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Pyruvate dehydrogenase E1 subunit beta (PDHB) is a protein-coding mitochondrial enzyme that forms part of the heterotetrameric E1 component of the pyruvate dehydrogenase (PDH) complex, which includes two alpha and two beta subunits. The PDH complex catalyzes the irreversible conversion of pyruvate to acetyl-CoA and CO2, providing a crucial link between glycolysis and the tricarboxylic acid (TCA) cycle, and thus is central to eukaryotic energy metabolism. PDHB deficiencies, often due to inherited mutations, result in pyruvate dehydrogenase deficiency characterized by lactic acidosis and diverse neurological impairments. Recent studies associate PDHB expression with cancer diagnosis, prognosis, and immune microenvironment modulation, making it a novel biomarker and potential therapeutic target for a variety of tumors[1][2][3].
Activation or inhibition of PDH complex to modulate pyruvate to acetyl-CoA conversion Inhibition of pyruvate dehydrogenase kinase (by dichloroacetate) increases PDHB complex activity to enhance glucose oxidation
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