Significance: Here, we review certain recent advances in oxidative stress and tumor metabolism, which are related to understanding the contributions of the microenvironment in promoting tumor growth and metastasis. In the early 1920s, Otto Warburg, a Nobel Laureate, formulated a hypothesis to explain the ''fundamental basis'' of cancer, based on his observations that tumors displayed a metabolic shift toward glycolysis. In 1963, Christian de Duve, another Nobel Laureate, first coined the phrase auto-phagy, derived from the Greek words ''auto'' and ''phagy,'' meaning ''self'' and ''eating.'' Recent Advances: Now, we see that these two ideas (autophagy and aerobic glycolysis) physically converge in the tumor stroma. First, cancer cells secrete hydrogen peroxide. Then, as a consequence, oxidative stress in cancer-associated fibroblasts drives autophagy, mitophagy, and aerobic glycolysis. Critical Issues: This ''parasitic'' metabolic coupling converts the stroma into a ''factory'' for the local production of recycled and high-energy nutrients (such as L-lactate)-to fuel oxidative mitochondrial metabolism in cancer cells. We believe that Warburg and de Duve would be pleased with this new two-compartment model for understanding tumor metabolism. It adds a novel stromal twist to two very well-established cancer paradigms: aerobic glycolysis and autophagy. Future Directions: Undoubtedly, these new metabolic models will foster the development of novel biomarkers, and corresponding therapies, to achieve the goal of personalized cancer medicine. Given the central role that oxidative stress plays in this process, new powerful antioxidants should be developed in the fight against cancer. Antioxid. Redox Signal. 16, 1264-1284.Breast Cancer-General Knowledge C ancer is a multifactorial disease caused by the combination of environmental, genetic, and behavioral factors. It is characterized by uncontrollable cell division, a change in cell morphology, and the ability of the cancer cell to develop an invasive phenotype.Breast cancer is one of the major causes of cancer mortality in women. The incidence of breast cancer is still increasing worldwide. It is estimated that in the year 2011, there will be about 200,000 new cases of invasive breast cancer in the United States alone. These data translate to 1 in 8 (*12%) women developing some form of breast cancer, over the course of their lifetime. About 5-10% of breast cancer cases are due to familial/inherited mutations within the BRCA1 or BRCA2 genes. Further, about 20-30% of women diagnosed with breast cancer have a family history of cancer. However, the most important risk factor for breast cancer is increased age (over 45 years old). Other risk factors can be prevented or modified, such as hormone use, low physical activity, alcohol consumption, diet, obesity, and smoking (2).Breast cancer, like most cancers, is highly variable with great clinical heterogeneity. Gene profiling and highthroughput expression technologies have prompted the