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Analysis of Side Population in Solid Tumor Cell Lines
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Warburg's effect on solid tumors.

Talal El Imad, Lara El Khoury, Abdallah Sassine Geara1

  • 1Lebanese University, Beirut, Lebanon, .

Saudi Journal of Kidney Diseases and Transplantation : an Official Publication of the Saudi Center for Organ Transplantation, Saudi Arabia
|November 15, 2014
PubMed
Summary
This summary is machine-generated.

Malignancy-associated lactic acidosis, or Warburg's effect, can occur in solid tumors involving the liver. This condition has poor prognostic implications and requires careful management of metabolic acidosis and fluid therapy.

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Area of Science:

  • Oncology
  • Metabolic Medicine

Background:

  • Lactic acidosis results from an imbalance in lactate metabolism.
  • In cancer, it's often linked to hematologic malignancies via Warburg's effect.

Observation:

  • A 76-year-old male with hypertension and coronary artery disease presented with abdominal distension and lactic acidosis.
  • He was diagnosed with undifferentiated carcinoma involving the liver.
  • Lactic acidosis progressed, leading to death within 15 days.

Findings:

  • The patient's lactic acidosis was diagnosed as malignancy-associated type B, or Warburg's effect, unrelated to hypoxia or hemodynamic instability.
  • Warburg's effect in solid tumors, particularly liver involvement, indicates poor prognosis.

Implications:

  • Malignancy-associated lactic acidosis has significant negative prognostic implications.
  • Intravenous bicarbonate use for severe acidosis is controversial and potentially harmful.
  • Lactate-based IV fluids may increase metastasis risk in cancer patients.