2003
DOI: 10.1038/sj.bjc.6601286
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Hydrogen ion dynamics and the Na+/H+ exchanger in cancer angiogenesis and antiangiogenesis

Abstract: Tumour angiogenesis and cellular pH regulation, mainly represented by Na þ /H þ antiporter exchange, have been heretofore considered unrelated subfields of cancer research. In this short review, the available experimental evidence relating these areas of modern cancer research is introduced. This perspective also helps to design a new approach that facilitates the opening and development of novel research lines oriented towards a rational incorporation of anticancer drugs into more selective and less toxic the… Show more

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Cited by 34 publications
(30 citation statements)
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“…Changes in pH, intracellular and extracellular calcium, osmolarity, and temperature appear to modulate NF-B activation by DNA-damaging agents. Interestingly, some of these changes can be observed with neoplastic transformation, within tumor microenvironments in various cancer types, and during radiation therapy and chemotherapy (8,33,43,64,71,92). Therefore, understanding the mechanisms responsible for enhancement (e.g., low pH, higher temperature) and the decrease (e.g., high osmolarity) of NF-B activation may provide novel strategies to prevent NF-B activation and to increase the efficacy of anticancer therapy.…”
Section: Discussionmentioning
confidence: 99%
“…Changes in pH, intracellular and extracellular calcium, osmolarity, and temperature appear to modulate NF-B activation by DNA-damaging agents. Interestingly, some of these changes can be observed with neoplastic transformation, within tumor microenvironments in various cancer types, and during radiation therapy and chemotherapy (8,33,43,64,71,92). Therefore, understanding the mechanisms responsible for enhancement (e.g., low pH, higher temperature) and the decrease (e.g., high osmolarity) of NF-B activation may provide novel strategies to prevent NF-B activation and to increase the efficacy of anticancer therapy.…”
Section: Discussionmentioning
confidence: 99%
“…We have learned from experimental and translational oncology that a key feature mediating the molecular mechanisms of action of the stimulation by the majority, if not all, of growth factors is an increase in the rate of exchange of Na + and H + ions and subsequent intracellular alkalinization, a phenomenon mediated mainly through the activation of the membrane-bound Na + /H + exchanger (NHE) [30,[42][43][44][45][46]. The NHE plays an essential pivotal role in the signal transduction of a multiplicity of intracellular signals induced by different hormones and trophic and growth factors by inducing an elevation of pH i [4,47,48].…”
Section: The Role Of the Na + /H + Exchanger In The Ph I -Mediated Apmentioning
confidence: 99%
“…Additionally, tumors have localized areas characterized by spatial variations in pH e (5). The acidic pH of the tumor microenvironment is an important component driving tumor invasive capacity, neoangiogenesis, anchorage-independent growth, and genetic instability, which in combination contribute to malignant progression (5)(6)(7)(8). Moreover, low tumor pH e is a * This work was supported by Italian Association for Cancer Research Grant known factor responsible for the intrinsic resistance of malignant cells to chemotherapeutics (9,10) and negatively affects immune functions (11).…”
mentioning
confidence: 99%