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2014 ; 2
(ä): 7
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Separation of metabolic supply and demand: aerobic glycolysis as a normal
physiological response to fluctuating energetic demands in the membrane
#MMPMID24982758
Epstein T
; Xu L
; Gillies RJ
; Gatenby RA
Cancer Metab
2014[]; 2
(ä): 7
PMID24982758
show ga
BACKGROUND: Cancer cells, and a variety of normal cells, exhibit aerobic
glycolysis, high rates of glucose fermentation in the presence of normal oxygen
concentrations, also known as the Warburg effect. This metabolism is considered
abnormal because it violates the standard model of cellular energy production
that assumes glucose metabolism is predominantly governed by oxygen
concentrations and, therefore, fermentative glycolysis is an emergency back-up
for periods of hypoxia. Though several hypotheses have been proposed for the
origin of aerobic glycolysis, its biological basis in cancer and normal cells is
still not well understood. RESULTS: We examined changes in glucose metabolism
following perturbations in membrane activity in different normal and tumor cell
lines and found that inhibition or activation of pumps on the cell membrane led
to reduction or increase in glycolysis, respectively, while oxidative
phosphorylation remained unchanged. Computational simulations demonstrated that
these findings are consistent with a new model of normal physiological cellular
metabolism in which efficient mitochondrial oxidative phosphorylation supplies
chronic energy demand primarily for macromolecule synthesis and glycolysis is
necessary to supply rapid energy demands primarily to support membrane pumps. A
specific model prediction was that the spatial distribution of ATP-producing
enzymes in the glycolytic pathway must be primarily localized adjacent to the
cell membrane, while mitochondria should be predominantly peri-nuclear. The
predictions were confirmed experimentally. CONCLUSIONS: Our results show that
glycolytic metabolism serves a critical physiological function under normoxic
conditions by responding to rapid energetic demand, mainly from membrane
transport activities, even in the presence of oxygen. This supports a new model
for glucose metabolism in which glycolysis and oxidative phosphorylation supply
different types of energy demand. Cells use efficient but slow-responding aerobic
metabolism to meet baseline, steady energy demand and glycolytic metabolism,
which is inefficient but can rapidly increase adenosine triphosphate (ATP)
production, to meet short-timescale energy demands, mainly from membrane
transport activities. In this model, the origin of the Warburg effect in cancer
cells and aerobic glycolysis in general represents a normal physiological
function due to enhanced energy demand for membrane transporters activity
required for cell division, growth, and migration.