Adaptation and expansion
Developing Tumour
Demand SupplyProduction Clearance N u t r i e n t s / e n e r g y M e t a b o l i c w a s t e Hypoxia Abstract Cancer cells are optimised for growth and survival via an ability to outcompete normal cells in their microenvironment. Many of these advantageous cellular adaptations are promoted Scott Parks' work has focused on cellular membrane-transport physiology, first during his PhD at the University of Alberta on aquatic organisms with Dr Greg Goss, followed by transitioning to France to work with Dr Jacques Pouysségur on hypoxia and tumour cell metabolism initially at the University of Nice and now at the Centre Scientifique de Monaco. Yann Cormerais has recently completed his PhD in the Pouysségur lab in Monaco where he has become an expert in tumour amino-acid control pathways and mTOR signalling. Jacques Pouysségur obtained his PhD in 1972 on bacterial genetics at the University of Lyon followed by a two year postdoc at the National Cancer Institute of the NIH. He established his research group in 1978 at the CNRS Biochemistry Centre of the University of Nice. After directing the CNRS ISDBC institute (1997)(1998)(1999)(2000)(2001)(2002)(2003)(2004)(2005)(2006)(2007)(2008), his team joined the IRCAN institute in Nice and the Centre Scientifique de Monaco. His research has spanned the areas of bacterial and somatic cell genetics, Na + /H + exchange, pH regulation, G protein-coupled receptors and MAP kinase signalling in the context of growth control in mammalian cells. His group has been interested for the last 15 years in hypoxia signalling, angiogenesis, cancer metabolism, nutrient sensing and amino-acid transport.This review was presented at the symposium "Physiological gases in health and disease", which took place at Physiology 2016, Dublin, Ireland, 29-31 July 2016. by the pathophysiological hypoxia that arises in solid tumours due to incomplete vascularisation. Tumour cells are thus faced with the challenge of an increased need for nutrients to support the drive for proliferation in the face of a diminished extracellular supply. Among the many modifications occurring in tumour cells, hypoxia inducible factors (HIFs) act as essential drivers of key pro-survival pathways via the promotion of numerous membrane and cytosolic proteins.Here we focus our attention on two areas: the role of amino acid uptake and the handling of metabolic acid (CO 2 /H + ) production. We provide evidence for a number of hypoxia-induced proteins that promote cellular anabolism and regulation of metabolic acid-base levels in tumour cells including amino-acid transporters (LAT1), monocarboxylate transporters, and acid-base regulating carbonic anhydrases (CAs) and bicarbonate transporters (NBCs). Emphasis is placed on current work manipulating multiple CA isoforms and NBCs, which is at an interesting crossroads of gas physiology as they are regulated by hypoxia to contribute to the cellular handling of CO 2 and pH i regulation. Our research combined with others indicates that targeting of ...