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Why might inhibition of LDH in cancer cells lead to cancer cell death? Explain why conjugating...

Why might inhibition of LDH in cancer cells lead to cancer cell death?


Explain why conjugating an LDH inhibitor to glucose leads to preferential targeting of cancer cells?
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Lactate dehydrogenase (LDH) is important enzyme for tumor cell metabolism catalyzing the conversion of pyruvate to lactate. This step is necessary because it regenerate NAD+, which is needed to continue glycolysis and ATP production even in the absence of aerobic oxidation of NADH. So, inhibition of LDH inhibits glycolysis leading to death of cancer cells.

Cancerous tissues consume large amounts of glucose compared to normal tissue.They show very high rates of aerobic glycolysis. This phenomenon is also known as the Warburg effect. Lactate dehydrogenase (LDH) being a Glycolytic enzyme, are widely overexpressed in human cancers and high expression levels of these makes them attractive therapeutic targets by using glycoconjugation (conjugating an LDH inhibitor to glucose) to selectively target anticancer therapeutics to cancer cells. Furthermore, LDH inhibition is unlikely to harm normal tissues. Hence, conjugation of an LDH inhibitor to glucose leads to preferential targeting of cancer cells.

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