Evidence map›Paper›PMID 31847904›Full record

ArticleCell communication and signaling : CCS2019

Carbonic anhydrase 2 (CAII) supports tumor blood endothelial cell survival under lactic acidosis in the tumor microenvironment.

Dorcas A Annan, Nako Maishi, Tomoyoshi Soga, Randa Dawood, Cong Li, Hiroshi Kikuchi, Takayuki Hojo, Masahiro Morimoto, Tetsuya Kitamura, Mohammad Towfik Alam and 5 more

Open access · goldAbstract read
In one paragraph

Article in Cell communication and signaling : CCS, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed
1.6field-weighted citation impact, top 18% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

43 citing papers in PubMed, 59 citations in OpenAlex.

  1. Hypoxia-Driven CA2 Promotes Trophoblast Dysfunction in Preeclampsia.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2026
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  12. Beyond pain relief: the thrombosis threat of celecoxib.Therapeutic advances in drug safety · 2025
    Article
  13. Review
  14. Beyond starving cancer: anti-angiogenic therapy.Journal of medical ultrasonics (2001) · 2024
    Review
  15. Article
  16. Review
  17. Article
  18. Article
  19. Carbonic anhydrase, its inhibitors and vascular function.Frontiers in molecular biosciences · 2024
    Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors at 2 institutions in 1 country.

Dorcas A AnnanDepartment of Vascular Biology and Molecular Pathology, Hokkaido University Graduate School of Dental Medicine, N13 W7, 060 8586, Kita-ku, Sapporo, 060-8586, Japan.
Nako MaishiDepartment of Vascular Biology and Molecular Pathology, Hokkaido University Graduate School of Dental Medicine, N13 W7, 060 8586, Kita-ku, Sapporo, 060-8586, Japan.
Tomoyoshi SogaInstitute for Advanced Biosciences, Keio University, Tsuruoka, Yamagata, 997-0035, Japan.
Randa DawoodDepartment of Vascular Biology and Molecular Pathology, Hokkaido University Graduate School of Dental Medicine, N13 W7, 060 8586, Kita-ku, Sapporo, 060-8586, Japan.
Cong LiDepartment of Vascular Biology and Molecular Pathology, Hokkaido University Graduate School of Dental Medicine, N13 W7, 060 8586, Kita-ku, Sapporo, 060-8586, Japan.
Hiroshi KikuchiDepartment of Renal and Genitourinary Surgery, Graduate School of Medicine, Hokkaido University, N15 W7, Kita-ku, Sapporo, Japan.
Takayuki HojoDepartment of Dental Anesthesiology, Hokkaido University Graduate School of Dental Medicine, N13 W7, 060 8586, Kita-ku, Sapporo, Japan.
Masahiro MorimotoDepartment of Vascular Biology and Molecular Pathology, Hokkaido University Graduate School of Dental Medicine, N13 W7, 060 8586, Kita-ku, Sapporo, 060-8586, Japan.
Tetsuya KitamuraDepartment of Vascular Biology and Molecular Pathology, Hokkaido University Graduate School of Dental Medicine, N13 W7, 060 8586, Kita-ku, Sapporo, 060-8586, Japan.
Mohammad Towfik AlamDepartment of Vascular Biology and Molecular Pathology, Hokkaido University Graduate School of Dental Medicine, N13 W7, 060 8586, Kita-ku, Sapporo, 060-8586, Japan.
Kazuyuki MinowaDepartment of Dental Radiology, Hokkaido University Graduate School of Dental Medicine, N13 W7, 060 8586, Kita-ku, Sapporo, Japan.
Nobuo ShinoharaDepartment of Renal and Genitourinary Surgery, Graduate School of Medicine, Hokkaido University, N15 W7, Kita-ku, Sapporo, Japan.
Jin-Min NamGlobal Institution for Collaborative Research and Education (GI-CoRE), Faculty of Medicine, Hokkaido University, N15 W7, 060-8638, Kita-ku, Sapporo, Japan.
Yasuhiro HidaDepartment of Cardiovascular Thoracic Surgery, Hokkaido University Graduate School of Medicine, N15 W7, 060-8648, Kita-ku, Sapporo, Japan.
Kyoko HidaDepartment of Vascular Biology and Molecular Pathology, Hokkaido University Graduate School of Dental Medicine, N13 W7, 060 8586, Kita-ku, Sapporo, 060-8586, Japan. khida@den.hokudai.ac.jp.
Hokkaido University · JPKeio University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTumor endothelial cells (TECs) perform tumor angiogenesis, which is essential for tumor growth and metastasis. Tumor cells produce large amounts of lactic acid from glycolysis; however, the mechanism underlying the survival of TECs to enable tumor angiogenesis under high lactic acid conditions in tumors remains poorly understood. METHODOLOGY: The metabolomes of TECs and normal endothelial cells (NECs) were analyzed by capillary electrophoresis time-of-flight mass spectrometry. The expressions of pH regulators in TECs and NECs were determined by quantitative reverse transcription-PCR. Cell proliferation was measured by the MTS assay. Western blotting and ELISA were used to validate monocarboxylate transporter 1 and carbonic anhydrase 2 (CAII) protein expression within the cells, respectively. Human tumor xenograft models were used to access the effect of CA inhibition on tumor angiogenesis. Immunohistochemical staining was used to observe CAII expression, quantify tumor microvasculature, microvessel pericyte coverage, and hypoxia.

resultsThe present study shows that, unlike NECs, TECs proliferate in lactic acidic. TECs showed an upregulated CAII expression both in vitro and in vivo. CAII knockdown decreased TEC survival under lactic acidosis and nutrient-replete conditions. Vascular endothelial growth factor A and vascular endothelial growth factor receptor signaling induced CAII expression in NECs. CAII inhibition with acetazolamide minimally reduced tumor angiogenesis in vivo. However, matured blood vessel number increased after acetazolamide treatment, similar to bevacizumab treatment. Additionally, acetazolamide-treated mice showed decreased lung metastasis.

conclusionThese findings suggest that due to their effect on blood vessel maturity, pH regulators like CAII are promising targets of antiangiogenic therapy. Video Abstract.

Indexed as

Tumor MicroenvironmentAcidosis, LacticAnimalsCarbonic Anhydrase IICarrier ProteinsCell ProliferationCell SurvivalEndothelial CellsFemaleHumansMiceMice, Inbred BALB CMice, NudeNeoplastic Cells, CirculatingNerve Tissue ProteinsSignal TransductionCA2 protein, humanCarbonic Anhydrase IICarrier ProteinsNerve Tissue ProteinsAngiogenesisCarbonic anhydrase 2 (CAII)Lactic acidosispH regulationTumor endothelial cells

Identifiers

PMID31847904
PMCPMC6918655
OpenAlexW2996633576

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.