GSTZ1, the enzyme responsible for metabolism of DCA is often misregulated in cancer.
GSTZ1 is downregulated in hepatocellular carcinoma and upregulated in breast cancer.
Expression of GSTZ1 provides resistance against dichloroacetate treatment.
Chloride concentrations in tumors may differ dramatically from surrounding tissues.
High chloride may exacerbate the resistance provided by GSTZ1.