Previous Next

2026-03-27

Hepatoblastoma: a combined strategy to target resistant forms

Gastroenterology and Hepatology

By Elodie Vaz | Published on March 27, 2026 | 4 min read

Hepatoblastoma is the most common liver cancer in children. Although standard treatment combining chemotherapy and surgery now cures about 80% of patients, some forms remain particularly aggressive. These tumors are characterized by rapid proliferation and resistance to conventional therapies, leaving clinicians with limited options for poor-prognosis cases.  

In this context, a team from Inserm and the University of Bordeaux, led by Christophe Grosset at the Bordeaux Institute of Oncology, has explored a new therapeutic strategy published in Springer Nature on February 26. The objective: eliminate resistant tumor cells by combining an EZH2 inhibitor (a protein involved in epigenetic regulation) with statins, drugs commonly prescribed for hypercholesterolemia.
 



A combinatorial approach grounded in tumor biology





  The rationale behind this strategy relies on two complementary mechanisms. On the one hand, EZH2 acts on chromatin by modifying DNA organization. As Christophe Grosset, lead author of the study, explains: “it adds a tiny ‘chemical tag,’ the methyl group, onto a protein called histone H3, around which DNA is wrapped. This modification changes chromatin organization by compacting it and prevents the expression of certain genes, notably tumor suppressor genes, which normally act as brakes on cancer development.”  

On the other hand, statins target cellular metabolism. “They block the production of mevalonate, a molecule that cells use to grow, survive, and move. By reducing mevalonate levels, statins slow cancer cell growth and migration, increase their sensitivity to chemotherapy, and may help the immune system better eliminate the tumor,” he adds.  



Promising results in preclinical models




The researchers first showed that the EZH2 protein is overexpressed in the most aggressive hepatoblastomas, confirming its potential role in tumor progression. They then tested their approach in murine models of the disease.  

“Combined with statins, our EZH2 inhibitor effectively destroyed cancer cells and blocked tumor growth in mice,” reports Christophe Grosset. This efficacy was also observed in vitro in other cancer types, including osteosarcoma and lung cancer cells.
 




A promising avenue to be confirmed in humans
 





These preclinical data open new therapeutic perspectives for the most aggressive forms of hepatoblastoma. They are part of a broader research effort on EZH2 inhibitors, already being explored in several cancers.  

As Christophe Grosset points out: “since the approval in 2020 in the United States of the first anti-EZH2 treatment for epithelioid sarcoma, a rare and aggressive soft tissue tumor, numerous studies are underway worldwide to evaluate the effectiveness of this therapeutic strategy against other cancers.”  

“Our results in mice suggest that combining this EZH2 inhibitor with statins could be promising for the most aggressive hepatoblastomas. However, additional preliminary work will be necessary to confirm its efficacy and safety in humans.”



  Toward more targeted medicine in pediatric oncology  





Beyond hepatoblastoma, this study illustrates the growing interest in combinatorial approaches targeting both the epigenetic and metabolic mechanisms of tumor cells. It also highlights the potential for drug repurposing, such as statins, in oncology.  

If these results are confirmed in clinical settings, this strategy could expand the therapeutic arsenal against resistant pediatric cancers. This is particularly important given the limited options currently available for these patients and the major public health challenge posed by innovation in pediatric oncology.       



                     Read
next: Liver, sugar, and pills: who's in control?






About the Author – Elodie Vaz
Health journalist, CFPJ graduate (2023).
Élodie explores the marks diseases leave on bodies and, more broadly, on human life. A registered nurse since 2010, she spent twelve years at patients’ bedsides before exchanging her stethoscope for a notebook. She now investigates the links between environment and health, convinced that the vitality of life cannot be reduced to that of humans alone.    



About the Author – Elodie Vaz
Health journalist, CFPJ graduate (2023).
Élodie explores the marks diseases leave on bodies and, more broadly, on human life. A registered nurse since 2010, she spent twelve years at patients’ bedsides before exchanging her stethoscope for a notebook. She now investigates the links between environment and health, convinced that the vitality of life cannot be reduced to that of humans alone.    

Source(s) :
Grosset C, et al. EZH2 is a key prognostic marker and therapeutic target in aggressive and proliferative hepatoblastoma. Molecular Cancer. 2025; doi:10.1186/s12943-025-02474-9. ; Inserm. Une nouvelle piste thérapeutique contre l’hépatoblastome, principal cancer du foie chez l’enfant [Internet]. 2026 [cited 2026 Mar 27]. ;

Last press reviews


Cold and the heart: an underestimated risk for cardiovascular mortality

By Elodie Vaz | Published on March 27, 2026 | 4 min read<br><br>Card...

Hepatoblastoma: a combined strategy to target resistant forms

By Elodie Vaz | Published on March 27, 2026 | 4 min read<br><br>Hepa...

Diagnosing infection by breathing: the promise of breath tests

By Elodie Vaz | Published on March 26, 2026 | 4 min read<br><br>Infe...