“…Indeed, the bivalent metabolic phenotype of naïve PSCs may reflect the metabolic preference of the morula and blastocyst, which utilizes a combination of pyruvate oxidation and glycolysis to meet their metabolic demands, while primed PSCs become almost exclusively dependent on glycolysis, reflecting implantation into the hypoxic uterine wall. Indeed, the importance of reduced oxygen tension has been examined across a number of stem cell populations (Mohyeldin et al, 2010), including a role in improving the acquisition (Yoshida et al, 2009) and maintenance of pluripotency (Ezashi et al, 2005;Forsyth et al, 2006;Prasad et al, 2009;Lengner et al, 2010;Mathieu et al, 2013;Christensen et al, 2015). In part these beneficial effects of physiologically relevant oxygen levels (2-5%) may be due to a reduction in mitochondrial function and oxygen utilization associated with elevated utilization of glucose via glycolysis and amino acid turnover (Forristal et al, 2013;Christensen et al, 2014;Turner et al, 2014;Lees et al, 2015Lees et al, , 2019Harvey et al, 2016b), although these metabolic changes can occur in the absence of changes in self-renewal (Harvey et al, 2016b).…”