“…In contrast to glucose, ketone bodies bypass cytoplasmic glycolysis and directly enter the TCA cycle as acetyl CoA (Sato et al, 1995;Veech et al, 2001). Gliomas and most tumour cells, however, lack this metabolic versatility and are largely dependent on glycolytic energy (Fearon et al, 1988;Mies et al, 1990;Oudard et al, 1997;Aronen et al, 2000;Roslin et al, 2003). Defects in ketone body metabolism, the mitochondrial TCA cycle, and electron transport chain systems are thought to underlie the dependence of tumour cells on glycolytic energy (Warberg, 1956;Fredericks and Ramsey, 1978;Tisdale and Brennan, 1983;Lichtor and Dohrmann, 1986;John, 2001).…”