The document summarizes Otto Warburg's discovery of the Warburg effect. Warburg showed in the 1920s that tumor cells metabolize glucose to lactate at a much higher rate than normal cells, even in the presence of oxygen. This is known as aerobic glycolysis or the Warburg effect. The document then discusses various causes and mechanisms of the Warburg effect, including mutations, hypoxia in tumor microenvironments, overexpression of glycolytic enzymes, and mitochondrial dysfunction in cancer cells. It also notes some characteristics of the Warburg effect such as cancer cell adaptations to hypoxia and maintenance of an intracellular alkaline pH.