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Role of TET enzymes in DNA methylation, development, and cancer
Open accessAbstract
The pattern of DNA methylation at cytosine bases in the genome is tightly linked to gene expression, and DNA methylation abnormalities are often observed in diseases. The ten eleven translocation (TET) enzymes oxidize 5-methylcytosines (5mCs) and promote locus-specific reversal of DNA methylation. TET genes, and especially TET2 , are frequently mutated in various cancers, but how the TET proteins contribute to prevent the onset and maintenance of these malignancies is largely unknown. Here, we highlight recent advances in understanding the physiological function of the TET proteins and their role in regulating DNA methylation and transcription. In addition, we discuss some of the key outstanding questions in the field.
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“Generally, 2OGO catalyze specific hydroxylation of substrates, which, in turn, leads to demethylations via other catalytic cycles or downstream pathway involving thymine-DNA-glycosylase, which catalyzed base excision with DNA base excision repair [101,120].”
From Vitamin C-Sources, Physiological Role, Kinetics, Deficiency, Use, Toxicity, and Determination (2021) · cites this paper as [120]
Experimental — accuracy not yet measuredIn the citing paper
“TET2 is frequently mutated or lost somatically in both myeloid and lymphoid malignancies63,64.”
From Targeting cancer vulnerabilities with high-dose vitamin C (2019) · cites this paper as [63]
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Citations
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“Thus, it was remarkable when ten eleven translocation protein 1 (TET1) was discovered and shown to be able to modify methylcytosine and potentially erase DNAmethylation (Tahiliani et al. 2009).”
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“Second, TET2 mutations are frequently observed in aged healthy individuals with clonal hematopoiesis and increase the propensity to develop hematopoieticmalignancies (Busque et al. 2012; Genovese et al. 2014; Jaiswal et al. 2014; Xie et al. 2014).”
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“Subsequent to the discovery of oxidized 5mC bases, it was demonstrated that TDG has no effect on 5hmC but shows robust recruitment and in vitro catalytic activity toward 5fC and 5caC (He et al. 2011; Maiti and Drohat 2011; Spruijt et al. 2013).”
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“By comparison, the products of further TET-mediated oxidation, 5fC and 5caC, are observed at ∼10-fold to 100-fold lower levels than 5hmC and often close to or under the detection limit (Kriaucionis and Heintz 2009; Globisch et al. 2010; Szwagierczak et al. 2010; He et al. 2011; Ito et al. 2011; Pfaffeneder et al. 2011…”
Background
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Transcriptional, Epigenetic and Metabolic Programming of Tumor-Associated Macrophages
Larionova, I., Kazakova, E., Patysheva, M. R., & Kzhyshkowska, J. G. (2020) · Cancers · doi:10.3390/cancers12061411 · Cited by 126
“Hypomethylation is a removal of methyl groups by ten-eleven translocation (TET) proteins [127,128].”
BackgroundEpigenetics in hepatocellular carcinoma development and therapy: The tip of the iceberg
Fernández-Barrena, M. G., Arechederra, M., Colyn, L., Berasain, C., & Avila, M. A. (2020) · JHEP Reports · doi:10.1016/j.jhepr.2020.100167 · Cited by 126
“JHEP Reports 2020 with base excision repair (BER).(56,57) Interestingly, the majority of 5hmC, and also 5fC to a certain extent, are not just short-lived”
BackgroundMolecular Mechanisms of Obesity-Linked Cardiac Dysfunction: An Up-Date on Current Knowledge
Gutiérrez‐Cuevas, J., Sandoval-Rodriguez, A. S., Meza-Ríos, A., Monroy-Ramírez, H. C., Galicia‐Moreno, M., Garcia-Bañuelos, J. J., Santos, A., & Armendáriz‐Borunda, J. (2021) · Cells · doi:10.3390/cells10030629 · Cited by 133
“The ten‐eleven translocation (Tet) enzymes can remove the methyl group in DNA [78].”
BackgroundConnections Between Metabolism and Epigenetics in Programming Cellular Differentiation
Chisolm, D. A., & Weinmann, A. S. (2018) · Annual Review of Immunology · doi:10.1146/annurev-immunol-042617-053127 · Cited by 133
DNA Methylation and Histone Modification in Hypertension
Stoll, S., Wang, C., & Qiu, H. (2018) · International Journal of Molecular Sciences · doi:10.3390/ijms19041174 · Cited by 122
“Ten eleven translocation (TET) enzymes oxidize 5mCs to 5hmCs, and further catalyze the conversion to 5fC and 5-carboxylcytosine (5-caC) which can then be replaced by unmethylated cytosine after undergoing thymine DNA glycosylase (TDG)-mediated base excision and DNA base excision repair [33,40].”
TET Enzymes in the Immune System: From DNA Demethylation to Immunotherapy, Inflammation, and Cancer
López-Moyado, I. F., Ko, M., Hogan, P. G., & Rao, A. (2024) · Annual Review of Immunology · doi:10.1146/annurev-immunol-080223-044610 · Cited by 121
Function determinants of TET proteins: the arrangements of sequence motifs with specific codes
Liu, D., Li, G., & Zuo, Y. (2018) · Briefings in Bioinformatics · doi:10.1093/bib/bby053 · Cited by 115
Fumarate hydratase (FH) and cancer: a paradigm of oncometabolism
Valcárcel-Jiménez, L., & Frezza, C. (2023) · British Journal of Cancer · doi:10.1038/s41416-023-02412-w · Cited by 117
“TETs are a group of α -KGDDs that catalyse the iterative oxidation of methylated cytosines on DNA, thereby facilitating DNA demethylation and controlling chromatin structure, function and transcription [57, 68].”
BackgroundEpigenetic regulation in cancer
Gu, M., Ren, B., Fang, Y., Ren, J., Liu, X., Wang, X., Zhou, F., Xiao, R., Luo, X., You, L., et al. (2024) · MedComm · doi:10.1002/mco2.495 · Cited by 126
“20 Alternatively, 5fC and 5caC may undergo excision by the base excision repair machinery.”
BackgroundEffects of 5-Aza-2′-deoxycytidine (decitabine) on gene expression
Seelan, R. S., Mukhopadhyay, P., Pisano, M., & Greene, R. M. (2018) · Drug Metabolism Reviews · doi:10.1080/03602532.2018.1437446 · Cited by 118
“The presence of AzaD, whether randomly incorporated into DNA or present as an adduct, can trigger a DNA damage response wherein the offending nucleotide or adduct, may be excised and repaired via base excision repair (BER) (Momparler 2005; Maslov et al. 2012; Orta et al. 2014).”
BackgroundIn vitro assays and techniques utilized in anticancer drug discovery
Ediriweera, M. K., Tennekoon, K. H., & Samarakoon, S. R. (2018) · Journal of Applied Toxicology · doi:10.1002/jat.3658 · Cited by 116
Enhancer deregulation in cancer and other diseases
Herz, H. (2016) · BioEssays · doi:10.1002/bies.201600106 · Cited by 110
Epigenetic regulation in fibrosis progress
Xue, T., Qiu, X., Liu, H., Gan, C., Tan, Z., Xie, Y., Wang, D., & Ye, T. (2021) · Pharmacological Research · doi:10.1016/j.phrs.2021.105910 · Cited by 112
Sandiford, O. A., DONNELLY, R. J., El-Far, M. H., Burgmeyer, L. M., Sinha, G., Pamarthi, S. H., Sherman, L. S., Ferrer, A. I., DeVore, D. E., Patel, S. A., et al. (2021) · Cancer Research · doi:10.1158/0008-5472.can-20-2434 · Cited by 112
“TET enzymes catalyze the successive conversion of 5-methylcytosine into 5-formylcytosine (5fC) and 5-carboxylcytosine (5caC), where both 5fC and 5caC can be excised by thymine-DNA glycosylase (TDG) for repair by BER factors (49).”
BackgroundLiu, J., Jiang, J., Mo, J., Liu, D., Cao, D., Wang, H., He, Y., & Wang, H. (2018) · Hepatology · doi:10.1002/hep.30146 · Cited by 108
“It is now known that DNA methylation and active demethylation are regulated by a series of DNA methylation–related enzymes, including DNMTs, TETs, and maybe TDG for DNA demethylation.”
BackgroundInfluentialEpigenetic Mechanisms and Hypertension
Liang, M. (2018) · Hypertension · doi:10.1161/hypertensionaha.118.11171 · Cited by 110
QSER1 protects DNA methylation valleys from de novo methylation
Dixon, G., Pan, H., Yang, D., Rosen, B. P., Jashari, T., Verma, N., Pulecio, J., Caspi, I., Lee, K., Stransky, S., et al. (2021) · Science · doi:10.1126/science.abd0875 · Cited by 110
“The loss of DNAmethylation regulatory factors such as TET2 has been unambiguously linked to the development of certain hematological cancers (43).”
BackgroundTulstrup, M., Soerensen, M., Hansen, J. W., Gillberg, L., Needhamsen, M., Kaastrup, K., Helin, K., Christensen, K., Weischenfeldt, J., & Grønbæk, K. (2021) · Nature Communications · doi:10.1038/s41467-021-26093-2 · Cited by 108
Self-citationEpigenetic drugs in cancer therapy
Suraweera, A., O'Byrne, K. J., & Richard, D. J. (2025) · Cancer and Metastasis Reviews · doi:10.1007/s10555-025-10253-7 · Cited by 117
Modulating epigenetic modifications for cancer therapy (Review)
Castro-Muñoz, L. J., Vázquez‐Ulloa, E., Sahlgren, C., Lizano, M., la Cruz-Hernández, E. N. D., & Contreras‐Paredes, A. (2023) · Oncology Reports · doi:10.3892/or.2023.8496 · Cited by 111
“5fC and 5caC are subsequently removed by DNA glycosylases and the base excision repair machinery to generate unmethylated cytosines at TET‐targeted sites, or they are passively demethylated by the loss of 5hmC during cell division (20).”
Cellular hallmarks of aging emerge in the ovary prior to primordial follicle depletion
Ansere, V. A., Ali-Mondal, S., Sathiaseelan, R., Garcia, D. N., Isola, J. V. V., Henseb, J. D., Saccon, T. D., Ocañas, S. R., Tooley, K. B., Stout, M. B., et al. (2021) · Mechanisms of Ageing and Development · doi:10.1016/j.mad.2020.111425 · Cited by 101
Dietary antioxidants remodel DNA methylation patterns in chronic disease
Beetch, M., Harandi‐Zadeh, S., Shen, K., Lubecka, K., Kitts, D. D., O’Hagan, H. M., & Stefañska, B. (2019) · British Journal of Pharmacology · doi:10.1111/bph.14888 · Cited by 105
“…have also identified changes in the pattern of genome-wide DNA hydroxymethylation in cancer versus normal tissue, however the role of these aberrations in shaping the landscapes of DNA methylation/demethylation and consequently gene expression, is not yet fully understood (Rasmussen & Helin, 2016).”
BackgroundInfluentialOrchestration of H3K27 methylation: mechanisms and therapeutic implication
Pan, M., Hsu, M., Chen, L., & Hung, W. (2017) · Cellular and Molecular Life Sciences · doi:10.1007/s00018-017-2596-8 · Cited by 111
Hoang, P. H., & Landi, M. T. (2022) · Cancers · doi:10.3390/cancers14040961 · Cited by 105
“Although driver mutations of TETs are infrequent in lung cancer, with TET2 having a higher frequency of somatic mutations compared to TET1 and TET3, an altered expression of TETs has been observed [68,69].”
BackgroundVitamin C – A new player in regulation of the cancer epigenome
Gillberg, L., Ørskov, A. D., Liu, M., Harsløf, L. B. S., Jones, P. A., & Grønbæk, K. (2018) · Seminars in Cancer Biology · doi:10.1016/j.semcancer.2017.11.001 · Cited by 100
MAX is an epigenetic sensor of 5-carboxylcytosine and is altered in multiple myeloma
Wang, D., Hashimoto, H., Zhang, X., Barwick, B. G., Lonial, S., Boise, L., Vertino, P. M., & Cheng, X. (2016) · Nucleic Acids Research · doi:10.1093/nar/gkw1184 · Cited by 93
“Accumulated evidence now support the view that 5hmC exists as a relatively stable modification unaffected by TDG depletion, constituting a distinct epigenetic signal that primarily marks lowly expressed genes, gene bodies and intragenic regions (9,10) (reviewed in (11,12)).”
BackgroundZheng, J., Liu, S., Yang, J., Zheng, S., & Sun, B. (2024) · The Science of The Total Environment · doi:10.1016/j.scitotenv.2024.176158 · Cited by 99
Epigenetics in multiple myeloma: From mechanisms to therapy
Alzrigat, M., Párraga, A. A., & Jernberg‐Wiklund, H. (2017) · Seminars in Cancer Biology · doi:10.1016/j.semcancer.2017.09.007 · Cited by 95
TET2 binding to enhancers facilitates transcription factor recruitment in hematopoietic cells
Rasmussen, K. D., Berest, I., Keβler, S., Nishimura, K., Simón-Carrasco, L., Vassiliou, G. S., Pedersen, M. T., Christensen, J., Zaugg, J. B., & Helin, K. (2019) · Genome Research · doi:10.1101/gr.239277.118 · Cited by 95
“Although targeting of TET1 to chromatin has been investigated (Williams et al. 2011; Wu et al. 2011), the mechanisms of TET2 recruitment to chromatin remain poorly understood (for review, see Rasmussen and Helin 2016).”
Self-citationThe transcriptional program, functional heterogeneity, and clinical targeting of mast cells
Cildir, G., Pant, H., Lopez, A. F., & Tergaonkar, V. (2017) · The Journal of Experimental Medicine · doi:10.1084/jem.20170910 · Cited by 95
“…is expressed under the control of IL-4 intronic enhancer elements), and RMB mice (in which DTR and bright red td-Tomato [tdT] fluorescent proteins are expressed in 3 ′ UTR of the membrane spanning 4-domains A2 [MS4A2] gene encoding for the Fc ε R β chain; Reber et al., 2012; Dahdah et al., 2014).”
InfluentialThe toxic side of one-carbon metabolism and epigenetics
Morellato, A. E., Umansky, C., & Pontel, L. B. (2020) · Redox Biology · doi:10.1016/j.redox.2020.101850 · Cited by 95
“Although TET proteins also belong to the 2-OGDD family, they carry out the oxidative demethylation on the DNA with no release of free formaldehyde [48,55].”
BackgroundHarnessing Hematopoietic Stem Cell Low Intracellular Calcium Improves Their Maintenance In Vitro
Luchsinger, L. L., Strikoudis, A., Danzl, N. M., Bush, E. C., Finlayson, M. O., Satwani, P., Sykes, M., Yazawa, M., & Snoeck, H. (2019) · Cell stem cell · doi:10.1016/j.stem.2019.05.002 · Cited by 100
“TETs, of which there are three homologues, convert 5-methylcytosine (5mC) to 5hydroxymethyl cytosine (5hmC) (Cimmino and Aifantis, 2017; Rasmussen and Helin, 2016).”
BackgroundTET enzymes, DNA demethylation and pluripotency
Ross, S. E., & Bogdanović, O. (2019) · Biochemical Society Transactions · doi:10.1042/bst20180606 · Cited by 95
Wu, B.-K., Mei, S.-C., Chen, E. H., Zheng, Y., & Pan, D. (2022) · Nature Genetics · doi:10.1038/s41588-022-01119-7 · Cited by 91
Mitochondrial dysfunction: An emerging link in the pathophysiology of polycystic ovary syndrome
Shukla, P., & Mukherjee, S. (2020) · Mitochondrion · doi:10.1016/j.mito.2020.02.006 · Cited by 92
Metadata
- Authors
- Rasmussen, K. D., & Helin, K.
- Affiliations
- University of Copenhagen (DK)
- Corresponding author
- Helin, Kristian
- Venue
- Genes & Development
- Publisher
- Cold Spring Harbor Laboratory
- Published
- 2016-04-01
- Volume
- 30
- Issue
- 7
- Pages
- 733-750
- ISSN
- 0890-9369 (ISSN-L)
- 1549-5477
- PMC
- PMC4826392
- OpenAlex
- W2325267338
- Cited by
- 1,040
- References
- 162
- Citations by year
- 2026: 56 · 2025: 87 · 2024: 116 · 2023: 100 · 2022: 135 · 2021: 141 · 2020: 131 · 2019: 97 · 2018: 83 · 2017: 60 · 2016: 30
- 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)
- Research at the University of Copenhagen (University of Copenhagen) (publishedVersion, cc-by-nc)
- HighWire Press Open Archive (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
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Epigenetics and DNA Methylation
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Genomics and Chromatin Dynamics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Cancer-related gene regulation
- Keywords
- TET enzymes, DNA methylation, 5-methylcytosine oxidation, TET2, demethylation, cancer, developmental regulation, transcriptional regulation, gene expression
- MeSH terms
- Animals, Cytosine, DNA-Binding Proteins, Humans, Neoplasms, Oxidation-Reduction, Proto-Oncogene Proteins, Gene Expression Regulation, Neoplastic, DNA Methylation, Epigenesis, Genetic, Dioxygenases
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