Membrane-bound carbonic anhydrases are key pH regulators controlling tumor growth and cell migration
Introduction
Hypoxia and acidosis in the tumor microenvironment are critical in driving tumor growth and metastasis. Hypoxia, a low level of oxygenation below normal, results from excessive cancer cell proliferation distant from oxygen-carrying blood vessels. Acidosis, a low pH, results from enhanced glucose uptake and metabolism to lactic acid by cancer cells, which is exacerbate by inefficient removal of lactic acid and CO2 by a deficient vasculature in the tumor mass (Brahimi-Horn et al., 2007a, Brahimi-Horn et al., 2007b, Brahimi-Horn and Pouyssegur, 2007). Since variations in the pHi, as low as 0.1 units, disrupt multiple biological functions such as ATP production, proliferation, migration, invasion and metastasis, drug resistance and apoptosis, cells must regulate their pHi so as to survive, proliferate and migrate (Chambard and Pouyssegur, 1986, Pouyssegur et al., 1984, Roos and Boron, 1981). However, hypoxic tumor cells have developed key strategies to regulate their pHi, which thereby protects the cytosol from acidosis and allow cells to survive hypoxia. Under hypoxic conditions the transcription factor hypoxia-inducible factor-1 (HIF-1) is activated and regulates pH homeostasis by enhancing expression of membrane located transporters, exchangers, pumps and ecto-enzymes (Brahimi-Horn and Pouyssegur, 2007). The pHi-regulating system of tumor cells actively exports acids via the Na+/H+ exchanger (NHE-1) (Cardone et al., 2005, Counillon and Pouyssegur, 2000, Sardet et al., 1989, Shimoda et al., 2006) and the monocarboxylate transporters (MCTs) (Ullah et al., 2006), and transports HCO3− into the cells through Cl−/HCO3− exchangers (AE) (Karumanchi et al., 2001) for cytoplasmic alkalinization. NHE-1 is known to play a key role in vivo in tumor development, in particular when highly glycolytic cells produce large amounts of lactic acid (Pouyssegur et al., 2001). Ubiquitously expressed Cl−/HCO3− exchangers play an important role in cellular alkalinization by pumping the weak base HCO3−, which traps intracellular H+ and thus maintains a permissive pHi that favors cell survival (Izumi et al., 2003).
Another family of proteins, the carbonic anhydrases (CAs), also contributes to cellular alkalinization by catalyzing the reversible hydration of cell-generated carbon dioxide into protons and bicarbonate (Chiche et al., 2009, Ivanov et al., 2001, Kaluz et al., 2009, Swietach et al., 2007, Thiry et al., 2006). CAs are wide spread in nature, being found in bacteria, plants and mammals. They are usually zinc-containing enzymes (EC 4.2.1.1), but if zinc is deficient in the environment other heavy metals such as cadmium can substitute for zinc, as observed for marine diatoms (Xu et al., 2008). Mammalian cells express around 13 active isoforms of CA and 3 inactive isoforms, which differ in their tissue distribution, level of activity, sensitivity to inhibitors and cellular localization (Supuran, 2008). Expression of the membrane-associated CA IX and CA XII isoforms, in contrast to the other isoforms, is substantially increased under hypoxic conditions. In fact, hypoxia leads to the stabilization and transcriptional activation of HIF-1, which binds to hypoxia-response elements in the promoter of the ca9 and ca12 genes, and thereby activates their transcription and translation (Ivanov et al., 1998, Kaluz et al., 2009, Wykoff et al., 2000). Since tumor expression of HIF-1 and CA IX correlates with poor patient survival, it is essential to examine the physiological role of CAs IX and XII at the cellular level and the implication of these two membrane-bound CAs in tumor growth and invasion. In this article we review the most recent literature on membrane-bound CAs and answered the following questions: i) what is the contribution of CAs IX and XII in maintaining the intracellular pH (pHi) in an acidic environment? ii) does CA IX influence cell migration? iii) what advantage do hypoxic tumor cells derive from the over expression of CAs IX and XII? iv) can we validate these CAs as anti-cancer targets in preclinical studies?
Section snippets
Materials and methods
Most of the information concerning the methodology of the experiments given herein has been published in Chiche et al. (2009). The methodology concerning the preliminary studies into migration is given below.
Carbonic Anhydrases IX and XII are Membrane-associated, Hypoxia-inducible and HIF-1-dependent
The majority of the CAs are intracellular, however CAs IX and XII are embedded in the plasma membrane and their CA catalytic domains are located in the extracellular space (Fig. 1). They show an overall identity of 35% in their amino acid sequences (Ivanov et al., 1998). CA IX in contrast to CA XII contains an additional proteoglycan-like domain that has been implicated in cell adhesion (Dorai et al., 2005, Svastova et al., 2003, Zavada et al., 2000). Studies on recombinant CA IX show that it
Discussion
Despite the long held notion that hypoxia-induced CAs regulate the cellular pH only a few studies have examined closely the role of hypoxia-inducible CAs in the regulation of pH homeostasis (Chiche et al., 2009, Svastova et al., 2004, Swietach et al., 2009, Swietach et al., 2008), and only one has examined the role of both CAs IX and XII in vitro and in vivo (Chiche et al., 2009). Since the latter study showed that both these CAs regulate the pHi and that their expression is interdependent and
Summary
Hypoxia and acidosis are common features of the tumor microenvironment. Under hypoxic conditions increased lactic acid secretion together with carbonic acid production contributes to a high acid load in the tumor. Multiple isoforms of carbonic anhydrase (CA) (EC 4.2.1.1) are expressed in normal and neoplastic tissues. The expression of membrane-bound CAs, such as CA IX and CA XII is increased in hypoxic tumors and is tightly controlled by oxygen levels via the hypoxia-inducible factor (HIF). In
Acknowledgments
The laboratory is funded by grants from the Ligue Nationale Contre le Cancer (Equipe labellisée), the Association pour la Recherche sur le Cancer, the Centre A. Lacassagne, the Centre National de la Recherche Scientifique (CNRS), the Institut National de la Santé et de la Recherche Médicale (Inserm), the Agence Nationale pour la Recherche “protonkill”, the Institut National du Cancer (INCa) and the EU-FP7 “METOXIA”.
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