“(i) diet, the primary source of bodily nutrients which influences circulating metabolite levels”; |
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(i) dietary phosphate is the primary nutrient source of the circulating metabolite Pi; |
“(ii) tissue of origin, which can influence the tumor’s reliance on specific nutrients to support cell metabolism and growth”; |
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(ii) phosphate influences most tissue types and stages of tumor growth; |
“(iii) local microenvironment, which dictates the accessibility of nutrients to tumor cells”; |
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(iii) excessive extracellular Pi in local microenvironment is transported into tumor cells; |
“(iv) tumor heterogeneity, which promotes metabolic plasticity and adaptation to nutrient demands”; |
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(iv) adaptation to oversupply of phosphate promotes tumorigenesis; |
“(v) functional demand, which intensifies metabolic reprogramming to fuel the phenotypic changes required for invasion, growth, or survival”. |
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(v) dietary phosphate overload which may be reduced in tumor regression and reversion. |