Evidence map›Paper›PMID 40991835›Full record

ArticleBlood2025

CEBPA repression by MECOM blocks differentiation to drive aggressive leukemias.

Travis J Fleming, Mateusz Antoszewski, Sander Lambo, Michael C Gundry, Riccardo Piussi, Lara Wahlster, Sanjana Shah, Fiona E Reed, Kevin D Dong, Joao A Paulo and 14 more

Abstract read
In one paragraph

Article in Blood, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Genetic influences on haematopoiesis.Nature reviews. Genetics · 2026
    Review
  2. Article
  3. Article
  4. Article
  5. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

24 authors.

Travis J FlemingDivision of Hematology/Oncology, Boston Children's Hospital, Harvard Medical School, Boston, MA.
Mateusz AntoszewskiDivision of Hematology/Oncology, Boston Children's Hospital, Harvard Medical School, Boston, MA.
Sander LamboDivision of Hematology/Oncology, Boston Children's Hospital, Harvard Medical School, Boston, MA.
Michael C GundryDivision of Hematology/Oncology, Boston Children's Hospital, Harvard Medical School, Boston, MA.ORCID 0000-0003-3654-1741
Riccardo PiussiDivision of Hematology/Oncology, Boston Children's Hospital, Harvard Medical School, Boston, MA.ORCID 0009-0001-1859-739X
Lara WahlsterDivision of Hematology/Oncology, Boston Children's Hospital, Harvard Medical School, Boston, MA.
Sanjana ShahDivision of Hematology/Oncology, Boston Children's Hospital, Harvard Medical School, Boston, MA.ORCID 0000-0002-7389-328X
Fiona E ReedDivision of Hematology/Oncology, Boston Children's Hospital, Harvard Medical School, Boston, MA.ORCID 0000-0003-1479-7236
Kevin D DongDepartment of Cell Biology, Harvard Medical School, Boston, MA.ORCID 0000-0002-2341-8472
Joao A PauloDepartment of Cell Biology, Harvard Medical School, Boston, MA.ORCID 0000-0002-4291-413X
Steven P GygiDepartment of Cell Biology, Harvard Medical School, Boston, MA.
Claudia MimosoDepartment of Biological Chemistry and Molecular Pharmacology, Harvard Medical School, Boston, MA.ORCID 0000-0001-8454-7684
Seth R GoldmanDepartment of Biological Chemistry and Molecular Pharmacology, Harvard Medical School, Boston, MA.ORCID 0000-0001-5096-3778
Karen AdelmanDepartment of Biological Chemistry and Molecular Pharmacology, Harvard Medical School, Boston, MA.
Jennifer A PerryDivision of Hematology/Oncology, Boston Children's Hospital, Harvard Medical School, Boston, MA.
Yana PikmanDivision of Hematology/Oncology, Boston Children's Hospital, Harvard Medical School, Boston, MA.ORCID 0000-0002-5336-0216
Kimberly StegmaierDivision of Hematology/Oncology, Boston Children's Hospital, Harvard Medical School, Boston, MA.
Maria N BarrachinaVascular Biology Program, Boston Children's Hospital, Boston, MA.
Kellie R MachlusVascular Biology Program, Boston Children's Hospital, Boston, MA.ORCID 0000-0002-2155-1050
Volker HovestadtDivision of Hematology/Oncology, Boston Children's Hospital, Harvard Medical School, Boston, MA.ORCID 0000-0002-3480-6649
Andrea ArrudaPrincess Margaret Cancer Centre, University Health Network, Toronto, ON, Canada.
Mark D MindenPrincess Margaret Cancer Centre, University Health Network, Toronto, ON, Canada.ORCID 0000-0002-9089-8816
Richard A VoitDivision of Hematology/Oncology, Boston Children's Hospital, Harvard Medical School, Boston, MA.ORCID 0000-0002-6790-8641
Vijay G SankaranDivision of Hematology/Oncology, Boston Children's Hospital, Harvard Medical School, Boston, MA.ORCID 0000-0003-0044-443X

Funding

Medical Scientist Training ProgramT32GM144273 · NIGMS · HARVARD MEDICAL SCHOOL · PI David Shumway Jones, Jacqueline A. Lees · 2022 to 2026
$14.7M
Targeting Pediatric Cancer VulnerabilitiesR35CA283977 · NCI · DANA-FARBER CANCER INST · PI Kimberly Stegmaier · 2023 to 2026
$4.2M
Uncovering therapeutic vulnerabilities in AML through mechanistic interrogation of MECOM activityK08CA286756 · NCI · UT SOUTHWESTERN MEDICAL CENTER · PI Richard A Voit · 2024 to 2026
$687k
Transformation of a human iPSC-derived bone marrow organoid for the study of hematopoiesisR21DK142111 · NIDDK · BOSTON CHILDREN'S HOSPITAL · PI MACHLUS, KELLIE RAE · 2025 to 2025
$469k
NCI NIH HHS K08 CA286756NCI NIH HHS R35 CA283977NIDDK NIH HHS R21 DK142111NIGMS NIH HHS T32 GM144273
6 · The paper itself

Abstract

abstractAcute myeloid leukemias (AMLs) have an overall poor prognosis with many high-risk cases co-opting stem cell gene regulatory programs, but the mechanisms through which these programs are propogated remain poorly understood. The increased expression of the stem cell transcription factor, MECOM, underlies a key driver mechanism in largely incurable AMLs. However, how MECOM results in such aggressive AML phenotypes remains unknown. To address existing experimental limitations, we engineered and applied targeted protein degradation with functional genomic readouts to demonstrate that MECOM promotes malignant stem cell-like states by directly repressing prodifferentiation gene regulatory programs. Remarkably and unexpectedly, a single node in this network, a MECOM-bound cis-regulatory element located 42 kilobase (kb) downstream of the myeloid differentiation regulator CEBPA is both necessary and sufficient for maintaining MECOM-driven leukemias. Importantly, the targeted activation of this regulatory element promotes differentiation of these aggressive AMLs and reduces leukemia burden in vivo. These findings suggest a broadly applicable approach for functionally dissecting oncogenic gene regulatory networks to inform improved therapeutic strategies.

Indexed as

CCAAT-Enhancer-Binding ProteinsCell DifferentiationGene Expression Regulation, LeukemicLeukemia, Myeloid, AcuteAnimalsHumansMiceNeoplastic Stem CellsCCAAT-Enhancer-Binding ProteinsCEBPA protein, human

Identifiers

PMID40991835
PMCPMC12824682

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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.