“…Exposure to high levels of fumarate has been linked to genotoxic effects, as it induces DNA fragmentation and can contribute to chromosomal instability (Wentzel et al , ). Furthermore, fumarate is implicated in epigenetic regulation, EMT induction (Janin & Esteller, ; Sciacovelli et al , ), ROS production, redox homeostasis dysregulation (Shanmugasundaram et al , ), and urea cycle reversion, which have been associated with tumour growth (Collins et al , ). It also favours HIF‐1 expression and stabilization, contributing to its accumulation and to the expression of HIF‐1 target genes (Isaacs et al , ; Shanmugasundaram et al , ).…”