Table 1.
Tumor Type | Primary (Warburg Effect) | Metastasis/Environmental Stress | Reference | |
Randle Cycle | Colorectal cancer | High glycolysis to lactate Dependent on glucose and glutamine to proliferate. Glucose and glutamine used for FA synthesis. |
FAO is elevated as an acidic stress response. FAO is needed to survive detachment and the metastatic process. |
[21,22,23,27] |
Glioblastoma | High glycolysis to lactate Dependent on glucose and glutamine to proliferate. Glucose and glutamine used for FA synthesis. |
FAO is recruited to survive stresses imposed by the microenvironment. FAO is recruited to protect from oxidative stress (elevated ROS). |
[16,28,29,30] | |
Tumor Type | Primary (Non-Solid Tumors) | Metastasis/Environmental Stress | Reference | |
Non-Randle Cycle | Lymphomas/ Leukemias |
High glycolysis to lactate Dependent on glucose and glutamine to proliferate. FAO needed to meet ATP demand and counteract high ROS production caused by growth in suspension. |
The primary tumor already show a shift in nutrient preference similar to solid tumors when they are detaching and metastasizing. FAO is not a defining feature of all non-solid tumors, as a subset of B-cell lymphoma are Warburg-like and do not recruit FAO. |
[25,26,31] |