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February 2025
In localized non-small cell lung cancer (NSCLC), a tumor’s ability to use carbon from glucose to feed the tricarboxylic acid (TCA) cycle predicts cancer spread beyond the lung, months to years before metastases are clinically apparent. The scientists discovered almost all NSCLC tumors incorporated carbon from glucose into the TCA cycle to a greater extent than the lung tissue surrounding the tumor. But patients whose tumors had the highest incorporation had worse outcomes, including much more rapid progression to recurrent or metastatic cancer, and earlier death. Cancer Discovery [online ahead of print]