PITPNC1 is a Class II phosphatidylinositol transfer protein whose lipid-shuttling activity is repurposed across secretory, metabolic, and immune-evasive programs in cancer and physiology (PMID:22822086, PMID:26977884). Biochemically it binds and transfers phosphatidylinositol and phosphatidic acid but, unlike Class I PITPs, does not bind phosphatidylcholine, and its cargo preference shifts toward phosphatidic acid when phospholipase D is active (PMID:22822086). At the Golgi, PITPNC1 binds the resident lipid PI4P and localizes RAB1B, which recruits GOLPH3 to drive Golgi extension and enhanced vesicular release of pro-invasive and pro-angiogenic mediators including HTRA1, MMP1, FAM3C, PDGFA, and ADAM10 (PMID:26977884). PITPNC1 is a transcriptional target of KRAS acting through MEK1/2 and JNK1/2, and it in turn stabilizes MYC protein to control mTOR localization and suppress autophagy (PMID:37210549). It supports tumor cell survival and metastasis through fatty-acid metabolism, enhancing fatty-acid oxidation via CD36 and CPT1B to confer anoikis resistance (PMID:30555557), suppressing reactive oxygen species to promote radioresistance (PMID:32175419), and interacting with FASN to regulate CD155 surface expression and thereby dampen CD8+ T cell killing (PMID:38291470). Beyond cancer, PITPNC1 maintains mitochondrial phospholipid homeostasis in brown adipose tissue, where its loss causes defective β-oxidation and cold-induced hypothermia in knockout mice (PMID:36166181).