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Phosphoenolpyruvate carboxykinase 1 (PCK1) is a cytosolic enzyme that catalyzes the conversion of oxaloacetate to phosphoenolpyruvate, the rate-limiting step in gluconeogenesis, which is the metabolic pathway producing glucose from non-carbohydrate precursors. PCK1 is highly expressed in the liver, kidney, adipose tissue, and small intestine. Its activity is tightly regulated by hormones such as insulin, glucagon, and glucocorticoids, as well as by various post-translational modifications. Dysregulation of PCK1 has been implicated in diabetes, cancer (especially hepatocellular carcinoma), and metabolic disorders. Direct inhibitors of PCK1 are of research interest for potential therapeutic modulation of glucose metabolism and cancer cell metabolic reprogramming but are not in clinical use.
Inhibition of PCK1 blocks gluconeogenesis, reducing hepatic glucose output.\nIn cancer models, inhibition may disrupt tumor cell metabolism and impair anabolic processes needed for growth
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