Evidence map›Paper›PMID 41526615›Full record

ArticleLeukemia2026

CHEK2 loss endows chemotherapy resistance to hematopoietic stem cells.

Jing Zhou, Tianyuan Hu, Dian Li, Sanming Li, Minhua Li, Xiangguo Shi, Daisuke Nakada

Abstract read
In one paragraph

Article in Leukemia, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. 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

7 authors.

Jing ZhouGraduate Program in Development, Disease Models & Therapeutics, Baylor College of Medicine, Houston, TX, USA.ORCID http://orcid.org/0000-0002-8475-7179
Tianyuan HuDepartment of Molecular and Human Genetics, Baylor College of Medicine, Houston, TX, USA.
Dian LiDivision of Biology and Biomedical Sciences, Washington University in St. Louis, St. Louis, MO, USA.ORCID http://orcid.org/0000-0002-5374-7314
Sanming LiDepartment of Anesthesiology, Critical Care and Pain Medicine, McGovern Medical School, University of Texas Health Science Center at Houston, Houston, TX, USA.
Minhua LiGraduate Program in Development, Disease Models & Therapeutics, Baylor College of Medicine, Houston, TX, USA.
Xiangguo ShiDepartment of Molecular and Human Genetics, Baylor College of Medicine, Houston, TX, USA.
Daisuke NakadaGraduate Program in Development, Disease Models & Therapeutics, Baylor College of Medicine, Houston, TX, USA. nakada@bcm.edu.ORCID http://orcid.org/0000-0001-6010-7094

Funding

Tumor BiologyP30CA125123 · NCI · BAYLOR COLLEGE OF MEDICINE · PI Suzanne AW Fuqua · 2007 to 2026
$73.9M
Project 3: Contribution of inflammation and DNA damaging factors to clonal expansion and malignant transformation in a community cohort of older adultsP01CA265748 · NCI · BAYLOR COLLEGE OF MEDICINE · PI Koichi Takahashi · 2022 to 2026
$13.6M
METABOLIC REGULATION IN LEUKEMIA-INITIATING CELLSR01CA193235 · NCI · BAYLOR COLLEGE OF MEDICINE · PI NAKADA, DAISUKE · 2015 to 2024
$4.6M
THE ROLE OF SELENOPROTEIN SYNTHESIS PATHWAY IN ACUTE MYELOID LEUKEMIAR01CA255813 · NCI · BAYLOR COLLEGE OF MEDICINE · PI NAKADA, DAISUKE · 2021 to 2025
$2.3M
BD Biosciences Special Order LSRIIS10RR024574 · NCRR · BAYLOR COLLEGE OF MEDICINE · PI LUMPKIN, ELLEN A · 2009 to 2009
$430k
Cancer Prevention and Research Institute of Texas (Cancer Prevention Research Institute of Texas) RP180672NCI NIH HHS P01 CA265748NCI NIH HHS P30 CA125123NCI NIH HHS R01 CA193235NCI NIH HHS R01 CA255813NCRR NIH HHS S10 RR024574U.S. Department of Health & Human Services | NIH | National Cancer Institute (NCI) CA125123U.S. Department of Health & Human Services | NIH | National Cancer Institute (NCI) P01CA265748U.S. Department of Health & Human Services | NIH | National Cancer Institute (NCI) R01CA193235U.S. Department of Health & Human Services | NIH | National Cancer Institute (NCI) R01CA255813U.S. Department of Health & Human Services | NIH | National Center for Research Resources (NCRR) RR024574
6 · The paper itself

Abstract

Individuals with history of chemo- or radiotherapy frequently exhibit somatic mosaicism in the blood, often involving mutations in genes responsible for DNA damage responses (DDR), such as CHEK2. However, the mechanisms by which CHEK2 mutations promote the expansion of mutant cells following chemo- or radiotherapy remain poorly understood. Here, we demonstrate that loss of CHEK2 confers resistance to chemotherapy in hematopoietic stem and progenitor cells (HSPCs). Through a CRISPR-based screen, we identified CHEK2 as a gene whose loss enhances resistance to cytotoxic chemotherapies. A complementary drug screen revealed that CHEK2-mutant cells are also resistant to DNA hypomethylating agents. Chek2-deficient HSPCs persist in vivo following chemotherapy exposure and exhibit elevated levels of DNA damage compared to wild-type cells. Our findings establish that CHEK2 loss promotes chemoresistance in HSPCs, offering new insights into the role of CHEK2 in therapy-related clonal hematopoiesis observed in cancer patients.

Indexed as

Checkpoint Kinase 2Drug Resistance, NeoplasmHematopoietic Stem CellsAnimalsAntineoplastic AgentsDNA DamageDNA MethylationHumansMiceMutationAntineoplastic AgentsCheckpoint Kinase 2CHEK2 protein, human

Identifiers

PMID41526615
PMCPMC12818370

What OpenQuestion holds

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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.