“…PCK2 expression and activity level are critical for many cancer types: in tumor-initiating enriched prostate cancer cell clones, PCK2 was overexpressed, and this correlated with more aggressive tumors and lower survival rates (Zhao et al, 2017); in lung cancer cell lines and in non-small cell lung cancer samples, PCK2 expression and activity were enhanced under low-glucose conditions (Leithner et al, 2015); finally, it was reported that PCK2 is required for glucose-independent cancer cell proliferation and tumor growth in vivo (Vincent et al, 2015). Regarding PCK2 reversibility, the enzyme has been shown to operate in the reaction toward OAA synthesis in mitochondria from rabbit liver (Carlsen et al, 1988), pigeon and rat liver (Wiese et al, 1996), guinea pig liver (Garber and Ballard, 1970;Garber and Salganicoff, 1973), rabbit enterocytes (Wuensch and Ray, 1997), chicken liver (Hebda and Nowak, 1982;Makinen and Nowak, 1983;Wilson et al, 1983;Erecinska and Wilson, 1984), and bullfrog liver (Goto et al, 1980). However, in Vincent et al (2015), it was shown that a fraction of pyruvate originated from glutamine from PEP through PCK2.…”