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      Metabolic Heterogeneity in Human Lung Tumors.

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          Abstract

          Non-small cell lung cancer (NSCLC) is heterogeneous in the genetic and environmental parameters that influence cell metabolism in culture. Here, we assessed the impact of these factors on human NSCLC metabolism in vivo using intraoperative (13)C-glucose infusions in nine NSCLC patients to compare metabolism between tumors and benign lung. While enhanced glycolysis and glucose oxidation were common among these tumors, we observed evidence for oxidation of multiple nutrients in each of them, including lactate as a potential carbon source. Moreover, metabolically heterogeneous regions were identified within and between tumors, and surprisingly, our data suggested potential contributions of non-glucose nutrients in well-perfused tumor areas. Our findings not only demonstrate the heterogeneity in tumor metabolism in vivo but also highlight the strong influence of the microenvironment on this feature.

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          Author and article information

          Journal
          Cell
          Cell
          1097-4172
          0092-8674
          Feb 11 2016
          : 164
          : 4
          Affiliations
          [1 ] Children's Medical Center Research Institute, The University of Texas Southwestern Medical Center, Dallas, TX 75390, USA.
          [2 ] Department of Radiology, The University of Texas Southwestern Medical Center, Dallas, TX 75390, USA.
          [3 ] Hadassah Medical Center, Jerusalem 91120, Israel.
          [4 ] Advanced Imaging Research Center, The University of Texas Southwestern Medical Center, Dallas, TX 75390, USA; Department of Internal Medicine, The University of Texas Southwestern Medical Center, Dallas, TX 75390, USA.
          [5 ] Clinical Research Office, The University of Texas Southwestern Medical Center, Dallas, TX 75390, USA.
          [6 ] Office of Animal Welfare Assurance, University of Oklahoma Health Sciences Center, Oklahoma City, OK 73104, USA.
          [7 ] Department of Cell Biology, The University of Texas Southwestern Medical Center, Dallas, TX 75390, USA.
          [8 ] Department of Pathology, The University of Texas Southwestern Medical Center, Dallas, TX 75390, USA.
          [9 ] Department of Radiology, The University of Texas Southwestern Medical Center, Dallas, TX 75390, USA; Advanced Imaging Research Center, The University of Texas Southwestern Medical Center, Dallas, TX 75390, USA; Department of Internal Medicine, The University of Texas Southwestern Medical Center, Dallas, TX 75390, USA.
          [10 ] Department of Cardiovascular and Thoracic Surgery, The University of Texas Southwestern Medical Center, Dallas, TX 75390, USA.
          [11 ] Department of Radiology, The University of Texas Southwestern Medical Center, Dallas, TX 75390, USA; Advanced Imaging Research Center, The University of Texas Southwestern Medical Center, Dallas, TX 75390, USA.
          [12 ] Children's Medical Center Research Institute, The University of Texas Southwestern Medical Center, Dallas, TX 75390, USA; Department of Pediatrics, The University of Texas Southwestern Medical Center, Dallas, TX 75390, USA; Eugene McDermott Center for Human Growth and Development, The University of Texas Southwestern Medical Center, Dallas, TX 75390, USA. Electronic address: ralph.deberardinis@utsouthwestern.edu.
          Article
          S0092-8674(15)01698-0 NIHMS747747
          10.1016/j.cell.2015.12.034
          26853473
          d1166203-7401-45b1-85a2-f08218e4323f
          Copyright © 2016 Elsevier Inc. All rights reserved.
          History

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