Evidence map›Paper›PMID 40640872›Full record

ArticleJournal of translational medicine2025

DNA methylation remodeling in temozolomide resistant recurrent glioblastoma: comparing epigenetic dynamics in vitro and in vivo.

Michela Buonaiuto, Mariella Cuomo, Davide Costabile, Federica Trio, Sara Ferraro, Ornella Affinito, Alberto De Bellis, Maria Laura Del Basso De Caro, Roberta Visconti, Lorenzo Chiariotti and 2 more

Abstract readComparative Study
In one paragraph

Article in Journal of translational medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Review
  2. Article
  3. Promoter Methylation-Expression Coupling of Gliogenesis Genes inInternational journal of molecular sciences · 2026
    Article
  4. Article
  5. 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

12 authors.

Michela BuonaiutoCEINGE-Advanced Biotechnologies "Franco Salvatore", Naples, Italy.
Mariella CuomoCEINGE-Advanced Biotechnologies "Franco Salvatore", Naples, Italy.
Davide CostabileCEINGE-Advanced Biotechnologies "Franco Salvatore", Naples, Italy.
Federica TrioCEINGE-Advanced Biotechnologies "Franco Salvatore", Naples, Italy.
Sara FerraroCEINGE-Advanced Biotechnologies "Franco Salvatore", Naples, Italy.
Ornella AffinitoAREA Science Park, Padriciano, Trieste, Italy.
Alberto De BellisNeurosurgery Unit, AORN San Sebastiano and S'Anna, Caserta, Italy.
Maria Laura Del Basso De CaroPathology Unit, University of Napoli "Federico II", Naples, Italy.
Roberta ViscontiInstitute of the Endotypes in Oncology, Metabolism and Immunology "G. Salvatore", National Council of Research of Italy, Naples, Italy.
Lorenzo ChiariottiCEINGE-Advanced Biotechnologies "Franco Salvatore", Naples, Italy. chiariot@unina.it.
Giuseppe CatapanoNeurosurgery Unit, "Ospedale del Mare" Hospital, Naples, Italy. giuseppecatapano@libero.it.
Rosa Della MonicaCEINGE-Advanced Biotechnologies "Franco Salvatore", Naples, Italy. dellamonica@ceinge.unina.it.

Funding

Ministero dell'Istruzione, dell'Università e della Ricerca PRINPNRR P20225P45MNEXTGENERATIONEU PE0000006
6 · The paper itself

Abstract

backgroundGlioblastoma is the most aggressive type of brain tumor and is associated with a poor prognosis. First-line treatment is surgical resection followed by radiotherapy and temozolomide-based chemotherapy. However, the duration of treatment with temozolomide is limited due to both its toxicity and the development of drug resistance. The prognostic and predictive factor for response to temozolomide is the methylation status of the MGMT promoter. Indeed, loss of MGMT promoter methylation is a major cause of chemoresistance. However, the development of drug resistance is not only associated with changes in MGMT methylation. The entire epigenome changes and acquires specific properties necessary for tumor progression.

methodsTo study epigenetic alterations associated with temozolomide exposure, we generated a TMZ-resistant cell model. We investigated epigenetic alterations in the cell model and in a cohort of patients with recurrent glioblastoma using genome-wide methylome approaches (Epic Arrays 850 k).

resultsWe investigated the epigenetic changes associated with temozolomide exposure. Therefore, we generated a TMZ-resistant cell model and studied the epigenetic features acquired after selective temozolomide pressure. Our next step was to investigate the epigenomic differences between primary and recurrent tumors in a small cohort of patients. Finally, we performed a cross-analysis between the epigenetic differences found in TMZ-resistant cells and recurrent glioblastomas to identify common signatures that could be used to guide future resistance-overcoming studies.

conclusionsTemozolomide induces significant epigenetic changes in glioblastoma, which may contribute to treatment resistance and increased tumor aggressiveness. The results suggest that further research into DNA methylation changes associated with TMZ resistance is crucial. The use of primary tumor cells in resistance models may help identify strategies to overcome chemoresistance in glioblastoma.

Indexed as

Brain NeoplasmsDacarbazineDNA MethylationDrug Resistance, NeoplasmEpigenesis, GeneticGlioblastomaNeoplasm Recurrence, LocalAnimalsAntineoplastic Agents, AlkylatingCell Line, TumorFemaleGene Expression Regulation, NeoplasticHumansPromoter Regions, GeneticTemozolomideAntineoplastic Agents, AlkylatingDacarbazineTemozolomide

Identifiers

PMID40640872
PMCPMC12247454

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Registered trials

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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.