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Table 2 Overview of agents targeting metabolic alteration by tumor suppressor genes

From: Regulation of metabolic reprogramming by tumor suppressor genes in pancreatic cancer

Tumor suppressor genes

Compound

Authors

Mechanisms

Clinical development

Cancer type/cell lines

Year of first publication

TP53

N-acetylcysteine (NAC)

Sablina et al. [97]

Preventing increased mutation rate and karyotype instability caused by p53 downregulation caused excessive oxidation of DNA

Experimental and/or preclinical

Lymphoma and Lung cancer

2005

FX11

Rajeshkumar et al. [26]

Inhibiting lactate dehydrogenase-A (LDH-A) which promote pyruvate to metabolize to lactate during the process of aerobic glycolysis

Experimental and/or preclinical

Pancreatic cancer

2015

APR-246

Peng et al. [99]

Inhibits the oxidoreductase enzyme thioredoxin reductase 1 (TRXR1) and converts the enzyme to a pro-oxidant NADPH oxidase, thereby inducing oxidative stress

Experimental and/or preclinical

H1299-His175,

Saos-2-His273 cells

2013

APR-246

Liu et al

[101]

Depleting glutathione (GSH) and thereby inducing lipid peroxidative cell death

Experimental and/or preclinical

Oesophageal cancer

2017

APR-246

Ali et al. [102]

Increasing expression of genes that are related to oxidative stress including haeme oxygenase 1 (HMOX1) and so on

Experimental and/or preclinical

Acute myeloid leukaemia

2016

APR-246

Lambert et al. [100]

Inducing endoplasmic reticulum stress by its redox effects

Experimental and/or preclinical

Saos-2 cells

2010

 

Pramlintide

Venkatanarayan et al. [98]

Inhibiting glycolysis and inducing reactive oxygen species (ROS) and apoptosis through calcitonin receptor (CalcR) and receptor activity modifying protein 3 (RAMP3)

Experimental and/or preclinical

thymic lymphoma

2015

LKB1

ND-646

Svensson et al. [119]

Inhibiting Acetyl-CoA carboxylase (ACC), which is a product in the first step of fatty acid (FA) synthesis, thus inhibiting FA synthesis and tumor growth

Experimental and/or preclinical

Non-small-cell lung cancer

2016

Adenoviruses expressing Cre and/or Flp recombinase

Kottakis et al. [117]

Induction of the serine-glycine-one-carbon pathway coupled to S-adenosylmethionine generation, and thus sensitizes cells and tumors to inhibition of serine biosynthesis

Experimental and/or preclinical

Pancreatic cancer

2016

Cb-839

Galan-Cobo et al. [86]

Enhanced energetic/redox stress, tolerated through activation of KEAP1/NRF2- in a glutamine-dependent manner enhanced glutamine dependence and vulnerability to glutaminase inhibition

Experimental and/or preclinical

Non-small-cell lung cancer

2019

PTEN

Avasimibe

Li et al. [123]

ACAT inhibition increased intracellular free cholesterol level and caused elevated endoplasmic reticulum stress and apoptosis

Experimental and/or preclinical

Pancreatic cancer

2016

Oroxylin A

Zhao et al. [103]

Inducing the downregulation of mouse double minute 2 (MDM2) transcription by promoting the lipid phosphatase activity of PTEN, and further suppress the MDM2-mediated degradation of p53, thereby inhibiting glycolysis

Experimental and/or preclinical

MCF-7 and HCT116 cells

2015