Professional Education

  • PhD, University of Muenster, Germany (2013)
  • Diplom, Technische Universitat Dortmund (2009)

Stanford Advisors


All Publications

  • DNA Methyltransferase Inhibition Reverses Epigenetically Embedded Phenotypes in Lung Cancer Preferentially Affecting Polycomb Target Genes. Clinical cancer research : an official journal of the American Association for Cancer Research Hascher, A., Haase, A. K., Hebestreit, K., Rohde, C., Klein, H. U., Rius, M., Jungen, D., Witten, A., Stoll, M., Schulze, I., Ogawa, S., Wiewrodt, R., Tickenbrock, L., Berdel, W. E., Dugas, M., Thoennissen, N. H., Müller-Tidow, C. 2014


    Cancer cell phenotypes are partially determined by epigenetic specifications, such as DNA methylation. Metastasis development is a late event in cancerogenesis and might be associated with epigenetic alterations.EXPERIMENTAL DESIGN: An in vivo selection approach was used to generate highly aggressive non-small cell lung cancer (NSCLC) cell lines (A549 and HTB56) followed by genome-wide DNA methylation analysis. Furthermore, the therapeutic effects of the epigenetic agent azacytidine on DNA methylation patterns and the in vivo phenotypes were explored.RESULTS: Widespread changes of DNA methylation were observed during development of highly aggressive cell lines. Up to 2.5% of the CpG-rich region was differentially methylated as identified by reduced representation bisulfite sequencing compared with the less aggressive parental cell lines. DNA methyltransferase inhibition by azacytidine reversed the prometastatic phenotype; this was highly associated with the preferential loss of DNA methylation at sites that were hypermethylated during the in vivo selection. Of note, polycomb (PRC2) binding sites were particularly affected by DNA methylation changes after azacytidine exposure that persisted over time.CONCLUSIONS: We could show that metastatic capability of NSCLC is closely associated with DNA methylome alterations. Because inhibition of DNA methyltransferase reversed metastasis-prone phenotype, epigenetic modulation seems to be a potential therapeutic approach to prevent metastasis formation. Clin Cancer Res; 1-13. ©2013 AACR.

    View details for DOI 10.1158/1078-0432.CCR-13-1483

    View details for PubMedID 24334763

  • Detection of significantly differentially methylated regions in targeted bisulfite sequencing data BIOINFORMATICS Hebestreit, K., Dugas, M., Klein, H. 2013; 29 (13): 1647-1653


    Bisulfite sequencing is currently the gold standard to obtain genome-wide DNA methylation profiles in eukaryotes. In contrast to the rapid development of appropriate pre-processing and alignment software, methods for analyzing the resulting methylation profiles are relatively limited so far. For instance, an appropriate pipeline to detect DNA methylation differences between cancer and control samples is still required.We propose an algorithm that detects significantly differentially methylated regions in data obtained by targeted bisulfite sequencing approaches, such as reduced representation bisulfite sequencing. In a first step, this approach tests all target regions for methylation differences by taking spatial dependence into account. A false discovery rate procedure controls the expected proportion of incorrectly rejected regions. In a second step, the significant target regions are trimmed to the actually differentially methylated regions. This hierarchical procedure detects differentially methylated regions with increased power compared with existing methods.R/Bioconductor package BiSeq.Supplementary Data are available at Bioinformatics online.

    View details for DOI 10.1093/bioinformatics/btt263

    View details for Web of Science ID 000321746100050

    View details for PubMedID 23658421

  • DNA methylation changes are a late event in acute promyelocytic leukemia and coincide with loss of transcription factor binding. Blood Schoofs, T., Rohde, C., Hebestreit, K., Klein, H., Göllner, S., Schulze, I., Lerdrup, M., Dietrich, N., Agrawal-Singh, S., Witten, A., Stoll, M., Lengfelder, E., Hofmann, W., Schlenke, P., Büchner, T., Hansen, K., Berdel, W. E., Rosenbauer, F., Dugas, M., Müller-Tidow, C. 2013; 121 (1): 178-187


    The origin of aberrant DNA methylation in cancer remains largely unknown. In the present study, we elucidated the DNA methylome in primary acute promyelocytic leukemia (APL) and the role of promyelocytic leukemia-retinoic acid receptor ? (PML-RAR?) in establishing these patterns. Cells from APL patients showed increased genome-wide DNA methylation with higher variability than healthy CD34(+) cells, promyelocytes, and remission BM cells. A core set of differentially methylated regions in APL was identified. Age at diagnosis, Sanz score, and Flt3-mutation status characterized methylation subtypes. Transcription factor-binding sites (eg, the c-myc-binding sites) were associated with low methylation. However, SUZ12- and REST-binding sites identified in embryonic stem cells were preferentially DNA hypermethylated in APL cells. Unexpectedly, PML-RAR?-binding sites were also protected from aberrant DNA methylation in APL cells. Consistent with this, myeloid cells from preleukemic PML-RAR? knock-in mice did not show altered DNA methylation and the expression of PML-RAR? in hematopoietic progenitor cells prevented differentiation without affecting DNA methylation. Treatment of APL blasts with all-trans retinoic acid also did not result in immediate DNA methylation changes. The results of the present study suggest that aberrant DNA methylation is associated with leukemia phenotype but is not required for PML-RAR?-mediated initiation of leukemogenesis.

    View details for DOI 10.1182/blood-2012-08-448860

    View details for PubMedID 23152544

  • Inhibition of the LSD1 (KDM1A) demethylase reactivates the all-trans-retinoic acid differentiation pathway in acute myeloid leukemia NATURE MEDICINE Schenk, T., Chen, W. C., Goellner, S., Howell, L., Jin, L., Hebestreit, K., Klein, H., Popescu, A. C., Burnett, A., Mills, K., Casero, R. A., Marton, L., Woster, P., Minden, M. D., Dugas, M., Wang, J. C., Dick, J. E., Mueller-Tidow, C., Petrie, K., Zelent, A. 2012; 18 (4): 605-611


    Acute promyelocytic leukemia (APL), a cytogenetically distinct subtype of acute myeloid leukemia (AML), characterized by the t(15;17)-associated PML-RARA fusion, has been successfully treated with therapy utilizing all-trans-retinoic acid (ATRA) to differentiate leukemic blasts. However, among patients with non-APL AML, ATRA-based treatment has not been effective. Here we show that, through epigenetic reprogramming, inhibitors of lysine-specific demethylase 1 (LSD1, also called KDM1A), including tranylcypromine (TCP), unlocked the ATRA-driven therapeutic response in non-APL AML. LSD1 inhibition did not lead to a large-scale increase in histone 3 Lys4 dimethylation (H3K4(me2)) across the genome, but it did increase H3K4(me2) and expression of myeloid-differentiation-associated genes. Notably, treatment with ATRA plus TCP markedly diminished the engraftment of primary human AML cells in vivo in nonobese diabetic (NOD)-severe combined immunodeficient (SCID) mice, suggesting that ATRA in combination with TCP may target leukemia-initiating cells. Furthermore, initiation of ATRA plus TCP treatment 15 d after engraftment of human AML cells in NOD-SCID ? (with interleukin-2 (IL-2) receptor ? chain deficiency) mice also revealed the ATRA plus TCP drug combination to have a potent anti-leukemic effect that was superior to treatment with either drug alone. These data identify LSD1 as a therapeutic target and strongly suggest that it may contribute to AML pathogenesis by inhibiting the normal pro-differentiative function of ATRA, paving the way for new combinatorial therapies for AML.

    View details for DOI 10.1038/nm.2661

    View details for Web of Science ID 000302617800039

    View details for PubMedID 22406747

  • Leukemia gene atlas--a public platform for integrative exploration of genome-wide molecular data. PloS one Hebestreit, K., Gröttrup, S., Emden, D., Veerkamp, J., Ruckert, C., Klein, H., Müller-Tidow, C., Dugas, M. 2012; 7 (6)


    Leukemias are exceptionally well studied at the molecular level and a wealth of high-throughput data has been published. But further utilization of these data by researchers is severely hampered by the lack of accessible integrative tools for viewing and analysis. We developed the Leukemia Gene Atlas (LGA) as a public platform designed to support research and analysis of diverse genomic data published in the field of leukemia. With respect to leukemia research, the LGA is a unique resource with comprehensive search and browse functions. It provides extensive analysis and visualization tools for various types of molecular data. Currently, its database contains data from more than 5,800 leukemia and hematopoiesis samples generated by microarray gene expression, DNA methylation, SNP and next generation sequencing analyses. The LGA allows easy retrieval of large published data sets and thus helps to avoid redundant investigations. It is accessible at

    View details for DOI 10.1371/journal.pone.0039148

    View details for PubMedID 22720055

  • The Interlaboratory RObustness of Next-generation sequencing (IRON) study: a deep sequencing investigation of TET2, CBL and KRAS mutations by an international consortium involving 10 laboratories LEUKEMIA Kohlmann, A., Klein, H., Weissmann, S., BRESOLIN, S., Chaplin, T., Cuppens, H., Haschke-Becher, E., Garicochea, B., Grossmann, V., Hanczaruk, B., Hebestreit, K., Gabriel, C., Iacobucci, I., Jansen, J. H., Kronnie, G. T., van de Locht, L., Martinelli, G., McGowan, K., Schweiger, M. R., Timmermann, B., Vandenberghe, P., Young, B. D., Dugas, M., Haferlach, T. 2011; 25 (12): 1840-1848


    Massively parallel pyrosequencing allows sensitive deep sequencing to detect molecular aberrations. Thus far, data are limited on the technical performance in a clinical diagnostic setting. Here, we investigated as an international consortium the robustness, precision and reproducibility of amplicon next-generation deep sequencing across 10 laboratories in eight countries. In a cohort of 18 chronic myelomonocytic leukemia patients, mutational analyses were performed on TET2, a frequently mutated gene in myeloproliferative neoplasms. Additionally, hotspot regions of CBL and KRAS were investigated. The study was executed using GS FLX sequencing instruments and the small volume 454 Life Sciences Titanium emulsion PCR setup. We report a high concordance in mutation detection across all laboratories, including a robust detection of novel variants, which were undetected by standard Sanger sequencing. The sensitivity to detect low-level variants present with as low as 1-2% frequency, compared with the 20% threshold for Sanger-based sequencing is increased. Together with the output of high-quality long reads and fast run time, we demonstrate the utility of deep sequencing in clinical applications. In conclusion, this multicenter analysis demonstrated that amplicon-based deep sequencing is technically feasible, achieves high concordance across multiple laboratories and allows a broad and in-depth molecular characterization of cancer specimens with high diagnostic sensitivity.

    View details for DOI 10.1038/leu.2011.155

    View details for Web of Science ID 000298405500007

    View details for PubMedID 21681191

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