Evidence map›Paper›PMID 42609060›Full record

ReviewCell biochemistry and function2026

TET2 as a Context-Dependent Epigenetic Integrator in Clonal Hematopoiesis, Inflammation, Cancer, and Immunotherapy.

XiaoJie Liu, Jiangchen Liu, Liu Feng, Dan Xu, Xianling Wei, Dekuai Tong

Abstract readReview
In one paragraph

Review in Cell biochemistry and function, 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. Review
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

6 authors.

XiaoJie LiuDepartment of Nuclear Medicine, Affiliated Hospital of Jiaxing University, The First Hospital of Jiaxing, Jiaxing City, China.
Jiangchen LiuDepartment of Biomedical Science, Faculty of Life Sciences and Medicine, King's College London, London, UK.
Liu FengDepartment of Nuclear Medicine, Affiliated Hospital of Jiaxing University, The First Hospital of Jiaxing, Jiaxing City, China.
Dan XuDepartment of Blood Transfusion, Affiliated Hospital of Jiaxing University, The First Hospital of Jiaxing, Jiaxing City, China.
Xianling WeiDepartment of Nuclear Medicine, Affiliated Hospital of Jiaxing University, The First Hospital of Jiaxing, Jiaxing City, China.
Dekuai TongDepartment of Radiology, Affiliated Hospital of Jiaxing University, The First Hospital of Jiaxing, Jiaxing City, China.ORCID https://orcid.org/0009-0008-5369-4073

Funding

Demonstration Program for the Reform and High-Quality Development of Public Hospitals 2026-GZL-A05Jiaxing Supporting Discipline Medical Imaging Project 2023-ZC-015Science and Technology Program of Jiaxing City 2024AY10003Zhejiang Provincial Medical and Health Science and Technology Program 2025KY1579
6 · The paper itself

Abstract

Ten-Eleven Translocation 2 (TET2) is an Fe(II)- and α-ketoglutarate-dependent dioxygenase that initiates active DNA demethylation by oxidizing 5-methylcytosine (5mC). Beyond this enzymatic role, TET2 links DNA methylation dynamics with chromatin regulation, cellular metabolism, immune-cell identity, and treatment response in a context-dependent manner. Loss-of-function mutations in TET2 are among the most frequent genetic events in age-related clonal hematopoiesis of indeterminate potential (CHIP), where they are associated with higher risks of hematological malignancies and cardiovascular disease. Human genetic and clinical studies support these associations, while experimental models suggest that mutant hematopoietic clones can promote myeloid inflammatory programs through enhancer remodeling, NLRP3 inflammasome activation, IL-1β/IL-6 signaling, and altered inflammatory resolution. In solid tumors and cancer therapy, TET2 has more variable effects: tumor-cell-intrinsic TET2 loss can contribute to immune escape or therapeutic resistance in selected settings, whereas TET2 disruption in engineered T cells can enhance memory-like persistence and anti-tumor activity, with possible long-term oncogenic risk. This narrative, mechanism-oriented review integrates current evidence on TET2 biology across clonal hematopoiesis, inflammation, cancer, and immunotherapy. We focus on evidence level, cell type, direction of TET2 alteration, and metabolic or therapeutic context as determinants of divergent TET2 functions. TET2 has traditionally been described as a DNA demethylation enzyme, but recent studies increasingly place it among context-dependent regulators of immune and disease phenotypes. The unresolved issue is why TET2 loss, inhibition, activation, or engineered deletion can produce distinct, and sometimes opposing, effects in hematopoietic stem/progenitor cells, macrophages, tumor cells, neurons, microglia, and CAR-T cells. This review uses four variables-cell type, direction of alteration, functional layer, and microenvironmental or therapeutic context-to interpret evidence from CHIP, hematologic malignancies, cardiovascular inflammation, solid tumors, and immunotherapy.

Indexed as

Clonal HematopoiesisDNA-Binding ProteinsEpigenesis, GeneticImmunotherapyInflammationNeoplasmsProto-Oncogene ProteinsAnimalsDioxygenasesHematopoiesisHumansDioxygenasesDNA-Binding ProteinsProto-Oncogene ProteinsTET2 protein, humancancer immunotherapyclonal hematopoiesiscontext dependenceDNA demethylationinflammationmetabolismTET2

Identifiers

PMID42609060
PMCPMC13482318

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.