Evidence map›Paper›PMID 41799524›Full record

ReviewOncology research2026

Epigenomic and Metabolic Interplay in the Development of Metastatic Brain Tumors.

Vishal Rastogi, Deepak Verma, Saurabh Verma, Prakash Haloi, Shruti Kapoor, Havagiray R Chitme, Nethaji Muniraj, Priyanka Saroj

Abstract readReview
In one paragraph

Review in Oncology research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Vishal RastogiDepartment of Pharmacology, Amity Institute of Pharmacy, Amity University, Noida, 201313, India.
Deepak VermaDepartment of Oncology, Johns Hopkins University, Baltimore, MD 21210, USA.
Saurabh VermaDepartment of Pharmaceutics, Amity Institute of Pharmacy, Amity University, Noida, 201313, India.
Prakash HaloiDepartment of Pharmacology, Amity Institute of Pharmacy, Amity University, Noida, 201313, India.
Shruti KapoorMolecular, Cellular and Developmental Biology, University of California Santa Cruz, Santa Cruz, CA 95064, USA.
Havagiray R ChitmeDepartment of Pharmacology, Amity Institute of Pharmacy, Amity University, Noida, 201313, India.
Nethaji MunirajCenter for Cancer and Immunology Research, Children's National Hospital, 111 Michigan Ave NW, Washington, DC 20010, USA.
Priyanka SarojDepartment of Pharmacology, Amity Institute of Pharmacy, Amity University, Noida, 201313, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Metastatic brain tumors undergo profound metabolic-epigenetic reprogramming driven by the unique constraints of the brain microenvironment. Hypoxia-inducible factor-1α (HIF1α) enhances glycolytic flux, lactate accumulation, and histone lactylation, collectively supporting metastatic colonization and immune evasion. Key metabolites including acetyl-CoA, S-adenosylmethionine (SAM), α-ketoglutarate (α-KG), fumarate, and 2-hydroxyglutarate (2-HG)-directly modify chromatin states by regulating histone acetyltransferases, DNA/histone methyltransferases, and α-KG dependent dioxygenases such as Ten-Eleven Translocation (TET) enzymes and lysine demethylases (KDMs). These metabolic shifts result in aberrant DNA methylation, histone lysine residue at position 27 on Histone H3 (H3K27) trimethylation, and depletion of 5-hydroxymethylcytosine (5hmC), all of which are hallmark epigenetic alterations in brain metastasis and primary Central Nervous System (CNS) tumors. Additionally, the blood-brain barrier (BBB) and blood-tumor barrier (BTB) impose nutrient restrictions and induce metabolic dependency on glutamine, acetate, and lactate shuttling, thereby reshaping epigenetic enzyme activity. We synthesize current mechanistic evidence showing how metabolic pressures in the brain microenvironment remodel the epigenome to promote tumor plasticity, stemness, and therapeutic resistance. Understanding these coupled pathways reveals vulnerable nodes such as HIF1α signaling, α-KG-dependent demethylation, and lactate-driven epigenetic remodeling that may be exploited for targeted treatment of metastatic brain tumors. The present review aims to provide in-depth insights into epigenetic regulation, including chromatin and histone modifications as well as noncoding RNAs and metabolic reprogramming, highlighting how the two interplay in the development and progression of metastatic brain tumors and their therapeutic potential.

Indexed as

Brain NeoplasmsEpigenesis, GeneticEpigenomicsAnimalsHumansMetabolic ReprogrammingTumor Microenvironmentbrain tumorepigenetic alterationMetabolic reprogramming

Identifiers

PMID41799524
PMCPMC12963651

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.