Ali Umer, Tiriveedhi Venkataswarup
Department of Biological Sciences, Tennessee State University, Nashville, TN 37209, USA.
Division of Pharmacology, Vanderbilt University, Nashville, TN 37232, USA.
Cancers (Basel). 2025 Jun 10;17(12):1924. doi: 10.3390/cancers17121924.
Recent evidence suggests a high-sodium microenvironment in breast tumors. However, the exact role of this high-sodium microenvironment on tumorigenesis is unknown. Salt (sodium chloride, NaCl) is a well-known inflammatory molecule playing a significant role in various chronic ailments like cardiovascular and autoimmune diseases. Importantly, chronic inflammation is recognized as one of the major hallmarks of carcinogenesis. Breast cancer cell culture-based studies demonstrated that high-salt (HS) treatment (Δ35-50 mM NaCl) induced cancer cell proliferation. However, preclinical murine research showed reduced tumor progression kinetics in mice fed a short-term HS diet (4% NaCl diet, 0-2 weeks prior to the injection of tumor cells). Molecular studies demonstrated that the short-term HS diet induced the inflammatory activation of naïve CD4+ T cells to the Th17/Th1 anti-tumor phenotype. As human health-related adverse outcomes from HS diets usually occur as a consequence of prolonged HS intake over a period of several years, we have developed a novel chronic HS dietary murine tumor model. In this model, tumor cells are sequentially passaged (four cycles) in vivo under high-salt conditions, and tumor kinetics were analyzed in the passage-4 mice. These studies demonstrated enhanced tumor progression (pro-tumor) under chronic HS dietary conditions through the activation of tumor-initiating stem cells, along with the exhaustion of immune cells. Based on the, apparently paradoxical, evidence, we propose a comprehensive unifying hypothesis to elucidate the complex role of a high-sodium microenvironment towards tumor immune sculpting. This understanding will enable novel drug repositioning strategies, the development of unique ion channel-based anti-cancer therapeutics and promote low-salt diet intake in breast cancer patients on immunotherapy.
最近的证据表明乳腺肿瘤中存在高钠微环境。然而,这种高钠微环境在肿瘤发生的确切作用尚不清楚。盐(氯化钠,NaCl)是一种众所周知的炎症分子,在心血管疾病和自身免疫性疾病等各种慢性疾病中起重要作用。重要的是,慢性炎症被认为是致癌作用的主要标志之一。基于乳腺癌细胞培养的研究表明,高盐(HS)处理(Δ35 - 50 mM NaCl)可诱导癌细胞增殖。然而,临床前小鼠研究表明,喂食短期HS饮食(4% NaCl饮食,在注射肿瘤细胞前0 - 2周)的小鼠肿瘤进展动力学降低。分子研究表明,短期HS饮食可诱导幼稚CD4 + T细胞向Th17/Th1抗肿瘤表型的炎症激活。由于HS饮食对人类健康相关的不良后果通常是多年长期摄入HS的结果,我们开发了一种新型慢性HS饮食小鼠肿瘤模型。在这个模型中,肿瘤细胞在高盐条件下在体内依次传代(四个周期),并在传代4的小鼠中分析肿瘤动力学。这些研究表明,在慢性HS饮食条件下,通过激活肿瘤起始干细胞以及免疫细胞耗竭,肿瘤进展增强(促肿瘤)。基于这些明显矛盾的证据,我们提出了一个全面统一的假设,以阐明高钠微环境对肿瘤免疫塑造的复杂作用。这种理解将有助于制定新的药物重新定位策略,开发独特的基于离子通道的抗癌疗法,并促进接受免疫治疗的乳腺癌患者摄入低盐饮食。
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