fig2

Metabolic reprogramming and the tumor microenvironment in hepatocellular carcinoma: mechanisms and therapeutic targeting

Figure 2. Metabolic–epigenetic coupling of the TCA cycle in HCC. Reprogrammed TCA cycle flux in HCC generates metabolic signals that directly regulate nuclear chromatin states. Succinate accumulation inhibits α-KG–dependent TET and JMJD demethylases, promoting DNA and histone hypermethylation, whereas reduced α-KG availability further constrains demethylation and limits enhancer plasticity. In parallel, mitochondrial-derived citrate is exported and converted to acetyl-CoA to fuel histone acetyltransferase activity, reinforcing oncogenic transcriptional programs. TCA: Tricarboxylic acid; HCC: hepatocellular carcinoma; α-KG: α-ketoglutarate; TET: ten-eleven translocation; JMJD: Jumonji C domain-containing; HATs: histone acetyltransferases; ATP: adenosine triphosphate; NADH: nicotinamide adenine dinucleotide; FADH2: flavin adenine dinucleotide.

Hepatoma Research
ISSN 2454-2520 (Online) 2394-5079 (Print)

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