RT Journal Article SR Electronic T1 The Warburg Effect and Mass Spectrometry-based Proteomic Analysis JF Cancer Genomics - Proteomics JO Cancer Genomics Proteomics FD International Institute of Anticancer Research SP 211 OP 218 VO 14 IS 4 A1 WEIDONG ZHOU A1 LANCE A. LIOTTA A1 EMANUEL F. PETRICOIN YR 2017 UL http://cgp.iiarjournals.org/content/14/4/211.abstract AB Compared to normal cells, cancer cells have a unique metabolism by performing lactic acid fermentation in the presence of oxygen, also known as the Warburg effect. Researchers have proposed several hypotheses to elucidate the phenomenon, but the mechanism is still an enigma. In this review, we discuss three typical models, such as “damaged mitochondria”, “adaptation to hypoxia”, and “cell proliferation requirement”, as well as contributions from mass spectrometry analysis toward our understanding of the Warburg effect. Mass spectrometry analysis supports the “adaptation to hypoxia” model that cancer cells are using quasi-anaerobic fermentation to reduce oxygen consumption in vivo. We further propose that hypoxia is an early event and it plays a crucial role in carcinoma initiation and development.