Evidence map›Paper›PMID 39853587›Full record

ReviewInternational journal of cancer2026

Epigenomics-guided precision oncology: Chromatin variants in prostate tumor evolution.

Kira Furlano, Tina Keshavarzian, Nadine Biernath, Annika Fendler, Maria de Santis, Joachim Weischenfeldt, Mathieu Lupien

Abstract readReview
In one paragraph

Review in International journal of cancer, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Review
  2. Review
  3. Review
  4. 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

7 authors.

Kira FurlanoDepartment of Urology, Charité- Universitätsmedizin Berlin, Berlin, Germany.ORCID https://orcid.org/0000-0003-1724-7061
Tina KeshavarzianPrincess Margaret Cancer Centre, University Health Network, Toronto, Canada.
Nadine BiernathDepartment of Urology, Charité- Universitätsmedizin Berlin, Berlin, Germany.
Annika FendlerDepartment of Urology, Charité- Universitätsmedizin Berlin, Berlin, Germany.
Maria de SantisDepartment of Urology, Charité- Universitätsmedizin Berlin, Berlin, Germany.
Joachim WeischenfeldtDepartment of Urology, Charité- Universitätsmedizin Berlin, Berlin, Germany.
Mathieu LupienPrincess Margaret Cancer Centre, University Health Network, Toronto, Canada.

Funding

CIHR FRN-153234CIHR FRN-158225CIHR FRN-168933CIHR FRN-191847Foundation of Urological Research (Stiftung Urologische Forschung)Ontario Institute for Cancer Research IA-031
6 · The paper itself

Abstract

Prostate cancer is a common malignancy that in 5%-30% leads to treatment-resistant and highly aggressive disease. Metastasis-potential and treatment-resistance is thought to rely on increased plasticity of the cancer cells-a mechanism whereby cancer cells alter their identity to adapt to changing environments or therapeutic pressures to create cellular heterogeneity. To understand the molecular basis of this plasticity, genomic studies have uncovered genetic variants to capture clonal heterogeneity of primary tumors and metastases. As cellular plasticity is largely driven by non-genetic events, complementary studies in cancer epigenomics are now being conducted to identify chromatin variants. These variants, defined as genomic loci in cancer cells that show changes in chromatin state due to the loss or gain of epigenomic marks, inclusive of histone post-translational modifications, DNA methylation and histone variants, are considered the fundamental units of epigenomic heterogeneity. In prostate cancer chromatin variants hold the promise of guiding the new era of precision oncology. In this review, we explore the role of epigenomic heterogeneity in prostate cancer, focusing on how chromatin variants contribute to tumor evolution and therapy resistance. We therefore discuss their impact on cellular plasticity and stochastic events, highlighting the value of single-cell sequencing and liquid biopsy epigenomic assays to uncover new therapeutic targets and biomarkers. Ultimately, this review aims to support a new era of precision oncology, utilizing insights from epigenomics to improve prostate cancer patient outcomes.

Indexed as

ChromatinEpigenomicsPrecision MedicineProstatic NeoplasmsDNA MethylationEpigenesis, GeneticGenetic VariationHumansMaleChromatinchromatin variantsepigenomicsprecision oncologyprostate cancertumor evolution

Identifiers

PMID39853587
PMCPMC12628043

What OpenQuestion holds

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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 OpenQuestion graph.