Understanding the Warburg Effect: The Metabolic Requirements of Cell Proliferation
Matthew G. Vander Heiden,1,2Lewis C. Cantley,2,*Craig B. Thompson3,*
In contrast to normal differentiated cells, which rely primarilyon mitochondrial oxidative phosphorylation to generate the energyneeded for cellular processes, most cancer cells instead relyon aerobic glycolysis, a phenomenon termed "the Warburg effect."Aerobic glycolysis is an inefficient way to generate adenosine5'-triphosphate (ATP), however, and the advantage it confersto cancer cells has been unclear. Here we propose that the metabolismof cancer cells, and indeed all proliferating cells, is adaptedto facilitate the uptake and incorporation of nutrients intothe biomass (e.g., nucleotides, amino acids, and lipids) neededto produce a new cell. Supporting this idea are recent studiesshowing that (i) several signaling pathways implicated in cellproliferation also regulate metabolic pathways that incorporatenutrients into biomass; and that (ii) certain cancer-associatedmutations enable cancer cells to acquire and metabolize nutrientsin a manner conducive to proliferation rather than efficientATP production. A better understanding of the mechanistic linksbetween cellular metabolism and growth control may ultimatelylead to better treatments for human cancer.