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Journal article : Review

What do cellular responses to acidity tell us about cancer?

Abstract:
The notion that invasive cancer is a product of somatic evolution is a well-established theory that can be modelled mathematically and demonstrated empirically from therapeutic responses. Somatic evolution is by no means deterministic, and ample opportunities exist to steer its trajectory towards cancer cell extinction. One such strategy is to alter the chemical microenvironment shared between host and cancer cells in a way that no longer favours the latter. Ever since the first description of the Warburg effect, acidosis has been recognised as a key chemical signature of the tumour microenvironment. Recent findings have suggested that responses to acidosis, arising through a process of selection and adaptation, give cancer cells a competitive advantage over the host. A surge of research efforts has attempted to understand the basis of this advantage and seek ways of exploiting it therapeutically. Here, we review key findings and place these in the context of a mathematical framework. Looking ahead, we highlight areas relating to cellular adaptation, selection and heterogeneity that merit more research efforts in order to close-in on the goal of exploiting tumour acidity in future therapies.
Publication status:
Published
Peer review status:
Peer reviewed

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Publisher copy:
10.1007/s10555-021-10005-3

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Institution:
University of Oxford
Division:
MSD
Sub department:
Physiology Anatomy & Genetics
Role:
Author
ORCID:
0000-0002-6188-8803



Publisher:
Springer
Journal:
Cancer and Metastasis Reviews More from this journal
Volume:
40
Pages:
1159–1176
Publication date:
2021-11-30
Acceptance date:
2021-11-22
DOI:
EISSN:
1573-7233
ISSN:
0167-7659


Language:
English
Keywords:
Subtype:
Review
Pubs id:
1211688
Local pid:
pubs:1211688
Deposit date:
2021-11-22
ARK identifier:

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