Roles of acid-extruding ion transporters in regulation of breast cancer cell growth in a 3-dimensional microenvironment
© Andersen et al. 2016
Received: 18 October 2015
Accepted: 20 May 2016
Published: 6 June 2016
The 3-dimensional (3D) microenvironment of breast carcinomas is characterized by profoundly altered pH homeostasis, reflecting increased metabolic acid production and a confined extracellular space characterized by poor diffusion, yet the relative contributions of specific pH-regulatory transporters to 3D growth are poorly understood. The aim of this work was to determine how 3D spheroid growth of breast cancer cells impacts the expression and spatial organization of major acid extruding proteins, and how these proteins in turn are required for spheroid growth.
MCF-7 (Luminal-A) and MDA-MB-231 (Triple-negative) human breast cancer cells were grown as ~700-950 μm diameter spheroids, which were subjected to Western blotting for relevant transporters (2- and 3D growth), quantitative immunohistochemical analysis, and spheroid growth assays. Individual transporter contributions were assessed (i) pharmacologically, (ii) by stable shRNA- and transient siRNA-mediated knockdown, and (iii) by CRISPR/Cas9 knockout.
In MCF-7 spheroids, expression of the lactate-H+ cotransporter MCT1 (SLC16A1) increased from the spheroid periphery to its core, the Na+,HCO3 − cotransporter NBCn1 (SLC4A7) was most highly expressed at the periphery, and the Na+/H+ exchanger NHE1 (SLC9A1) and MCT4 (SLC16A3) were evenly distributed. A similar pattern was seen in MDA-MB-231 spheroids, except that these cells do not express MCT1. The relative total expression of NBCn1 and NHE1 was decreased in 3D compared to 2D, while that of MCT1 and MCT4 was unaltered. Inhibition of MCT1 (AR-C155858) attenuated MCF-7 spheroid growth and this was exacerbated by addition of S0859, an inhibitor of Na+,HCO3 − cotransporters and MCTs. The pharmacological data was recapitulated by stable knockdown of MCT1 or NBCn1, whereas knockdown of MCT4 had no effect. CRISPR/Cas9 knockout of NHE1, but neither partial NHE1 knockdown nor the NHE1 inhibitor cariporide, inhibited MCF-7 spheroid growth. In contrast, growth of MDA-MB-231 spheroids was inhibited by stable or transient NHE1 knockdown and by NHE1 knockout, but not by knockdown of NBCn1 or MCT4.
This work demonstrates the distinct expression and localization patterns of four major acid-extruding transporters in 3D spheroids of human breast cancer cells and reveals that 3D growth is dependent on these transporters in a cell type-dependent manner, with potentially important implications for breast cancer therapy.
Cells in a solid tumor function in an environment fundamentally different from that of cells in normal tissues, which profoundly affects the gene expression profile and functional properties of the cancer cells. This has been demonstrated both for physico-chemical conditions in the tumor microenvironment  and for the 3-dimensional (3D) tumor architecture [2, 3]. Comparisons of 2D- and 3D culture of cancer cells have demonstrated that the phenotype of 3D spheroids much more closely mimic that of in vivo tumors [4, 5]. The specific tumor microenvironment conditions differ between cancer forms, but generally comprise hypoxia and/or anoxia, reduced glucose and ATP levels, elevated extracellular lactate levels, and acidic extracellular pH (pHe) [6–8]. In addition to hypoxia, the Warburg effect, i.e. a shift from oxidative phosphorylation towards glycolysis even in the presence of sufficient oxygen, is characteristic of most cancer cells, favoring predominant use of glycolytic metabolism . Elevated rates of glycolysis and ATP hydrolysis cause the highly proliferative and anabolic cancer cells to produce more acid than normal cells . As a slightly alkaline intracellular pH (pHi) value is a prerequisite for growth, proliferation, survival and motility [10, 11], cancer cells must initiate strategies to circumvent intracellular acidification.
Mediators of increased acid extrusion in tumor cells include the Na+/H+ exchanger NHE1 (SLC9A1), the Na+,HCO3 − cotransporter NBCn1 (SLC4A7), the lactate,H+ cotransporters of the monocarboxylate transporter family, MCT1 and MCT4 (SLC16A1 and −3), and, in some cells, V-type H+-ATPases [8, 12–14]. We and others have previously demonstrated upregulation of these transporters in human cancers [8, 15–18]. Specifically, we recently reported the strong upregulation of NBCn1 by the major breast cancer oncogene ErbB2 [12, 19], and genome-wide association studies (GWAS) have consistently demonstrated association of a SNP in the NBCn1 3’ untranslated region with increased risk of breast cancer . In vivo studies demonstrated roles for MCTs and NHE1 [13, 21] and our own recent work identified an important role for NBCn1  in tumor growth.
Altered pH homeostasis plays central roles in many aspects of tumor progression [6–8, 10], and studies in 2D monoculture have implicated specific pH-regulatory ion transporters in control of e.g. metabolism, motility, and chemotherapy resistance in a wide range of cancer cell lines [12, 23–25]. However, regulation of pHi in solid tumors differs profoundly from that in 2D culture, and major regional differences and dynamic changes in the roles of pH-regulatory proteins as the tumor grows can be envisaged. Elegant studies of 3D tumor spheroids have demonstrated the predicted gradient of increasing extracellular acidity toward the spheroid core , but detailed studies of the spatial organization of individual pH-regulatory transporters and of their contributions to spheroid growth are lacking.
The aim of the present study was to provide, for the first time, a detailed analysis of the impact of 3D growth on expression and localization of pH-regulatory ion transporters, and determine how these transporters in turn impact on 3D growth of breast cancer cells. We show that 3D spheroid growth impacts on the relative expression of acid-extruding transporters, and that NHE1, NBCn1, MCT1 and MCT4 exhibit distinct spatial organization within MCF-7 and MDA-MB-231 breast cancer cell spheroids. Furthermore, we show that 3D growth of MCF-7 cells is predominantly dependent on NBCn1 and MCT1, while that of MDA-MB-231 cells is highly dependent on NHE1. Thus, we demonstrate that acid-extruding transporters exhibit distinct localization patterns in breast cancer spheroids and are important for their growth in a cell-type dependent manner, with potentially important implications for breast cancer therapy.1
Antibodies and reagents
The following antibodies were purchased from Cell Signaling: Ezrin/Radixin/Moesin (#3142), PARP (#9542) and cleaved PARP [Asp214] (#5625). NHE1 (#sc-136239), MCT4 (#sc-50329) and ZO-1 (#sc-10804) were from Santa Cruz Biotechnology, and MCT1 (#AB3538P) from Millipore. E-cadherin (#610181) and p150 [Glued] (#610473) were from BD Transduction Laboratories and CAIX (M75, ) was from BioScience, Slovakia. The NBCn1 antibody was a kind gift from Jeppe Praetorius, Aarhus University, Denmark, and the polyclonal NHE1 antibody (Xb-17) was a kind gift from Mark Musch, University of Chicago, IL. Antibody against the S703-phosphorylated NHE1 was from DSTT, University of Dundee, Ireland. β-actin (#A5441), anti-Mouse (#A1293) and anti-Rabbit (#A3937) alkaline phosphatase-conjugated secondary antibodies were from Sigma-Aldrich. Anti-mouse (#P0447) and anti-rabbit (#P0448) Horseradish Peroxidase (HRP)-conjugated secondary antibodies were from Dako. Cariporide and S0859 were kind gifts from Sanofi-Aventis. AR-C155858 was acquired from AdooQ BioScience, Irvine, CA, USA. The Hydroxyprobe-1 kit including Pimonidazole and anti-pimonidazole mouse monoclonal antibody was purchased from Hydroxyprobe, Inc., Burlington, MA, USA.
Cell lines and general cell culture
MCF-7 (a kind gift from Dr. Lone Ronnov-Jessen, University of Copenhagen) and MDA-MB-231 cells (a kind gift from Dr. Marie Kveiborg, University of Copenhagen) were grown in DMEM 1885-medium (incl. NaHCO3 −) (Panum 22-2-24, #015) supplemented with 6 % FBS for MCF-7 cells and 10 % FBS for MDA-MB-231 cells (Gibco, #10 106–177), 1 % Pen/Strep (Invitrogen, #15140-148), and 1 % MEM Non-Essential Amino Acids 100× (Gibco/Invitrogen, #11140-035). Cell cultures were discarded when they reached passage 22. For growth of stabile shRNA knock down cell lines of MCF-7 and MDA-MB-231, the medium was additionally supplemented with 1 μg/mL Puromycin (Gibco, #A11138-02). Cells were grown at 37 °C, 95 % humidity, 5 % CO2 and passaged when a confluence of 70-80 % was reached.
3D spheroid formation and corresponding 2D cultures
1000 MCF-7 or MDA-MB-231 cells were seeded per well in round bottomed, ultra-low attachment 96-well plates (Corning, #7007) in 200 μL DMEM 1885-medium. MDA-MB-231 cells were centrifuged for 15 min at 750 RCF at 4 °C and both cell types were grown for the indicated number of days (4–9) at 37 °C with 95 % humidity and 5 % CO2. Medium for spheroids of MDA-MB-231 cells was additionally supplemented with 0.24 μg/μL GelTrex LDEV-Free Reduced Growth Factor Basement Membrane Matrix (Gibco/Invitrogen, #A1413202). For some experiments, corresponding 2D monolayer cultures were performed: 500,000 MCF-7 cells/mL or 400,000 MDA-MB-231 cells/mL were seeded in 10 cm Petri dishes and grown for 4 days at 37 °C with 95 % humidity and 5 % CO2.
Spheroid growth assays
Compact spheroids formed two days after the cells were seeded in round bottomed, ultra-low attachment 96-well plates and for the indicated experiments, Cariporide (10 μM), S0859 (50 μM), AR-C 155858 (20 μM) and corresponding vehicle were added as indicated and the spheroids were grown for additionally seven days. 100 or 150 μL medium (incl. inhibitors, when indicated for the experiment) was exchanged every second day. Light microscopic (Nikon, Japan or Leica MZ16, Germany) images of the spheroids at 10× magnification were acquired on the day of addition of inhibitors (day 2) and on day 4, 7, and 9. To quantify spheroid growth, spheroid diameters were measured using ImageJ software. In Figs. 5d and 6e, spheroid area was measured using the freehand-drawing function of ImageJ. Each data point thus represents the mean of measurements on 3–12 spheroids per condition (except for MDA-MB-231 transient knockdown and CRISPR/Cas9 knockout experiments, where in a few cases only 2 spheroids per condition could be measured).
Lentiviral knockdown of NHE1, NBCn1, MCT1 and MCT4
The following Mission shRNA bacterial glycerol stocks were purchased from Sigma-Aldrich: NHE1 (NM_003047), TRCN0000044649; NBCn1 (NM_003615), TRCN 0000043159; MCT1 (NM_003051), TRCN 0000038340; MCT4 (NM_004207). Envelope plasmid pMD2.G and packaging plasmids pMDLg/pRRE and pRSV-Rev, and pLKO.1 empty vector plasmid were a kind gift from Jacob B. Hansen, University of Copenhagen. Overnight bacterial cultures were cultivated in LB medium incl. ampicillin (Sigma-Aldrich, #A9518) for selection and plasmid DNA purification was done by using a Nucleobond Xtra Midi EF kit (Macherey-Nagel GmbH & Co. KIG, Germany) according to manufacturer’s instructions.
Transfection of HEK293T cells
HEK293T cells were seeded in 6 cm Petri dishes and grown to approx. 70 % confluence (one dish for each plasmid DNA). 2.75 μg purified plasmid DNA encoding shRNA sequences to target NHE1 (NM_003047), NBCn1 (NM_003615), MCT1 (NM_003051), and MCT4 (NM_004207), respectively, and a pLKO.1 empty vector plasmid was mixed with 0.75 μg pMD2.G, 0.75 μg pMDLg/pRRE, 0.75 μg pRSV-Rev, 12.5 μl FuGENE HD Transfection reagent (Promega, #E2311) and DMEM basal medium was added up to 250 μl. The mixture incubated 15 min at room temperature (RT) and was added to the HEK293T cells in DMEM-1885 medium without Pen/Strep.
Transduction of MCF-7 and MDA-MB-231 cells
The next day, medium on the HEK293T cells was refreshed and the day after virus-containing medium was harvested and 1.5 mL was sterile filtered through 0.45 μm filters and added to ~20 % confluent MCF-7 and MDA-MB-231 cell cultures along with 1.5 mL medium and 4.5 μl polybrene (5 mg/mL; Sigma, #S2667). To assure efficient transduction a parallel dish of non-transduced MCF-7 and MDA-MB-231 cells was included and was killed 100 % by Puromycin. Fresh medium was added to the HEK293T cells and the same procedure for harvesting of virus-containing medium was repeated the next day. When the transduced MCF-7 and MDA-MB-231 cells had grown for 24 h, they were reseeded and selection with 1 μg/mL Puromycin (Gibco, #A11138-02) started. Medium was changed every 2–3 days to assure complete selection pressure and the cells were split when needed.
CRISPR/Cas9 gene editing
MDA-MB-231 (1 x 106) and MCF-7 (2 x 106) cells were transfected with 1 or 2 μg pX458 plasmid targeting exon 1 of SLC9A1 using Amaxa nucleofection (Lonza) with the V-kit according to manufacturer’s guidelines. Transfectants were cloned by limiting dilution and screened using immunoblotting against NHE1. Mutations in SLC9A1 were confirmed by PCR using 5’-CTGTGGCCTCTCTCCACATC-3’ and 5’-TCGGAGCAAACGGGACTTAC-3’ followed by sequencing. A detailed description of the CRISPR/Cas9 clones is forthcoming in a manuscript currently in preparation.
MDA-MB-231 and MCF-7 cells were seeded in 6-well plates and grown to approximately 70 % confluency. MDA-MB-231 cells were treated with 100 nM siNHE1 (ON-TARGET SMARTpool, Thermo Scientific). Mock siRNA (Sense sequence: 5′-AGGUAGUGUAAUCGCCUUGUU-3′, Eurofins MWG Operon, Ebersberg, Germany) at corresponding concentrations was included as a control. Transfections were performed using Lipofectamine 2000 (Life Technologies, #11668-019) in DMEM 1885 medium without Pen/Strep. The medium was replaced with normal growth medium after 24 h, and spheroid formation was initiated after another 24 h by seeding the transfected cells in round-bottomed ultralow attachment 96-well plates (Corning, #7007) as described above.
Cells were grown to 70–90 % confluency in 10 cm Petri dishes, washed in ice-cold PBS and lysed in lysis buffer (1 % SDS, 10 mM Tris–HCl, 1 mM NaVO3, pH 7.5, heated to 95 °C). The cell lysates were homogenised by sonication (PowerMED, Portland, Maine) and centrifuged (Micromax RF, Thermo) for 5 min at 20,000 g at 4 °C to remove cell debris.
Spheroids were collected in Eppendorf tubes, washed once in 1 mL ice-cold PBS and lysed in lysis buffer (1 % SDS, 10 mM Tris–HCl, 1 mM NaVO3, pH 7.5, heated to 95 °C) for ~10 min at RT with intervals of vigorous vortexing. After this, the procedure for homogenization and removal of cell debris described for 2D culture was followed.
SDS-PAGE and immunoblotting of 2D and 3D cultures
Lysate protein content was determined (DC Protein Assay kit, Bio-Rad), equalized with ddH2O, and NuPAGE LDS 4x Sample Buffer (Invitrogen, #NP0007) and Dithiothreitol (DTT) added. Proteins were separated by SDS-PAGE under denaturing and reducing conditions using precast NuPAGE 10 % Bis-Tris gels (NOVEX by Life Technologies, #NP0302BOX) and NuPAGE MOPS SDS Running Buffer (NOVEX by Life Technologies, #NP0001) or Criterion TGX 10 % gels (BioRad, #567-1034 (18 wells) or #567-1035 (26 wells)) and Tris/Glycine SDS buffer (BioRad, #161-0732), and Benchmark protein ladder (Invitrogen, #10747-012). Separated proteins were transferred to a nitrocellulose membrane (Invitrogen, #LC2000) using NuPAGE Transfer Buffer (NOVEX by Life Technologies, #NP0006) or to Transblot Turbo 0.2 μm nitrocellulose membranes (BioRad, #170-4159). Membranes were stained with Ponceau S (Sigma-Aldrich, #P7170-1 L), blocked in blocking buffer (5 % nonfat dry milk in TBST (0.01 M Tris/HCl, 0.15 M NaCl, 0.1 % Tween 20)) for 1 h at 37 °C, incubated overnight at 4 °C with primary antibodies diluted in blocking buffer, washed extensively in TBST, incubated with alkaline phosphatase- or HRP-conjugated secondary antibodies diluted in blocking buffer, washed in TBST, and developed using BCIP/NBT Phosphatase Substrate (KPL, #50-81-08) or by chemiluminescence using Pierce ECL Western Blotting Substrate (Thermo Scientific, #32209), respectively. The membranes were scanned and band intensity quantified using UN-SCAN-IT 6.1 (Silk Scientific). Protein expression was normalized to that of the corresponding control.
Spheroid fixation and immunohistochemistry
Spheroids were collected in Eppendorf tubes, washed once in 1 mL ice-cold PBS, fixed in 10 % PBS buffered formalin for 18–24 h at RT where after they were washed twice in PBS, resuspended in a small amount of PBS and injected into a drop of 60 °C warm 2 % agarose solution (Bactoagar; BD, #214050). For pimonidazole labeling, spheroids were pretreated with 100 μm pimonidazole 2 h before fixation. Once the agarose had solidified at 5 °C for approx. 5 min, the drop was transferred to an embedding cassette, embedded in paraffin and sliced using a microtome (ZEISS, MIKROM HM 450). Paraffin sections of spheroids were deparaffinized by passing them through decreasing alcohol concentrations for 3 min each: Xylene (6 min), 1:1 mixture of xylene and 99.9 % ethanol, 99.9 % ethanol, 96 % ethanol, 70 % ethanol, 50 % ethanol. The sections were washed in cold water, placed in citrate buffer (0.21 % citric acid monohydrate (Sigma-Aldrich, #C1909) in ddH2O, pH 6) and irradiated in a domestic microwave oven for 3 × 5 min with 1 min interval. After cooling to RT, the sections were encircled using a pap pen, washed once in PBS before Tris-glycine (0.1 M glycine (AppliChem, #A3707) in ddH2O, pH 7.4) was added for 15 min. After washing in PBS, the sections were blocked in 5 % BSA in PBST (0.1 % Tween) for 30 min–1 h RT and incubated overnight at 4 °C with primary antibodies diluted in 1 % BSA in PBST. The sections were washed in PBST (3 × 5 min), incubated with 1 % BSA in PBST for 15 min and afterwards with fluorophore-conjugated secondary antibodies diluted 1:600 in 1 % BSA in PBST for 30 min RT. The sections were washed in PBST (4 × 5 min) including DAPI (1:1000), mounted with N-propyl gallate and sealed with nail polish. The fluorescence-labeled proteins were visualized using an Olympus BX63 epifluorescence microscope (40× or 10× objective). Subsequent image adjustments (overlays and intensity only) were performed in Adobe Photoshop CS6. Essentially no labeling was detectable in absence of primary antibodies (not shown). To quantify the intensity of labeling across the spheroids, mean pixel intensity profiles through the spheroids were calculated using ImageJ software, based on rectangular Regions of Interest (ROIs) of 50 or 100 μm widths, going from the spheroid periphery to core (two-three independent biological replicates per transporter/condition). For each intensity profile, the x-axis was set to start at zero and x-values were normalized to the largest x-value resulting in an x-axis ranging from 0–1. The intensity values (y-axis) were likewise normalized to the largest intensity, generating a y-axis ranging from 0–1. The resulting intensity profiles were plotted in a scatter plot and LOWESS curves with 20 points in the smoothing window were drawn using GraphPad PRISM 6 in order to better visualize trends of the data.
All data are shown as representative images or as means with standard error of means (SEM) error bars. A two-tailed, paired (when applicable, otherwise unpaired) Student’s t-test was used to test for statistically significant difference in means between two groups. One-way analysis of variance (ANOVA) followed by Tukey’s or Dunnett’s multiple comparisons post-test was used to test for statistically significant differences when there were more than two groups. (*), *, **, ***, and, **** denote p < 0.1, p < 0.05, p < 0.01, p < 0.001 and p < 0.0001, respectively.
MCF-7 spheroids exhibit polarized growth, lumen formation, a gradient of hypoxia, and non-homogenous distribution of pH-regulatory transporters
Collectively, these results show that the four pH-regulatory transporters exhibit distinct patterns of localization in 3D spheroids, and that their relative expression is altered in 3D compared to 2D growth conditions.
Growth of MCF-7 spheroids is attenuated by inhibition of MCT1/2 and NBCn1
Knockdown of MCT1 or NBCn1, and complete knockout of NHE1, inhibits growth of MCF-7 spheroids
Knockdown of NHE1 inhibits growth of MDA-MB-231 spheroids
Collectively, the results in Figs. 4, 5, and 6 show that acid-extruding ion transporters are important for 3D spheroid growth of breast cancer cells. The specific acid extruder(s) involved are cell-type dependent, with MCT1 and NBCn1 playing important roles in MCF-7 cells, and NHE1 apparently playing a greater role in MDA-MB-231 cells, although the more efficient knockdown in these cells should be taken into account.
Acid–base homeostasis is dysregulated in cancer cells and conditions for pH regulation are fundamentally different in 3D compared to 2D environments. Here, we show that localization and/or expression of four major net acid extruding transporters – NHE1, NBCn1, MCT1 and MCT4 – are regulated during growth of breast cancer spheroids and that these transporters contribute to breast cancer spheroid growth in a cell-type dependent manner.
General properties of MCF-7 spheroids
While in vivo tumors are obviously much more complex than cancer cell spheroids in terms of architectural and cellular diversity, spheroids resemble in vivo tumors much more closely than 2D cultures with respect to multiple parameters, and are excellent models of 3D growth [4, 5]. Normal mammary epithelial cells can be induced to form acini in 3D culture, resembling the native mammary duct structure [29, 31]. With increasing aggressiveness, organization is lost, resulting in the formation of solid spheroids [31, 37] and at larger sizes often a necrotic core . The observation of a central cavity in such a spheroid can thus reflect lumen formation, generally characterized by apoptosis  or necrotic core formation due to hypoxia. MCF-7 cell spheroids lack lumen formation after 1–2 days of growth ( and APA and SFP, unpublished data), but we show here that continued spheroid growth of MCF-7 cells is associated with partial polarization and formation of a large lumen lined by apical markers and tight junctions, and a progressive increase in PARP cleavage which was most prominent close to the lumen. MDA-MB-231 spheroids were more loosely organized and lacked lumen and detectable PARP cleavage, yet both MCF-7 and MDA-MB-231 cell spheroids exhibited a clear gradient of increasing hypoxia towards the lumen.
Acid-extruding transporters are differentially distributed in MCF-7 spheroids, and their expression is altered in 3D compared to 2D
In both MCF-7 and MDA-MB-231 cells, expression of NHE1 and NBCn1 relative to total protein was reduced in 3D compared to 2D, while that of MCT1 and MCT4 was unaltered. The precise changes in the 3D setting underlying this difference require further investigation, yet it is well known that the expression of many transcription factors, cytokines, cytoskeletal proteins and other factors potentially relevant to the expression of the transporters studied here, differs profoundly between 2- and 3D conditions [2, 38, 39], underscoring the importance of studying their roles in a 3D setting. Furthermore, whereas NHE1 and MCT4 appeared uniformly distributed throughout the MCF-7 cell spheroids, NBCn1 expression was most prominent in the spheroid periphery and, conversely, MCT1 expression exhibited an inward-directed gradient which largely coincided with the measured gradient of hypoxia. It was also notable that whereas MCT4 expression was essentially fully membrane-localized in MDA-MB-231 cell spheroids, MCT4 was partially localized to intracellular compartment(s) in MCF-7 cells. While not further pursued here, this may reflect differential expression of proteins contributing to MCT4 membrane localization in the two cell lines [40, 41].
To our knowledge, ours is the first study to address how transporter localization is regulated by spheroid growth. In patient breast cancer tissue, we found NHE1 to be most highly expressed in well-perfused, peripheral tumor regions, while NBCn1 expression did not exhibit a detectable spatial gradient . In brain tumors, NHE1 was most highly expressed at the periphery, whereas MCT1 and −4 showed a broader distribution . In xenografts of colorectal and cervical cancer cells, MCT1 was found in the tumor periphery . In our hands, expression of MCT1, but not MCT4, followed the gradient of hypoxia in the spheroids. Functionally, the high MCT1 activity at the hypoxic spheroid core agrees well with the fact that glycolytic metabolism dominates in this region. What upregulates MCT1 expression in this region remains to be elucidated, since the majority of studies on this topic have shown that MCT4, yet not MCT1, is hypoxia-inducible (e.g. [44, 45]). There are however reports of MCT1 upregulation by hypoxia in cancers , possibly due to the additional presence of a glucose deprivation gradient , a situation also present in spheroids . Interestingly, it was recently reported that while MCT1 expression was unaltered, its activity was increased under hypoxia due to the hypoxic upregulation of CAIX .
It is tempting to suggest that the observed distribution of NHE1 and NBCn1 is reflected in different subcellular contributions to pHi regulation and hence to growth, although it should be kept in mind that due to extensive posttranslational regulation, expression levels per se say little about transporter function. Ser703 of human NHE1 has been widely implicated in regulation of NHE1 activity , and we recently demonstrated its phosphorylation in breast cancer cells in response to prolactin . Relative NHE1 Ser703 phosphorylation was largely unaffected by 3D growth, except for a decrease in MDA-MB-231 cells with time of spheroid growth. Thus, Ser703-dependent NHE1 activity may be reduced in MDA-MB-231 spheroids during long-term growth. NHE1 was previously found to play a major functional role in pHi regulation in the periphery of cancer spheroids, and HCO3 − dependent mechanisms in the core . However, the role of HCO3 − in the core at least in part reflects its role as a mobile buffer, rather than as a substrate for Na+,HCO3 − cotransporters . Given the importance of NBCn1 in breast cancer [12, 15, 22] we focus on this isoform here. A full analysis of all HCO3 − transporters is beyond the scope of this work, but would be needed to precisely map their contributions and activity, but roles of other isoforms are clearly also likely ( and discussion below). Similar to MCT1, the mechanisms causing NBCn1 to be most strongly expressed in the spheroid periphery remain to be determined, but likely regulators would be the gradients of hypoxia, lactate, pHe, pHi, and ATP arising in spheroids .
It should be noted that other acid–base transporters than the four studied here may play a role in 3D growth, depending on the cell type and conditions. For instance, pharmacological inhibitors or knockdown of proton ATPases have been shown to reduce growth of some cancer cells , and such compounds are currently in clinical trials . Finally, while not further studied here, it is worth noting that the marked upregulation of CAIX as well as its specific localization to the inner regions of the spheroids, may also be important for the regulation of spheroid growth, given its known importance for pH homeostasis in the confined 3D space of spheroids .
Growth of breast cancer spheroids is dependent on acid extruding ion transport proteins
A major conclusion of this work is that acid-extruding transporter(s) are important for spheroid growth yet that the specific transporters that play the predominant roles differ between breast cancer subtypes. This suggests that what is required to maintain 3D growth is the phenotype of acid extrusion rather than a given transporter protein, posing the challenge to therapeutic use that the relevant target(s) will likely differ between breast cancer subtypes, a notion corroborated by the differences between MCF-7- (luminal A) and MDA-MB-231 (triple-negative) cell spheroids revealed by the present work. Although complete knockout of NHE1 reduced spheroid growth in both cell lines, partial knockdown of NHE1 only reduced growth for MDA-MB-231 spheroids, and growth of MCF-7 spheroids was also delayed by knockdown of NBCn1 or MCT1 or by pharmacological inhibition of MCT, exacerbated by concomitant inhibition of NBCs. The role of MCT1 in spheroid growth is well in line with previous reports from in vivo studies of tumor growth [13, 16, 21]. The role for NBCn1 corroborates previous reports from us and others demonstrating its upregulation in human breast cancer patients  and the importance of NBCs in mammary tumor pHi regulation and in vivo tumor formation [14, 22]. In conjunction with GWAS reports linking NBCn1 to breast cancer risk , this identifies NBCn1 as a target of potential therapeutic interest. However, the very marked differences in expression of the various NBC isoforms across different cancers  suggests that the specific NBC isoform relevant is likely to differ, a notion substantiated by the recently reported role of another SLC4 family member, NBCe1 (SLC4A4), in proliferation of MDA-MB-231 cells as well as LS174 colon cancer cells . In congruence with our finding that NBCn1 expression did not follow the hypoxia gradient in the spheroids, this study furthermore showed that NBCe1, but not NBCn1, was upregulated by hypoxia . Importantly, the compound used to inhibit NBC activity, S0859, was recently shown to also inhibit MCTs . Since in our work, this compound had no effect on its own, but was additive to the effect of the MCT1 inhibitor, we favor the interpretation that NBCn1 is the main target of inhibition in our setup. This was confirmed by the knockdown data, however, a slight reduction in MCT1 expression was seen after NBCn1 knockdown (Fig. 5a), hence we cannot fully exclude a contribution from MCT1 to the observed effect.
In contrast to MCF-7 cell spheroids, MDA-MB-231 spheroids were not dependent on NBCn1 for growth, but depended only on NHE1 of the transporters studied here. This is supported by early experiments on xenograft growth of human bladder carcinoma cells , and recent work demonstrating that NHE1 ablation in MDA-MB-231 cells reduces xenograft growth . Dependence on NHE1 may in part relate to glycolysis status: 50 % of tumors of CCL39 cells inoculated into nude mice underwent spontaneous regression if lacking NHE1 , yet growth of non-glycolytic CCL39 cell tumors was unaffected by the absence of NHE1 . In line with this, MDA-MB-231 cells are more dependent on glycolysis than MCF-7 cells . It is furthermore intriguing that NHE1 has been proposed to be particularly dependent on glycolytically derived ATP , suggesting that the link between metabolic profile and NHE1 dependence should be further explored.
Finally, despite the marked effects of transporter knockdown or knockout, pharmacological inhibition had no (NHE1) or limited (NBCn1) effect. The same concentration of cariporide strongly attenuated growth of BxPC-3 pancreatic spheroids (Noehr-Nielsen, A., and SFP, unpublished), and although S0859 is very lipophilic , the concentration used was previously found effective in spheroids  and indeed was additive to that of MCT1 inhibition in the present study. Hence, while they are likely less effective in spheroids than in 2D conditions, it seems unlikely that the inhibitors were not functional. An obvious difference between pharmacological inhibition and knockdown in the present work is that the inhibitors were only present from day 2 after spheroid formation. However, spheroids of knockdown cells were similar in size to controls at this time, hence, elucidation of this point requires further analysis.
We did not detect obvious changes in the core/lumen area in S0859- or AR-C-treated spheroids (n = 2, data not shown), and there was no detectable increase in PARP cleavage in these spheroids compared to control, hence, although this remains to be directly addressed, we favor the interpretation that the decrease in spheroid size mainly reflects reduced growth/proliferation. Complete elucidation of the relation between pHi regulation and 3D growth requires further studies. While pHi recovery after an acid load in 2D-grown MCF-7 cells was dependent on both NHE1 and NBCs , 3D growth of MCF-7 cells appeared to be more strongly dependent on NBCn1, and only full ablation of NHE1 reduced their growth. One interpretation of this is that hypoxia and strong extracellular acidity in the 3D setting limits contributions from NHE1 to pHi regulation , limiting its role in growth at least in the MCF-7 spheroids.
Our work thus corroborates and extends previous work pointing to the therapeutic potential of inhibiting acid extruding transporters in breast cancer. However, several open questions and challenges remain. It is noteworthy that the impact of NBCn1 knockdown on spheroid growth appears less dramatic than the strong inhibitory effect of NBCn1 knockout on growth of chemically induced tumors in vivo , and the same appears to be true for NHE1 knockdown, the effect of which on spheroid growth of MDA-MB-231 cells appears to be smaller than that on their xenograft growth in vivo . This raises the exciting possibility that the role(s) of the transporters involves additional environmental factors present in vivo, a question which should be further addressed in future studies. A challenge is the limited specificity of some available pharmacological tools, especially problematic for NBCn1, for which currently available drugs are unspecific and/or unsuitable for tissue use (see [14, 54, 59]). A second challenge illustrated by the present findings is to determine the relevant transporter(s) to target in a given cancer, and under which conditions. Clearly, transporter inhibition is likely to be most effective in combination with other therapeutic modalities, as previously suggested by findings by us and others [12, 36, 60].
We show here that 3D spheroid growth of MCF-7 breast cancer cells is associated with polarization, hypoxia gradient induction, and changes in the relative expression of acid extruding ion transporters NHE1 and NBCn1 relative to 2D growth. Further, we show that individual pH-regulatory transporters exhibit distinct and differential expression profiles in breast cancer cell spheroids, with MCT1 expression following the hypoxia gradient. Growth of MCF-7 spheroids was predominantly dependent on MCT1 and NBCs/NBCn1 but was also reduced by complete NHE1 knockout, whereas growth of MDA-MB-231 spheroids was predominantly dependent on NHE1.
3D, 3-dimensional; AR-C: AR-C155858; ANOVA, Analysis of Variance; ATP, Adenosine triphosphate; CAIX, Carbonic Anhydrase; DMA, Dimethylamiloride; DMSO, Dimethyl sulfoxide; ERM, Ezrin/Radixin/Moesin; GWAS, Genome-wide association study; HE, Hematoxylin-eosin; MCT1/4, Monocarboxylate transporter 1/4; NBCn1, Na+,HCO3 − cotransporter 1; NHE1, Na+/H+ exchanger 1; PARP-1, Poly (ADP-ribose) polymerase; PBS, Phosphate-buffered saline; pHe, extracellular pH; pHi, Intracellular pH; pRb, phospho-Retinoblastoma; RT, room temperature; SDS, Sodium dodecyl sulfate; SEM, Standard Error of Mean; SNP, Single Nucleotide Polymorphism; TBST, Tris-buffered saline-Tween; uPA, Urokinase-type plasminogen activator
We are grateful to A. Hulikova and P. Swietach, University of Oxford, UK, for introduction to the spheroid growth techniques, to K. Franklin Mark and A. Bartels for expert technical assistance, to L. Ronnov-Jessen and Jacob B. Hansen, University of Copenhagen, for help with spheroid imaging and lentiviral knockdown, and to J. Praetorius, Aarhus University, and M. Musch, University of Chicago, for their kind gifts of NBCn1 and NHE1 antibody, respectively.
Danish National Research Council (12-127-290), Lundbeckfonden (DK) (R83-A8139), Kirsten and Freddy Johansen foundation, Eva and Henry Fraenkels foundation, The Harboe foundation (all to SFP), The Carlsberg Foundation (to NBP), and the Aase and Ejnar Danielsen foundation (to APA).
The experiments were conceived and planned by SFP and APA. APA carried out all experiments and data analysis for Figs. 1–5 and Additional file 1: Figure S1, Additional file 2: Figure S2, Additional file 3: Figure S3, Additional file 4: Figure S4, Additional file 5: Figure S5, except MDA-MB-231 spheroids used in Fig. 1a-bottom, 1d-right, 1e-right, 2e–g, 3a–c, Additional files 1: Figure S1Bii and –Cii and Additional file 3: Figure S3B which were prepared by MF, preparation of spheroid sections for IHC and H&E staining which were performed by BV and microscopy of MDA-MB-231 spheroid sections was performed by SFP. Experiments and data analysis in Fig. 6a–c and Additional file 6: Figure S6 were performed by MF, except that stable knockdown cell lines were prepared by APA. CRISPR/Cas9-mediated knockout of NHE1 in MCF-7 and MDA-MB-231 cells and the experiment in Additional file 5: Figure S5B were performed by NBP. EKO carried out the experiments and data analysis in Figs. 5d and 6d–e. The manuscript was written by SFP and APA, with inputs and comments from all co-authors. All authors have read and approved the final version of the manuscript.
The authors declare that they have no conflicts of interests.
Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
- Chen JL, Lucas JE, Schroeder T, Mori S, Wu J, Nevins J, et al. The genomic analysis of lactic acidosis and acidosis response in human cancers. PLoS Genet. 2008;4:e1000293.View ArticlePubMedPubMed CentralGoogle Scholar
- Gaedtke L, Thoenes L, Culmsee C, Mayer B, Wagner E. Proteomic analysis reveals differences in protein expression in spheroid versus monolayer cultures of low-passage colon carcinoma cells. J Proteome Res. 2007;6:4111–8.View ArticlePubMedGoogle Scholar
- Cukierman E, Pankov R, Stevens DR, Yamada KM. Taking cell-matrix adhesions to the third dimension. Science. 2001;294:1708–12.View ArticlePubMedGoogle Scholar
- Pampaloni F, Reynaud EG, Stelzer EH. The third dimension bridges the gap between cell culture and live tissue. Nat Rev Mol Cell Biol. 2007;8:839–45.View ArticlePubMedGoogle Scholar
- Hirschhaeuser F, Menne H, Dittfeld C, West J, Mueller-Klieser W, Kunz-Schughart LA. Multicellular tumor spheroids: an underestimated tool is catching up again. J Biotechnol. 2010;148:3–15.View ArticlePubMedGoogle Scholar
- Vaupel P. Tumor microenvironmental physiology and its implications for radiation oncology. Semin Radiat Oncol. 2004;14:198–206.View ArticlePubMedGoogle Scholar
- Andersen AP, Moreira JM, Pedersen SF. Interactions of ion transporters and channels with cancer cell metabolism and the tumour microenvironment. Philos Trans R Soc Lond B Biol Sci. 2014;369:20130098.View ArticlePubMedPubMed CentralGoogle Scholar
- Parks SK, Chiche J, Pouyssegur J. pH control mechanisms of tumor survival and growth. J Cell Physiol. 2011;226:299–308.View ArticlePubMedGoogle Scholar
- Koppenol WH, Bounds PL, Dang CV. Otto Warburg’s contributions to current concepts of cancer metabolism. Nat Rev Cancer. 2011;11:325–37.View ArticlePubMedGoogle Scholar
- Webb BA, Chimenti M, Jacobson MP, Barber DL. Dysregulated pH: a perfect storm for cancer progression. Nat Rev Cancer. 2011;11:671–7.View ArticlePubMedGoogle Scholar
- Schwab A, Fabian A, Hanley PJ, Stock C. Role of ion channels and transporters in cell migration. Physiol Rev. 2012;92:1865–913.View ArticlePubMedGoogle Scholar
- Lauritzen G, Jensen MB, Boedtkjer E, Dybboe R, Aalkjaer C, Nylandsted J, et al. NBCn1 and NHE1 expression and activity in DeltaNErbB2 receptor-expressing MCF-7 breast cancer cells: contributions to pHi regulation and chemotherapy resistance. Exp Cell Res. 2010;316:2538–53.View ArticlePubMedGoogle Scholar
- Le FR, Chiche J, Marchiq I, Naiken T, Ilc K, Murray CM, et al. CD147 subunit of lactate/H+ symporters MCT1 and hypoxia-inducible MCT4 is critical for energetics and growth of glycolytic tumors. Proc Natl Acad Sci U S A. 2011;108:16663–8.View ArticleGoogle Scholar
- Boedtkjer E, Bunch L, Pedersen SF. Physiology, Pharmacology and Pathophysiology of the pH Regulatory Transport Proteins NHE1 and NBCn1: Similarities, Differences, and Implications for Cancer Therapy. Curr Pharm Des. 2012;18:1345–71.View ArticlePubMedGoogle Scholar
- Boedtkjer E, Moreira JM, Mele M, Vahl P, Wielenga VT, Christiansen PM, et al. Contribution of Na+, HCO3(−)-cotransport to cellular pH control in human breast cancer: a role for the breast cancer susceptibility locus NBCn1 (SLC4A7). Int J Cancer. 2013;132:1288–99.View ArticlePubMedGoogle Scholar
- Dhup S, Dadhich RK, Porporato PE, Sonveaux P. Multiple biological activities of lactic acid in cancer: influences on tumor growth, angiogenesis and metastasis. Curr Pharm Des. 2012;18:1319–30.View ArticlePubMedGoogle Scholar
- Cardone RA, Casavola V, Reshkin SJ. The role of disturbed pH dynamics and the Na+/H+ exchanger in metastasis. Nat Rev Cancer. 2005;5:786–95.View ArticlePubMedGoogle Scholar
- Pedersen SF, Stock C. Ion channels and transporters in cancer: pathophysiology, regulation, and clinical potential. Cancer Res. 2013;73:1658–61.View ArticlePubMedGoogle Scholar
- Gorbatenko A, Olesen CW, Morup N, Thiel G, Kallunki T, Valen E, et al. ErbB2 upregulates the Na+, HCO3--cotransporter NBCn1/SLC4A7 in human breast cancer cells via Akt, ERK, Src, and Kruppel-like factor 4. FASEB J. 2014;28:350–63.View ArticlePubMedGoogle Scholar
- Ahmed S, Thomas G, Ghoussaini M, Healey CS, Humphreys MK, Platte R, et al. Newly discovered breast cancer susceptibility loci on 3p24 and 17q23.2. Nat Genet. 2009;41:585–90.View ArticlePubMedPubMed CentralGoogle Scholar
- Chiche J, Le FY, Vilmen C, Frassineti F, Daniel L, Halestrap AP, et al. In vivo pH in metabolic-defective Ras-transformed fibroblast tumors: key role of the monocarboxylate transporter, MCT4, for inducing an alkaline intracellular pH. Int J Cancer. 2012;130:1511–20.View ArticlePubMedGoogle Scholar
- Lee S, Axelsen TV, Andersen AP, Vahl P, Pedersen SF, Boedtkjer E: Disrupting Na,HCO-cotransporter NBCn1 (Slc4a7) delays murine breast cancer development. Oncogene. 2016;35(16):2112-22. doi: 10.1038/onc.2015.273.
- Busco G, Cardone RA, Greco MR, Bellizzi A, Colella M, Antelmi E, et al. NHE1 promotes invadopodial ECM proteolysis through acidification of the peri-invadopodial space. FASEB J. 2010;24:3903–15.View ArticlePubMedGoogle Scholar
- Lauritzen G, Stock CM, Lemaire J, Lund SF, Jensen MF, Damsgaard B, et al. The Na+/H+ exchanger NHE1, but not the Na+, HCO3(−) cotransporter NBCn1, regulates motility of MCF7 breast cancer cells expressing constitutively active ErbB2. Cancer Lett. 2012;317:172–83.View ArticlePubMedGoogle Scholar
- Stock C, Gassner B, Hauck CR, Arnold H, Mally S, Eble JA, et al. Migration of human melanoma cells depends on extracellular pH and Na+/H+ exchange. J Physiol. 2005;567:225–38.View ArticlePubMedPubMed CentralGoogle Scholar
- Hulikova A, Vaughan-Jones RD, Swietach P. Dual role of CO2/HCO3(−) formula buffer in the regulation of intracellular pH of three-dimensional tumor growths. J Biol Chem. 2011;286:13815–26.View ArticlePubMedPubMed CentralGoogle Scholar
- Andersen AP, Ronnov-Jessen L, Hulikova A, Swietach P, Pedersen SF. Development of model systems for analysis of effects of cell-cell and cell-microenvironment interactions on pH regulatory proteins in breast cancer. FASEB J. 27, 471.4. 2013Google Scholar
- Pastorek J, Pastorekova S, Callebaut I, Mornon JP, Zelnik V, Opavsky R, et al. Cloning and characterization of MN, a human tumor-associated protein with a domain homologous to carbonic anhydrase and a putative helix-loop-helix DNA binding segment. Oncogene. 1994;9:2877–88.PubMedGoogle Scholar
- Petersen OW, Ronnov-Jessen L, Howlett AR, Bissell MJ. Interaction with basement membrane serves to rapidly distinguish growth and differentiation pattern of normal and malignant human breast epithelial cells. Proc Natl Acad Sci U S A. 1992;89:9064–8.View ArticlePubMedPubMed CentralGoogle Scholar
- Krause S, Maffini MV, Soto AM, Sonnenschein C. The microenvironment determines the breast cancer cells’ phenotype: organization of MCF7 cells in 3D cultures. BMC Cancer. 2010;10:263.View ArticlePubMedPubMed CentralGoogle Scholar
- Debnath J, Mills KR, Collins NL, Reginato MJ, Muthuswamy SK, Brugge JS. The role of apoptosis in creating and maintaining luminal space within normal and oncogene-expressing mammary acini. Cell. 2002;111:29–40.View ArticlePubMedGoogle Scholar
- Asada K, Miyamoto K, Fukutomi T, Tsuda H, Yagi Y, Wakazono K, et al. Reduced expression of GNA11 and silencing of MCT1 in human breast cancers. Oncology. 2003;64:380–8.View ArticlePubMedGoogle Scholar
- Takahashi E, Abe J, Gallis B, Aebersold R, Spring DJ, Krebs EG, et al. p90(RSK) is a serum-stimulated Na+/H+ exchanger isoform-1 kinase. Regulatory phosphorylation of serine 703 of Na+/H+ exchanger isoform-1. J Biol Chem. 1999;274:20206–14.View ArticlePubMedGoogle Scholar
- Hulikova A, Harris AL, Vaughan-Jones RD, Swietach P. Regulation of intracellular pH in cancer cell lines under normoxia and hypoxia. J Cell Physiol. 2013;228:743–52.View ArticlePubMedGoogle Scholar
- Kong SC, Gianuzzo A, Novak I, Pedersen SF. Acid–base transport in pancreatic cancer: molecular mechanisms and clinical potential. Biochem Cell Biol. 2014;92:449–59.View ArticlePubMedGoogle Scholar
- Amith SR, Wilkinson JM, Baksh S, Fliegel L. The Na+/H+ exchanger (NHE1) as a novel co-adjuvant target in paclitaxel therapy of triple-negative breast cancer cells. Oncotarget. 2015;6:1262–75.View ArticlePubMedGoogle Scholar
- Weaver VM, Howlett AR, Langton-Webster B, Petersen OW, Bissell MJ. The development of a functionally relevant cell culture model of progressive human breast cancer. Semin Cancer Biol. 1995;6:175–84.View ArticlePubMedGoogle Scholar
- Ghosh S, Spagnoli GC, Martin I, Ploegert S, Demougin P, Heberer M, et al. Three-dimensional culture of melanoma cells profoundly affects gene expression profile: a high density oligonucleotide array study. J Cell Physiol. 2005;204:522–31.View ArticlePubMedGoogle Scholar
- Kolosenko I, Fryknas M, Forsberg S, Johnsson P, Cheon H, Holvey-Bates EG, et al. Cell crowding induces interferon regulatory factor 9, which confers resistance to chemotherapeutic drugs. Int J Cancer. 2015;136:E51–61.View ArticlePubMedGoogle Scholar
- Kirk P, Wilson MC, Heddle C, Brown MH, Barclay AN, Halestrap AP. CD147 is tightly associated with lactate transporters MCT1 and MCT4 and facilitates their cell surface expression. EMBO J. 2000;19:3896–904.View ArticlePubMedPubMed CentralGoogle Scholar
- Gallagher SM, Castorino JJ, Philp NJ. Interaction of monocarboxylate transporter 4 with beta1-integrin and its role in cell migration. Am J Physiol Cell Physiol. 2009;296:C414–21.View ArticlePubMedGoogle Scholar
- Grillon E, Farion R, Fablet K, De WM, Tse CM, Donowitz M, et al. The spatial organization of proton and lactate transport in a rat brain tumor. PLoS ONE. 2011;6:e17416.View ArticlePubMedPubMed CentralGoogle Scholar
- Sonveaux P, Vegran F, Schroeder T, Wergin MC, Verrax J, Rabbani ZN, et al. Targeting lactate-fueled respiration selectively kills hypoxic tumor cells in mice. J Clin Invest. 2008;118:3930–42.PubMedPubMed CentralGoogle Scholar
- Ullah MS, Davies AJ, Halestrap AP. The plasma membrane lactate transporter MCT4, but not MCT1, is up-regulated by hypoxia through a HIF-1alpha-dependent mechanism. J Biol Chem. 2006;281:9030–7.View ArticlePubMedGoogle Scholar
- Jamali S, Klier M, Ames S, Barros LF, McKenna R, Deitmer JW, et al. Hypoxia-induced carbonic anhydrase IX facilitates lactate flux in human breast cancer cells by non-catalytic function. Sci Rep. 2015;5:13605.View ArticlePubMedPubMed CentralGoogle Scholar
- Cheng C, Edin NF, Lauritzen KH, Aspmodal I, Christoffersen S, Jian L, et al. Alterations of monocarboxylate transporter densities during hypoxia in brain and breast tumour cells. Cell Oncol (Dordr). 2012;35:217–27.View ArticleGoogle Scholar
- De Saedeleer CJ, Porporato PE, Copetti T, Perez-Escuredo J, Payen VL, Brisson L, et al. Glucose deprivation increases monocarboxylate transporter 1 (MCT1) expression and MCT1-dependent tumor cell migration. Oncogene. 2014;33:4060–8.View ArticlePubMedGoogle Scholar
- Fredsted J, Pedraz-Cuesta E, Jensen HH, Bornebusch A, Nejsum LN, Kragelund BB et al.: Prolactin signaling stimulates invasion via the Na+/H+ exchanger NHE1 in T47D breast cancer cells. Mol Endocrinol 2015, in revisionGoogle Scholar
- De MA, Canese R, Marino ML, Borghi M, Iero M, Villa A, et al. pH-dependent antitumor activity of proton pump inhibitors against human melanoma is mediated by inhibition of tumor acidity. Int J Cancer. 2010;127:207–19.View ArticleGoogle Scholar
- Wang BY, Zhang J, Wang JL, Sun S, Wang ZH, Wang LP, et al. Intermittent high dose proton pump inhibitor enhances the antitumor effects of chemotherapy in metastatic breast cancer. J Exp Clin Cancer Res. 2015;34:85.View ArticlePubMedPubMed CentralGoogle Scholar
- Hulikova A, Aveyard N, Harris AL, Vaughan-Jones RD, Swietach P. Intracellular carbonic anhydrase activity sensitizes cancer cell pH signaling to dynamic changes in CO2 partial pressure. J Biol Chem. 2014;289:25418–30.View ArticlePubMedPubMed CentralGoogle Scholar
- Gorbatenko A, Olesen CW, Boedtkjer E, Pedersen SF. Regulation and roles of bicarbonate transporters in cancer. Front Physiol. 2014;5:130.View ArticlePubMedPubMed CentralGoogle Scholar
- Parks SK, Pouyssegur J. The Na(+)/HCO3(−) Co-Transporter SLC4A4 Plays a Role in Growth and Migration of Colon and Breast Cancer Cells. J Cell Physiol. 2015;230:1954–63.View ArticlePubMedGoogle Scholar
- Heidtmann H, Ruminot I, Becker HM, Deitmer JW. Inhibition of monocarboxylate transporter by N-cyanosulphonamide S0859. Eur J Pharmacol. 2015;762:344–9.View ArticlePubMedGoogle Scholar
- Rotin D, Steele-Norwood D, Grinstein S, Tannock I. Requirement of the Na+/H+ exchanger for tumor growth. Cancer Res. 1989;49:205–11.PubMedGoogle Scholar
- Pouyssegur J, Franchi A, Pages G. pHi, aerobic glycolysis and vascular endothelial growth factor in tumour growth. Novartis Found Symp. 2001;240:186–96.View ArticlePubMedGoogle Scholar
- Zancan P, Sola-Penna M, Furtado CM, Da SD. Differential expression of phosphofructokinase-1 isoforms correlates with the glycolytic efficiency of breast cancer cells. Mol Genet Metab. 2010;100:372–8.View ArticlePubMedGoogle Scholar
- Sugiyama S, Satoh H, Nomura N, Terada H, Watanabe H, Hayashi H. The importance of glycolytically-derived ATP for the Na+/H+ exchange activity in guinea pig ventricular myocytes. Mol Cell Biochem. 2001;217:153–61.View ArticlePubMedGoogle Scholar
- Larsen AM, Krogsgaard-Larsen N, Lauritzen G, Olesen CW, Honore HS, Boedtkjer E, et al. Gram-scale solution-phase synthesis of selective sodium bicarbonate co-transport inhibitor S0859: in vitro efficacy studies in breast cancer cells. ChemMedChem. 2012;7:1808–14.View ArticlePubMedGoogle Scholar
- Sigurethsson HH, Olesen CW, Dybboe R, Lauritzen G, Pedersen SF. Constitutively active ErbB2 regulates cisplatin-induced cell death in breast cancer cells via pro- and antiapoptotic mechanisms. Mol Cancer Res. 2015;13:63–77.View ArticlePubMedGoogle Scholar