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. 2025 Dec 3;35(1):87–96. doi: 10.1097/CEJ.0000000000000953

Table 2.

Proteins shown to be downregulated in tumor cells in response to exposure to DDW

Enzyme Significance
ALDH4A1 Mitochondrial NAD-dependent dehydrogenase; essential role in pathway converting proline to glutamate
FDXR Mitochondrial flavoprotein that converts NADP+ to NADPH
H6PD A dehydrogenase that converts NADP+ to NADPH
DHFR Regenerates THF by reducing NADPH to NADP+
GPX4 Oxidizes glutathione, an important antioxidant enzyme in mitochondria

ALDH4A1, aldehyde dehydrogenase 4 A1; DHFR, dihydrofolate reductase; FDXR, ferredoxin reductase; GPX4, glutathione peroxidase 4; H6PD, hexose-6-phosphate dehydrogenase; THF, tetrahydrofolate.