Evidence map›Paper›PMID 32718321›Full record

ArticleGenome biology2020

DNA methylation repels binding of hypoxia-inducible transcription factors to maintain tumor immunotolerance.

Flora D'Anna, Laurien Van Dyck, Jieyi Xiong, Hui Zhao, Rebecca V Berrens, Junbin Qian, Pawel Bieniasz-Krzywiec, Vikas Chandra, Luc Schoonjans, Jason Matthews and 15 more

Open access · goldAbstract read
In one paragraph

Article in Genome biology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed
3.8field-weighted citation impact, top 5% 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

45 citing papers in PubMed, 71 citations in OpenAlex.

  1. Article
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  5. Hypoxic adaptation theory of cancer.Frontiers in cell and developmental biology · 2026
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  13. HIF-1 and HIF-2 in cancer: structure, regulation, and therapeutic prospects.Cellular and molecular life sciences : CMLS · 2025
    Review
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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

25 authors at 8 institutions in 6 countries.

Flora D'AnnaCenter for Cancer Biology, VIB, 3000, Leuven, Belgium.
Laurien Van DyckCenter for Cancer Biology, VIB, 3000, Leuven, Belgium.
Jieyi XiongCenter for Cancer Biology, VIB, 3000, Leuven, Belgium.
Hui ZhaoCenter for Cancer Biology, VIB, 3000, Leuven, Belgium.
Rebecca V BerrensEpigenetics Programme, Babraham Institute, Cambridge, CB22 3AT, UK.
Junbin QianCenter for Cancer Biology, VIB, 3000, Leuven, Belgium.
Pawel Bieniasz-KrzywiecCenter for Cancer Biology, VIB, 3000, Leuven, Belgium.
Vikas ChandraTarget Discovery Institute, Nuffield Department of Medicine, University of Oxford, Oxford, UK.
Luc SchoonjansCenter for Cancer Biology, VIB, 3000, Leuven, Belgium.
Jason MatthewsInstitute of Basic Medical Sciences, University of Oslo, 0372, Oslo, Norway.
Julie De SmedtLaboratory of Dermatology, Department of Oncology, KU Leuven, 3000, Leuven, Belgium.
Liesbeth MinnoyeCenter for Cancer Biology, VIB, 3000, Leuven, Belgium.
Ricardo AmorimCenter for Cancer Biology, VIB, 3000, Leuven, Belgium.
Sepideh KhorasanizadehTarget Discovery Institute, Nuffield Department of Medicine, University of Oxford, Oxford, UK.
Qian YuLaboratory for Functional Epigenetics, Department of Human Genetics, KU Leuven, 3000, Leuven, Belgium.
Liyun ZhaoLaboratory for Functional Epigenetics, Department of Human Genetics, KU Leuven, 3000, Leuven, Belgium.
Marie De BorreLaboratory for Functional Epigenetics, Department of Human Genetics, KU Leuven, 3000, Leuven, Belgium.
Savvas N SavvidesUnit for Structural Biology, Department of Biochemistry and Microbiology, Ghent University, 9052, Ghent, Belgium.
M Celeste SimonAbramson Family Cancer Research Institute, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, 19104, USA.
Peter CarmelietCenter for Cancer Biology, VIB, 3000, Leuven, Belgium.
Wolf ReikEpigenetics Programme, Babraham Institute, Cambridge, CB22 3AT, UK.
Fraydoon RastinejadTarget Discovery Institute, Nuffield Department of Medicine, University of Oxford, Oxford, UK.
Massimiliano MazzoneCenter for Cancer Biology, VIB, 3000, Leuven, Belgium.
Bernard ThienpontCenter for Cancer Biology, VIB, 3000, Leuven, Belgium. bernard.thienpont@kuleuven.be.ORCID 0000-0002-8772-6845
Diether LambrechtsCenter for Cancer Biology, VIB, 3000, Leuven, Belgium. diether.lambrechts@vib-kuleuven.be.
VIB-KU Leuven Center for Cancer Biology · BEKU Leuven · BEUniversity of Oxford · GBBabraham Institute · GBSun Yat-sen University · CNCancer Research Institute · USGhent University · BEUniversity of Oslo · NO

Funding

Wellcome Trust 210664/Z/18/Z
6 · The paper itself

Abstract

backgroundHypoxia is pervasive in cancer and other diseases. Cells sense and adapt to hypoxia by activating hypoxia-inducible transcription factors (HIFs), but it is still an outstanding question why cell types differ in their transcriptional response to hypoxia.

resultsWe report that HIFs fail to bind CpG dinucleotides that are methylated in their consensus binding sequence, both in in vitro biochemical binding assays and in vivo studies of differentially methylated isogenic cell lines. Based on in silico structural modeling, we show that 5-methylcytosine indeed causes steric hindrance in the HIF binding pocket. A model wherein cell-type-specific methylation landscapes, as laid down by the differential expression and binding of other transcription factors under normoxia, control cell-type-specific hypoxia responses is observed. We also discover ectopic HIF binding sites in repeat regions which are normally methylated. Genetic and pharmacological DNA demethylation, but also cancer-associated DNA hypomethylation, expose these binding sites, inducing HIF-dependent expression of cryptic transcripts. In line with such cryptic transcripts being more prone to cause double-stranded RNA and viral mimicry, we observe low DNA methylation and high cryptic transcript expression in tumors with high immune checkpoint expression, but not in tumors with low immune checkpoint expression, where they would compromise tumor immunotolerance. In a low-immunogenic tumor model, DNA demethylation upregulates cryptic transcript expression in a HIF-dependent manner, causing immune activation and reducing tumor growth.

conclusionsOur data elucidate the mechanism underlying cell-type-specific responses to hypoxia and suggest DNA methylation and hypoxia to underlie tumor immunotolerance.

Indexed as

DNA MethylationTumor EscapeA549 CellsBasic Helix-Loop-Helix ProteinsEndothelial PAS Domain-Containing Protein 1HumansHypoxiaHypoxia-Inducible Factor 1Immune ToleranceMCF-7 CellsBasic Helix-Loop-Helix ProteinsEndothelial PAS Domain-Containing Protein 1Hypoxia-Inducible Factor 1CancerCryptic transcriptsDNA methylationHIFHypoxiaImmunotherapyTranscription factor binding

Identifiers

PMID32718321
PMCPMC7384226
OpenAlexW3046017795

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Registered trials

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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.