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World J Gastrointest Oncol. Aug 15, 2025; 17(8): 106842
Published online Aug 15, 2025. doi: 10.4251/wjgo.v17.i8.106842
Table 1 Overview of lipid metabolism-associated genes in gastric cancer
Gene
Description
Evidence
Importance
FASNEnzyme essential for FASN, membrane integrity, and cell proliferationHigher expression in GC tissues than normal tissues, associated with metastasis, lymphatic spread, and poor prognosis in GCPrognosis treatment
ACCCytosolic enzyme that generates acetyl-CoA from citrateACC expression is increased in GC tissues. Increased expression of pACC in GC tissues is related to good prognosis of GCPrognosis treatment
ACSSIn fatty acid metabolism it converts acetyl-CoA to malonyl-CoA for long-chain fatty acidExpression of ACSS3 is increased and that of ACSS2 is decreased in GCs. Low expression of ACSS2 is related to poor prognosisCancer progression prognosis
FABPBinds long-chain fatty acids and other lipids, performing diverse functionsFABP5 is related to increased proliferation of GC. FABP4 and H-FABP are associated with poor prognosis in GIST and GCs respectivelyCancer progression prognosis treatment
SCD1Endoplasmic reticulum membrane enzyme that converts saturated fatty acids into monounsaturated fatty acidsIncreased expression of SCD1 is related to increased proliferation and metastasis of GCCancer progression prognosis treatment
LPLHydrolyze triglycerides in chylomicrons and VLDL in the bloodstreamRs15285 genotype is associated with increased risk of GC, poor prognosis and increased malignancy of GCCancer risk progression prognosis
SREBPsTranscription factors regulating genes for fatty acid and cholesterol biosynthesis, essential for cell proliferation and survivalSREBPs are involved in lymph node metastasis of GCCancer progression treatment
ACLYConverts acetate to acetyl-CoA, crucial for fatty acid and cholesterol biosynthesisIncreased expression of ACLY is associated with lymph node and peritoneal metastasis of GC and is a marker of poor prognosisCancer progression prognosis treatment
CPT1Transports long-chain fatty acids into mitochondria for β-oxidation and regulating fatty acid oxidationOverexpression of CPT1 is associated with increased cell proliferation, metastasis and poor prognosis of GCCancer progression prognosis treatment
LXRsNuclear receptors (LXRα/NR1H3 and LXRβ/NR1H2) crucial in metabolic pathways and cellular processesOverexpression of LXRα has been implicated in promoting invasion and epithelial-mesenchymal transition of GC cells


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