From age 65 onwards, the risk of cancer incidence and associated mortality is substantially higher 1-3 . Nonetheless, our understanding of the complex relationship between age and cancer is still in its infancy 4 . For decades, the link has largely been attributed to increased exposure time to mutagens in older individuals. However, this view does not account for the wellestablished role of diet, exercise and small molecules that target the pace of metabolic aging [5][6][7][8] . Here, we show that metabolic alterations that occur with age can render a systemic environment favorable to progression and aggressiveness of tumors. Specifically, we show that methylmalonic acid (MMA), a by-product of propionate metabolism, is significantly up-regulated in the serum of older people, and functions as a mediator of tumor progression. We traced this to the induction of SOX4 and a consequent transcriptional reprogramming that can endow cancer cells with aggressive properties. Thus, accumulation of MMA represents a novel link between aging and cancer progression, implicating MMA as a novel therapeutic target for advanced carcinomas.It has long been known that age is one of the main risk factors for cancer incidence [9][10][11] . How it contributes to cancer progression, however, is not well understood 2,3,12 . Considering the growing body of evidence demonstrating that cancer cell-extrinsic factors are key in modulating tumor progression, we hypothesized that aging produces a systemic environment that supports tumor progression and development of aggressive properties. To test this hypothesis, we cultured A549 non-small cell lung cancer (NSCLC) and HCC1806 triple negative breast cancer (TNBC) cells in 10% human serum from 30 young (age ≤ 30) and 30 old (age ≥ 60) individuals with no diagnosed disease ( Fig. 1a; Extended Data Table 1). While the majority of cells treated with young donor sera maintained their epithelial morphology (25 out of 30), cells treated with 25 out of the 30 old donor sera became mesenchymal, losing polarity and displaying a spindle-shaped morphology (Extended Data Fig. 1-3). These phenotypes were independent of donor ethnicity, and resembled epithelial-to-mesenchymal transition (EMT), a developmental process that during cancer pathogenesis can confer cells the cellular plasticity necessary to acquire proaggressive and pro-metastatic properties 13 . Cells cultured in the presence of sera from aged donors displayed a pronounced loss of the epithelial marker E-cadherin and gain of the mesenchymal markers fibronectin and vimentin 13 , in addition to increased expression of SERPINE1 and MMP2 14,15 -proteins highly associated with aggressive phenotypes (Fig. 1b, Extended Data Fig. 4a, b). Moreover, the aged sera promoted resistance to two distinct and widely used chemotherapeutic drugs, carboplatin and paclitaxel (Fig. 1c, Extended Data Fig. 4c). Compelled by these observations, we questioned if the cells treated with the old donor sera would also display heightened metastatic potential. We treated MDA-MB-2...