Hepatocellular carcinoma (HCC) is
the second or third leading cause
of cancer mortality worldwide (depending on which statistics are used),
yet there is no effective treatment. Currently, there are nine FDA-approved
drugs for HCC, five monoclonal antibodies and four tyrosine kinase
inhibitors. Ornithine aminotransferase (OAT) has been validated as
a target in preclinical studies, which demonstrates that it is a potential
target to treat HCC. Currently, there are no OAT inactivators in clinical
trials for HCC. This Innovation describes evidence to support inhibition
of OAT as a novel approach for HCC tumor growth inhibition. After
the mechanism of OAT is discussed, the origins of our involvement
in OAT inactivation, based on our previous work on mechanism-based
inactivation of GABA-AT, are described. Once it was demonstrated that
OAT inactivation does lead to HCC tumor growth inhibition, new selective
OAT inactivators were designed and their inactivation mechanisms were
elucidated. A summary of these mechanistic studies is presented. Inactivators
of OAT provide the potential for treatment of HCC, targeting the Wnt/β-catenin
pathway.