Evidence map›Paper›PMID 40270205›Full record

ArticleHaematologica2025

S-adenosylmethionine addiction confers sensitivity to methionine restriction in

Trisha Tee, Titine J J Ruiter, Shuiyan Wu, Weiya Zhang, Dorette van Ingen Schenau, Maria Rodionova, Danique Wajon, Britt M T Vervoort, Kari J T Grunewald, Marjolein Bosma and 7 more

Abstract read
In one paragraph

Article in Haematologica, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
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

6 citing papers in PubMed.

  1. Review
  2. 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

17 authors.

Trisha TeePrincess Maxima Center for Pediatric Oncology, Utrecht.
Titine J J RuiterDepartment of Genetics, Metabolic Diagnostics, UMC Utrecht, Utrecht.
Shuiyan WuDepartment of Hematology and Oncology, Children's Hospital of Soochow University, Suzhou.
Weiya ZhangPrincess Maxima Center for Pediatric Oncology, Utrecht.
Dorette van Ingen SchenauPrincess Maxima Center for Pediatric Oncology, Utrecht.
Maria RodionovaPrincess Maxima Center for Pediatric Oncology, Utrecht.
Danique WajonPrincess Maxima Center for Pediatric Oncology, Utrecht.
Britt M T VervoortPrincess Maxima Center for Pediatric Oncology, Utrecht.
Kari J T GrunewaldPrincess Maxima Center for Pediatric Oncology, Utrecht.
Marjolein BosmaDepartment of Genetics, Metabolic Diagnostics, UMC Utrecht, Utrecht.
Rico HagelaarPrincess Maxima Center for Pediatric Oncology, Utrecht, the Netherlands; Oncode Institute, Utrecht.
John Baker-HernandezPrincess Maxima Center for Pediatric Oncology, Utrecht.
Ahmed DahaouiPrincess Maxima Center for Pediatric Oncology, Utrecht.
Pauline SchneiderPrincess Maxima Center for Pediatric Oncology, Utrecht.
Nanda M Verhoeven-DuifDepartment of Genetics, Metabolic Diagnostics, UMC Utrecht, Utrecht.
Laurens T Van der MeerPrincess Maxima Center for Pediatric Oncology, Utrecht.
Frank N Van LeeuwenPrincess Maxima Center for Pediatric Oncology, Utrecht. f.n.vanleeuwen@prinsesmaximacentrum.nl.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Current intensive chemotherapy regimens have improved overall survival in pediatric acute lymphoblastic leukemia (ALL) but fail to cure some high-risk patient subgroups. We observed that lysine methyltransferase 2A-rearranged (KMT2A-r) leukemia, an aggressive subset with a dismal prognosis, is particularly vulnerable to perturbations of the methionine cycle. We demonstrate that this methionine dependency is driven by an increased need for S-adenosylmethionine (SAM) to maintain the hypermethylated state of KMT2A-r leukemias. Important pro-survival KMT2A-r target genes are repressed under methionine restriction, which, combined with other downstream metabolic changes, results in rapid cell death. FIDAS-5, an orally active methionine adenosyltransferase 2A (MAT2A) inhibitor that blocks SAM production, successfully impaired leukemia progression in patient-derived xenograft models, and a drug screen revealed strong synergy between MAT2A inhibition and histone deacetylase inhibitors. Our results identify the methionine cycle as a targetable vulnerability in KMT2A-r leukemia, which may increase the efficacy of epigenetic targeting agents.

Indexed as

Gene RearrangementHistone-Lysine N-MethyltransferaseMethionineMyeloid-Lymphoid Leukemia ProteinPrecursor Cell Lymphoblastic Leukemia-LymphomaS-AdenosylmethionineAnimalsCell Line, TumorDNA MethylationHumansMethionine AdenosyltransferaseMiceXenograft Model Antitumor AssaysHistone-Lysine N-MethyltransferaseKMT2A protein, humanMAT2A protein, humanMethionineMethionine AdenosyltransferaseMyeloid-Lymphoid Leukemia ProteinS-Adenosylmethionine

Identifiers

PMID40270205
PMCPMC12580695

What OpenQuestion holds

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LicenceCC BY-NC
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.