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Cells Constantly Choose Between Making Energy and Building More of Themselves

basic-science cancer drug-discovery medical-innovation

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A key finding from Jared Rutter's lab is that glucose, after partial processing inside a cell, reaches a molecule called pyruvate — a pivot point where the cell must decide: burn it in the mitochondria to make ATP (energy for doing its job), or convert it into biomass (the raw material to grow or replicate). Heart muscle cells favor energy production; rapidly dividing cells like intestinal stem cells favor biomass. When this balance goes wrong — as when heart cells start building themselves up instead of just pumping — it produces pathology, including the enlarged, failing heart seen in heart failure. Cancer cells exploit the same mechanism, prioritizing biomass production to fuel uncontrolled replication.

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