Malignant
tumors exhibit increased dependence on glycolysis, resulting in abundant export of
lactic acid, a hypothesized key step in
tumorigenesis.
Lactic acid is mainly transported by two H(+)/
lactate symporters, MCT1/MCT4, that require the ancillary
protein CD147/
Basigin for their functionality. First, we showed that blocking MCT1/2 in Ras-transformed fibroblasts with
AR-C155858 suppressed
lactate export, glycolysis, and
tumor growth, whereas ectopic expression of MCT4 in these cells conferred resistance to MCT1/2 inhibition and reestablished tumorigenicty. A mutant-derivative, deficient in respiration (res(-)) and exclusively relying on glycolysis for energy, displayed low tumorigenicity. These res(-) cells could develop resistance to MCT1/2 inhibition and became highly tumorigenic by reactivating their endogenous mct4 gene, highlighting that MCT4, the
hypoxia-inducible and
tumor-associated
lactate/H(+)
symporter, drives tumorigenicity. Second, in the human
colon adenocarcinoma cell line (LS174T), we showed that combined silencing of MCT1/MCT4 via inducible
shRNA, or silencing of CD147/
Basigin alone, significantly reduced glycolytic flux and
tumor growth. However, both silencing approaches, which reduced
tumor growth, displayed a low level of CD147/
Basigin, a multifunctional protumoral
protein. To gain insight into CD147/
Basigin function, we designed experiments, via
zinc finger nuclease-mediated mct4 and
basigin knockouts, to uncouple MCTs from
Basigin expression. Inhibition of MCT1 in MCT4-null,
Basigin(high) cells suppressed
tumor growth. Conversely, in
Basigin-null cells, in which MCT activity had been maintained, tumorigenicity was not affected. Collectively, these findings highlight that the major protumoral action of CD147/
Basigin is to control the energetics of glycolytic
tumors via MCT1/MCT4 activity and that blocking
lactic acid export provides an efficient anticancer strategy.