Evidence map›Paper›PMID 41290646›Full record

ArticleNature communications2025

Single-cell multi-omics identifies metabolism-linked epigenetic reprogramming as a driver of therapy-resistant medulloblastoma.

Bethany Veo, Dong Wang, John DeSisto, Angela Pierce, Breauna Brunt, Pradeep Chandra Bompada, Andrew Donson, Andrew Goodspeed, Kiara Smart, Nicholas Foreman and 2 more

Abstract read
In one paragraph

Article in Nature communications, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

  1. Review
  2. Review
  3. Article
  4. Review
  5. Targeting tumor transition windows.Exploration of targeted anti-tumor therapy · 2026
    Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors.

Bethany VeoDepartment of Pediatrics, University of Colorado Anschutz Medical Campus, Aurora, CO, USA. Bethany.veo@cuanschutz.edu.
Dong WangDepartment of Pediatrics, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
John DeSistoDepartment of Pediatrics, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.ORCID http://orcid.org/0000-0003-1058-4604
Angela PierceDepartment of Pediatrics, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.ORCID http://orcid.org/0000-0003-0848-0494
Breauna BruntDepartment of Pediatrics, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
Pradeep Chandra BompadaDepartment of Pediatrics, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
Andrew DonsonDepartment of Pediatrics, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
Andrew GoodspeedUniversity of Colorado Cancer Center, Aurora, CO, USA.
Kiara SmartDepartment of Pediatrics, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
Nicholas ForemanDepartment of Pediatrics, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
Nathan DahlDepartment of Pediatrics, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
Rajeev VibhakarDepartment of Pediatrics, University of Colorado Anschutz Medical Campus, Aurora, CO, USA. Rajeev.vibhakar@cuanschutz.edu.ORCID http://orcid.org/0000-0002-5949-3896

Funding

University of Colorado Cancer Center Support Grant - Lung Cancer Patient-Derived Xenografts with Autologous Human Immune SystemsP30CA046934 · NCI · UNIVERSITY OF COLORADO DENVER · PI James V Degregori · 1988 to 2026
$117.0M
Targeting Wee1 in Myc driven MedulloblasomaR01NS091219 · NINDS · UNIVERSITY OF COLORADO DENVER · PI Rajeev Vibhakar · 2015 to 2026
$3.3M
NCI NIH HHS P30 CA046934NINDS NIH HHS R01 NS091219U.S. Department of Health & Human Services | NIH | National Institute of Neurological Disorders and Stroke (NINDS) NS091219
6 · The paper itself

Abstract

Medulloblastoma (MB) is the most prevalent malignant brain tumor in children, exhibiting clinical and genomic heterogeneity. Of the four major subgroups, Group 3 tumors (MYC-MB), display high levels of MYC and metastasis rates. Despite treatment with surgery, radiation, and chemotherapy, patients with Group 3 MB are more likely to develop aggressive recurrent tumors with poor survival. To examine resistance mechanisms in this study, we perform single nuclei multiome analysis of matched primary and recurrent tumors. Therapy resistant Medulloblastoma demonstrates an expanded persistent progenitor population. Additionally, distinct chromatin landscapes link to altered transcription and correspond with metabolic reprogramming. In vivo modeling of radiation resistance exhibits similar chromatin-based metabolic reprogramming focused on wild-type isocitrate dehydrogenase (IDH1) activity. IDH1 inhibition reverses resistance-mediated chromatin changes and enables radiation re-sensitization. Ultimately, these findings demonstrate the efficacy of single-cell multiome analysis in elucidating resistance mechanisms and identifying targetable pathways for MYC-driven medulloblastoma.

Indexed as

Cerebellar NeoplasmsDrug Resistance, NeoplasmEpigenesis, GeneticMedulloblastomaAnimalsCell Line, TumorChromatinFemaleGene Expression Regulation, NeoplasticHumansIsocitrate DehydrogenaseMiceMultiomicsProto-Oncogene Proteins c-mycRadiation ToleranceSingle-Cell AnalysisChromatinIDH1 protein, humanIsocitrate DehydrogenaseProto-Oncogene Proteins c-myc

Identifiers

PMID41290646
PMCPMC12647721

What OpenQuestion holds

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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.