep, D. H., et al. (2020) · Molecular Cancer Research · doi:10.1158/1541-7786.mcr-20-0453 · Cited by 7
Vallois, D., Missiaglia, E., Veloza, L. C., Fischer, A., Cavalieri, D., Rattina, V., Bisig, B., Roh, V., Wiehle, L., Sarkis, R., et al. (2025) · Leukemia · doi:10.1038/s41375-025-02777-2 · Cited by 7
Hu, J., Xu, J., Tian, T., Xie, J., Fan, L., Zhu, G., Xia, T., Chen, X., Tan, Y., Chen, X., et al. (2018) · Blood Cells Molecules and Diseases · doi:10.1016/j.bcmd.2018.11.002 · Cited by 6
Nirgude, S., Desai, S. S., & Choudhary, B. (2022) · BMC Genomics · doi:10.1186/s12864-022-09041-2 · Cited by 6
Clonal haematopoiesis - a novel entity that modifies pathological processes in elderly
Belotserkovskaya, E., Golotin, V., Uyanik, B., & Demidov, O. N. (2023) · Cell Death Discovery · doi:10.1038/s41420-023-01590-z · Cited by 8
He, H., Wen, Y., Yu, H., Liu, J., Huo, Q., Jin, W., Wang, Z., Du, G., Du, J., Wang, H., et al. (2024) · Genes & Diseases · doi:10.1016/j.gendis.2024.101397 · Cited by 5
Novel therapies in myelodysplastic syndromes
Swoboda, D. M., Gesiotto, Q., & Sallman, D. A. (2020) · Current Opinion in Hematology · doi:10.1097/moh.0000000000000562 · Cited by 7
SERS-Based Assessment of MRD in Acute Promyelocytic Leukemia?
Turcas, C., Moisoiu, V., Ştefancu, A., Jurj, A. M., Iancu, Ș. D., Teodorescu, P., Paşca, S., Bojan, A. S., Trifa, A. P., Iluta, S., et al. (2020) · Frontiers in Oncology · doi:10.3389/fonc.2020.01024 · Cited by 6
High-Resolution Analysis of 5-Hydroxymethylcytosine by TET-Assisted Bisulfite Sequencing
Huang, Z., Meng, Y., Szabó, P. E., Kohli, R. M., & Pfeifer, G. P. (2020) · Methods in molecular biology · doi:10.1007/978-1-0716-0876-0_25 · Cited by 6
Retraction Note: TET2 inhibits tumorigenesis of breast cancer cells by regulating caspase-4
Zhu, X., & Li, S. (2019) · Scientific Reports · doi:10.1038/s41598-019-39690-5 · Cited by 6
RetractedFleming, A., Knatko, E. V., Li, X., Zoch, A., Heckhausen, Z., Stransky, S., Brenes, A. J., Sidoli, S., Hájková, P., O’Carroll, D., et al. (2024) · Genes & Development · doi:10.1101/gad.352176.124 · Cited by 5
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Dynamics and Function of DNA Methylation During Development
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Mutation-Driven Therapy in MDS
Swoboda, D. M., & Sallman, D. A. (2019) · Current Hematologic Malignancy Reports · doi:10.1007/s11899-019-00554-4 · Cited by 5
Metadata
- Authors
- Rasmussen, K. D., Jia, G., Johansen, J. V., Pedersen, M. T., Rapin, N., Bagger, F. O., Porse, B. T., Bernard, O. A., Christensen, J., & Helin, K.
- Affiliations
- University of Copenhagen (DK)
- Inserm (FR)
- Corresponding author
- Helin, Kristian
- ORCID
- Venue
- Genes & Development
- Publisher
- Cold Spring Harbor Laboratory
- Published
- 2015-04-17
- Volume
- 29
- Issue
- 9
- Pages
- 910-922
- ISSN
- 0890-9369 (ISSN-L)
- 1549-5477
- PMC
- PMC4421980
- OpenAlex
- W2169012047
- Cited by
- 270
- References
- 53
- Citations by year
- 2026: 10 · 2025: 20 · 2024: 21 · 2023: 19 · 2022: 23 · 2021: 23 · 2020: 39 · 2019: 27 · 2018: 25 · 2017: 24 · 2016: 32 · 2015: 7
- Type
- posted content
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- cc-by-nc
- Locations
- Genes & Development (publishedVersion, cc-by-nc)
- PubMed Central (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- Discovery Research Portal (University of Dundee) (submittedVersion, cc-by-nc)
- Research at the University of Copenhagen (University of Copenhagen) (submittedVersion)
- Funders
- Danish Medical Research Council (1333-00120B)
- European Research Council (294666_DNAMET)
- Danish Cancer Society, Danish National Research Foundation (DNRF 82)
- Danish Council for Strategic Research
- Novo Nordisk Foundation
- Novo Nordisk Foundation Section for Stem Cell Biology in Human Disease
- Topics
- Health Sciences › Medicine › Hematology › Acute Myeloid Leukemia Research
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Epigenetics and DNA Methylation
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Chromatin Remodeling and Cancer
- Keywords
- TET2, DNA hypermethylation, enhancer methylation, acute myeloid leukemia, AML1-ETO, leukemogenesis, hematopoietic cells, tumor suppressor, CpG islands, promoter methylation, DNA demethylation, leukemia mouse model, stem cell proliferation
- MeSH terms
- Animals, DNA-Binding Proteins, Enhancer Elements, Genetic, Hematopoietic Stem Cells, Humans, Mutation, Proto-Oncogene Proteins, Translocation, Genetic, Gene Expression Regulation, Neoplastic, DNA Methylation, Cell Proliferation, Dioxygenases, Mice, Carcinogenesis
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