PMID- 19460998 OWN - NLM STAT- MEDLINE DCOM- 20090604 LR - 20240227 IS - 1095-9203 (Electronic) IS - 0036-8075 (Print) IS - 0036-8075 (Linking) VI - 324 IP - 5930 DP - 2009 May 22 TI - Understanding the Warburg effect: the metabolic requirements of cell proliferation. PG - 1029-33 LID - 10.1126/science.1160809 [doi] AB - In contrast to normal differentiated cells, which rely primarily on mitochondrial oxidative phosphorylation to generate the energy needed for cellular processes, most cancer cells instead rely on aerobic glycolysis, a phenomenon termed "the Warburg effect." Aerobic glycolysis is an inefficient way to generate adenosine 5'-triphosphate (ATP), however, and the advantage it confers to cancer cells has been unclear. Here we propose that the metabolism of cancer cells, and indeed all proliferating cells, is adapted to facilitate the uptake and incorporation of nutrients into the biomass (e.g., nucleotides, amino acids, and lipids) needed to produce a new cell. Supporting this idea are recent studies showing that (i) several signaling pathways implicated in cell proliferation also regulate metabolic pathways that incorporate nutrients into biomass; and that (ii) certain cancer-associated mutations enable cancer cells to acquire and metabolize nutrients in a manner conducive to proliferation rather than efficient ATP production. A better understanding of the mechanistic links between cellular metabolism and growth control may ultimately lead to better treatments for human cancer. FAU - Vander Heiden, Matthew G AU - Vander Heiden MG AD - Department of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA 02115, USA. FAU - Cantley, Lewis C AU - Cantley LC FAU - Thompson, Craig B AU - Thompson CB LA - eng GR - R01 CA105463/CA/NCI NIH HHS/United States GR - R01 CA092660/CA/NCI NIH HHS/United States GR - R01 CA105463-06/CA/NCI NIH HHS/United States GR - T32 CA009172/CA/NCI NIH HHS/United States GR - R01 CA092660-09/CA/NCI NIH HHS/United States GR - R01 GM056203/GM/NIGMS NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PT - Review PL - United States TA - Science JT - Science (New York, N.Y.) JID - 0404511 RN - 0 (Amino Acids) RN - 0 (Lipids) RN - 0 (Nucleotides) RN - 8L70Q75FXE (Adenosine Triphosphate) RN - IY9XDZ35W2 (Glucose) SB - IM MH - Adenosine Triphosphate/metabolism MH - Aerobiosis MH - Amino Acids/biosynthesis MH - Animals MH - *Cell Proliferation MH - Glucose/metabolism MH - *Glycolysis MH - Humans MH - Lipids/biosynthesis MH - Metabolic Networks and Pathways MH - Mutation MH - Neoplasms/genetics/*metabolism/*pathology MH - Nucleotides/biosynthesis MH - Oxidative Phosphorylation MH - Signal Transduction PMC - PMC2849637 MID - NIHMS165713 EDAT- 2009/05/23 09:00 MHDA- 2009/06/06 09:00 PMCR- 2010/04/05 CRDT- 2009/05/23 09:00 PHST- 2009/05/23 09:00 [entrez] PHST- 2009/05/23 09:00 [pubmed] PHST- 2009/06/06 09:00 [medline] PHST- 2010/04/05 00:00 [pmc-release] AID - 324/5930/1029 [pii] AID - 10.1126/science.1160809 [doi] PST - ppublish SO - Science. 2009 May 22;324(5930):1029-33. doi: 10.1126/science.1160809.