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Updated: Jan 1, 2026

An Integrated Platform for Genome-wide Mapping of Chromatin States Using High-throughput ChIP-sequencing in Tumor Tissues
Published on: April 5, 2018
Interweaving Tumor Heterogeneity into the Cancer Epigenetic/Metabolic Axis
Jia Yu Leung1, Kimberly Chia1, Derrick Sek Tong Ong1,2
1Department of Physiology, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
Abstract:
The epigenomic/metabolic landscape in cancer has been studied extensively in the past decade and forms the basis of various drug targets. Yet, cancer treatment remains a challenge, with clinical trials exhibiting limited efficacy and high relapse rates. Patients respond differently to therapy, which is fundamentally attributed to tumor heterogeneity, both across and within tumors. This review focuses on the interactions between the heterogeneous tumor microenvironment (TME) and the epigenomic/metabolic axis in cancer, as well as the emerging technologies under development to aid heterogeneity studies. Interlinks between epigenetics and metabolism in cancer have been reported. Emerging studies have unveiled interactions between the TME and cancer cells that play a critical role in regulating epigenetics and reprogramming cancer metabolism, suggesting a three-way cross talk. This cross talk accentuates the multiplex nature of cancer, and the importance of considering tumor heterogeneity in various epigenomic/metabolic cancer studies. With the advancement in single-cell profiling, it may be possible to identify cancer subclones and their unique vulnerabilities to develop a multimodal therapy. Drugs targeting the TME are currently being studied, and a better understanding of the TME in regulating cancer epigenetics and metabolism may hold the key to identifying novel therapeutic targets.
Insights
Tumor heterogeneity complicates cancer treatment. Understanding the interplay between the tumor microenvironment, epigenetics, and metabolism is key to developing effective therapies and overcoming treatment resistance.
Area of Science:
- Oncology
- Cancer Biology
- Epigenetics
- Metabolic Pathways
Background:
- Cancer epigenomics and metabolism are extensively studied drug targets.
- Limited efficacy and high relapse rates highlight challenges in current cancer therapies.
- Tumor heterogeneity across and within tumors contributes to differential patient responses.
Purpose of the Study:
- To review the interactions between the heterogeneous tumor microenvironment (TME) and the cancer epigenomic/metabolic axis.
- To explore emerging technologies for studying tumor heterogeneity.
- To emphasize the three-way crosstalk between TME, epigenetics, and cancer metabolism.
Main Methods:
- Literature review focusing on epigenetics, metabolism, and tumor microenvironment interactions.
- Discussion of emerging single-cell profiling technologies.
- Analysis of the role of tumor heterogeneity in therapeutic outcomes.
Main Results:
- Interactions between the TME and cancer cells critically regulate cancer epigenetics and metabolism.
- A three-way crosstalk accentuates the complex, multiplex nature of cancer.
- Tumor heterogeneity is crucial for understanding cancer biology and treatment response.
Conclusions:
- Considering tumor heterogeneity is vital for epigenomic/metabolic cancer studies.
- Advancements in single-cell profiling may enable identification of cancer subclones and vulnerabilities.
- Understanding TME's role in cancer epigenetics and metabolism is crucial for novel therapeutic targets.
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