Evidence map›Paper›PMID 19951990›Full record

ArticleCancer research2009

High DNA methyltransferase 3B expression mediates 5-aza-deoxycytidine hypersensitivity in testicular germ cell tumors.

Maroun J Beyrouthy, Kristen M Garner, Mary P Hever, Sarah J Freemantle, Alan Eastman, Ethan Dmitrovsky, Michael J Spinella

Open access · bronzeAbstract read
In one paragraph

Article in Cancer research, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 64 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
64citing papers in PubMed, 1 pooled it
2.8field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

64 citing papers in PubMed, 1 synthesis or guideline pooled it, 100 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. RASSF1A and its epigenetic dysregulation in genitourinary cancer: a current update.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
    Review
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  6. Article
  7. Review
  8. Article
  9. Article
  10. Review
  11. Epigenetic Regulation of Driver Genes in Testicular Tumorigenesis.International journal of molecular sciences · 2023
    Review
  12. Review
  13. Article
  14. Article
  15. Article
  16. Review
  17. Article
  18. Article
  19. Article
  20. Review

4 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

Maroun J BeyrouthyDepartment of Pharmacology, Dartmouth Medical School, Hanover, New Hamsphire 03755, USA.
Kristen M Garner
Mary P Hever
Sarah J Freemantle
Alan Eastman
Ethan Dmitrovsky
Michael J Spinella
Dartmouth College · US

Funding

Translational Engineering in Cancer (TEC)P30CA023108 · NCI · DARTMOUTH COLLEGE · PI Steven D Leach · 1985 to 2026
$91.3M
RETINOID CANCER PREVENTION MECHANISMSR01CA087546 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI DMITROVSKY, ETHAN · 2000 to 2015
$4.1M
Cyclin D as a Retinoid Molecular TargetR01CA111422 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI DMITROVSKY, ETHAN · 2005 to 2014
$2.7M
Retinoid Tumor Differentiation MechanismsR01CA104312 · NCI · DARTMOUTH COLLEGE · PI SPINELLA, MICHAEL J · 2004 to 2008
$1.3M
Epigenetic reprogramming of malignant stem cells of the testesR21CA124817 · NCI · DARTMOUTH COLLEGE · PI SPINELLA, MICHAEL J · 2007 to 2008
$352k
NCI NIH HHS P30 CA023108NCI NIH HHS R01 CA087546NCI NIH HHS R01-CA087546NCI NIH HHS R01 CA104312NCI NIH HHS R01-CA104312NCI NIH HHS R01 CA111422NCI NIH HHS R01-CA111422NCI NIH HHS R21 CA124817NCI NIH HHS R21 R21CA124817
6 · The paper itself

Abstract

Testicular germ cell tumors (TGCT) are the most common solid tumors of 15- to 35-year-old men. TGCT patients are frequently cured with cytotoxic cisplatin-based therapy. However, TGCT patients refractory to cisplatin-based chemotherapy have a poor prognosis, as do those having a late relapse. Pluripotent embryonal carcinomas (EC) are the malignant counterparts to embryonic stem cells and are considered the stem cells of TGCTs. Here, we show that human EC cells are highly sensitive to 5-aza-deoxycytidine (5-aza-CdR) compared with somatic solid tumor cells. Decreased proliferation and survival with low nanomolar concentrations of 5-aza-CdR is associated with ATM activation, H2AX phosphorylation, increased expression of p21, and the induction of genes known to be methylated in TGCTs (MGMT, RASSF1A, and HOXA9). Notably, 5-aza-CdR hypersensitivity is associated with markedly abundant expression of the pluripotency-associated DNA methyltransferase 3B (DNMT3B) compared with somatic tumor cells. Knockdown of DNMT3B in EC cells results in substantial resistance to 5-aza-CdR, strongly indicating that 5-aza-CdR sensitivity is mechanistically linked to high levels of DNMT3B. Intriguingly, cisplatin-resistant EC cells retain an exquisite sensitivity to low-dose 5-aza-CdR treatment, and pretreatment of 5-aza-CdR resensitizes these cells to cisplatin-mediated toxicity. This resensitization is also partially dependent on high DNMT3B levels. These novel findings indicate that high expression of DNMT3B, a likely byproduct of their pluripotency and germ cell origin, sensitizes TGCT-derived EC cells to low-dose 5-aza-CdR treatment.

Indexed as

Ataxia Telangiectasia Mutated ProteinsAzacitidineCell Cycle ProteinsCell Line, TumorCisplatinDecitabineDNA-Binding ProteinsDNA (Cytosine-5-)-MethyltransferasesDNA MethylationDNA Methyltransferase 3BDose-Response Relationship, DrugGenes, Tumor SuppressorHistonesHumansMaleNeoplasms, Germ Cell and EmbryonalAtaxia Telangiectasia Mutated ProteinsATM protein, humanAzacitidineCell Cycle ProteinsCisplatinDecitabineDNA-Binding ProteinsDNA (Cytosine-5-)-MethyltransferasesDNA Methyltransferase 3BH2AX protein, humanHistonesProtein Serine-Threonine KinasesRNA, Small InterferingTumor Suppressor Proteins

Identifiers

PMID19951990
PMCPMC2795063
OpenAlexW2112797367

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.