Evidence map›Paper›PMID 22439938›Full record

ArticleCancer cell2012

Transient low doses of DNA-demethylating agents exert durable antitumor effects on hematological and epithelial tumor cells.

Hsing-Chen Tsai, Huili Li, Leander Van Neste, Yi Cai, Carine Robert, Feyruz V Rassool, James J Shin, Kirsten M Harbom, Robert Beaty, Emmanouil Pappou and 16 more

Open access · bronzeAbstract read
In one paragraph

Article in Cancer cell, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 381 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
381citing papers in PubMed, 2 pooled it
26.3field-weighted citation impact, top 1% 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

381 citing papers in PubMed, 2 syntheses or guidelines pooled it, 639 citations in OpenAlex.

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  16. Structure-guided design of 7-azaindole DNMT1 inhibitors active against hypomethylating agent-resistant acute myeloid leukemia.Proceedings of the National Academy of Sciences of the United States of America · 2026
    Article
  17. Review
  18. Discovery of a Novel DNMT1 Inhibitor with Improved Efficacy in Treating β-Thalassemia.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2026
    Article
  19. Article
  20. Review

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

26 authors at 9 institutions in 2 countries.

Hsing-Chen TsaiThe Graduate Program in Cellular and Molecular Medicine, Johns Hopkins University School of Medicine, Baltimore, MD 21231, USA.
Huili Li
Leander Van Neste
Yi Cai
Carine Robert
Feyruz V Rassool
James J Shin
Kirsten M Harbom
Robert Beaty
Emmanouil Pappou
James Harris
Ray-Whay Chiu Yen
Nita Ahuja
Malcolm V Brock
Vered Stearns
David Feller-Kopman
Lonny B Yarmus
Yi-Chun Lin
Alana L Welm
Jean-Pierre Issa
Il Minn
William Matsui
Yoon-Young Jang
Saul J Sharkis
Stephen B Baylin
Cynthia A Zahnow
Sidney Kimmel Comprehensive Cancer Center · USJohns Hopkins Medicine · USJohns Hopkins University · USJohns Hopkins Hospital · USUniversity of Maryland, Baltimore · USAblynx (Belgium) · BEHuntsman Cancer Institute · USThe University of Texas MD Anderson Cancer Center · USUniversity of Utah · US

Funding

TARGETING EARLY CHANGES FOR NEW SCREENING STRATEGIESP50CA058184 · NCI · JOHNS HOPKINS UNIVERSITY · PI BISWAL, SHYAM · 1992 to 2013
$30.5M
METHYLATION OF THE CALCITONIN GENE IN HUMAN TUMORSR01CA043318 · NCI · JOHNS HOPKINS UNIVERSITY · PI BAYLIN, STEPHEN B. · 1986 to 2013
$6.0M
Cellular diversity and clinical relevance of stem cells in pancreatic cancerR01CA150142 · NCI · JOHNS HOPKINS UNIVERSITY · PI MATSUI, WILLIAM H · 2011 to 2015
$1.7M
Developmental pathways, cancer, and DNA hypermethylationR01CA116160 · NCI · JOHNS HOPKINS UNIVERSITY · PI BAYLIN, STEPHEN B. · 2005 to 2009
$1.6M
NCI NIH HHS CA058184NCI NIH HHS CA 116160NCI NIH HHS R01 CA043318NCI NIH HHS R01 CA116160NCI NIH HHS R01 CA150142
6 · The paper itself

Abstract

Reversal of promoter DNA hypermethylation and associated gene silencing is an attractive cancer therapy approach. The DNA methylation inhibitors decitabine and azacitidine are efficacious for hematological neoplasms at lower, less toxic, doses. Experimentally, high doses induce rapid DNA damage and cytotoxicity, which do not explain the prolonged time to response observed in patients. We show that transient exposure of cultured and primary leukemic and epithelial tumor cells to clinically relevant nanomolar doses, without causing immediate cytotoxicity, produce an antitumor "memory" response, including inhibition of subpopulations of cancer stem-like cells. These effects are accompanied by sustained decreases in genomewide promoter DNA methylation, gene reexpression, and antitumor changes in key cellular regulatory pathways. Low-dose decitabine and azacitidine may have broad applicability for cancer management.

Indexed as

AnimalsAntimetabolites, AntineoplasticApoptosisAzacitidineBone Marrow CellsBreast NeoplasmsCell CycleCell Line, TumorCell Transformation, NeoplasticDecitabineDNA DamageDNA MethylationDNA Modification MethylasesGene SilencingHumansLeukemiaAntimetabolites, AntineoplasticAzacitidineDecitabineDNA Modification Methylases

Identifiers

PMID22439938
PMCPMC3312044
OpenAlexW2147516356

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.