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Updated: Mar 29, 2026

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Published on: April 18, 2025
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Crosstalk Between Cis-Regulatory Elements and Metabolism Reprogramming in Hepatocellular Carcinoma
Yuqing Ren1, Di Tang2, Xiaofan Ding1,3
1Faculty of Health Sciences, University of Macau, Macau SAR 999078, China.
Cancers
|March 28, 2026
Summary
Cis-regulatory elements (CREs) drive hepatocellular carcinoma (HCC) by altering metabolism. Targeting these aberrant CREs offers a promising new approach for precision therapy in HCC treatment.
Area of Science:
- Oncology
- Epigenetics
- Metabolic pathways
Background:
- Hepatocellular carcinoma (HCC) is a major global cancer, characterized by metabolic reprogramming and epigenetic changes.
- The interplay between cis-regulatory elements (CREs) and metabolic adaptation in HCC is not well understood.
Purpose of the Study:
- To review and integrate evidence on how CREs, including promoters, enhancers, and super-enhancers, drive metabolic reprogramming in HCC.
- To elucidate the mechanisms linking CREs to oncogenic and metabolic signals in HCC progression.
Main Methods:
- Literature review and synthesis of current research on CREs, epigenetics, and metabolism in HCC.
- Analysis of how CREs regulate key metabolic genes and pathways involved in cancer growth.
Main Results:
- Enhancers and super-enhancers activate critical metabolic genes in glycolysis, lipogenesis, glutaminolysis, and nucleotide synthesis.
- Metabolic intermediates feedback to epigenetic modifiers, creating loops that reinforce malignant phenotypes.
- Aberrant CREs function as "metabolic switches" that sustain HCC growth.
Conclusions:
- CREs play a crucial role in mediating metabolic adaptation and driving HCC progression.
- Targeting oncogenic CREs, particularly super-enhancers, presents a novel therapeutic strategy for HCC.
- Disrupting CRE-mediated metabolic vulnerabilities offers a promising avenue for precision HCC therapy.
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