%0 Journal Article %T Exploiting cancer's drinking problem: regulation and therapeutic potential of macropinocytosis. %A Puccini J %A Badgley MA %A Bar-Sagi D %J Trends Cancer %V 8 %N 1 %D 01 2022 %M 34649835 %F 19.161 %R 10.1016/j.trecan.2021.09.004 %X Macropinocytosis, an evolutionarily conserved endocytic mechanism that mediates non-specific fluid-phase uptake, is potently upregulated by various oncogenic pathways. It is now well appreciated that high macropinocytic activity is a hallmark of many human tumors, which use this adaptation to scavenge extracellular nutrients for fueling cell growth. In the context of the nutrient-scarce tumor microenvironment, this process provides tumor cells with metabolic flexibility. However, dependence on this scavenging mechanism also illuminates a potential metabolic vulnerability. As such, there is a great deal of interest in understanding the molecular underpinnings of macropinocytosis. In this review, we will discuss the most recent advances in characterizing macropinocytosis: the pathways that regulate it, its contribution to the metabolic fitness of cancer cells, and its therapeutic potential.