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TETs in Epigenetics and Disease

The TET pathway is a central DNA demethylation pathway that regulates gene expression, cell differentiation, stem cell maintenance, and genome stability. The core TET enzymes (TET1, TET2, and TET3) oxidize 5-methylcytosine (5mC) to generate intermediates that ultimately lead to DNA demethylation. Their activity depends on several cofactors and interacting proteins that influence recruitment, enzymatic activity, and chromatin targeting.

Protein / Family Epigenetic Function Disease Association Key Publications Key Products
CXXC4 (IDAX) Controls TET2 protein turnover. Direct regulator of TET2 stability. Leukemia Naderi et al., Hum. Reprod. Update. 2025.
DNMT1 Preserves methylation patterns after replication. Maintenance DNA methyltransferase that counterbalances TET activity. AML, colorectal cancer, breast cancer Hor et al., J. Endocrinol. 2024
DNMT3A Establishes new methylation marks. De novo DNA methyltransferase antagonized by TET proteins. AML, MDS, clonal hematopoiesis Chatterjee et al., Cell. Mol. Biol. Lett. 2025.
GADD45A Promotes TET-mediated DNA demethylation and chromatin remodeling Breast cancer, leukemia Fengyuan et al., Chin. Med. J. 2026
HIF1A Modulates DNA hydroxymethylation under low oxygen conditions. Links hypoxia signaling to TET activity. Solid tumors, leukemia Zhao et al., Neuroscience. 2025.
IDH1 Supports TET catalytic activity indirectly. DNA demethylation through metabolite production. Produces α-ketoglutarate (α-KG), an essential TET cofactor. Supports TET catalytic activity indirectly. DNA demethylation through metabolite production. Produces α-ketoglutarate (α-KG), an essential TET cofactor. Hoogstrate., Cell Rep. Med. 2026
NANOG Maintains stem-cell-specific epigenetic states. Recruits TET proteins to pluripotency genes. Germ cell tumors, stem cell dysregulation disorders Lazaro-Carot et al., iScience. 2025.
OCT4 (POU5F1) Regulates DNA demethylation at developmental loci. Cooperates with TET1/TET2 in pluripotent stem cells Germ cell tumors Pantier et al., EMBO J. 2025
OGT (O-GlcNAc Transferase) Coordinates DNA demethylation with histone modification. Forms a stable complex with TET proteins. Cancer, diabetes, neurodegenerative disorders Maejima et al., Aging Cell. 2025
PARP1 Facilitates access to methylated DNA and DNA repair by interactign with TET. Breast cancer, ovarian cancer Ho et al., Nature Communication. 2025
SIN3A Coordinates chromatin remodeling and gene repression. Transcriptional co-regulator. Breast cancer, AML Liang et al., MedComm. 2025.
SOX2 Controls enhancer demethylation and activation. Partners with TET proteins at stem-cell enhancers. Glioblastoma, developmental disorders Ebert et al., SSCR. 2025.
TDG (Thymine DNA Glycosylase) Completes active DNA demethylation through base excision repair. Removes TET-generated 5fC and 5caC intermediates. Colorectal cancer, developmental disorders Kang et al., Biomol Ther (Seoul). 2025.
TET1, TET2, TET3 Active DNA demethylation, pluripotency and developmental gene expression. Epigenetic homeostasis in hematopoietic stem cells. Epigenetic reprogramming during development and differentiation. Core dioxygenase that oxidizes 5mC to 5hmC, 5fC, and 5caC. Breast cancer, colon cancer, neurodevelopmental disorders, myelodysplastic syndrome (MDS), clonal hematopoiesis, lymphoma, developmental delay, and intellectual disability. Wu et al., Front. Endocrinol., 2025
UHRF1 Balances methylation inheritance and demethylation. DNA methylation maintenance factor that interfaces with TET machinery. Hepatocellular carcinoma, leukemia Harris et al., Sci. Adv. 2025
WT1 Directs locus-specific DNA demethylation. Recruits TET2 to target genes. Wilms tumor, AML Tian et al., Science Bulletin 70. 2025

 

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