ABSTRACT

Vacuolar ATPase (V-ATPase), specifically the a2 isoform, which is

discussed in this chapter, has been shown to be important in

tumor progression and metastases. V-ATPase is found as a multi-

protein complex found on the surface of tumors (Martinez-Zaguilan

et al. 1993, Sennoune et al. 2004b). Its role in tumorigenesis involves acidification of the extracellular environment via its proton

pumping activity. This activity enables maturation of pH-sensitive

degradative enzymes, such as matrix metalloproteinases, which

lead to tumor metastasis (Kubota & Seyama 2000, Rofstad et al. 2006). Increased cell surface expression of V-ATPases is linked to

cell invasion (Sennoune et al. 2004a). V-ATPase has at least three independent activities that support cancer growth by controlling

related inflammatory processes. The first is its function in the

control of hydrogen ion production. There ismounting evidence that

it also functions as a surface ATPase released from damaged and

necrotic cells (Derks & Beaman 2004a). It may be that the a2 isoform

has the capacity to redirect its activity and to be either an ATPase

or control acid hydrolysis on the cell surface. The second activity

is that of as a modulator of chemokines and cytokine expression

through a released peptide a2NTD (Jaiswal et al. 2012, Kwong et al. 2011). Finally, and perhaps most importantly, is its expression in

tumor macrophage where it can regulate IL-1 directly leading to

inflammation and subsequent angiogenesis.