Evidence map›Paper›PMID 42618699›Full record

ArticleLeukemia2026

A novel role for transcription factor NFE2 in redox regulation and chemotherapy resistance in acute myeloid leukemia.

Anne Marie Staehle, Florian Perner, Hans Felix Staehle, Katharina Gellrich, Fiona Preiß, Annika Grafemeyer, Jana Schulze, Jean-Luca Funk, Albert Gründer, Julia Berner and 3 more

Abstract read
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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. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

13 authors.

Anne Marie StaehleDepartment of Hematology/Oncology, Medical Center - University of Freiburg, 79106, Freiburg, Germany.ORCID http://orcid.org/0009-0006-7977-0121
Florian PernerHematology, Hemostasis, Oncology, and Stem Cell Transplantation, Hannover Medical School, Hannover, Germany.ORCID http://orcid.org/0000-0003-1010-3321
Hans Felix StaehleDepartment of Hematology/Oncology, Medical Center - University of Freiburg, 79106, Freiburg, Germany.ORCID http://orcid.org/0000-0001-5082-0646
Katharina GellrichDepartment of Hematology/Oncology, Medical Center - University of Freiburg, 79106, Freiburg, Germany.
Fiona PreißDepartment of Hematology/Oncology, Medical Center - University of Freiburg, 79106, Freiburg, Germany.ORCID http://orcid.org/0009-0000-6355-0622
Annika GrafemeyerDepartment of Hematology/Oncology, Medical Center - University of Freiburg, 79106, Freiburg, Germany.ORCID http://orcid.org/0009-0008-5436-712X
Jana SchulzeDepartment of Hematology/Oncology, Medical Center - University of Freiburg, 79106, Freiburg, Germany.ORCID http://orcid.org/0009-0006-1682-4487
Jean-Luca FunkDepartment of Hematology/Oncology, Medical Center - University of Freiburg, 79106, Freiburg, Germany.
Albert GründerDepartment of Hematology/Oncology, Medical Center - University of Freiburg, 79106, Freiburg, Germany.
Julia BernerLeibniz Institute for Plasma Science and Technology (INP), ZIK Plasmatis, Greifswald, Germany.
Sander BekeschusLeibniz Institute for Plasma Science and Technology (INP), ZIK Plasmatis, Greifswald, Germany.
Christoph Koellerer *Department of Hematology/Oncology, Medical Center - University of Freiburg, 79106, Freiburg, Germany. christoph.koellerer@uniklinik-freiburg.de.ORCID http://orcid.org/0009-0006-9919-7852
Heike L Pahl *Department of Hematology/Oncology, Medical Center - University of Freiburg, 79106, Freiburg, Germany. Heike.Pahl@klinikum.uni-freiburg.de.ORCID http://orcid.org/0000-0003-2857-2396

Funding

Deutsche Forschungsgemeinschaft (German Research Foundation) Pa 611/ 11-1Deutsche Forschungsgemeinschaft (German Research Foundation) Pa 611/5-3Deutsche Forschungsgemeinschaft (German Research Foundation) Pa 611/ 9-2Deutsche Forschungsgemeinschaft (German Research Foundation) PE 3217/2-1Deutsche Forschungsgemeinschaft (German Research Foundation) PE 3217/4-1Else Kröner-Fresenius-Stiftung (Else Kroner-Fresenius Foundation) 2020_EKFK.15Else Kröner-Fresenius-Stiftung (Else Kroner-Fresenius Foundation) 2021-EKEA.111Else Kröner-Fresenius-Stiftung (Else Kroner-Fresenius Foundation) 2021_EKEA.122
6 · The paper itself

Abstract

Elevated activity of transcription factor NFE2 is sufficient to cause leukemic transformation in absence of a classical leukemic driver. However, the molecular mechanism promoting NFE2-driven leukemogenesis is not known. Here we report a previously unrecognized role for NFE2 as a key regulator of the oxidative stress response in leukemic cells. Through a comprehensive analysis of NFE2 genomic occupancy and its effect on chromatin accessibility and transcription, we demonstrate that NFE2 regulates glutathione homeostasis as well as the expression of central detoxifying enzymes. NFE2 constituted one of the highest scoring gene dependencies in MLL-AF9-transformed primary leukemic cells under redox stress, substantially more significant than the universally recognized redox regulator NRF2. Consequently, NFE2 knockdown sensitized leukemic cells to GSH depletion, ferroptosis induction, as well as to cytarabine treatment. Deriving an NFE2 RedOx score, we demonstrate that increased NFE2 activity constitutes an independent predictor of inferior outcome in AML patients at diagnosis.

Identifiers

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Registered trials

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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.