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Disrupting Na+ ion homeostasis and Na+/K+ ATPase activity in breast cancer cells directly modulates glycolysis in vitro and in vivo

Aidan M. Michaels, Anna Zoccarato, Zoe Hoare, George Firth, Yu-Jin Chung, P. Kuchel, A. Shah, Michael J. Shattock et al.

Cancer & Metabolism, 2024

17 citations

Abstract

Background Glycolytic flux is regulated by the energy demands of the cell. Upregulated glycolysis in cancer cells may therefore result from increased demand for adenosine triphosphate (ATP), however it is unknown what this extra ATP turnover is used for. We hypothesise that an important contribution to the increased glycolytic flux in cancer cells results from the ATP demand of Na^+/K^+-ATPase (NKA) due to altered sodium ion homeostasis in cancer cells. Methods Live whole-cell measurements of intracellular sodium [Na^+]_i were performed in three human breast cancer cells (MDA-MB-231, HCC1954, MCF-7), in murine breast cancer cells (4T1), and control human epithelial cells MCF-10A using triple quantum filtered ^23Na nuclear magnetic resonance (NMR) spectroscopy. Glycolytic flux was measured by ^2H NMR to monitor conversion of [6,6-^2H_2] d -glucose to [^2H]-labelled l -lactate at baseline and in response to NKA inhibition with ouabain. Intracellular [Na^+]_i was titrated using isotonic buffers with varying [Na^+] and [K^+] and introducing an artificial Na^+ plasma membrane leak using the ionophore gramicidin-A. Experiments were carried out in parallel with cell viability assays, ^1H NMR metabolomics of intracellular and extracellular metabolites, extracellular flux analyses and in vivo measurements in a MDA-MB-231 human-xenograft mouse model using 2-deoxy-2-[^18F]fluoroglucose (^18F-FDG) positron emission tomography (PET). Results Intracellular [Na^+]_i was elevated in human…

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