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探讨葡萄糖-6-磷酸脱氢酶在癌症中的作用(综述)。

Exploring the role of glucose‑6‑phosphate dehydrogenase in cancer (Review).

机构信息

Large Data Center, The Third Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing, Jiangsu 210001, P.R. China.

School of Medicine and Holistic Integrative Medicine, Nanjing University of Chinese Medicine, Nanjing, Jiangsu 210023, P.R. China.

出版信息

Oncol Rep. 2020 Dec;44(6):2325-2336. doi: 10.3892/or.2020.7803. Epub 2020 Oct 12.

Abstract

Glucose‑6‑phosphate dehydrogenase (G6PD) is a cytoplasmic enzyme found in human erythrocytes that provides reduced NADPH for cell metabolism. Glutathione produced by the G6PD pathway can reduce the degree of harm caused by reactive oxygen species such as oxygen‑containing free radicals, peroxides and lipid peroxides. Investigation of G6PD has long focused on hemolysis, jaundice and other diseases caused by defects in its function. However, increased mRNA expression levels of G6PD are predictive of adverse clinical outcomes in cancer patients, including increased drug resistance, migration or proliferation of tumor cells. Mutations in the G6PD gene affect protein expression and activity, and alters the balance of redox states, leading to disease. However, the association between G6PD and tumors is incompletely understood. The aim of the present review was to summarize the current body of knowledge on the role of G6PD in tumor progression and the possible regulatory mechanisms involved. It is hypothesized that G6PD will prove to be of value as a target of cancer treatment in the near future.

摘要

葡萄糖-6-磷酸脱氢酶(G6PD)是一种存在于人类红细胞中的细胞质酶,为细胞代谢提供还原型烟酰胺腺嘌呤二核苷酸磷酸(NADPH)。G6PD 途径产生的谷胱甘肽可以降低含氧自由基、过氧化物和脂质过氧化物等活性氧引起的损害程度。对 G6PD 的研究长期以来一直集中在其功能缺陷引起的溶血、黄疸和其他疾病上。然而,G6PD 的 mRNA 表达水平升高可预测癌症患者的不良临床结局,包括肿瘤细胞耐药性增加、迁移或增殖。G6PD 基因的突变影响蛋白表达和活性,并改变氧化还原状态的平衡,导致疾病发生。然而,G6PD 与肿瘤之间的关系尚未完全阐明。本综述的目的是总结 G6PD 在肿瘤进展中的作用及相关可能的调控机制方面的现有知识。据推测,在不久的将来,G6PD 将被证明是癌症治疗的一个有价值的靶点。

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