How protons pave the way to aggressive cancers

Cancers undergo sequential changes to proton (H+) concentration and sensing that are consequences of the disease and facilitate its further progression. The impact of protonation state on protein activity can arise from alterations to amino acids or their titration. Indeed, many cancer-initiating mu...

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Main Authors: Swietach, P, Boedtkjer, E, Pedersen, SF
Format: Journal article
Language:English
Published: Springer Nature 2023
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author Swietach, P
Boedtkjer, E
Pedersen, SF
author_facet Swietach, P
Boedtkjer, E
Pedersen, SF
author_sort Swietach, P
collection OXFORD
description Cancers undergo sequential changes to proton (H+) concentration and sensing that are consequences of the disease and facilitate its further progression. The impact of protonation state on protein activity can arise from alterations to amino acids or their titration. Indeed, many cancer-initiating mutations influence pH balance, regulation or sensing in a manner that enables growth and invasion outside normal constraints as part of oncogenic transformation. These cancer-supporting effects become more prominent when tumours develop an acidic microenvironment owing to metabolic reprogramming and disordered perfusion. The ensuing intracellular and extracellular pH disturbances affect multiple aspects of tumour biology, ranging from proliferation to immune surveillance, and can even facilitate further mutagenesis. As a selection pressure, extracellular acidosis accelerates disease progression by favouring acid-resistant cancer cells, which are typically associated with aggressive phenotypes. Although acid–base disturbances in tumours often occur alongside hypoxia and lactate accumulation, there is now ample evidence for a distinct role of H+-operated responses in key events underpinning cancer. The breadth of these actions presents therapeutic opportunities to change the trajectory of disease.
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spelling oxford-uuid:c645350e-f545-42fb-b38d-12af9f63a4942024-04-26T10:47:58ZHow protons pave the way to aggressive cancersJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:c645350e-f545-42fb-b38d-12af9f63a494EnglishSymplectic ElementsSpringer Nature2023Swietach, PBoedtkjer, EPedersen, SFCancers undergo sequential changes to proton (H+) concentration and sensing that are consequences of the disease and facilitate its further progression. The impact of protonation state on protein activity can arise from alterations to amino acids or their titration. Indeed, many cancer-initiating mutations influence pH balance, regulation or sensing in a manner that enables growth and invasion outside normal constraints as part of oncogenic transformation. These cancer-supporting effects become more prominent when tumours develop an acidic microenvironment owing to metabolic reprogramming and disordered perfusion. The ensuing intracellular and extracellular pH disturbances affect multiple aspects of tumour biology, ranging from proliferation to immune surveillance, and can even facilitate further mutagenesis. As a selection pressure, extracellular acidosis accelerates disease progression by favouring acid-resistant cancer cells, which are typically associated with aggressive phenotypes. Although acid–base disturbances in tumours often occur alongside hypoxia and lactate accumulation, there is now ample evidence for a distinct role of H+-operated responses in key events underpinning cancer. The breadth of these actions presents therapeutic opportunities to change the trajectory of disease.
spellingShingle Swietach, P
Boedtkjer, E
Pedersen, SF
How protons pave the way to aggressive cancers
title How protons pave the way to aggressive cancers
title_full How protons pave the way to aggressive cancers
title_fullStr How protons pave the way to aggressive cancers
title_full_unstemmed How protons pave the way to aggressive cancers
title_short How protons pave the way to aggressive cancers
title_sort how protons pave the way to aggressive cancers
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