articleSignal Transduction and Targeted TherapyJan 26, 2026GOLD OA

Targeting metabolic-epigenetic-immune axis in cancer: molecular mechanisms and therapeutic implications

Chinese Academy of Medical Sciences & Peking Union Medical College · Peking Union Medical College Hospital

PubMed
Indexed incrossrefdoajpubmed

Abstract

Cancer cells orchestrate a highly dynamic and interconnected network spanning metabolic, epigenetic, and immune mechanisms to drive adaptive plasticity and continuous development. This review synthesizes emerging insights into the coevolutionary strategies employed by malignant and stromal cells-particularly tumor cells and immune populations-across the continuum of tumorigenesis, metastasis, and treatment resistance. During tumor initiation, cancer cells rewire metabolism and generate oncometabolites that reshape the chromatin architecture to support immune evasion. Concurrently, metabolic competition in the tumor microenvironment (TME) induces epigenetic exhaustion of cytotoxic T cells, whereas…

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