The Warburg effect and mitochondrial oxidative phosphorylation: Friends or foes?

Cancer cells display an altered energy metabolism, which was proposed to be the root of cancer. This early discovery was done by O. Warburg who conducted one of the first studies of tumor cell energy metabolism. Taking advantage of cancer cells that exhibited various growth rates, he showed that cancer cells display a decreased respiration and an increased glycolysis proportional to the increase in their growth rate, suggesting that they mainly depend on fermentative metabolism for ATP generation. Warburg's results and hypothesis generated controversies that are persistent to this day. It is thus of great importance to understand the mechanisms by which cancer cells can reversibly regulate the two pathways of their energy metabolism as well as the functioning of this metabolism in cell proliferation. In this review, we discuss of the origin of the decrease in cell respiratory rate, whether the Warburg effect is mandatory for an increased cell proliferation rate, the consequences of this effect on two major players of cell energy metabolism that are ATP and NADH, and the role of the microenvironment in the regulation of cellular respiration and metabolism both in cancer cell and in yeast.

Automated summary

Cancer cells exhibit altered energy metabolism, with decreased respiration and increased glycolysis compared to normal cells. This phenomenon, known as the Warburg effect, suggests that cancer cells mainly rely on fermentative metabolism for ATP generation. The mechanisms and implications of this metabolic shift are still a topic of debate. Understanding how cancer cells regulate their energy metabolism pathways and how this metabolism affects cell proliferation is crucial for unraveling the mechanisms of cancer.