Evidence map›Paper›PMID 41838954›Full record

ArticleCancer research2026

DNA Methylation Stochasticity Is Linked to Transcriptional Variability and Convergent Epigenetic Disruption across Genetic Subtypes of Acute Myeloid Leukemia.

Eleanor Hilgart, Weiqiang Zhou, Eduardo Martinez-Montes, Rakel Tryggvadottir, Lukasz P Gondek, Ravindra Majeti, Hongkai Ji, Michael A Koldobskiy, Andrew P Feinberg

Abstract read
In one paragraph

Article in Cancer research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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2 · The registry

The trial behind it

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3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors.

Eleanor HilgartCenter for Epigenetics, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland.ORCID 0009-0003-9822-9160
Weiqiang ZhouDepartment of Biostatistics, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland.ORCID 0000-0001-9396-9571
Eduardo Martinez-MontesCenter for Epigenetics, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland.ORCID 0000-0001-6241-1217
Rakel TryggvadottirCenter for Epigenetics, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland.ORCID 0000-0003-0225-9086
Lukasz P GondekDivision of Hematologic Malignancy, Sidney Kimmel Comprehensive Cancer Center, Johns Hopkins Hospital, Baltimore, Maryland.ORCID 0000-0002-1551-3496
Ravindra MajetiDivision of Hematology, Department of Medicine, Cancer Institute, Institute for Stem Cell Biology and Regenerative Medicine, Stanford University, Stanford, California.ORCID 0000-0002-5814-0984
Hongkai JiDepartment of Biostatistics, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland.ORCID 0000-0002-6480-0141
Michael A KoldobskiyCenter for Epigenetics, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland.ORCID 0000-0002-2980-6644
Andrew P FeinbergCenter for Epigenetics, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland.ORCID 0000-0002-8364-1991

Funding

MOLECULAR PATHOLOGY OF WILMS TUMOR RELATED GENES 11PR01CA054358 · NCI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI ANDREW P. FEINBERG · 1991 to 2026
$5.5M
National Institutes of Health (NIH) 5R01CA054358NCI NIH HHS R01 CA054358
6 · The paper itself

Abstract

Disruption of the epigenetic landscape is of particular interest in acute myeloid leukemia (AML) due to its relatively low mutational burden and frequent occurrence of mutations in epigenetic regulators. In this study, we applied an information-theoretic analysis of methylation potential energy landscapes, capturing changes in mean methylation level and methylation entropy, to comprehensively analyze DNA methylation stochasticity in subtypes of AML defined by mutually exclusive genetic mutations. AML subtypes with CEBPA double mutation and those with IDH mutations were identified as distinctly high-entropy subtypes, marked by methylation disruption over a convergent set of genes. The analysis revealed a core program of epigenetic landscape disruption across all AML subtypes; discordant methylation stochasticity, transcriptional dysregulation, and altered chromatin accessibility converged on functionally important leukemic signatures. Demonstration of a relationship between methylation entropy and gene expression variability connected the disruption of the epigenetic landscape to transcription in AML. Finally, the hypomethylating drug decitabine led to reduction of DNA methylation entropy specifically in IDH2-mutant AML cells. Overall, this approach identified a convergent program of epigenetic dysregulation in leukemia, clarifying the contribution of specific genetic mutations to stochastic disruption of the epigenetic and transcriptional landscapes of AML. SIGNIFICANCE: DNA methylation stochasticity, variable gene expression, and altered chromatin accessibility converge on key leukemic regulators across AML subtypes, suggesting a genotype-independent role of stochastic disruption of the epigenetic landscape in mediating leukemogenesis.

Indexed as

DNA MethylationEpigenesis, GeneticLeukemia, Myeloid, AcuteTranscription, GeneticDecitabineGene Expression Regulation, LeukemicHumansMutationStochastic ProcessesDecitabine

Identifiers

PMID41838954
PMCPMC13148364

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