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CB-839 is the most advanced GLS1 inhibitor currently in clinical practice and has been shown to effectively inhibit tumor proliferation ( L-asparaginase can deplete plasma Gln and is widely utilized as an adjuvant therapy in lymphoma ( In vitro experiments on lung cancer cells revealed that L-asparaginase treatment significantly induced autophagy activation in A549 cells, leading to their apoptosis ( 5 Discussion Metabolic reprogramming is essential for the advancement of tumors and has become a central topic in cancer research lately ( While substantial progress has been accomplished in the study of tumor Gln metabolism in recent years, several key issues remain to be addressed (1)

Recent regulatory changes have aimed to simplify Part B enrollment and eliminate prior waiting periods, but the 2025 budget law placed a moratorium on implementing some of those streamlining measures (this is discussed in a later section)