For an increasing number of cancers, the cell of origin has been demonstrated to be the
resident adult stem cell. One such cancer is squamous cell carcinoma, for which recent
studies in our lab traced its origin to the hair follicle stem cells. Malignant transformation
is thought to coincide with a dramatic shift towards the use of glycolysis and establishment
of a ‘Warburg’ state – increased metabolism of glucose to lactate. How the Warburg Effect
is established during tumor initiation and progression in vivo remains unclear. The current
consensus is that the bulk of the energy generated in most adult tissue cells is created by
oxidative phosphorylation, while more highly proliferative cells, such as activated immune
cells and cells transformed to make a tumor, mainly use glycolysis. Little is known
about how individual cell types generate energy in vivo, however, and how their
metabolism influences basic cell fate decisions such as cell division, migration or
differentiation. Using genetically engineered mouse models that allow the study of both tissue
homeostasis and the Warburg Effect in vivo, I have made important observations that
provide the basis for new investigations into the role of metabolism in key cell fate
decisions by adult stem cells. In this dissertation I present data indicating that hair follicle
stem cells possess a unique metabolic profile that may be critical for their maintenance
and for their response to oncogenic insults. Importantly, they suggest the possibility that
the “Warburg Effect” is the result of the expansion of an already glycolytic subpopulation,
namely the hair follicle stem cells.