# Spatial FBA reveals heterogeneous Warburg niches in renal tumors and lactate consumption in colorectal cancer

## TL;DR

A new method called spatial FBA helps reveal how cancer metabolism varies in space, showing lactate consumption in colorectal cancer and lactate production in renal cancer.

## Contribution

The novel spFBA framework integrates spatial transcriptomics with metabolic flux estimation to uncover spatially heterogeneous cancer metabolism.

## Key findings

- Lactate consumption is observed in both primary and metastatic regions of colorectal cancer.
- Renal cancer exhibits widespread lactate production and a heterogeneous Warburg phenotype.
- spFBA identifies regions of increased proliferation, validating its biological relevance.

## Abstract

To investigate how spatial constraints shape cancer metabolism, we devised the spatial Flux Balance Analysis (spFBA) framework for the enrichment of spatial transcriptomics data with relative estimates of metabolic fluxes. Applying spFBA to newly generated high-resolution datasets of paired primary colorectal tumors (CRC) and liver metastases revealed lactate consumption in both primary and metastatic regions. The presence of lactate-consuming niches was confirmed in an independent public dataset, suggesting this may be a recurrent metabolic feature of CRC. Importantly, application to public datasets of renal cancer showed widespread lactate production, consistent with a dominant but heterogeneous Warburg phenotype, ruling out general prediction biases or algorithmic artifacts. spFBA also consistently identified regions of increased proliferation across datasets, supporting the biological validity of its predictions. The framework is applicable to any sequencing-based spatial dataset to effectively uncover metabolic programs that remain invisible to gene expression analysis alone.