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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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“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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BackgroundTet proteins can convert 5-methylcytosine to 5-formylcytosine and 5-carboxylcytosine
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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…”
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Tet2 negatively regulates memory fidelityPreprint
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“…2015), and 5mC can be oxidatively converted to 5-hydroxymethylcytosine (5hmC) by the ten-eleven translocation (TET) enzymes and removed through base excision repair, in effect causing the erasure of the DNA methylation mark (Pastor et al., 2013; Rasmussen and Helin, 2016; Tahiliani et al., 2009).”
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Loss of TET2 increases B-1 cell number and IgM production while limiting CDR3 diversity
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“TET2 is the most commonly mutated TET member in hematopoietic malignancies [35].”
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“Karyopherin α 6 (KPNA6, importin α 7), directly interacts with the Kelch-like ECH Associated Protein 1 (KEAP1) [36].”
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“Alternatively, demethylation can also occur through ten-eleven translocation (TET) enzymes by oxidizing 5-methylcytosines [103].”
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“DNA methyltrans‑ ferases (DNMTs) and ten‑eleven translocation proteins serve important roles in CpG methylation sites (84,85).”
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“Ten to eleven translocation methylcytosine dioxygenases (Tets) are enzymes that oxidize 5-methylcytosine in DNA into 5-hydroxymethylcytosine (5hmc) (Ito et al., 2010; Rasmussen and Helin, 2016).”
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Wang, J., Qi, R., Li, H., Christov, C. Z., Lehnert, N., & Li, D. (2023) · Biomarkers in disease · doi:10.1007/978-3-031-07392-2_19 · Cited by 2
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APA Makes a Short Cut for Ramping up HSC Metabolism
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Epigenetic Regulator Enzymes and Their Implications in Distinct Malignancies
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“TET enzymes oxidize 5mC to form 5-hydroxymethylcytosine (5hmC), 5-formylcytosine (5fC), and 5-carboxylcytosine (5caC), thereby regulating active DNA demethylation [11-15].”
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DNA Methylation Is a Main Key for Bacteria-Related Colon Carcinogenesis
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“Finally, the expression for the reaction rate constants of DNA demethylation processes ( k ′ T and k ′ ∗ T , see Table I) can be written as Here, T is the total amount of the transiently transfected modifier that catalyzes DNA demethylation, such as TET1 [3], [15],”
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“TET1 catalyzes the oxidation of methylated cytosine, playing a crucial role in DNA demethylation [15].”
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“…expression of TET2 in multiple human cancers suggests that TET2 has a nonredundant role in regulating DNA methylation for the maintenance of normal cellular function 16,21 , suggesting that TET2 suppression may induce EGFR TKI resistance by increasing the DNA methylation of relevant genes.”
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“Loss of TET2 is associated with enhanced self-renewal capacity of hematopoietic stem and progenitor cells, along with altered terminal differentiation [6].”
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“DNA methylation is especially critical in growing tissues such as the placenta and embryonic cells playing vital roles in healthy fetal development [10].”
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“The base excision repair (BER) protein thymine DNA glycosylase (TDG) can recognize and efficiently excise 5-caC and 5-fC oxidation products [21].”
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“…(TET) family of enzymes, TET-1, TET-2, and TET-3 are identified as the principal catalysts for DNA demethylation, which is an essential process in various biological functions, including development, differentiation, and disease processes such as tumor malignancies and invasiveness [27,29,30].”
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“30 35-40 The activity, localization, and genomic targeting of DNMT and TET enzymes are tightly regulated by a range of intrinsic and extrinsic factors, including cellular metabolic state, availability of methyl donors, environmental exposures, and intracellular signaling pathways.”
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“Therefore, TET enzymes activities are important in several stages of cell differentiation in tissue development, and any dysregulation, can lead to complications and loss of specific functions in each cellular context [20-22].”
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Epigenetics of transgenerational inheritance of disease
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A review on Epigenome Editing using CRISPR-based Tools to Rejuvenate Skin Tissues
Sichani, A. S., Baneshi, M., Ranjbar, M., Naeimzadeh, Y., & Fallahi, J. (2023) · International Journal of Bioinformatics and Intelligent Computing · doi:10.61797/ijbic.v2i2.234 · Cited by 1
Epigenome editing in cancer: Advances and challenges for potential therapeutic options
Lee, S.-W., Frankston, C. M., & Kim, J. (2023) · International review of cytology · doi:10.1016/bs.ircmb.2023.10.001 · Cited by 1
Epigenetics of Alzheimer’s Disease: Past, Present and Future
Adiga, D., Eswaran, S., Sriharikrishnaa, S., Khan, N. G., Kabekkodu, S. P., & Kumar, D. (2023) · BENTHAM SCIENCE PUBLISHERS eBooks · doi:10.2174/9789815136142123010005 · Cited by 1
Effect of Vitamin C on Cancer Process
HEMDAN, O. A. M., Girgin, G., & Baydar, T. (2024) · Hacettepe University Journal of the Faculty of Pharmacy · doi:10.52794/hujpharm.1484625 · Cited by 1
Hang, S., Cui, B., Wei, A., Li, Z., & Sun, H. (2024) · Folia Biologica · doi:10.14712/fb2024070020113 · Cited by 1
Selvaraji, S., Mosberger, J., Fann, D. Y., Lai, M. K. P., Chen, C., & Arumugam, T. V. (2025) · Aging and Disease · doi:10.14336/ad.2025.0010 · Cited by 1
“On the other hand, active DNA demethylation occurs in both dividing and non-dividing cells where it involves catalytic activity to remove methylated cytosine [83].”
InfluentialAdvances and insights in cancer metabolism and epigenetic reprogramming
Zeng, Y., Wang, P., & Ye, D. (2025) · Chinese Science Bulletin (Chinese Version) · doi:10.1360/tb-2024-1379 · Cited by 1
Burdennyy, A. M., Loginov, V. I., Fridman, M. V., Кушлинский, Н. Е., & Braga, E. A. (2025) · Molecular Biology · doi:10.1134/s0026893325700049 · Cited by 1
Bhass, S., & Banerjee, M. (2025) · Epigenomics · doi:10.1080/17501911.2025.2567232 · Cited by 1
Grdović, N., Tolić, A., Jovanović, M., Rajić, J., Đorđević, M., Stojanović, M., Hadžić, S., Marković, T., Sarić, A., Dinić, S., et al. (2025) · Frontiers in Cell and Developmental Biology · doi:10.3389/fcell.2025.1677261 · Cited by 1
“Decreased expression of TET proteins and lower 5hmC levels are hallmarks of many cancer types, including lung cancer (Rasmussen and Helin, 2016; Yang et al., 2013).”
A tunable, ultrasensitive threshold in enzymatic activity governs the DNA methylation landscape
Bonsu, K., Laszik, N., Trinh, A., Downing, T. L., & Read, E. L. (2026) · Biophysical Journal · doi:10.1016/j.bpj.2026.03.013 · Cited by 1
The TET2 Expression Level Correlates with a Short Relapse Time in Glioblastoma Multiforme
Briand, J., Nadaradjane, A., Vallette, F. M., & Cartron, P. (2018) · Journal of Clinical Epigenetics · doi:10.21767/2472-1158.100097 · Cited by 1
Cellular Control of Endogenous Retroviruses and Retroelements
Sandmeyer, S. B. (2018) · Elsevier eBooks · doi:10.1016/b978-0-12-811185-7.00013-3 · Cited by 1
Vitamin C: An Epigenetic Regulator
Pehlivan, F. E. (2019) · IntechOpen eBooks · doi:10.5772/intechopen.82563 · Cited by 1
The epigenomic impact of methylation in metabolic dysfunction and cancer
Zahnow, C. A. (2019) · Elsevier eBooks · doi:10.1016/b978-0-12-816843-1.00005-9 · Cited by 1
Epigenetic Mechanisms in Developmental and Seasonal Programs
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Nawrotek, K., Rudnicka, K., Gatkowska, J. M., Michlewska, S., Pearson, B. L., Płociński, P., & Wieczorek, M. (2021) · Journal of Tissue Engineering and Regenerative Medicine · doi:10.1002/term.3185 · Cited by 1
“Tet1, Tet2, and Tet3 have been found to iteratively oxidize 5‐methylcytosine (5mC) to 5‐hydroxymethylcytosine (5hmC), 5‐formylcytosine (5fC), and 5‐carboxycytosine (5caC), respectively, allowing cell‐cycle‐independent removal of DNA methylation (Rasmussen & Helin, 2016).”
BackgroundTyagunova, E. E., Захаров, А. С., Иванович, Г. А., Доброхотова, В. З., Shlapakov, T. I., Козлов, В. В., Korotkova, N. V., & Tyagunova, T. E. (2022) · Head and neck tumors (HNT) · doi:10.17650/2222-1468-2022-12-3-102-113 · Cited by 1
Refaai, R., Ragab, D., Guirgis, A. A., & Khalil, H. (2023) · doi:10.54646/bjcr.2023.10 · Cited by 1
Epigenetics, the Vascular Wall, and Atherosclerosis
Lund, G., & Zaina, S. (2018) · Elsevier eBooks · doi:10.1016/b978-0-12-801238-3.65409-0 · Cited by 1
Yonamine, C. Y. (2018) · Digital Library of Theses and Dissertations (Universidade de São Paulo) · doi:10.11606/t.42.2018.tde-21022018-172243 · Cited by 1
Gervásio, V. S. O. D. S. (2018) · doi:10.14393/ufu.di.2018.573 · Cited by 1
TET3 IMPACTS CARDIAC FIBROSIS PARTIALLY VIA REGULATION OF DNA DAMAGE RESPONSE
Rath, S. K. (2020) · eDiss (Georg-August-Universität Göttingen) · doi:10.53846/goediss-7851 · Cited by 1
Epigenetic Regulation of Gene Expression
Murison, K., & Michod, D. (2020) · Wiley eBooks · doi:10.1002/9780470015902.a0028374 · Cited by 1
Agents Which Act Directly on DNA
Todd, A., Groundwater, P. W., & Gill, J. H. (2017) · Wiley eBooks · doi:10.1002/9781118696194.ch2.1 · Cited by 1
Jing, C., Prutsch, N., He, S., Zimmerman, M. W., Landesman, Y., & Look, A. T. (2022) · bioRxiv (Cold Spring Harbor Laboratory) · doi:10.1101/2022.10.12.511957 · Cited by 1
Bruno, S., & Vecchio, D. D. (2023) · bioRxiv (Cold Spring Harbor Laboratory) · doi:10.1101/2023.03.01.530689 · Cited by 1
“…H3K9me3 [25, 37–39], TET enzyme recognizes CpGme dinucleotides and converts methylated CpG to carbolxylcytosine through multiple intermediate forms [40, 41], none of which is recognized by DNMT1, the enzyme responsible for copying the CpGme pattern on the nascent DNA strand during DNA replication…”
BackgroundZhang, X., Li, S., He, J., Jin, Y., Zhang, R., Dong, W., Lin, M., Yang, Y., Tian, T., Zhou, Y., et al. (2023) · doi:10.1158/0008-5472.c.6513850.v1 · Cited by 1
Mutant IDH uncouples p53 from target gene regulation to disable tumor suppressionPreprint
Martin, C. P., Sullivan, W. B., Brinkman, J. A., Scoville, D. M., Yashinskie, J. J., Tian, S., Mezzadra, R., Ho, Y.-J., Koche, R. P., Baslan, T., et al. (2024) · bioRxiv (Cold Spring Harbor Laboratory) · doi:10.1101/2024.09.30.615916 · Cited by 1
Wang, Y., & Sen, G. L. (2016) · Cell stem cell · doi:10.1016/j.stem.2016.09.003 · Cited by 1
“5-mc can be oxidized to 5-hmc through the Ten-eleven translocation (TET 1–3) family of enzymes (Rasmussen and Helin, 2016) and is thought to be an intermediate base during 5-mc demethyation that may have roles in regulating gene expression.”
Background
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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