Zotiraciclib was also shown to suppress glycolysis, resulting in depleted intracellular ATP levels, and combination treatment of zotiraciclib and TMZ demonstrated a synergistic effect through further glycolytic suppression, as observed by the downregulation of the glycolytic enzymes Hexokinase 2 (HK2), Pyruvate Kinase isoform M2 (PKM2), and Lactate Dehydrogenase A (LDHA), which are usually highly expressed in glioblastomas [35,54,55,56]. This evidence concerns the gene PKM and glioblastoma.