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Updated: May 12, 2026

In Vivo Model for Testing Effect of Hypoxia on Tumor Metastasis
Published on: December 9, 2016
V-ATPase is a candidate therapeutic target for Ewing sarcoma
Sofia Avnet1, Gemma Di Pompo, Silvia Lemma
1Laboratory for Orthopaedic Pathophysiology and Regenerative Medicine, Istituto Ortopedico Rizzoli, via di Barbiano 1/10, 40136, Bologna, Italy. sofia.avnet@ior.it
Abstract:
Suppression of oxidative phosphorylation combined with enhanced aerobic glycolysis and the resulting increased generation of protons are common features of several types of cancer. An efficient mechanism to escape cell death resulting from intracellular acidification is proton pump activation. In Ewing sarcoma (ES), although the tumor-associated chimeric gene EWS-FLI1 is known to induce the accumulation of hypoxia-induced transcription factor HIF-1α, derangements in metabolic pathways have been neglected so far as candidate pathogenetic mechanisms. In this paper, we observed that ES cells simultaneously activate mitochondrial respiration and high levels of glycolysis. Moreover, although the most effective detoxification mechanism of proton intracellular storage is lysosomal compartmentalization, ES cells show a poorly represented lysosomal compartment, but a high sensitivity to the anti-lysosomal agent bafilomycin A1, targeting the V-ATPase proton pump. We therefore investigated the role of V-ATPase in the acidification activity of ES cells. ES cells with the highest GAPDH and V-ATPase expression also showed the highest acidification rate. Moreover, the localization of V-ATPase was both on the vacuolar and the plasma membrane of all ES cell lines. The acidic extracellular pH that we reproduced in vitro promoted high invasion ability and clonogenic efficiency. Finally, targeting V-ATPase with siRNA and omeprazole treatments, we obtained a significant selective reduction of tumor cell number. In summary, glycolytic activity and activation of V-ATPase are crucial mechanisms of survival of ES cells and can be considered as promising selective targets for the treatment of this tumor.
Insights
Ewing sarcoma cells survive by increasing glycolysis and activating proton pumps (V-ATPase). Targeting these mechanisms, like with omeprazole, selectively reduced tumor cells, offering new treatment strategies.
Area of Science:
- Oncology
- Cancer Metabolism
- Molecular Biology
Background:
- Cancer cells often exhibit altered metabolism, including enhanced glycolysis and proton production.
- Intracellular acidification is a risk in cancer, countered by proton pump activation.
- Ewing sarcoma (ES) has been linked to EWS-FLI1 and HIF-1α, but metabolic derangements are less understood.
Purpose of the Study:
- To investigate the role of metabolic pathways, specifically V-ATPase, in Ewing sarcoma survival and progression.
- To explore the link between glycolysis, proton production, and V-ATPase activity in ES cells.
- To evaluate V-ATPase as a potential therapeutic target in Ewing sarcoma.
Main Methods:
- Analysis of metabolic pathways in ES cells, including glycolysis and mitochondrial respiration.
- Assessment of lysosomal compartment size and sensitivity to V-ATPase inhibitors.
- Investigation of V-ATPase expression, localization, and activity in relation to acidification.
- In vitro studies on the effect of acidic extracellular pH on ES cell invasion and clonogenic efficiency.
- Treatment of ES cells with siRNA targeting V-ATPase and omeprazole.
Main Results:
- ES cells exhibit simultaneous mitochondrial respiration and high glycolysis.
- ES cells have poorly developed lysosomes but are sensitive to V-ATPase inhibitors.
- V-ATPase expression correlates with cellular acidification rates and is found on vacuolar and plasma membranes.
- Acidic extracellular pH promotes ES cell invasion and clonogenic potential.
- Targeting V-ATPase with siRNA or omeprazole significantly reduced ES tumor cell numbers.
Conclusions:
- Glycolytic activity and V-ATPase activation are critical for Ewing sarcoma cell survival.
- V-ATPase plays a key role in managing intracellular acidification in ES cells.
- V-ATPase represents a promising and selective therapeutic target for Ewing sarcoma treatment.
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