Malignant gliomas display altered pH regulation by NHE1 compared with nontransformed astrocytes

Malignantgliomas exhibit alkaline intracellular pH (pH_i) and acidicextracellular pH (pH_e) compared with nontransformedastrocytes, despite increased metabolic H⁺ production. Theacidic pH_e limits the availability ofHCO₃, thereby reducing both passiveand dynamic HCO₃-dependent buffering.This implies that gliomas are dependent upon dynamic HCO₃-independent H⁺buffering pathways such as the type 1 Na⁺/H⁺exchanger (NHE1). In this study, four rapidly proliferating gliomas exhibited significantly more alkaline steady-state pH_i(pH_i = 7.31-7.48) than normal astrocytes(pH_i = 6.98), and increased rates of recovery fromacidification, under nominallyCO₂/HCO₃-free conditions.Inhibition of NHE1 in the absence ofCO₂/HCO₃ resulted inpronounced acidification of gliomas, whereas normal astrocytes wereunaffected. When suspended inCO₂/HCO₃ medium astrocytepH_i increased, yet glioma pH_i unexpectedlyacidified, suggesting the presence of anHCO₃-dependent acid loadingpathway. Nucleotide sequencing of NHE1 cDNA from the gliomasdemonstrated that genetic alterations were not responsible for thisaltered NHE1 function. The data suggest that NHE1 activity issignificantly elevated in gliomas and may provide a useful target forthe development of tumor-selective therapies.