Extracellular acidity as favouring factor of tumor progression and metastatic dissemination

Exp Oncol. 2012 Jul;34(2):79-84.

Abstract

The bidirectional interactions between tumor cells and the so-called "host reactive stroma" play a critical role in most of the events characterizing tumor progression and distant organ colonization. This review discusses critical components of tumor environment involved in tumor cell dissemination. More specifically, it addresses some of the experimental evidences providing that acidity of tumor environment facilitates local invasiveness and metastasis formation, independently from hypoxia, with which acidity may be associated. Besides, acidity renders tumor cells resistant to radiation therapy and chemotherapeutic drugs. Therefore, this review examines the strategies for raising the low extracellular pH of tumors that might have considerable potential in cancer therapy.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Acid-Base Equilibrium*
  • Animals
  • Disease Progression
  • Drug Resistance, Neoplasm / drug effects
  • Extracellular Fluid / chemistry*
  • Humans
  • Hydrogen-Ion Concentration
  • Neoplasm Invasiveness
  • Neoplasm Metastasis
  • Neoplasms / chemistry*
  • Neoplasms / drug therapy
  • Neoplasms / pathology*
  • Neoplastic Cells, Circulating / drug effects
  • Proton Pump Inhibitors / pharmacology
  • Proton Pump Inhibitors / therapeutic use

Substances

  • Proton Pump Inhibitors