Oncofusion

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Analysisestablished confidence 5 of 5: Multiple independent lines of evidence; treated as settled in the field.Q79-cxxc-readers

The human CXXC/CpG-reading family is exactly twelve proteins, and TET2 is not one of them

also called ZF-CxxC family census · PF02008 human census · CXXC domain family

We counted every human protein that carries the little zinc module KMT2A uses to read unmethylated CG letters in DNA. There are exactly twelve, and TET2 - the gene most often broken in leukaemia in this pathway - is not one of them, because its CXXC module was split off onto a separate gene early in evolution.

The same thing, for a scientist

Three independent UniProt query forms - Pfam **PF02008** (zf-CXXC), InterPro **IPR002857**, and the UniProt feature query `ft_zn_fing:CXXC-type` - each return **exactly the same twelve reviewed human proteins**: CXXC1, CXXC4, CXXC5, DNMT1, FBXL19, KDM2A, KDM2B, KMT2A, KMT2B, MBD1, TET1, TET3 [E1]. That is the denominator for any statement about the KMT2A CXXC domain's competitors. **TET2 (Q6N021, 2,002 aa) is absent from all three** - it carries PF12851 (Tet_JBP) and no CXXC feature at all [E1]. The reason is not a curation gap: the ancestral TET2 gene underwent a chromosomal inversion that separated its CXXC domain from its catalytic domain, and the orphaned CXXC is now the separate gene **CXXC4/IDAX**, which binds unmethylated CpG and interacts directly with the TET2 catalytic domain in trans [E2]. Family membership is not the same as equivalent chemistry: a systematic comparison of every human CXXC domain by multiple binding assays and a series of co-crystals splits the family into DNA-selectivity classes rather than one class [E3], and the leukaemia-relevant consequence is measured - in the MLL-AF9 backbone the **DNMT1** CXXC domain substitutes for the KMT2A CXXC and supports leukaemogenesis, while the **CGBP/CXXC1** and **MBD1** CXXC domains do not, even though CGBP's isolated domain does bind unmethylated DNA [E4].

Go deeper
The census, and why the query form matters

Three query forms were run on 2026-09-21 and cross-checked against each other, because rule 93 in this project's brief exists precisely because a single query form can be blind to half a database:

queryreviewed human hits
xref:pfam-PF02008 AND organism_id:9606 AND reviewed:true12
xref:interpro-IPR002857 AND organism_id:9606 AND reviewed:true12
ft_zn_fing:CXXC-type AND organism_id:9606 AND reviewed:true12

The twelve symbols are identical across all three: CXXC1, CXXC4, CXXC5, DNMT1, FBXL19, KDM2A, KDM2B, KMT2A, KMT2B, MBD1, TET1, TET3 1. Dropping reviewed:true returns 158 records whose gene names add only FBXL10 (a retired symbol for KDM2B) and blanks, so the unreviewed tier contributes no new gene 1.

This project's own target-phase2-cxxc-dna-dossier already named the family as the selectivity gate for any CXXC-directed programme, and listed it as "CXXC1/CFP1, MBD1, KDM2A, KDM2B, TET1, TET3, DNMT1, CXXC4/IDAX, CXXC5, KMT2B and others". That list is correct and complete except that there are no "others" - the family is closed at twelve 1.

Where TET2's CXXC domain went

TET2 is the member of this pathway most often mutated in myeloid malignancy, and it is the obvious candidate for a co-mutation that would change the methylation landscape the KMT2A CXXC domain reads. It is not a CXXC protein. Ko et al. showed that IDAX/CXXC4 was originally encoded within an ancestral TET2 gene that underwent a chromosomal gene inversion during evolution, separating the TET2 CXXC domain from the catalytic domain; the IDAX CXXC domain binds unmethylated CpG, localises to promoters and CpG islands, and interacts directly with the TET2 catalytic domain 2. Liu et al. independently note that in human and mouse the TET2 and TET3 genes are adjacent to CXXC4 and Cxxc10-1 respectively, and that these CXXC domains form a distinct homology group with those of TET1 and CXXC5 5.

So TET2 does reach CpG islands - in trans, through a different gene product. Writing TET2 as a CXXC reader would be a category error; writing it out of the story entirely would miss that the family contains TET2's address module as a separate protein.

The family is not chemically uniform, and the leukaemia experiment says so

Xu et al. measured the DNA-binding selectivities of all known human CXXC domains by several assays and solved a series of CXXC-DNA co-crystals, and the result is a classification by DNA selectivity that cuts across the functional classification - single CXXC domains and tandem CXXC-PHD modules recognise distinct DNA ligands 3. Two worked consequences relevant here:

  • TET3's CXXC binds 5-carboxylcytosine with higher affinity than unmethylated CpG, so calling the whole family "unmethylated-CpG readers" is wrong for at least one member [see gene-tet3].
  • A direct comparison of MLL1-CXXC and TET3-CXXC finds MLL1-CXXC specific only for CpG and tolerant of no cytosine modification, while TET3-CXXC does not require CpG context and tolerates methyl-, formyl- and carboxyl-modifications preceding G 6.

And the functional test in the disease backbone has been done: substituting the MLL CXXC domain in MLL-AF9 with the DNMT1 CXXC gives robust colony formation and leukaemogenesis comparable to MLL-AF9, while the CGBP/CXXC1 and MBD1 CXXC domains abrogate both - and all substituted fusions still targeted Hoxa9 4. Shared family membership predicts neither shared chemistry nor shared function.

Base rates, so the reader can judge every proportion in this beat

The family is 12 of ~20,000 human protein-coding genes. Eleven of the twelve are nuclear at least in part; CXXC4 is annotated cytoplasmic only, and by similarity (ECO:0000250) rather than experimentally, and FBXL19's experimental UniProt record is cytoplasmic three times over and nuclear once 1. Any claim that the twelve compete for one address has to survive the fact that at least two of them are not reliably in the nucleus.

Coverage in this graph before this beat: 2 of 12 written (gene-cxxc1, gene-kdm2b) plus gene-kmt2a, i.e. 3/12 = 25.0% (Wilson 95% 8.9-53.2%). After this beat, 11/12 = 91.7%; KMT2B remains unwritten and is the one gap, deliberately left because it belongs to the KMT2-family beat that already owns kmt2-family/.

Facts and figures
scriptno run.py; three UniProt REST queries executed inline on 2026-09-21, recorded verbatim in E1's url
statusrun
result summaryTwelve reviewed human proteins carry a CXXC domain; TET2 is not one of them; TET2's CXXC is the separate gene CXXC4/IDAX.
coverage before3/12 = 25.0% (Wilson 95% 8.9-53.2)
coverage after11/12 = 91.7%; KMT2B is the remaining gap
family members
CXXC4198.0CXXC4: 198CXXC5322.0CXXC5: 322MBD1605.0MBD1: 605CXXC1656.0CXXC1: 656FBXL19694.0FBXL19: 694KDM2A1,162KDM2A: 1162KDM2B1,336KDM2B: 1336DNMT11,616DNMT1: 1616TET31,795TET3: 1795TET12,136TET1: 2136KMT2B2,715KMT2B: 2715KMT2A3,969KMT2A: 3969
inputs
[
  "UniProt REST reviewed human proteome",
  "Pfam PF02008",
  "InterPro IPR002857"
]
family members — the numbers behind the chart
[
  {
    "symbol": "KMT2A",
    "accession": "Q03164",
    "length_aa": 3969,
    "cxxc_start": 1147,
    "cxxc_end": 1195,
    "entry": "gene-kmt2a"
  },
  {
    "symbol": "KMT2B",
    "accession": "Q9UMN6",
    "length_aa": 2715,
    "cxxc_start": 959,
    "cxxc_end": 1006,
    "entry": null
  },
  {
    "symbol": "CXXC1",
    "accession": "Q9P0U4",
    "length_aa": 656,
    "cxxc_start": 160,
    "cxxc_end": 209,
    "entry": "gene-cxxc1"
  },
  {
    "symbol": "CXXC4",
    "accession": "Q9H2H0",
    "length_aa": 198,
    "cxxc_start": 132,
    "cxxc_end": 173,
    "entry": "gene-cxxc4"
  },
  {
    "symbol": "CXXC5",
    "accession": "Q7LFL8",
    "length_aa": 322,
    "cxxc_start": 256,
    "cxxc_end": 297,
    "entry": "gene-cxxc5"
  },
  {
    "symbol": "DNMT1",
    "accession": "P26358",
    "length_aa": 1616,
    "cxxc_start": 646,
    "cxxc_end": 692,
    "entry": "gene-dnmt1"
  },
  {
    "symbol": "FBXL19",
    "accession": "Q6PCT2",
    "length_aa": 694,
    "cxxc_start": 32,
    "cxxc_end": 78,
    "entry": "gene-fbxl19"
  },
  {
    "symbol": "KDM2A",
    "accession": "Q9Y2K7",
    "length_aa": 1162,
    "cxxc_start": 564,
    "cxxc_end": 610,
    "entry": "gene-kdm2a"
  },
  {
    "symbol": "KDM2B",
    "accession": "Q8NHM5",
    "length_aa": 1336,
    "cxxc_start": 606,
    "cxxc_end": 652,
    "entry": "gene-kdm2b"
  },
  {
    "symbol": "MBD1",
    "accession": "Q9UIS9",
    "length_aa": 605,
    "cxxc_start": 330,
    "cxxc_end": 378,
    "entry": "gene-mbd1",
    "note": "three CXXC-type fingers at 169-216, 217-263 and 330-378; only the THIRD binds unmethylated CpG"
  },
  {
    "symbol": "TET1",
    "accession": "Q8NFU7",
    "length_aa": 2136,
    "cxxc_start": 584,
    "cxxc_end": 625,
    "entry": "gene-tet1"
  },
  {
    "symbol": "TET3",
    "accession": "O43151",
    "length_aa": 1795,
    "cxxc_start": 50,
    "cxxc_end": 90,
    "entry": "gene-tet3"
  }
]
excluded
[
  {
    "symbol": "TET2",
    "accession": "Q6N021",
    "length_aa": 2002,
    "reason": "no CXXC feature, no PF02008, no IPR002857; the ancestral TET2 CXXC is now the separate gene CXXC4/IDAX",
    "entry": "gene-tet2"
  }
]
How this could bite us back
  • Any small molecule that blocks the KMT2A CXXC-DNA contact has eleven human off-targets with the same fold, two of which (DNMT1, CXXC1) are broadly required across cell lines. The phase-2 dossier already sets a 30-fold selectivity gate for that reason; this census says the gate has twelve lanes, not 'about a dozen'.
  • The DNMT1 CXXC substitution result means a pan-CXXC inhibitor would hit the one domain proven sufficient to run the leukaemic programme and the one domain that maintains the methylation excluding the fusion from most of the genome. The two effects have opposite signs and nothing predicts which dominates.
Still open
  1. Does any cell type express all eleven nuclear family members at once, and at what stoichiometry relative to the number of CpG islands? Without that, 'competition' has no quantitative meaning.
  2. Of the eleven heterologous CXXC domains, only three have been tested in the MLL-AF9 swap. Would the TET1, TET3, KDM2A, KDM2B, CXXC4, CXXC5 or FBXL19 domains transform, and does the DNMT1 result generalise to any domain that protects CpGs from methylation?
  3. KMT2B carries a CXXC domain at 959-1006 and is a paralogue of the index protein. Is it a competitor for the fusion's address, and why has no beat in this project written it?
Every source behind this entry (7)
  1. E1established confidence 5 of 5: Multiple independent lines of evidence; treated as settled in the field.database

    Exactly twelve reviewed human proteins carry the zf-CXXC domain by Pfam PF02008, by InterPro IPR002857 and by the UniProt CXXC-type zinc-finger feature query, and TET2 is absent from all three.

    What this evidence cannot show

    A database census measures what curators have annotated, not what exists. It would miss a divergent CXXC domain too weak to trip the Pfam HMM, and it cannot say which of the twelve actually occupies a given locus in a given cell. The three query forms are not fully independent - InterPro IPR002857 is built on the Pfam model - but the feature query is curator-assigned and agrees.

    Evidence that argues against this (1)
    • A functional classification of the family is not the same as a sequence one, and Xu et al. explicitly add a DNA-selectivity classification alongside the existing function-based one, so a single-number family size can flatten real heterogeneity. Xu C et al. 2018
  2. E2strong confidence 4 of 5: Replicated in peer-reviewed work by more than one group.paper

    IDAX/CXXC4 was originally encoded within an ancestral TET2 gene that underwent a chromosomal inversion separating the TET2 CXXC domain from its catalytic domain, and the IDAX CXXC domain binds unmethylated CpG, localises to CpG islands, and interacts directly with the TET2 catalytic domain.

    What this evidence cannot show

    The evolutionary inversion is an inference from synteny, not an experiment. The functional half - CpG binding, CpG-island localisation and the direct interaction with the TET2 catalytic domain - is measured, but in mouse embryonic stem cells and the human monocytic line U937, not in leukaemia and not in a KMT2A-rearranged system.

    Evidence that argues against this (1)
    • Liu et al. report that Tet3 has an alternative transcript that includes the adjacent Cxxc10-1 CXXC sequence in cis, so the 'CXXC in trans' arrangement is not uniform across the TET family and may be a TET2-specific solution. Liu N et al. 2013
  3. E3strong confidence 4 of 5: Replicated in peer-reviewed work by more than one group.paper

    The DNA-binding selectivities of all known human CXXC domains were measured systematically by several assays and by a series of CXXC-DNA co-crystals, and the domains fall into distinct DNA-selectivity classes rather than one.

    What this evidence cannot show

    In-vitro binding on short oligonucleotides with isolated domains. Affinity of a domain out of its protein does not predict occupancy of the full-length protein on chromatin, where neighbouring domains, complex partners and nucleosomes all intervene.

    Evidence that argues against this (1)
    • Single-molecule magnetic-tweezer measurement of the MLL1 CXXC domain on long DNA with a real CpG island shows spatially dependent collaboration among CpGs that short-oligonucleotide assays cannot see, so the in-vitro selectivity ranking may not transfer to genomic CpG islands. Liang L et al. 2021
  4. E4strong confidence 4 of 5: Replicated in peer-reviewed work by more than one group.paper

    In the MLL-AF9 backbone the DNMT1 CXXC domain supports colony formation and leukaemogenesis comparable to MLL-AF9, while the CGBP/CXXC1 and MBD1 CXXC domains abrogate both, and all substituted fusions still target the Hoxa9 locus.

    Functional specificity of CpG DNA-binding CXXC domains in mixed lineage leukemia. · Risner LE, Kuntimaddi A, et al. · J Biol Chem 2013
    What this evidence cannot show

    Murine MLL-AF9 myeloid system with retroviral transduction of primary bone-marrow progenitors and transplantation. Nothing in it is human, B-lineage or KMT2A::AFF1, which is the index disease of this project. Only three heterologous CXXC domains of the eleven available were tested.

    Evidence that argues against this (1)
    • The isolated MBD1 CXXC domain could not bind the test DNA at all in the same paper, so the MBD1 arm of that experiment is a failure-to-bind control rather than an independent test of a binding CXXC domain that nonetheless fails to transform. Risner LE et al. 2013
  5. E5moderate confidence 3 of 5: One strong study, or several smaller consistent ones.paper

    In human and mouse the TET2 and TET3 genes are adjacent to CXXC4 and Cxxc10-1 respectively, and the CXXC domains encoded at those loci, together with those of TET1 and CXXC5, form a distinct homology group within the CXXC family.

    What this evidence cannot show

    Mouse work with in-vitro binding on single-CpG substrates; the homology grouping is a sequence argument. Relative transcript levels are used to infer that distinct ratios of Tet3(CXXC) isoform and Tet3-Cxxc4 complex exist in adult tissues, which is an inference from RNA, not a measurement of protein complexes.

    Evidence that argues against this (1)
    • The same paper reports that in vivo Tet1 and Tet3 isoforms with and without the CXXC domain hydroxylate genomic 5-methylcytosine with similar activity, which argues the CXXC module is not the principal determinant of TET catalytic targeting. Liu N et al. 2013
  6. E6moderate confidence 3 of 5: One strong study, or several smaller consistent ones.paper

    MLL1-CXXC is specific only for CpG and tolerates no cytosine modification, whereas TET3-CXXC does not require CpG context and tolerates methyl-, formyl- and carboxyl-modified cytosine preceding G.

    Specificity of MLL1 and TET3 CXXC domains towards naturally occurring cytosine modifications. · Stroynowska-Czerwinska A, Piasecka A, et al. · Biochim Biophys Acta Gene Regul Mech 2018
    What this evidence cannot show

    Isolated domains on synthetic duplexes. The paper's own contribution is that interference from cytosines elsewhere in the sequence had not previously been controlled, which means earlier specificity numbers in this family - including some quoted elsewhere in this graph - were measured without that control.

    Evidence that argues against this (1)
    • Jin et al. report the TET3 CXXC domain's highest affinity is toward 5-carboxylcytosine with a co-crystal of the CXXC-5caC-DNA complex, a stronger claim than 'tolerates', so the two papers agree on direction and differ on magnitude. Jin SG et al. 2016
  7. E7established confidence 5 of 5: Multiple independent lines of evidence; treated as settled in the field.review

    A family review from the Klose laboratory frames CFP1, MLL, KDM2A, KDM2B, TET1 and TET3 as ZF-CxxC proteins that specifically recognise non-methylated DNA and recruit chromatin-modifying activities to CpG-island elements.

    ZF-CxxC domain-containing proteins, CpG islands and the chromatin connection. · Long HK, Blackledge NP, et al. · Biochem Soc Trans 2013
    What this evidence cannot show

    A review, used here only as a map of the field's own framing in 2013, not as a source for any measurement. It predates the systematic selectivity comparison and the TET3 5caC result.

    Evidence that argues against this (1)
    • The review's framing of the family as a set of unmethylated-CpG readers is now known to be wrong for TET3, whose CXXC has highest affinity for 5-carboxylcytosine. Jin SG et al. 2016
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