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Opinion Review
Copyright: ©Author(s) 2026.
World J Gastroenterol. Aug 28, 2026; 32(32): 118600
Published online Aug 28, 2026. doi: 10.3748/wjg.118600
Figure 1
Figure 1 Schematic illustration of the mechanism by which pristimerin inhibits spasmolytic polypeptide-expressing metaplasia. Pristimerin inhibits glycolytic reprogramming and ameliorates spasmolytic polypeptide-expressing metaplasia via p57 pathway-mediated downregulation of hypoxia inducible factor-1α, pyruvate kinase M2, and lactate dehydrogenase A. HIF-1α: Hypoxia inducible factor-1α; PKM2: Pyruvate kinase M2; LDHA: Lactate dehydrogenase A; SPEM: Spasmolytic polypeptide-expressing metaplasia.


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