2016
DOI: 10.1155/2016/6456018
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Lactate, a Neglected Factor for Diabetes and Cancer Interaction

Abstract: Increasing body of evidence suggests that there exists a connection between diabetes and cancer. Nevertheless, to date, the potential reasons for this association are still poorly understood and currently there is no clinical evidence available to direct the proper management of patients presenting with these two diseases concomitantly. Both cancer and diabetes have been associated with abnormal lactate metabolism and high level of lactate production is the key biological property of these diseases. Conversely… Show more

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Cited by 82 publications
(81 citation statements)
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References 152 publications
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“…Lactate is a classical marker for the diagnosis of primary mitochondrial diseases, but also a sign of upregulated glycolytic metabolism. Interestingly, T2DM patients also show increased levels of plasmatic lactate [45,46], con rming both the rise of glycolytic metabolism and the metabolic co-morbidity between both diseases.…”
Section: Discussionmentioning
confidence: 91%
“…Lactate is a classical marker for the diagnosis of primary mitochondrial diseases, but also a sign of upregulated glycolytic metabolism. Interestingly, T2DM patients also show increased levels of plasmatic lactate [45,46], con rming both the rise of glycolytic metabolism and the metabolic co-morbidity between both diseases.…”
Section: Discussionmentioning
confidence: 91%
“…Non-oxidative insulin-dependent utilization of glucose is typically enhanced in patients with T2DM and GDM. Growing interconversion of lactate and pyruvate is greatly increased and upregulates CNDP1 which is necessary for carnosine uptake [55,56]. The inhibited fatty acid oxidation concatenated by the hypoxia condition inducing hypoxia-inducible factor-1 (HIF-1) which triggers glycolysis in T2DM and GDM patients [57].…”
Section: Discussionmentioning
confidence: 99%
“…Hence, the increased plasma lactate may improve the responsiveness to insulin and promote its secretion. Meanwhile, lactate concentrations are chronically increased in diabetic patients with obesity when hyperlactatemia in obese individuals was found to be preceding the diabetes onset process [56].…”
Section: Discussionmentioning
confidence: 99%
“…Cancer cells commonly cause a localized acidosis that prevents the entry of CQ. 214 Hence, CQ can affect metastatic cells in transition and this can explain the statistically significant effect of CQ against metastatic cancer cells in patients. 213 Such a niche results from interactions between tumor and stromal cells.…”
Section: Cq Effects On Cancer Stem Cellsmentioning
confidence: 99%
“…213 Such a niche results from interactions between tumor and stromal cells. 214 Hence, CQ can affect metastatic cells in transition and this can explain the statistically significant effect of CQ against metastatic cancer cells in patients. 215 Furthermore, metastatic cells are preferentially vulnerable to lysosomal inhibition.…”
Section: Cq Effects On Cancer Stem Cellsmentioning
confidence: 99%