Tumour hypoxia induces a metabolic shift causing acidosis: a common feature in cancer

By J. Chiche, M. Brahimi-Horn, J. Pouysségur. Journal of Cellular and Molecular Medicine, 2009

642 citations recorded by the source corpus.

•  Introduction •  Intracellular pH regulation controls energy balance and cell proliferation: chemical and biological proof of principle ‐  Chemical proof of principle ‐  Biological proof of principle: the role of the Na+/H+ exchanger‐1 •  Oncogene activation and transformation cause acidosis ‐  Warburg effect (aerobic glycolysis) ‐  Inhibition of tumour suppressor genes and oncogene activation drive the ‘Warburg effect’ and cause acidosis ‐  Neoplastic transformation drives intracellular alkalinization and extracellular acidification through the activation and up‐regulation of pHi‐regulating systems •  Hypoxia promotes acidosis by shifting from oxidative phosphorylation to glycolytic metabolism ‐  HIF mediates cellular adaptation to low oxygen availability ‐  HIF‐induced metabolic reprogramming in response to tumour hypoxia causes acidosis ‐  Acidosis may affect HIF‐α stabilization and on HIF‐induced gene regulation •  Hypoxia enhances the expression and activity of pHi‐regulating systems to promote cell survival and invasion ‐  Hypoxia increases NHE‐1 expression and activity ‐  The hypoxia‐induced membrane‐associated carbonic anhydrases are key enzymes involved in pH homeostasis, cell survival and migration in a hypoxic/acidic microenvironment ‐  CAIX regulation and expression ‐  CAXII regulation and expression ‐  The activity and functions of CAIX and CAXII ‐  The hypoxia‐induced monocarboxylate transporter MCT4, the constitutively expressed MCT1 and their chaperone CD147 are key plasma‐membrane proteins involved in pH regulation, energy balance, tumour progression and metastasis ‐  MCT regulation, expression, structure and implication of their chaperone CD147 ‐  The MCT1, MCT4 and CD147 activity and functions •  Strategies taking advantage of changes in the oxygen level, energy balance and pH homeostasis to target primary tumours and metastases ‐  Decreasing the pHi of hypoxic cells of the primary tumour by inhibiting key pHi‐regulating systems to collapse ATP production ‐  Increasing pHo and the extracellular buffering capacity in targeting metastasis and reducing multidrug resistance •  Conclusion

Subfields: Cancer Research, Molecular Biology

View Paper: https://www.semanticscholar.org/paper/9f720872f06c47d483489a9df2d2ab59a6ddc669

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