Evidence map›Paper›PMID 36737440›Full record

ArticleNature communications2023

Myelodysplastic Syndrome associated TET2 mutations affect NK cell function and genome methylation.

Maxime Boy, Valeria Bisio, Lin-Pierre Zhao, Fabien Guidez, Bérénice Schell, Emilie Lereclus, Guylaine Henry, Juliette Villemonteix, Fernando Rodrigues-Lima, Katia Gagne and 14 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Nature communications, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02985190 (A Phase II Study of Efficacy and Tolerance of Azacitidine), which is not on this map. Cited by 32 papers.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed
10.5field-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.

NCT02985190 phase2completednot on this map

A Phase II Study of Efficacy and Tolerance of Azacitidine (AZA) In MDS-associated Steroid Dependent/Refractory Systemic Auto-immune and Inflammatory Disorders (SAID)

TypeinterventionalSponsorGroupe Francophone des MyelodysplasiesRan2017 to 2022Enrolled30ConditionsMDS, Systemic Autoimmune DiseasesArmsAzacitidine
3 · Its place in the literature

Who cites it

32 citing papers in PubMed, 36 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. High frequency of CD95British journal of haematology · 2026
    Article
  5. Article
  6. Review
  7. Review
  8. Review
  9. Article
  10. Epigenetic alterations in Myeloid Malignancies.Advances in experimental medicine and biology · 2026
    Review
  11. Review
  12. Article
  13. Review
  14. Review
  15. Article
  16. Review
  17. Review
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  19. Article
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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

24 authors at 6 institutions in 2 countries.

Maxime Boy *Université Paris Cité, Institut de Recherche Saint Louis, EMiLy, INSERM UMR_S1160, F-75010, Paris, France.
Valeria Bisio *Université Paris Cité, Institut de Recherche Saint Louis, EMiLy, INSERM UMR_S1160, F-75010, Paris, France.
Lin-Pierre ZhaoUniversité Paris Cité, Institut de Recherche Saint Louis, EMiLy, INSERM UMR_S1160, F-75010, Paris, France.ORCID 0000-0001-5035-4470
Fabien GuidezInstitut Carnot OPALE, Institut de Recherche Saint-Louis, Hôpital Saint-Louis, F-75010, Paris, France.
Bérénice SchellUniversité Paris Cité, Institut de Recherche Saint Louis, EMiLy, INSERM UMR_S1160, F-75010, Paris, France.ORCID 0000-0002-1641-3366
Emilie LereclusUniversité Paris Cité, Institut de Recherche Saint Louis, EMiLy, INSERM UMR_S1160, F-75010, Paris, France.
Guylaine HenryLaboratoire d'Immunologie et d'Histocompatibilité, Assistance Publique des Hôpitaux de Paris (AP-HP), Hôpital Saint-Louis, F-75010, Paris, France.
Juliette VillemonteixLaboratoire d'Immunologie et d'Histocompatibilité, Assistance Publique des Hôpitaux de Paris (AP-HP), Hôpital Saint-Louis, F-75010, Paris, France.ORCID 0000-0002-6601-7820
Fernando Rodrigues-LimaUniversite Paris Cité, Sorbonne Paris Cite, Unité BFA, CNRS UMR 8251, 75013, Paris, France.
Katia GagneEtablissement Français du Sang, Centre Pays de la Loire, F-44011, Nantes, France.
Christelle RetiereEtablissement Français du Sang, Centre Pays de la Loire, F-44011, Nantes, France.
Lise LarcherInstitut Carnot OPALE, Institut de Recherche Saint-Louis, Hôpital Saint-Louis, F-75010, Paris, France.
Rathana KimInstitut Carnot OPALE, Institut de Recherche Saint-Louis, Hôpital Saint-Louis, F-75010, Paris, France.ORCID 0000-0002-9987-7237
Emmanuelle ClappierInstitut Carnot OPALE, Institut de Recherche Saint-Louis, Hôpital Saint-Louis, F-75010, Paris, France.
Marie SebertInstitut Carnot OPALE, Institut de Recherche Saint-Louis, Hôpital Saint-Louis, F-75010, Paris, France.
Arsène MekinianService de Medecine Interne, Hôpital Saint-Antoine, AP-HP, F-75012, Paris, France.
Olivier FainService de Medecine Interne, Hôpital Saint-Antoine, AP-HP, F-75012, Paris, France.
Anne CaignardUniversité Paris Cité, Institut de Recherche Saint Louis, EMiLy, INSERM UMR_S1160, F-75010, Paris, France.
Marion EspeliUniversité Paris Cité, Institut de Recherche Saint Louis, EMiLy, INSERM UMR_S1160, F-75010, Paris, France.ORCID 0000-0001-5005-1664
Karl BalabanianUniversité Paris Cité, Institut de Recherche Saint Louis, EMiLy, INSERM UMR_S1160, F-75010, Paris, France.ORCID 0000-0002-0534-3198
Antoine ToubertUniversité Paris Cité, Institut de Recherche Saint Louis, EMiLy, INSERM UMR_S1160, F-75010, Paris, France.ORCID 0000-0002-7308-7317
Pierre FenauxInstitut Carnot OPALE, Institut de Recherche Saint-Louis, Hôpital Saint-Louis, F-75010, Paris, France.
Lionel AdesInstitut Carnot OPALE, Institut de Recherche Saint-Louis, Hôpital Saint-Louis, F-75010, Paris, France.ORCID 0000-0002-9020-8766
Nicolas DulphyUniversité Paris Cité, Institut de Recherche Saint Louis, EMiLy, INSERM UMR_S1160, F-75010, Paris, France. nicolas.dulphy@u-paris.fr.ORCID 0000-0002-1243-6456
Centre National de la Recherche Scientifique · FRInserm · FRUniversité Paris Cité · FRAssistance Publique – Hôpitaux de Paris · FRSorbonne Université · FRDélégation Paris 5 · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Myelodysplastic syndromes (MDS) are clonal hematopoietic disorders, representing high risk of progression to acute myeloid leukaemia, and frequently associated to somatic mutations, notably in the epigenetic regulator TET2. Natural Killer (NK) cells play a role in the anti-leukemic immune response via their cytolytic activity. Here we show that patients with MDS clones harbouring mutations in the TET2 gene are characterised by phenotypic defects in their circulating NK cells. Remarkably, NK cells and MDS clones from the same patient share the TET2 genotype, and the NK cells are characterised by increased methylation of genomic DNA and reduced expression of Killer Immunoglobulin-like receptors (KIR), perforin, and TNF-α. In vitro inhibition of TET2 in NK cells of healthy donors reduces their cytotoxicity, supporting its critical role in NK cell function. Conversely, NK cells from patients treated with azacytidine (#NCT02985190; https://clinicaltrials.gov/ ) show increased KIR and cytolytic protein expression, and IFN-γ production. Altogether, our findings show that, in addition to their oncogenic consequences in the myeloid cell subsets, TET2 mutations contribute to repressing NK-cell function in MDS patients.

Indexed as

DioxygenasesMyelodysplastic SyndromesAzacitidineDNA-Binding ProteinsHumansKiller Cells, NaturalMethylationMutationReceptors, KIRAzacitidineDioxygenasesDNA-Binding ProteinsReceptors, KIRTET2 protein, human

Identifiers

PMID36737440
PMCPMC9898569
OpenAlexW4319080696

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Registered trials

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.