“…This is followed by a decrease in cytoplasmic ADP and an increase in mitochondrial ATP (state 4 respiration) characteristic of the Crabtree effect ( Figure 1 ). As a consequence, a decrease of the pyruvate oxidation occurs in the mitochondrial matrix, which may also contribute to the decrease of pyruvate transport, by a specific carrier, into the mitochondrial matrix [ 26 ], the increase in pyruvate dehydrogenase kinase 1 (PDK-1) activity [ 27 , 28 ] and, at least in HCC, the overexpression of pyruvic dehydrogenase E1α (PDH-E1α) [ 29 ]. Interestingly, the protein levels of (β-F1-adenosine-triphosphatase (β-F1-ATPase; the physiological inhibitor of the H + -ATP synthase), which are reduced in human liver, kidney, colon, breast, and stomach carcinomas, was found to be correlated, in colon cancer, with both the time of cancer recurrence and patients survival [ 30 ], suggesting that the alteration of the bioenergetic function of mitochondria is a main feature of these cancer types.…”