Evidence map›Paper›PMID 41037397›Full record

ArticleCell reports2025

Retinoic acid and ascorbate synergize to suppress myeloid leukemia via TET2 activation.

Tiffany E Leesang, John P Brabson, Yoon Sing Yap, Daniela A Barbieri, Abigail S Klimas, Joey Pinzone, Emily L Ahearn, Minh Q Lam, Peter D Lyon, Anna Swirski and 11 more

Abstract read
In one paragraph

Article in Cell reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
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

21 authors.

Tiffany E LeesangUniversity of Miami, Miller School of Medicine, Department of Biochemistry and Molecular Biology, Miami, FL 33136, USA; Sylvester Comprehensive Cancer Center, University of Miami, Miller School of Medicine, Miami, FL 33136, USA.
John P BrabsonUniversity of Miami, Miller School of Medicine, Department of Biochemistry and Molecular Biology, Miami, FL 33136, USA; Sylvester Comprehensive Cancer Center, University of Miami, Miller School of Medicine, Miami, FL 33136, USA.
Yoon Sing YapUniversity of Miami, Miller School of Medicine, Department of Biochemistry and Molecular Biology, Miami, FL 33136, USA; Sylvester Comprehensive Cancer Center, University of Miami, Miller School of Medicine, Miami, FL 33136, USA.
Daniela A BarbieriUniversity of Miami, Miller School of Medicine, Department of Biochemistry and Molecular Biology, Miami, FL 33136, USA; Sylvester Comprehensive Cancer Center, University of Miami, Miller School of Medicine, Miami, FL 33136, USA.
Abigail S KlimasUniversity of Miami, Miller School of Medicine, Department of Biochemistry and Molecular Biology, Miami, FL 33136, USA; Sylvester Comprehensive Cancer Center, University of Miami, Miller School of Medicine, Miami, FL 33136, USA.
Joey PinzoneUniversity of Miami, Miller School of Medicine, Department of Biochemistry and Molecular Biology, Miami, FL 33136, USA; Sylvester Comprehensive Cancer Center, University of Miami, Miller School of Medicine, Miami, FL 33136, USA.
Emily L AhearnUniversity of Miami, Miller School of Medicine, Department of Biochemistry and Molecular Biology, Miami, FL 33136, USA; Sylvester Comprehensive Cancer Center, University of Miami, Miller School of Medicine, Miami, FL 33136, USA.
Minh Q LamUniversity of Miami, Miller School of Medicine, Department of Biochemistry and Molecular Biology, Miami, FL 33136, USA; Sylvester Comprehensive Cancer Center, University of Miami, Miller School of Medicine, Miami, FL 33136, USA.
Peter D LyonSylvester Comprehensive Cancer Center, University of Miami, Miller School of Medicine, Miami, FL 33136, USA.
Anna SwirskiUniversity of Miami, Miller School of Medicine, Department of Biochemistry and Molecular Biology, Miami, FL 33136, USA; Sylvester Comprehensive Cancer Center, University of Miami, Miller School of Medicine, Miami, FL 33136, USA.
Nicholas B WolfeUniversity of Miami, Miller School of Medicine, Department of Biochemistry and Molecular Biology, Miami, FL 33136, USA; Sylvester Comprehensive Cancer Center, University of Miami, Miller School of Medicine, Miami, FL 33136, USA.
Yuichiro NakataSylvester Comprehensive Cancer Center, University of Miami, Miller School of Medicine, Miami, FL 33136, USA; Department of Human Genetics, University of Miami, Miller School of Medicine, Miami, FL 33136, USA.
Helena Gomes Dos SantosSylvester Comprehensive Cancer Center, University of Miami, Miller School of Medicine, Miami, FL 33136, USA; Department of Human Genetics, University of Miami, Miller School of Medicine, Miami, FL 33136, USA.
Ramin ShiekhattarSylvester Comprehensive Cancer Center, University of Miami, Miller School of Medicine, Miami, FL 33136, USA; Department of Human Genetics, University of Miami, Miller School of Medicine, Miami, FL 33136, USA.
Lluis MoreySylvester Comprehensive Cancer Center, University of Miami, Miller School of Medicine, Miami, FL 33136, USA; Department of Human Genetics, University of Miami, Miller School of Medicine, Miami, FL 33136, USA.
Panayiotis I VlantisUniversity of Miami, Miller School of Medicine, Department of Biochemistry and Molecular Biology, Miami, FL 33136, USA; Sylvester Comprehensive Cancer Center, University of Miami, Miller School of Medicine, Miami, FL 33136, USA.
Maria E FigueroaUniversity of Miami, Miller School of Medicine, Department of Biochemistry and Molecular Biology, Miami, FL 33136, USA; Sylvester Comprehensive Cancer Center, University of Miami, Miller School of Medicine, Miami, FL 33136, USA.
Namrata ChandhokSylvester Comprehensive Cancer Center, University of Miami, Miller School of Medicine, Miami, FL 33136, USA; Department of Medicine, Division of Hematology, University of Miami, Miller School of Medicine, Miami, FL 33136, USA.
Felipe BeckedorffSylvester Comprehensive Cancer Center, University of Miami, Miller School of Medicine, Miami, FL 33136, USA; Department of Human Genetics, University of Miami, Miller School of Medicine, Miami, FL 33136, USA.
Aristeidis G TelonisUniversity of Miami, Miller School of Medicine, Department of Biochemistry and Molecular Biology, Miami, FL 33136, USA; Sylvester Comprehensive Cancer Center, University of Miami, Miller School of Medicine, Miami, FL 33136, USA.
Luisa CimminoUniversity of Miami, Miller School of Medicine, Department of Biochemistry and Molecular Biology, Miami, FL 33136, USA; Sylvester Comprehensive Cancer Center, University of Miami, Miller School of Medicine, Miami, FL 33136, USA. Electronic address: luisa.cimmino@med.miami.edu.

Funding

Tumor Biology Research ProgramP30CA240139 · NCI · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI Daniel Bilbao · 2019 to 2026
$24.1M
Altering the chromostasis and genome stability by modulating histone methylationR01GM146409 · NIGMS · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI MOREY, LLUIS, VERDUN, RAMIRO ERNESTO · 2022 to 2025
$1.7M
Mechanisms of RING1B and PRC1 complexes in transcriptional activationR01GM141349 · NIGMS · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI Lluis Morey · 2022 to 2026
$1.6M
Enhancing TET activity for the treatment of hematological malignancyR01CA282453 · NCI · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI Luisa Cimmino · 2023 to 2026
$1.4M
NCI NIH HHS P30 CA240139NCI NIH HHS R01 CA282453NIGMS NIH HHS R01 GM141349NIGMS NIH HHS R01 GM146409
6 · The paper itself

Abstract

Enhancing ten-eleven translocation 2 (TET2) activity through genetic or pharmacologic approaches, such as ascorbate supplementation, can slow myeloid malignancy progression. However, ascorbate alone may be insufficient to fully activate TET2 in malignant cells due to pharmacokinetic constraints and the need for chromatin remodeling to enable effective cellular reprogramming. Here, we identify a novel mechanism to enhance TET2 activity via all-trans retinoic acid (ATRA), which induces retinoic acid receptor alpha (RARA)-mediated TET2 transcription in myeloid leukemia cells and synergizes with ascorbate to promote DNA hydroxymethylation and chromatin remodeling at key myeloid differentiation loci. Using Tet1/2/3-deficient mice and primary human acute myeloid leukemia (AML) models, we show that ATRA plus ascorbate more effectively induces differentiation, inhibits leukemia stem cell self-renewal in a TET2-dependent manner, and sensitizes AML cells to targeted therapies in vivo, leading to improved survival. These findings support the combined use of ATRA and ascorbate as a strategy to enhance TET2 activity for the treatment of myeloid malignancies.

Indexed as

Ascorbic AcidDNA-Binding ProteinsLeukemia, MyeloidLeukemia, Myeloid, AcuteProto-Oncogene ProteinsTretinoinAnimalsCell DifferentiationCell Line, TumorDioxygenasesDNA MethylationDrug SynergismHumansMiceNeoplastic Stem CellsRetinoic Acid Receptor alphaAscorbic AcidDioxygenasesDNA-Binding ProteinsProto-Oncogene ProteinsRetinoic Acid Receptor alphaTET2 protein, humanTet2 protein, mouseTretinoin5hmCascorbateCP: CancerCP: Genomicsdifferentiation therapymyeloid leukemiaretinoic acidTET2

Identifiers

PMID41037397
PMCPMC12676480

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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.