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Review
. 2009 Jun;53(6):885-92.
doi: 10.1161/HYPERTENSIONAHA.109.130054. Epub 2009 Apr 27.

Mitochondria and reactive oxygen species

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Review

Mitochondria and reactive oxygen species

Francesco Addabbo et al. Hypertension. 2009 Jun.
No abstract available

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Figures

Figure 1
Figure 1
Schematic illustration of the Warburg effect in tumor cells and in early asymptomatic endothelial cell dysfunction. Under normoxic conditions, intact cells metabolize glucose through the TCA cycle. In contrast, tumor cells avidly uptake glucose and exhibit blockade of oxidative phosphorylation at the entry point of conversion of lactate to pyruvate because of the inhibition of pyruvate dehydrogenase kinase-1 (PDK-1). In addition, mutations of p53 result in the reduced signaling through TP53-induced glycolysis and apoptosis regulator (TIGAR), which normally inhibits the glycolytic pathway. As a result, lactate is produced in excessive amounts, all hallmarks of the Warburg effect. Interestingly, pharmacological inhibitors of lactate dehydrogenase (LDH) may reverse glucose metabolism to oxidative phosphorylation. At the early stages of endothelial cell dysfunction, similar to tumor cells, oxidative phosphorylation is suppressed and glycolysis enhanced, resulting in overproduction of lactate. Under these conditions, blockade of the TCA cycle occurs at the level of the catalyzed by ECHS-1 conversion of acyl-CoA to acetyl-CoA, the point of entry to the cycle, and at the level of the conversion of citrate to isocitrate (because of the depletion of aconitase 2). This block in the TCA cycle can be resolved by bypassing the deficient aconitase 2 with the downstream substrate, α-ketoglutarate (Alpha-KG). These new data on the early metabolic stigmata of dysfunctional endothelia vis-à-vis tumor cells emphasize their similarities and distinctions.

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