Evidence map›Paper›PMID 41460961›Full record

ArticleBlood2026

Comprehensive molecular and functional analysis of NUTM1-rearranged leukemia.

Koutarou Nishimura, Tomoya Isobe, Tsukasa Shigehiro, Masaki Nomura, Weijia Zang, Muran Xiao, Wenjuan Liao, Yui Koike, Akira Nishimura, Aiko Sato-Otsubo and 42 more

Abstract read
In one paragraph

Article in Blood, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

52 authors.

Koutarou NishimuraDepartment of Cancer Pathology, Graduate School of Medicine, The University of Osaka, Suita, Japan.
Tomoya IsobeDepartment of Pediatrics, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.ORCID 0000-0002-3487-3307
Tsukasa ShigehiroDivision of Immunology and Allergy, Research Institute for Biomedical Sciences, Tokyo University of Science, Noda, Japan.ORCID 0000-0002-5286-5108
Masaki NomuraDepartment of Cancer Pathology, Graduate School of Medicine, The University of Osaka, Suita, Japan.
Weijia ZangDepartment of Cancer Pathology, Graduate School of Medicine, The University of Osaka, Suita, Japan.
Muran XiaoDepartment of Hematology-Oncology, Institute of Biomedical Research and Innovation, Foundation for Biomedical Research and Innovation at Kobe, Kobe, Japan.
Wenjuan LiaoDepartment of Pediatrics, Section of Hematology, Oncology and Bone Marrow Transplantation, University of Colorado/Anschutz Medical Campus, Aurora, CO.
Yui KoikeDepartment of Cancer Pathology, Graduate School of Medicine, The University of Osaka, Suita, Japan.
Akira NishimuraDepartment of Pediatrics and Developmental Biology, Institute of Science Tokyo, Tokyo, Japan.ORCID 0000-0002-9127-807X
Aiko Sato-OtsuboDepartment of Pediatrics, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.ORCID 0000-0002-2528-0702
Hiromi YamazakiDepartment of Cancer Pathology, Graduate School of Medicine, The University of Osaka, Suita, Japan.
Hiromi ItoDepartment of Cancer Pathology, Graduate School of Medicine, The University of Osaka, Suita, Japan.
Shinri OkadaDepartment of Cancer Pathology, Graduate School of Medicine, The University of Osaka, Suita, Japan.ORCID 0009-0004-7008-0867
Naomi MatsumotoDepartment of Cancer Pathology, Graduate School of Medicine, The University of Osaka, Suita, Japan.
Wataru SaikaDepartment of Cancer Pathology, Graduate School of Medicine, The University of Osaka, Suita, Japan.ORCID 0000-0001-7960-9246
Yifan ZhangDepartment of Hematology-Oncology, Institute of Biomedical Research and Innovation, Foundation for Biomedical Research and Innovation at Kobe, Kobe, Japan.
Yumi AoyamaDepartment of Hematology-Oncology, Institute of Biomedical Research and Innovation, Foundation for Biomedical Research and Innovation at Kobe, Kobe, Japan.
Chihiro HasegawaDepartment of Cancer Pathology, Graduate School of Medicine, The University of Osaka, Suita, Japan.ORCID 0009-0009-4043-7278
Takaya YamasakiDepartment of Cancer Pathology, Graduate School of Medicine, The University of Osaka, Suita, Japan.
Yasuo KubotaDepartment of Pediatrics, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.ORCID 0000-0002-7909-5422
Kentaro OhkiDepartment of Pediatric Hematology and Oncology Research, National Research Institute for Child Health and Development, Tokyo, Japan.ORCID 0000-0003-2838-4555
Nobutaka KiyokawaDepartment of Pediatric Hematology and Oncology Research, National Research Institute for Child Health and Development, Tokyo, Japan.
Genta NagaeGenome Science Division, Research Center for Advanced Science and Technology, The University of Tokyo, Tokyo, Japan.
Kenichi YoshidaDepartment of Pathology and Tumor Biology, Graduate School of Medicine, Kyoto University, Kyoto, Japan.ORCID 0000-0003-4612-2778
Yasuhito NannyaDepartment of Pathology and Tumor Biology, Graduate School of Medicine, Kyoto University, Kyoto, Japan.ORCID 0000-0002-6526-0992
Hiroo UenoDepartment of Pathology and Tumor Biology, Graduate School of Medicine, Kyoto University, Kyoto, Japan.
Shiro FukudaGenome Science Division, Research Center for Advanced Science and Technology, The University of Tokyo, Tokyo, Japan.ORCID 0000-0002-0065-662X
Kenji TatsunoGenome Science Division, Research Center for Advanced Science and Technology, The University of Tokyo, Tokyo, Japan.ORCID 0000-0002-3046-3941
Shuichi TsutsumiGenome Science Division, Research Center for Advanced Science and Technology, The University of Tokyo, Tokyo, Japan.
Yusuke ShiozawaDepartment of Pathology and Tumor Biology, Graduate School of Medicine, Kyoto University, Kyoto, Japan.ORCID 0000-0001-8673-677X
Yuichi ShiraishiHuman Genome Center, Institute of Medical Science, The University of Tokyo, Tokyo, Japan.
Kenichi ChibaHuman Genome Center, Institute of Medical Science, The University of Tokyo, Tokyo, Japan.
Hiroko TanakaHuman Genome Center, Institute of Medical Science, The University of Tokyo, Tokyo, Japan.ORCID 0000-0001-9634-8922
Mariko EguchiDepartment of Pediatrics, Ehime University Graduate School of Medicine, Toon, Japan.ORCID 0000-0001-8727-1732
Yuki ArakawaInfant Leukemia Sub-committee, Japan Children's Cancer Group, Nagoya, Japan.
Katsuyoshi KohDepartment of Hematology Oncology, Saitama Children's Medical Center, Hidaka, Japan.
Takao DeguchiDivision of Cancer Immunodiagnostics, Children's Cancer Center, National Center for Child Health and Development, Tokyo, Japan.
Daisuke TomizawaInfant Leukemia Sub-committee, Japan Children's Cancer Group, Nagoya, Japan.ORCID 0000-0003-1520-7007
Takako MiyamuraInfant Leukemia Sub-committee, Japan Children's Cancer Group, Nagoya, Japan.
Eiichi IshiiDepartment of Pediatrics, Ehime University Graduate School of Medicine, Toon, Japan.
Shuki MizutaniDepartment of Pediatrics and Developmental Biology, Institute of Science Tokyo, Tokyo, Japan.
Satoru MiyanoHuman Genome Center, Institute of Medical Science, The University of Tokyo, Tokyo, Japan.ORCID 0000-0002-1753-6616
Hiroyuki AburataniGenome Science Division, Research Center for Advanced Science and Technology, The University of Tokyo, Tokyo, Japan.
Seishi OgawaDepartment of Pathology and Tumor Biology, Graduate School of Medicine, Kyoto University, Kyoto, Japan.ORCID 0000-0002-7778-5374
Akifumi Takaori-KondoDepartment of Hematology, Graduate School of Medicine, Kyoto University, Kyoto, Japan.ORCID 0000-0001-7678-4284
Akihiko YokoyamaTsuruoka Metabolomics Laboratory, National Cancer Center, Tsuruoka, Japan.ORCID 0000-0002-5639-8068
Omar Abdel-WahabMolecular Pharmacology Program, Sloan Kettering Institute, Memorial Sloan Kettering Cancer Center, New York, NY.
Patricia ErnstDepartment of Pediatrics, Section of Hematology, Oncology and Bone Marrow Transplantation, University of Colorado/Anschutz Medical Campus, Aurora, CO.ORCID 0000-0001-7638-2939
Junko TakitaDepartment of Pediatrics, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
Tomokatsu IkawaDivision of Immunology and Allergy, Research Institute for Biomedical Sciences, Tokyo University of Science, Noda, Japan.
Masatoshi TakagiDepartment of Pediatrics and Developmental Biology, Institute of Science Tokyo, Tokyo, Japan.
Daichi InoueDepartment of Cancer Pathology, Graduate School of Medicine, The University of Osaka, Suita, Japan.ORCID 0000-0002-7947-6540

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI SELWYN M VICKERS · 1985 to 2026
$347.4M
Escape from CAR T surveillance through lineage plasticityR01CA269269 · NCI · UNIVERSITY OF COLORADO DENVER · PI Patricia Ernst, Terry J. Fry · 2022 to 2026
$3.0M
NCI NIH HHS P30 CA008748NCI NIH HHS R01 CA269269
6 · The paper itself

Abstract

abstractNUTM1 rearrangement defines a significant subset of B-cell acute lymphoblastic leukemia (B-ALL), particularly in infants lacking KMT2A rearrangements, yet its underlying molecular characteristics remain poorly understood. Here, we establish that NUTM1-rearranged (NUTM1-r) leukemia is a discrete entity characterized by a unique transcriptional and epigenetic landscape, notably featuring global DNA hypomethylation, irrespective of the 5' fusion partner. Functional interrogation of NUTM1 fusions reveals a dual oncogenic role: they drive commitment toward the B-lymphoid lineage while concurrently conferring potent leukemic stem cell properties. Strikingly, expression of a representative fusion, BRD9-NUTM1, is sufficient to induce serially transplantable B-cell progenitor, prepro-B-like leukemia in vivo, faithfully recapitulating the key molecular and immunophenotypic features of human NUTM1-r B-ALL. Mechanistically, NUTM1 fusions establish an aberrant chromatin state, marked by global enhancement of H3K27 acetylation and the creation of distinctive open chromatin regions that co-opt both B-lineage and stemness-related transcriptional programs, including those involving NF-κB and posterior HoxA genes. In stark contrast to resistant KMT2A-rearranged leukemias, NUTM1-r leukemic cells exhibit a profound sensitivity to chemotherapy. This vulnerability is mechanistically linked to the leukemia's dependence on active transcription. Our findings delineate the unique molecular profile of NUTM1-r leukemias, revealing specific vulnerabilities that rationalize their favorable clinical outcomes and suggest opportunities for modified therapeutic strategies.

Indexed as

Gene RearrangementNeoplasm ProteinsNuclear ProteinsOncogene Proteins, FusionPrecursor B-Cell Lymphoblastic Leukemia-LymphomaAnimalsDNA MethylationGene Expression Regulation, LeukemicHumansMiceMyeloid-Lymphoid Leukemia ProteinNeoplastic Stem CellsMyeloid-Lymphoid Leukemia ProteinNeoplasm ProteinsNuclear ProteinsNUTM1 protein, humanOncogene Proteins, Fusion

Identifiers

PMID41460961
PMCPMC13077441

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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.