“…Evidence for the involvement of PYCR1 in cancer mechanisms is growing rapidly. Several studies have implicated PYCR1 in cancer across various cancer types, including colorectal cancer, − multiple myeloma, kidney cancer, , liver cancer, prostate cancer, − lung cancer, − breast cancer, − and others. ,− Many studies have shown that high PYCR1 expression is associated with tumor aggressiveness and poor patient outcomes. ,− ,,,− Furthermore, the knockdown of the PYCR1 gene or the inhibition of PYCR1 enzyme has been shown to inhibit tumorigenesis in multiple cancer cell lines and in vivo animal models. ,,,− ,,,,,,− Mechanistically, PYCR1 supports cell survival and maintenance in the hypoxic environment of tumor cells when oxygen is not a readily available electron acceptor for NADH. PYCR1 generates NAD + for the TCA cycle in the absence of the electron transport chain, generating proline as a byproduct .…”