Evidence map›Paper›PMID 30702441›Full record

ArticleThe Journal of clinical investigation2019

Ascorbic acid-induced TET activation mitigates adverse hydroxymethylcytosine loss in renal cell carcinoma.

Niraj Shenoy, Tushar D Bhagat, John Cheville, Christine Lohse, Sanchari Bhattacharyya, Alexander Tischer, Venkata Machha, Shanisha Gordon-Mitchell, Gaurav Choudhary, Li-Fan Wong and 18 more

Open access · hybridAbstract read
In one paragraph

Article in The Journal of clinical investigation, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 53 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
53citing papers in PubMed, 1 pooled it
11.8field-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

53 citing papers in PubMed, 1 synthesis or guideline pooled it, 110 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Hypoxia-inducible factors drive miRNA-mediated downregulation ofbioRxiv : the preprint server for biology · 2025
    Article
  4. Impact of Epigenetic Mutations in Chronic Myelomonocytic Leukemia.Current hematologic malignancy reports · 2025
    Review
  5. Review
  6. Article
  7. Review
  8. Epigenetics-targeted drugs: current paradigms and future challenges.Signal transduction and targeted therapy · 2024
    Review
  9. Article
  10. Article
  11. Article
  12. Review
  13. Development of Novel Epigenetic Anti-Cancer Therapy Targeting TET Proteins.International journal of molecular sciences · 2023
    Article
  14. Article
  15. Review
  16. Article
  17. Review
  18. Article
  19. High-Dose Vitamin C for Cancer Therapy.Pharmaceuticals (Basel, Switzerland) · 2022
    Review
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

28 authors at 5 institutions in 1 country.

Niraj ShenoyAlbert Einstein College of Medicine, Montefiore Medical Center, New York, New York, USA.
Tushar D BhagatAlbert Einstein College of Medicine, Montefiore Medical Center, New York, New York, USA.
John ChevilleMayo Clinic, Rochester, Minnesota, USA.
Christine LohseMayo Clinic, Rochester, Minnesota, USA.
Sanchari BhattacharyyaAlbert Einstein College of Medicine, Montefiore Medical Center, New York, New York, USA.
Alexander TischerMayo Clinic, Rochester, Minnesota, USA.
Venkata MachhaMayo Clinic, Rochester, Minnesota, USA.
Shanisha Gordon-MitchellAlbert Einstein College of Medicine, Montefiore Medical Center, New York, New York, USA.
Gaurav ChoudharyAlbert Einstein College of Medicine, Montefiore Medical Center, New York, New York, USA.
Li-Fan WongAlbert Einstein College of Medicine, Montefiore Medical Center, New York, New York, USA.
LouAnn GrossMayo Clinic, Rochester, Minnesota, USA.
Emily RessigueAlbert Einstein College of Medicine, Montefiore Medical Center, New York, New York, USA.
Bradley LeibovichMayo Clinic, Rochester, Minnesota, USA.
Stephen A BoorjianMayo Clinic, Rochester, Minnesota, USA.
Ulrich SteidlAlbert Einstein College of Medicine, Montefiore Medical Center, New York, New York, USA.
Xiaosheng WuMayo Clinic, Rochester, Minnesota, USA.
Kith PradhanAlbert Einstein College of Medicine, Montefiore Medical Center, New York, New York, USA.
Benjamin GartrellAlbert Einstein College of Medicine, Montefiore Medical Center, New York, New York, USA.
Beamon AgarwalGenomeRxUs LLC, Secane, Pennsylvania, USA.
Lance PagliaroMayo Clinic, Rochester, Minnesota, USA.
Masako SuzukiAlbert Einstein College of Medicine, Montefiore Medical Center, New York, New York, USA.
John M GreallyAlbert Einstein College of Medicine, Montefiore Medical Center, New York, New York, USA.
Dinesh RakhejaUniversity of Texas Southwestern Medical School, Dallas, Texas, USA.
R Houston ThompsonMayo Clinic, Rochester, Minnesota, USA.
Katalin SusztakUniversity of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania, USA.
Thomas WitzigMayo Clinic, Rochester, Minnesota, USA.
Yiyu ZouAlbert Einstein College of Medicine, Montefiore Medical Center, New York, New York, USA.
Amit VermaAlbert Einstein College of Medicine, Montefiore Medical Center, New York, New York, USA.
Albert Einstein College of Medicine · USMayo Clinic · USCaerus Molecular Diagnostics (United States) · USCalifornia University of Pennsylvania · USThe University of Texas Southwestern Medical Center · US

Funding

Role of the Notch Pathway in Kidney InjuryR01DK076077 · NIDDK · UNIVERSITY OF PENNSYLVANIA · PI KATALIN SUSZTAK · 2007 to 2026
$8.0M
Epigenetics of Chronic Kidney DiseaseR01DK087635 · NIDDK · UNIVERSITY OF PENNSYLVANIA · PI KATALIN SUSZTAK · 2009 to 2026
$7.0M
Epigenetic drivers and biomarkers of diabetic kidney diseaseDP3DK108220 · NIDDK · UNIVERSITY OF PENNSYLVANIA · PI SUSZTAK, KATALIN · 2015 to 2015
$2.4M
NIDDK NIH HHS DP3 DK108220NIDDK NIH HHS R01 DK076077NIDDK NIH HHS R01 DK087635
6 · The paper itself

Abstract

Although clear cell renal cell carcinoma (ccRCC) has been shown to result in widespread aberrant cytosine methylation and loss of 5-hydroxymethylcytosine (5hmC), the prognostic impact and therapeutic targeting of this epigenetic aberrancy has not been fully explored. Analysis of 576 primary ccRCC samples demonstrated that loss of 5hmC was strongly associated with aggressive clinicopathologic features and was an independent adverse prognostic factor. Loss of 5hmC also predicted reduced progression-free survival after resection of nonmetastatic disease. The loss of 5hmC in ccRCC was not due to mutational or transcriptional inactivation of ten eleven translocation (TET) enzymes, but to their functional inactivation by l-2-hydroxyglutarate (L2HG), which was overexpressed due to the deletion and underexpression of L2HG dehydrogenase (L2HGDH). Ascorbic acid (AA) reduced methylation and restored genome-wide 5hmC levels via TET activation. Fluorescence quenching of the recombinant TET-2 protein was unaffected by L2HG in the presence of AA. Pharmacologic AA treatment led to reduced growth of ccRCC in vitro and reduced tumor growth in vivo, with increased intratumoral 5hmC. These data demonstrate that reduced 5hmC is associated with reduced survival in ccRCC and provide a preclinical rationale for exploring the therapeutic potential of high-dose AA in ccRCC.

Indexed as

5-MethylcytosineAdultAlcohol OxidoreductasesAnimalsAscorbic AcidCarcinoma, Renal CellCell Line, TumorFemaleGene DeletionGene Expression Regulation, EnzymologicGene Expression Regulation, NeoplasticHumansKidney NeoplasmsMaleMice5-hydroxymethylcytosine5-MethylcytosineAlcohol OxidoreductasesAscorbic AcidL2HGDH protein, humanCancerOncology

Identifiers

PMID30702441
PMCPMC6436862
OpenAlexW2913397029

What OpenQuestion holds

Textmetadata
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.