Skip to main content
Top
Published in: Cancer and Metastasis Reviews 1-2/2019

01-06-2019 | Solid Tumor

Acidosis and cancer: from mechanism to neutralization

Authors: Arig Ibrahim-Hashim, Veronica Estrella

Published in: Cancer and Metastasis Reviews | Issue 1-2/2019

Login to get access

Abstract

The extracellular pH of solid tumors is unequivocally acidic due to a combination of high rates of lactic acid production (a consequence of fermentative glycolytic metabolism) and poor perfusion. This has been documented by us and others in a wide variety of solid tumor models, primarily using magnetic resonance spectroscopic imaging (MRSI). This acidity contributes to tumor progression by inducing genome instability, promoting local invasion and metastases, inhibiting anti-tumor immunity, and conferring resistance to chemo- and radio-therapies. Systemic buffer therapies can neutralize tumor acidity and has been shown to inhibit local invasion and metastasis and improve immune surveillance in a variety of cancer model systems. This review will revisit the causes and consequences of acidosis by summarizing strategies used by cancer cells to adapt to acidosis, and how this acidity associated with carcinogenesis, metastasis, and immune function. Finally, this review will discuss how neutralization of acidity can be used to inhibit carcinogenesis and metastasis and improve anti-cancer immunotherapy.
Literature
5.
go back to reference Marino, M. L., Pellegrini, P., Di Lernia, G., Djavaheri-Mergny, M., Brnjic, S., Zhang, X., Hagg, M., Linder, S., Fais, S., Codogno, P., & De Milito, A. (2012). Autophagy is a protective mechanism for human melanoma cells under acidic stress. The Journal of Biological Chemistry, 287(36), 30664–30676.CrossRef Marino, M. L., Pellegrini, P., Di Lernia, G., Djavaheri-Mergny, M., Brnjic, S., Zhang, X., Hagg, M., Linder, S., Fais, S., Codogno, P., & De Milito, A. (2012). Autophagy is a protective mechanism for human melanoma cells under acidic stress. The Journal of Biological Chemistry, 287(36), 30664–30676.CrossRef
9.
go back to reference Sousa, C. M., Biancur, D. E., Wang, X., Halbrook, C. J., Sherman, M. H., Zhang, L., Kremer, D., Hwang, R. F., Witkiewicz, A. K., Ying, H., Asara, J. M., Evans, R. M., Cantley, L. C., Lyssiotis, C. A., & Kimmelman, A. C. (2016). Pancreatic stellate cells support tumour metabolism through autophagic alanine secretion. Nature., 536(7617), 479–483. https://doi.org/10.1038/nature19084.CrossRefPubMedPubMedCentral Sousa, C. M., Biancur, D. E., Wang, X., Halbrook, C. J., Sherman, M. H., Zhang, L., Kremer, D., Hwang, R. F., Witkiewicz, A. K., Ying, H., Asara, J. M., Evans, R. M., Cantley, L. C., Lyssiotis, C. A., & Kimmelman, A. C. (2016). Pancreatic stellate cells support tumour metabolism through autophagic alanine secretion. Nature., 536(7617), 479–483. https://​doi.​org/​10.​1038/​nature19084.CrossRefPubMedPubMedCentral
11.
go back to reference Glunde, K., Guggino, S. E., Solaiyappan, M., Pathak, A. P., Ichikawa, Y., & Bhujwalla, Z. M. (2003). Extracellular acidification alters lysosomal trafficking in human breast cancer cells. Neoplasia., 5(6), 533–545.CrossRef Glunde, K., Guggino, S. E., Solaiyappan, M., Pathak, A. P., Ichikawa, Y., & Bhujwalla, Z. M. (2003). Extracellular acidification alters lysosomal trafficking in human breast cancer cells. Neoplasia., 5(6), 533–545.CrossRef
12.
go back to reference Rozhin, J., Sameni, M., Ziegler, G., & Sloane, B. F. (1994). Pericellular pH affects distribution and secretion of cathepsin B in malignant cells. Cancer Research, 54(24), 6517–6525.PubMed Rozhin, J., Sameni, M., Ziegler, G., & Sloane, B. F. (1994). Pericellular pH affects distribution and secretion of cathepsin B in malignant cells. Cancer Research, 54(24), 6517–6525.PubMed
14.
17.
go back to reference Walton ZE, Patel CH, Brooks RC, Yu Y, Ibrahim-Hashim A, Gillies RJ, Powell JD, Dang CV. Acid suspends the circadian clock in hypoxia through inhibition of mTOR. Cell. 2018;(in press), 174, 72, 87.e32. Walton ZE, Patel CH, Brooks RC, Yu Y, Ibrahim-Hashim A, Gillies RJ, Powell JD, Dang CV. Acid suspends the circadian clock in hypoxia through inhibition of mTOR. Cell. 2018;(in press), 174, 72, 87.e32.
23.
go back to reference Wallstab, C., Eleftheriadou, D., Schulz, T., Damm, G., Seehofer, D., Borlak, J., Holzhutter, H. G., & Berndt, N. (2017). A unifying mathematical model of lipid droplet metabolism reveals key molecular players in the development of hepatic steatosis. The FEBS Journal, 284(19), 3245–3261. https://doi.org/10.1111/febs.14189.CrossRefPubMed Wallstab, C., Eleftheriadou, D., Schulz, T., Damm, G., Seehofer, D., Borlak, J., Holzhutter, H. G., & Berndt, N. (2017). A unifying mathematical model of lipid droplet metabolism reveals key molecular players in the development of hepatic steatosis. The FEBS Journal, 284(19), 3245–3261. https://​doi.​org/​10.​1111/​febs.​14189.CrossRefPubMed
25.
go back to reference Persi, E., Duran-Firgola, M., Damaghi, M., Roush, W. R., Aloy, P., Cleveland, J. L., Gillies, R. J., & Ruppin, E. (2018). Systems analysis of intracellular pH vulnerabilities for cancer therapy. Nature Communications (in press). Persi, E., Duran-Firgola, M., Damaghi, M., Roush, W. R., Aloy, P., Cleveland, J. L., Gillies, R. J., & Ruppin, E. (2018). Systems analysis of intracellular pH vulnerabilities for cancer therapy. Nature Communications (in press).
32.
go back to reference Rothberg, J. M., Bailey, K. M., Wojtkowiak, J. W., Ben-Nun, Y., Bogyo, M., Weber, E., Moin, K., Blum, G., Mattingly, R. R., Gillies, R. J., & Sloane, B. F. (2013). Acid-mediated tumor proteolysis: contribution of cysteine cathepsins. Neoplasia., 15(10), 1125–1137.CrossRef Rothberg, J. M., Bailey, K. M., Wojtkowiak, J. W., Ben-Nun, Y., Bogyo, M., Weber, E., Moin, K., Blum, G., Mattingly, R. R., Gillies, R. J., & Sloane, B. F. (2013). Acid-mediated tumor proteolysis: contribution of cysteine cathepsins. Neoplasia., 15(10), 1125–1137.CrossRef
33.
go back to reference Avnet, S., Di Pompo, G., Chano, T., Errani, C., Ibrahim-Hashim, A., Gillies, R. J., Donati, D. M., & Baldini, N. (2017). Cancer-associated mesenchymal stroma fosters the stemness of osteosarcoma cells in response to intratumoral acidosis via NF-kappaB activation. International Journal of Cancer, 140(6), 1331–1345. https://doi.org/10.1002/ijc.30540.CrossRefPubMedPubMedCentral Avnet, S., Di Pompo, G., Chano, T., Errani, C., Ibrahim-Hashim, A., Gillies, R. J., Donati, D. M., & Baldini, N. (2017). Cancer-associated mesenchymal stroma fosters the stemness of osteosarcoma cells in response to intratumoral acidosis via NF-kappaB activation. International Journal of Cancer, 140(6), 1331–1345. https://​doi.​org/​10.​1002/​ijc.​30540.CrossRefPubMedPubMedCentral
34.
go back to reference Tafreshi, N. K., Bui, M. M., Bishop, K., Lloyd, M. C., Enkemann, S. A., Lopez, A. S., Abrahams, D., Carter, B. W., Vagner, J., Grobmyer, S. R., Gillies, R. J., & Morse, D. L. (2012). Noninvasive detection of breast cancer lymph node metastasis using carbonic anhydrases IX and XII targeted imaging probes. Clinical Cancer Research : an Official Journal of the American Association for Cancer Research, 18(1), 207–219. https://doi.org/10.1158/1078-0432.CCR-11-0238.CrossRef Tafreshi, N. K., Bui, M. M., Bishop, K., Lloyd, M. C., Enkemann, S. A., Lopez, A. S., Abrahams, D., Carter, B. W., Vagner, J., Grobmyer, S. R., Gillies, R. J., & Morse, D. L. (2012). Noninvasive detection of breast cancer lymph node metastasis using carbonic anhydrases IX and XII targeted imaging probes. Clinical Cancer Research : an Official Journal of the American Association for Cancer Research, 18(1), 207–219. https://​doi.​org/​10.​1158/​1078-0432.​CCR-11-0238.CrossRef
35.
go back to reference Tafreshi, N. K., Lloyd, M., Bui, M., Gillies, R. J., & Morse, D. (2013). Carbonic Anhydrase IX as an Imaging and Therapeutic Target for Tumors and Metastases. In S. Frost & R. McKenna (Eds.), Carbonic Anhydrases. Tafreshi, N. K., Lloyd, M., Bui, M., Gillies, R. J., & Morse, D. (2013). Carbonic Anhydrase IX as an Imaging and Therapeutic Target for Tumors and Metastases. In S. Frost & R. McKenna (Eds.), Carbonic Anhydrases.
40.
go back to reference Gerlinger, M., Rowan, A. J., Horswell, S., Math, M., Larkin, J., Endesfelder, D., Gronroos, E., Martinez, P., Matthews, N., Stewart, A., Tarpey, P., Varela, I., Phillimore, B., Begum, S., McDonald, N. Q., Butler, A., Jones, D., Raine, K., Latimer, C., Santos, C. R., Nohadani, M., Eklund, A. C., Spencer-Dene, B., Clark, G., Pickering, L., Stamp, G., Gore, M., Szallasi, Z., Downward, J., Futreal, P. A., & Swanton, C. (2012). Intratumor heterogeneity and branched evolution revealed by multiregion sequencing. The New England Journal of Medicine, 366(10), 883–892. https://doi.org/10.1056/NEJMoa1113205.CrossRefPubMedPubMedCentral Gerlinger, M., Rowan, A. J., Horswell, S., Math, M., Larkin, J., Endesfelder, D., Gronroos, E., Martinez, P., Matthews, N., Stewart, A., Tarpey, P., Varela, I., Phillimore, B., Begum, S., McDonald, N. Q., Butler, A., Jones, D., Raine, K., Latimer, C., Santos, C. R., Nohadani, M., Eklund, A. C., Spencer-Dene, B., Clark, G., Pickering, L., Stamp, G., Gore, M., Szallasi, Z., Downward, J., Futreal, P. A., & Swanton, C. (2012). Intratumor heterogeneity and branched evolution revealed by multiregion sequencing. The New England Journal of Medicine, 366(10), 883–892. https://​doi.​org/​10.​1056/​NEJMoa1113205.CrossRefPubMedPubMedCentral
41.
go back to reference van Sluis, R., Bhujwalla, Z. M., Raghunand, N., Ballesteros, P., Alvarez, J., Cerdan, S., Galons, J. P., & Gillies, R. J. (1999). In vivo imaging of extracellular pH using 1H MRSI. Magnetic Resonance in Medicine, 41(4), 743–750.CrossRef van Sluis, R., Bhujwalla, Z. M., Raghunand, N., Ballesteros, P., Alvarez, J., Cerdan, S., Galons, J. P., & Gillies, R. J. (1999). In vivo imaging of extracellular pH using 1H MRSI. Magnetic Resonance in Medicine, 41(4), 743–750.CrossRef
44.
go back to reference Grove, O., Berglund, A. E., Schabath, M. B., Aerts, H. J., Dekker, A., Wang, H., Velazquez, E. R., Lambin, P., Gu, Y., Balagurunathan, Y., Eikman, E., Gatenby, R. A., Eschrich, S., & Gillies, R. J. (2015). Quantitative computed tomographic descriptors associate tumor shape complexity and intratumor heterogeneity with prognosis in lung adenocarcinoma. PLoS One, 10(3), e0118261. https://doi.org/10.1371/journal.pone.0118261.CrossRefPubMedPubMedCentral Grove, O., Berglund, A. E., Schabath, M. B., Aerts, H. J., Dekker, A., Wang, H., Velazquez, E. R., Lambin, P., Gu, Y., Balagurunathan, Y., Eikman, E., Gatenby, R. A., Eschrich, S., & Gillies, R. J. (2015). Quantitative computed tomographic descriptors associate tumor shape complexity and intratumor heterogeneity with prognosis in lung adenocarcinoma. PLoS One, 10(3), e0118261. https://​doi.​org/​10.​1371/​journal.​pone.​0118261.CrossRefPubMedPubMedCentral
45.
go back to reference Beig, N., Khorrami, M., Alilou, M., Prasanna, P., Braman, N., Orooji, M., Rakshit, S., Bera, K., Rajiah, P., Ginsberg, J., Donatelli, C., Thawani, R., Yang, M., Jacono, F., Tiwari, P., Velcheti, V., Gilkeson, R., Linden, P., & Madabhushi, A. (2018). Perinodular and intranodular radiomic features on lung CT images distinguish adenocarcinomas from granulomas. Radiology, 180910. https://doi.org/10.1148/radiol.2018180910. Beig, N., Khorrami, M., Alilou, M., Prasanna, P., Braman, N., Orooji, M., Rakshit, S., Bera, K., Rajiah, P., Ginsberg, J., Donatelli, C., Thawani, R., Yang, M., Jacono, F., Tiwari, P., Velcheti, V., Gilkeson, R., Linden, P., & Madabhushi, A. (2018). Perinodular and intranodular radiomic features on lung CT images distinguish adenocarcinomas from granulomas. Radiology, 180910. https://​doi.​org/​10.​1148/​radiol.​2018180910.
48.
go back to reference Farhidzadeh, H., Chaudhury, B., Scott, J. G., Goldgof, D., Hall, L. O., Gatenby, R. A., Gillies, R. J., & Raghavan, M. (2016). Signal intensity analysis of ecological defined habitat in soft tissue sarcomas to predict metastasis development. SPIE Medial Imaging, 2016. https://doi.org/10.1117/12.2216961. Farhidzadeh, H., Chaudhury, B., Scott, J. G., Goldgof, D., Hall, L. O., Gatenby, R. A., Gillies, R. J., & Raghavan, M. (2016). Signal intensity analysis of ecological defined habitat in soft tissue sarcomas to predict metastasis development. SPIE Medial Imaging, 2016. https://​doi.​org/​10.​1117/​12.​2216961.
49.
go back to reference Stoyanova, R., Pollack, A., Takhar, M., Lynne, C., Parra, N., Lam, L. L., Alshalalfa, M., Buerki, C., Castillo, R., Jorda, M., Ashab, H. A., Kryvenko, O. N., Punnen, S., Parekh, D. J., Abramowitz, M. C., Gillies, R. J., Davicioni, E., Erho, N., & Ishkanian, A. (2016). Association of multiparametric MRI quantitative imaging features with prostate cancer gene expression in MRI-targeted prostate biopsies. Oncotarget, 7, 53362–53376. https://doi.org/10.18632/oncotarget.10523.CrossRefPubMedPubMedCentral Stoyanova, R., Pollack, A., Takhar, M., Lynne, C., Parra, N., Lam, L. L., Alshalalfa, M., Buerki, C., Castillo, R., Jorda, M., Ashab, H. A., Kryvenko, O. N., Punnen, S., Parekh, D. J., Abramowitz, M. C., Gillies, R. J., Davicioni, E., Erho, N., & Ishkanian, A. (2016). Association of multiparametric MRI quantitative imaging features with prostate cancer gene expression in MRI-targeted prostate biopsies. Oncotarget, 7, 53362–53376. https://​doi.​org/​10.​18632/​oncotarget.​10523.CrossRefPubMedPubMedCentral
50.
go back to reference Aerts, H. J., Velazquez, E. R., Leijenaar, R. T., Parmar, C., Grossmann, P., Cavalho, S., Bussink, J., Monshouwer, R., Haibe-Kains, B., Rietveld, D., Hoebers, F., Rietbergen, M. M., Leemans, C. R., Dekker, A., Quackenbush, J., Gillies, R. J., & Lambin, P. (2014). Decoding tumour phenotype by noninvasive imaging using a quantitative radiomics approach. Nature Communications, 5, 4006. https://doi.org/10.1038/ncomms5006.CrossRefPubMedPubMedCentral Aerts, H. J., Velazquez, E. R., Leijenaar, R. T., Parmar, C., Grossmann, P., Cavalho, S., Bussink, J., Monshouwer, R., Haibe-Kains, B., Rietveld, D., Hoebers, F., Rietbergen, M. M., Leemans, C. R., Dekker, A., Quackenbush, J., Gillies, R. J., & Lambin, P. (2014). Decoding tumour phenotype by noninvasive imaging using a quantitative radiomics approach. Nature Communications, 5, 4006. https://​doi.​org/​10.​1038/​ncomms5006.CrossRefPubMedPubMedCentral
52.
go back to reference Lardner, A. (2001). The effects of extracellular pH on immune function. Journal of Leukocyte Biology, 69(4), 522–530.PubMed Lardner, A. (2001). The effects of extracellular pH on immune function. Journal of Leukocyte Biology, 69(4), 522–530.PubMed
56.
go back to reference Calcinotto, A., Filipazzi, P., Grioni, M., Iero, M., De Milito, A., Ricupito, A., Cova, A., Canese, R., Jachetti, E., Rossetti, M., Huber, V., Parmiani, G., Generoso, L., Santinami, M., Borghi, M., Fais, S., Bellone, M., & Rivoltini, L. (2012). Modulation of microenvironment acidity reverses anergy in human and murine tumor-infiltrating T lymphocytes. Cancer Research, 72(11), 2746–2756. https://doi.org/10.1158/0008-5472.CAN-11-1272.CrossRefPubMed Calcinotto, A., Filipazzi, P., Grioni, M., Iero, M., De Milito, A., Ricupito, A., Cova, A., Canese, R., Jachetti, E., Rossetti, M., Huber, V., Parmiani, G., Generoso, L., Santinami, M., Borghi, M., Fais, S., Bellone, M., & Rivoltini, L. (2012). Modulation of microenvironment acidity reverses anergy in human and murine tumor-infiltrating T lymphocytes. Cancer Research, 72(11), 2746–2756. https://​doi.​org/​10.​1158/​0008-5472.​CAN-11-1272.CrossRefPubMed
58.
59.
go back to reference Mahoney, B. P., Raghunand, N., Baggett, B., & Gillies, R. J. (2003). Tumor acidity, ion trapping and chemotherapeutics. I. Acid pH affects the distribution of chemotherapeutic agents in vitro. Biochemical Pharmacology, 66(7), 1207–1218.CrossRef Mahoney, B. P., Raghunand, N., Baggett, B., & Gillies, R. J. (2003). Tumor acidity, ion trapping and chemotherapeutics. I. Acid pH affects the distribution of chemotherapeutic agents in vitro. Biochemical Pharmacology, 66(7), 1207–1218.CrossRef
60.
go back to reference Raghunand, N., Mahoney, B. P., & Gillies, R. J. (2003). Tumor acidity, ion trapping and chemotherapeutics. II. pH-dependent partition coefficients predict importance of ion trapping on pharmacokinetics of weakly basic chemotherapeutic agents. Biochemical Pharmacology, 66(7), 1219–1229.CrossRef Raghunand, N., Mahoney, B. P., & Gillies, R. J. (2003). Tumor acidity, ion trapping and chemotherapeutics. II. pH-dependent partition coefficients predict importance of ion trapping on pharmacokinetics of weakly basic chemotherapeutic agents. Biochemical Pharmacology, 66(7), 1219–1229.CrossRef
62.
63.
go back to reference Ribeiro, M., Silva, A. S., Bailey, K., Kumar, N. B., Sellers, T. A., Gatenby, R. A., Ibrahim Hashim, A., & Gillies, R. J. (2012). Buffer therapy for cancer. Journal of Nutrition & Food Sciences, S2, 1–7. Ribeiro, M., Silva, A. S., Bailey, K., Kumar, N. B., Sellers, T. A., Gatenby, R. A., Ibrahim Hashim, A., & Gillies, R. J. (2012). Buffer therapy for cancer. Journal of Nutrition & Food Sciences, S2, 1–7.
65.
go back to reference Ibrahim-Hashim, A., Robertson-Tessi, M., Enriquez-Navas, P. M., Damaghi, M., Balagurunathan, Y., Wojtkowiak, J. W., Russell, S., Yoonseok, K., Lloyd, M. C., Bui, M. M., Brown, J. S., Anderson, A. R. A., Gillies, R. J., & Gatenby, R. A. (2017). Defining cancer subpopulations by adaptive strategies rather than molecular properties provides novel insights into intratumoral evolution. Cancer Research, 77(9), 2242–2254. https://doi.org/10.1158/0008-5472.CAN-16-2844.CrossRefPubMedPubMedCentral Ibrahim-Hashim, A., Robertson-Tessi, M., Enriquez-Navas, P. M., Damaghi, M., Balagurunathan, Y., Wojtkowiak, J. W., Russell, S., Yoonseok, K., Lloyd, M. C., Bui, M. M., Brown, J. S., Anderson, A. R. A., Gillies, R. J., & Gatenby, R. A. (2017). Defining cancer subpopulations by adaptive strategies rather than molecular properties provides novel insights into intratumoral evolution. Cancer Research, 77(9), 2242–2254. https://​doi.​org/​10.​1158/​0008-5472.​CAN-16-2844.CrossRefPubMedPubMedCentral
66.
go back to reference Ibrahim-Hashim, A., Wojtkowiak, J. W., de Lourdes Coelho Ribeiro, M., Estrella, V., Bailey, K. M., Cornnell, H. H., Gatenby, R. A., & Gillies, R. J. (2011). Free base lysine increases survival and reduces metastasis in prostate cancer model. J Cancer Sci Ther, 4(Suppl 1). Ibrahim-Hashim, A., Wojtkowiak, J. W., de Lourdes Coelho Ribeiro, M., Estrella, V., Bailey, K. M., Cornnell, H. H., Gatenby, R. A., & Gillies, R. J. (2011). Free base lysine increases survival and reduces metastasis in prostate cancer model. J Cancer Sci Ther, 4(Suppl 1).
71.
go back to reference Pilot, C., Mahipal, A., & Gillies, R. J. (2018). Buffer Therapy-->Buffer Diet. K Nutr. Food Science, 8(2), 684–688. Pilot, C., Mahipal, A., & Gillies, R. J. (2018). Buffer Therapy-->Buffer Diet. K Nutr. Food Science, 8(2), 684–688.
Metadata
Title
Acidosis and cancer: from mechanism to neutralization
Authors
Arig Ibrahim-Hashim
Veronica Estrella
Publication date
01-06-2019
Publisher
Springer US
Published in
Cancer and Metastasis Reviews / Issue 1-2/2019
Print ISSN: 0167-7659
Electronic ISSN: 1573-7233
DOI
https://doi.org/10.1007/s10555-019-09787-4

Other articles of this Issue 1-2/2019

Cancer and Metastasis Reviews 1-2/2019 Go to the issue
Webinar | 19-02-2024 | 17:30 (CET)

Keynote webinar | Spotlight on antibody–drug conjugates in cancer

Antibody–drug conjugates (ADCs) are novel agents that have shown promise across multiple tumor types. Explore the current landscape of ADCs in breast and lung cancer with our experts, and gain insights into the mechanism of action, key clinical trials data, existing challenges, and future directions.

Dr. Véronique Diéras
Prof. Fabrice Barlesi
Developed by: Springer Medicine