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The enzymes in the arginine and proline metabolic pathways constitute a critical metabolic axis that regulates the interconversion of several key amino acids, including arginine, proline, ornithine, and glutamate [1, 6]. Key enzymes in this network include arginase (ARG1/2), nitric oxide synthase (NOS), ornithine decarboxylase (ODC), and proline dehydrogenase (PRODH), which collectively regulate the urea cycle, polyamine biosynthesis, and the production of nitric oxide [8, 9]. In many cancers, these pathways are reprogrammed; for instance, certain tumors lack argininosuccinate synthetase 1 (ASS1) and become "arginine auxotrophs," making them susceptible to arginine-depleting therapies like pegargiminase [2, 11]. Additionally, enzymes such as arginase and proline dehydrogenase are targeted to modulate the tumor microenvironment or disrupt metabolic adaptations required for metastasis [1, 7]. Beyond oncology, these enzymes are vital in treating urea cycle disorders and cardiovascular conditions, though therapeutic intervention requires careful management of systemic nitrogen levels and immune function [8, 9].
Therapeutic strategies include enzymatic depletion of extracellular arginine (arginine deprivation), inhibition of arginase to prevent arginine consumption by myeloid cells, and inhibition of ornithine decarboxylase to block polyamine synthesis [1, 2, 9].
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