T I l E UTILIZATION O F SIMPLE DERIVATIVES O F GLUCOSE BY MOUSE SARCOMA OVID 0. MEYER, CLAIRE McTIERNAN, AND WILLIAM T. SALTER (prom tks Laboratories of the Collia P. Euntingtm Memorial Hoepita2 o f Haward University) The researches of Warburg and his colleagues (1) on the metabolism of tumor called attention to the importance of glycolysis in the life of actively growing tissues, more particularly of malignant tissues, The conditions under which this phenomenon occurs and the extent to which lactic acid may be produced has been the theme of numerous papers. A s a by-product of this investigative activity the notion has become current that there may be something peculiar or distinctive about the carbohydrate metabolism of tumors. The purpose of the work here reported was to determine whether malignant tissue metabolizes carbohydrate in a fashion fundamentally different from that of normal tissues. C-Atom 3 4 H.C.I08 H.d.38 .G . 5 6 nAld&ydetl Vyr&nosen ttFuranoaen PrbgsForm Form hein's FIQ.1. FOUR STRUCTURAL TYPEBOF Q L U C O ~ E In the last two the hydrogen and hydroxyl groups have been omitted. A Romewhat analogous investigation was made by Herring, Irvine, cziid Macleod ( 2 ) , who concerned themselves with the ability of glucosc derivat,ives to alleviate the symptoms characteristic of iiisulin hypoglycemia. The plan of the work here reported was to determine what alterations in the molecular constitution of glucose influence its breakdown (glycolysis) by surviving tumor. The experiments were designed primarily to determine whether the specificity in glycolysis corresponded with the effect on insulin hypoglycemia and with extant work on isolated muscle or minced muscle. As regards tumor tistwe, Warburg, Posener, and Negelein ( 3 ) , pointed out that glycolysis was rather strikingly limited to hexoses, arid that in this category only mannose showed a rate of glycolysis of the same order as glucose: fructose and galactose being less rapidly 1 This work was made possible by a grant from the Ella Sachs Plotc Foundation. 76 UTILIZATION O F GLUCOSE BY MOUSE SARCOMA 77 attacked. The fact, however, as Warburg showed, that about as much lactic acid was formed from methylglyoxal as from glucose, suggested that the intracellular enzyme system involved in glycolysis might not he specific for hexoses per se, but for a characteristic chemical configuration involving not more than three carbon atoms. Kozawa (4), indeed, has shown that many glucose derivatives penetrate into living cells. Sjollema and Seekles ( 5 ) , moreover, have emphasized the toxicity of trioses. Their production in the cell from substituted glucose, therefore, might conceivably influence the metabolic rate of the cell# in which glycolysis is marked. Our observations, therefore, were estended to include not only hexoses but also carbohydrates containing less than six carbon atoms. RECENT ADVANCES IN THE CHEMISTRY OF CARBOHYDRATES Irvine (2) has described in detail the chemical configuration of many of the derivatives of glucose available for biological use. I n order to avoid needless repetition, the present paper mentions only the location of the oxygen bridge in the glucose molecule. Following the epoch-making researches of Emil Fischer, well summarized in Armstrong’s monograph on the carbohydrates ( 6 ) , the constitution of dextrose was represented by a straight-chain formula. This “aldehyde” formula f o r d-glucose was later modified by addition of an oxygen bridge. Although the question is not yet settled, it seems most convenient to regard normal glucose (as isolated) as the 1,5 amylene-oxide (pyranose) form. It is likely, however, that glucose as found in chemical combination in nature may exist as the 1,4 butyleneoxide (furanose) form. Pringsheim, moreover, has described a form of glucose with a 1,6 hexylene-oxide ring ( 7 ) . These are represented in Fig. 1. The evidence f o r the existence of these “gamma” forms has been recently reviewed by Irvine (8) and by I-laworth (9). I n the past decade, numerous attempts have been made to ascribe to the gamma forms an important physiological rSle. It has heen suggested that glucose exists in some such form in the organism, reverting to the 1,s ring only when isolated. EXPERIMENTAL PROCEDURE The glycolysis of tumor tissiie (mouse sarcoma 180) was determined by the manometric method of Otto Warburg (1). This transplanted neoplasm carried in pure strain, tumor-susceptible mice (inbred f o r nine years) was used throughout. Each mouse was killed when the implanted tumor was two to four weeks old and the tumor immediately placed in Ringer’s solution. Ten C.C. of Ringer’s solution, containing 0.20 per cent of sodium bicarbonate and 0.15 per cent of glucose (or its molecular equivalent of the sugar t o he tested) was previously prepared. After shaking for twenty minutes in order to permit stahi- 78 DVTD 0. MEYER, CLAIRE MCTIERNAN, AND WILLIAM T. SALTER lization, the first reading was taken; and thereafter the pressure change was read every ten minutes for one hour, or until consecutive readiiigs f o r two or more periods showed similar changes. Usually, an hour was a sufficiently long period. The pressure change produced by the (110, evolved was read f o r the given period, and the actual quantity in cubic millimeters measured by taking into account the constant value of the closed chamber, determined by previous mercury calibration. The calculation of the CO, produced per milligram of tissue per hour was made according to Warburg’s procedure (1). The glycolytic This designates index so calculated is represented by the sign Q& the cubic millimeters of CQ, produced anaerobically per milligram of tissue per hour, I n many duplicate experiments the difference in results has been less than 10 per cent. We believe that a glycolytic index less than 10 per cent that of the glucose control is probably not sigiiificant. I n preparing the Ringer’s solution containing an unknown sugar, f o r comparison with the splitting of glucose, due consideration was taken of the respective molecular weights, so that equimolecular equivalents of glucose and unknown sugar were used in the control and test chambers, respectively. In the case of pentoses and tetroses, only one equivalent was used. I n the case of trioses, however, two molecules were used for each molecule of glucose. The chemical substances were free from glucose as f a r as could be reasonably ascertained. Two or more of the following criteria were used to control purity and concentration : reducing power (before and after hydrolysis), fermentation by yeast, melting point, optical rotation, and analysis f o r nitrogen or sulphur. Some of the carbohydrates were purchased from Eastman Kodak Co. and Pfanstiehl Chemical Go., a few were generously contributed by academic laboratories,’ and the rest were synthesized in this laboratory. PBODUCTION OF ACIDBY MALIGNANT TISSUEWITH INADEQUATE OXYGEN SUPPLY I n Table I, the substances studied have been arranged, as f a r as possible, on the basis of, first, the number of carbon atoms which they contain and, secondly, the position of the group substituted. Values are given not only for Qgh,, but also for the percentage which this represents of the acid-production by the control experiment in which glucose was utilized. The glycolytic index given in each caRe represents the average of values obtained from two or more experiments. The splitting of abnormal carbohydrates by different specimens of tumor varies to a marked degree, as contrasted with glucose, which is decomposed at a much more uniform rate in successive experi2 We are indehtecl to Professor W. L. Evans of the University of Illinois, for glyceric aldehyde; to Dr. P. A. Levene of the Rockefeller Institute, for 3-methyl glucose; to Professor Reid Hunt of the Harvtlrd Medical School, for propyleiie glycol (1, 2 dihydroxy-propane) ; ant1 to Dr. I. M. Rabinowitch of the Montreal General Hospital, for dihydroxyacetone. 79 UTILIZATTON OF QTJTTCOBE BP MOTWE EARCOMA TABLE I Type of Substance Conipouncl, No. of b:xpcriments Av. @c Av. per Av. :ent COz Glucose on basis Y i f glucose 2)* ____ Two Carbon Atoms Triose-deriva t.ivea Tetrose-derivatives Pentose-derivat,ives Ethylene glycol Et.hyl alcohol 2 3 1.0 2.3 22.4 22.8 4 10 Dihydroxy acetone Pyruvic acid Glyceraldehgde Propglene glycol Glycerine Acetone Proprionic acid Propyl alcohol 4 2 2 3 2 4 2 4 11.6 4.2 5.2 2.1 1.6 4.0 0.3 3.2 23.3 15.0 16.5 21.0 17.5 23.3 19.0 20.2 50 28 32 9 9 17 2 16 Erythritol n-Butyl alcohol Iso-butyl alcohol Iso-butraldehyde 2 2 3 3 2.6 1 1.2 1.7 17.1 23.3 23.3 23.3 15 4 5 7 d. Xylose Rhamnose Arabinose 2 2 3 0 1.7 0.8 14.9 22.9 19.5 0 7 4 3 0 23.6 0 4.2 1.1 3.8 2.1 6.5 27.0 23.4 24.6 22.1 26.9 I6 5 15 10 24 20.6 2.7 3.0 2.0 2.7 19.8 22.5 22.5 19.1 21.8 100 7.2 19.8 36 13 3.0 18.3 2 4 3 2 2.9 1.o 4.3 2.5 20.4 18.4 23.3 21.5 Diacetone glucose Monoacetone glucose 2 4 1.0 5.3 16.7 22.4 6 24 Glucose acetone carbonate Glucose monocarbonate 4 2 7.0 1.9 22.5 18.0 35 11 4 3 3.3 1.7 23.2 16.9 14 10 Hexose-derivatives : Pringsheim glucose, 1-6 Pyranose : C-&om No. 1 Alpha methyl d-glucoside d-Sorbitol d-Gluconic acid Ethyl d-glucoside Glucothiose C-at,om No. 2 d-Mannose cl-Mannitol Glucosone Glucosamine &Fructose C-at,om No. 3 S-Met,hyl glucose C-at,om No. 4 d-Galactose C-atom No. 6 Furanose: Acetonecompounds Carbonates d-Glycuronic acid Menthol d-glycuronic acid Saccharic acid d-Gulonic acid 2 3 13 3 2 ___ 12 13 10 12 -- 10 14 5 18 12 --- ~~~ Anhydrides of glucose Alpha glucosan Lev0 glucosan (Toble continued on p . 80) 80 ovin 0. MEYER, CLAIRE MCTIERNAN, AND WILLIAM T. SALTER TABLEI (Continued) Type of Hubstance No. of Expod- ~ v~ . ments Compound Av. g hGliwose ~ 0% Av. per cent 2‘ ‘ on basin of glucose Dimccharides Maltose Cellobiose Lactose Sucrose Trehalose 4 2 2 2 3 2.6 3.5 0.7 2.1 3.5 17.6 24.8 15.7 18.6 22.6 14 14 4 11 16 Trinaccharides Rafinose Melezitose 2 2 0.7 2.0 26.7 18.9 3 11 6 5 3 4.0 15.8 1.1 22.1 18.9 15.9 18 84 7 4 0.7 18.6 4 Polysaccharides Dextrin, crystdine Starch (soluble) , Mouse glycogen Ringer’s (plain) I Average of Glucose Experiments.. . , . . . . . . . . . . 4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . , , .20.8 ments. This erratic decomposition is illustrated, for 3-methyl glucose, by Table 11, in which are listed the glycolytic indices for repeated experiments with the abnormal sugar against the glucose control value in each instance. As will appear below, the duration of glycolysis may be concerned in this phenomenon. Our quotients were obtained mainly during the first hour. TAELB11: Showing that a Svbatitiiled Sugar I s More Erratically Glycolyzeil than Glucose Itself - 3-Methyl Glucose Glucose Control Tumor Number No. 1 No. 2 No. 3 No. 4 No. 5 Average Percentage maximum variation Qgba, 18.2 21.0 19.2 21.0 19.2 Variation from average Qgba, - 7.6% + 0.6 - 2.5 + 6.6 - 2.5 14% 1 13.1 8.0 5.9 5.2 3.7 Variation from average ++- 82% 11 18 - 28 - 40 7.2 131% As regards the values for hexose derivatives in Table I, the results serve to extend further the observation by Warburg as to the specificity of the glycolytic process. Outstanding among these results are the values for glucose and mannose, which are essentially identical. Aside from these are a few which give a significant glycolytic index, i.e. glucothiose, 3-methyl glucose, glucose acetone carbonate, and possihly monoacetone glucose. I n the last two instances, it is conceivable that the CO, produced is due, directly o r indirectly, to the substituting 81 UTILIZATION OF GLUCOSE BY MOUSE SARCOMA group rather than to the main molecule. It is at least interesting that no phenomenal utilization was observed for the 1,6-glucose or for 1,4 derivatives. This result is hardly in accord with the conception that 6 6 gamma” sugars are of physiological importance in mammalian carbohydrate metabolism. It indicates that the position of the oxygen bridge in glucose is important in its anaerobic breakdown. The anhydrides of glucose-characterized by accessory oxygen bridges in the molecule-were not utilized to a significant degree. The splitting of saccharides, likewise, was small. The sole notable exception was soluble starch. The question arises whether glycolysis of abnormal sugars might be low because the glycolytic products, into which the sugar is broken, are toxic and inhibit the process. That the abnormal fragments ( i e . not simple lactic acid) resulting from breakdown of the substances studied do not immediately check glycolysis is apparent from Table 111. In TABLE 111: Anaerobic Glgcolytic Index of Tumor Tissue in the Presence qf Two Sugars Sugar Combination Glucose Control Concentration Glucose )G = (0.075%) 2G = (0.3%) Glucose plus 3-methyl glucose tG fM(0.075 0.075%) G = (0.15%) M t(0.15) 3-methy1 glucose Mf + = + + (0.15%) Q3* Per cent Referred to Glucose Control 15.6 20.2 22.3 16.3 70 % 125 17.3 22.7 24.1 16.3 72 130 7.2 10.8 36 * Control glucose concentration, designated G = 0.15 per cent. t M indicates concentration of 3-methyl glucose equivalent to G. these experiments, equimolecular mixtures of glucose and abnormal sugar (3-methyl glucose) were compared with solutions containing half or twice the usual amount of glucose. As will be noted, the Q&, resulting when equal parts of glucose and 3-methyl glucose are used approaches the figure obtained when an equivalent concentration of glucose alone is present. The &Fa, seemed to be increased in one case when 3-methyl glucose was added to the usual amount of glucose. I n the case where %methyl glucose was added t o a solution containing one-half the usual glucose concentration, that is 0.075 per cent instead of 0.15 per cent, the result approximates that where 0.075 per cent of glucose alone is used. Thus, in neither instance has inhibition of normal glycolysis resulted from adding 3methyl glucose to the glucose-Ringer’s solution. I n fact, the indices tend to be additive with respect to the sugar concentrations involved. EFFECT OF TIMEON QLYCOLYTIC QUOTIENT When glycolysis is followed over prolonged periods, the glycolytic index alters. This is shown in Figure 2 for the case of 3-methyl glucose. When %methyl glucose alone is given to the tumor, the 82 OVID 0. MEYER, CLAIRE MCTIERNAN, AND WILLIAM T. SALTER glycolytic rate is not only low but drops off markedly as time progresses. During the seventh hour, indeed, the quotient is only 21 per cent that of the first hour. Similarly, in sixty-minute experiments 0 Glucose El Glucose i3-Methyl Glucose H 3-Methyl Glucwe No Added Caibohydrate 1 0 PIG. 2. i 2 3 4 5 6 7 Time in Hours 8 9 10 DIAGRAM SIIOWING ORAPIiICALLY T H E RELATIVE DEOREE OF TUMOB GLYCOLYEISOVER (1) GLIII'OBE, ( 2 ) 3-METHYL GLUCOSE, ( 3 ) COM~INATION OF BOTH,AND ( 4 ) RINGER'SSOLUTION WITHOUT RUC+AR LOi%(iI'EHIODS FOR Tho amounts of tissue used wcre smaller than usual and tho rosults higher for each preparation than averagc. However, the rolationships are approxiniately proportional to the averago results obtainod in other experiments. Each column starts from the baso line 0. Tho relatively slight degreo of glycolysis with 3-methyl glucose a8 compared t o tho persistent high rato for glucose to tho end is also shown. Each column represents ono hour in time: thue, xeven hours for the first group; three hours for the eecond; with a half-hour interval while the manometers wcre dismounted and fresh solutions were exhibited. with glucothiose the glycolytic rate falls off markedly after the first lei1 o r twenty miiiutcis.3 Nevertheless, with glucose the rate after seven hours is iicurly 80 per ceiit of the initial rate. 111 tlic cspcrimeiit tlcpictcd by Fig, 2 the respective tissues were 3 It lllllNt lir rrtiirtnbercd tiint n twcnty-inillute period f o r stubilizntion (of tcwprriituro mid pressure) procedes the initial manometric reading. This interval prevents measurenient of very early glyeolysis. 83 UTILIZATION OF GLUUOLJE BY MOUSE SABCOMA removed from the apparatns at the end of seven hours, and transferred to fresh solutions. During this process they were, of course, in contact with room air for a short time. Glycolysis again proceeded at a high rate for the first hour in all cases. The tumor in 3-methyl glucose, however, again quickly decreased its glycolytic activity to a low level, whereas the tumor in glucose solution continued, for the entire three hours, to maintain glycolysis at a level closely approximating the first period. It might be possible that free methanol (originating from 3-methyl glucose by hydrolysis) could have checked glycolysis in this instance. This possibility was suggested to us by Dr. C. C. Lund. It was excluded, however, by adding in other experiments appropriate amounts of this alcohol to glucose solutions. The results showed only slight diminution from the normal glycolytic rate. The inhibiting effect must be attributed, therefore, to some phenomenon closely connected with the chemical structure of the substituted sugar, and not to split products originating outside of the cell. A similar possibility that sulphide might arise from glucothiose and inhibit glycolysis suggested that sodium sulphide (alone) should be added to the glucose solution. When this WBB done, however, the glycolytic quotient remained normal. EFFECT OF IODOACETATE AND CYANIDE It has been shown by Lundsgaard (10) that iodoacetate in small concentrations stops the splitting of glucose in isolated tissues. We wished to observe whether jts effect upon other sugars was similar. We found, as shown in Table IV, that glycolysis for mannose, as well as glucose, was stopped by this substance. Utilization of the other substances Was inhibited to a certain degree but not completely. This result indicates a similarity between trioses and hexoses, when acted upon by tumor tissue. TABLEIV: Effect of Iodoacelde ur Cyanide on Glywlysia ~ Compound Control from Table I Io!? "OoSN 20.8 20.6 7.2 11.6 6.2 No%al 1 -___- Glucoee Mannose %methyl glucose Dihydroxy acetone G1ycaraldehyde 1I 1.7 1.6 1.3 7.9 2.6 1 Perofcent I Per cent from T+le 1 7 7 19 68 48 I Perofcent Iodo- Normal Cyanide Normal acetate 0.001N from from 0.0006N Table Table I I ____--1.8 1.9 1.2 9.1 2.4 9 9 17 78 46 22.6 22.0 3.0 3.4 1.7 109 107 42 29 33 Warbnrg (1)has shown that cyanide, 1: 1000 in concentration, does not inhihit the splitting of glucose by malignant tumors. When compared with the results given in Table I, the quotients in Table IV show that cyanide does not significantly affect the anaerobic production of 84 OVID 0. MEYER, CLAIRE MCTIERNAN, AND WILLIAM T. SAL!I!ER carbon dioxide by saraoma in the case of any of the substituted sugarg, except dihydroxyacetone. EFFECT OF NORMAL TISSUEON ABNORMAL CARBOHTDRATES Warburg (1)pointed out that, as regards glucose, tumor tissue differed from resting normal tissue in its high anaerobic glycolysis. Our experience with mannose and 3-methyl glucose is similar. I n the case of trioses, however, anaerobic acid-production may appear to be nearly tis marked for normal tissue (for example, liver) as for tumor tissue. This is illustrated by Table V, in which the glycolytic quotients for liver with dihydroxy acetone, propylene glycol, and glyceric aldehyde ttpproach the analogous values for tumors. Part of this glycolysix, however, probably represents the breakdown of the carbohydrate already present in the tissue. Indeed, when the corresponding Ringer control value is subtracted in each case, only the figures for dihydroxy acetone remain impressive. I n this instance it is noteworthy that the production of carbon dioxide by liver is much greater than with glucose. For this fact we have no explanation. TABLE V: Action of Surviving @ver Tksue on Triosea ; Apparent Acid-Production Compared with that of Tumor Cont,rol Plain Ringer‘s Holution -_ Liver - - QE& 2.5 Less Ringer Control Tumor Qzh, 0.7 Dihydroxy Acetone Propylene Glycol Glyceric Aldehyde Control 0.16% Glucose Tumor Liver Tumor Liver Tumor Liver Q& @!ha, Q%, QC”, Q%, Q& Q:ht, 11.2 11.6 4.3 2.1 2.7 5.2 2.5 20.8 8.7 10.9 1.8 1.4 0.2 4.5 0 20.1 Liver Tumor G?), - DISCU66ION If one compares our results with those of Laquer and Meyer (111, obtained with minced muscle, one finds the two series in close accord. (The outstanding discrepancy is offered by fructose.) Blix (12) used Ahlgren’s (13) method to determine how various sugars influenced thc? reduction of methylene blue by surviving frog muscle. Blix likewise found this phenomenon to be highly specific for glucose. As far as intact animals are concerned, the results of Herring, Irvine, and Macleod (2) with insulin hypoglycemia were complicated by the transformation of some compounds into glucose by the liver. In general, however, they demonstrated the marked specificity of glucose per se as an antidote for insulin. Using hepatectomized animals, 1)rury and Salter (14) found that without the intervention of the liver, most glucose derivatives are useless for the other organs. This was a8 true of the accredited carbohydrate “intermediates ” as of the other substances studied. UTILIZATION OF ULUUOSE BY MOUSE SARCOMA 85 This study of the glycolytic breakdown of various carbohydrates by tumor tissue shows the same sugars and intermediaries t o be glycolyzed as are utilized by normal tissues. I n short, the utilization of carbohydrates by malignant tissue does not differ qualitatively from their utilization by normal tissues. This fact suggests that the anomalous oarbohydrate metabolism of malignant tissue may be merely a difference in degree, rather than in kind. Although the negative results obtained with many of these glucose derivatives may be interpreted as evidence of enzyme specificity, due allowance must be made for the possibility that cell membranes may be impermeable to such abnormal sugars. Indeed, Harrison and Mellanby (15) found malignant tissue unable to glycolyze hexose phosphate in vitro. Yet there is good ground (16) for believing that hexose phosphate plays an essential r61e in glycolysis within the cell. It is obvious then that a negative result may mean simply that the sugar in question cannot penetrate the cell membrane. This situation ’has been shown by Scharles and Salter (17) to hold for glycogen, the molecule of which is of colloidal dimensions. There is an amylase within tumor cells which splits the polysaccharide. Nevertheless, until the cell membranes are destroyed, the glycogen in the Ringer ’8 solution remains untouched, as may be seen from Table I. It is by no means certain that the acid produced from these abnormal Carbohydrates is exclusively or necessarily lactic acid. I n certain instances, notably 3-methyl glucose, it seems probable that part of the acid evolved is a substituted lactic acid, derived from one-half of the substituted glucose molecule. I n other cases, e.g. glyceric aldehyde, it is possible that decarboxylation may be the mechanism involved. Even so, such reactions have a fundamental physiologic significance because, as Salter and Robb have found (18),they influence nitrogenous metabolism in tumor, SUMMARY In studying differences between the biochemical behavior of malignant tissue (mouse sarcoma 180) and that of normal tissues, the utilization of various derivatives of glucose (in which successive chemical groups were systematically substituted) was measured under anaerobic conditions by Warburg’s method. Barring differential permeability of those substances through cell membranes, and similar complications, such compounds may be considered as substrates, the chemical change in which gives quantitative evidence of the activity of intracellular enzymes. The splitting of hexoses (“glycolysis”) is peculiarly restricted to d-glucose itself, the chief exception being mannose, as Warburg pointed out. Of various simple derivatives of glucose, most failed to show much acid-formation. That the configuration of the oxygen ring is of prime importance is indicated by the fact that Pringsheim’s glucose (hexylene-oxide ring) showed no glycolysis. Glucofuranose compounds (butylene-oxide ring), however, were encountered, which did 86 OVID 0. MEYER, CLAIRE MCTIERNAN, AND WILLIAM T. BALTEB yield acid under anaerobic conditions, though not so readily as normal dextrose. Although no anaerobic acid-formation was eiicountered with pentoses, it was definite in the case of several 3-carbon aliphatic carbohydrates. This process is inhibited by iodoacetate, but not markedly by cyanide. Acid produotion from these substances by rapidly growing tumor, however, may be little greater than by normal tissue (liver). Acid production of only slight degree was observed in the case of saccharides containing glucose. The persistence of great acid production from glucose, over long periods, stands in contrast to the relatively small production from 3methyl glucose after two to three hours. CONCLUSIONS A study of the glycolytic breakdown of various carbohydrates by tumor tissue shows the same sugars to be glycolyzed as are utilized by normal tissues. The anomalous carbohydrate metabolism of malignant tissue is a difference in degree rather than in kind. BIBLIOQRAPHY 1. WARBURQ, 0. : fiber den Stoffwechsel der Tumoren, Berlin, Julius Springer, 1926. Eng. trans., The Metabolism of Tumors, by Frank Dickens, New York, Richard R. Smith, Inc., 1931. 2. HERRING), P. T., IRVINE, J. C., AND MACLEOD, J. J. R.: Biochem. J. 18: 1023, 1924. O., POSENER, K., AND NEGELEIN,E. : Biochem. Ztschr. 152 : 309, 1924. 3. WARBURG), 4. KOZAWA,S.: J. Physiol. 53: 264, 1919. 5. SJOLLEMA, B., AND SEEPLES, L.: Biochem. Ztschr. 176: 431, 1926. 6. ARMSTRONQ, E. F.: The Simple Carbohydrates and the Qlucosides, Longmans, Green and Co., New York, 1934, Ed. 4. 7. PRINQSHEIM, H., AND KOLODNY, S.: Berichte der Deutsch. chem. Gesellsch. 59: 1135, 1926. 8. IRVINE, J. C.: Indust. and Eng. Ghern. 15: 1162, 1923. Chemical Reviews 4 : 208, 1927. J . Chem. Soc. 123: 915, 1923. 9. HAWORTH, W. N.: Constitution of Sugars, Edward Arnold and Co., London, 1929. 10. LUNDSQAARD, EINAR:Biochem. Ztschr. 217: 162, 1930. 11. LAQUER,F., AND MEYER,P.: Ztschr. f . physiol. Chem. 124: 211, 1923. 12. BLIX, Q.: Skandinav. Arch. f . Physiol. 47: 292, 1926. 13. AHWREN,(3.: Skandinav. Arch. f. Physiol. 47: 271, 1926. 14. DRWY,D. R., AND SALTER, W. T.: Am. J. Physiol. 107: 406,1934. S. T., AND MELLANBY,E.: Riochem. J. 24: 141, 1930. 15. HARRISON, 16. NEUBERC,C., KOBEL,M., AND LASER,H.: Ztschr. f. Krebsforseh. 32: 92, 1930. 17. SCHARLES, F. H., AND SALTER, W. T.: Am. J. Cancer 20: 613, 1934. W. T., AND R o ~ B P. , D. : Am. J. Cancer 21: 87,1934. 18. SALTER,
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