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Cancer metabolism

A waste product’s unexpected role in wasting

The mechanisms that drive cancer cachexia are unclear. Adipocyte activation of GPR81 by high levels of lactate is now shown to drive adipose tissue browning, thermogenesis and a loss of body weight in mouse models of cancer.

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Fig. 1: Mechanisms and therapeutic opportunities in lactate-driven cachexia.

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Correspondence to Marcus D. Goncalves.

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Competing interests

M.D.G. reports consulting or advisory roles with Scorpion Therapeutics; stock or other ownership interests in Faeth Therapeutics; honoraria from Novartis AG, Pfizer Inc., and Scorpion Therapeutics; patents, royalties, and other intellectual property with Weill Cornell Medicine. J.D.S declares no competing interests.

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Sanford, J.D., Goncalves, M.D. A waste product’s unexpected role in wasting. Nat Metab 6, 608–609 (2024). https://doi.org/10.1038/s42255-024-01010-1

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