Causes and consequences of increased glucose metabolism of cancers

被引:480
作者
Gillies, Robert J. [1 ]
Robey, Ian [1 ]
Gatenby, Robert A. [1 ]
机构
[1] Univ Arizona, Tucson, AZ USA
关键词
cancer; glucose; metabolism; carcinogenesis; acid-base; somatic evolution;
D O I
10.2967/jnumed.107.047258
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
In this review we examine the mechanisms (causes) underlying the increased glucose consumption observed in tumors within a teleological context (consequences). In other words, we will ask not only "How do cancers have high glycolysis?" but also, "Why?" We believe that the insights gained from answering the latter question support the conclusion that elevated glucose consumption is a necessary component of carcinogenesis. Specifically we propose that glycolysis is elevated because it produces acid, which provides an evolutionary advantage to cancer cells vis-a-vis normal parenchyma into which they invade.
引用
收藏
页码:24S / 42S
页数:19
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