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Review

How Does Cancer Occur? How Should It Be Treated? Treatment from the Perspective of Alkalization Therapy Based on Science-Based Medicine

by
Reo Hamaguchi
1,
Masahide Isowa
1,
Ryoko Narui
1,
Hiromasa Morikawa
1,
Toshihiro Okamoto
2 and
Hiromi Wada
1,*
1
Japanese Society on Inflammation and Metabolism in Cancer, 119 Nishioshikouji-cho, Nakagyo-ku, Kyoto 604-0842, Japan
2
Department of Thoracic and Cardiovascular Surgery, Cleveland Clinic, Cleveland, OH 44195, USA
*
Author to whom correspondence should be addressed.
Biomedicines 2024, 12(10), 2197; https://doi.org/10.3390/biomedicines12102197
Submission received: 1 September 2024 / Revised: 22 September 2024 / Accepted: 25 September 2024 / Published: 26 September 2024

Abstract

This review article investigates the relationship between mitochondrial dysfunction and cancer progression, emphasizing the metabolic shifts that promote tumor growth. Mitochondria are crucial for cellular energy production, but they also play a significant role in cancer progression by promoting glycolysis even under oxygen-rich conditions, a phenomenon known as the Warburg effect. This metabolic reprogramming enables cancer cells to maintain an alkaline internal pH and an acidic external environment, which are critical for their proliferation and survival in hypoxic conditions. The article also explores the acidic tumor microenvironment (TME), a consequence of intensive glycolytic activity and proton production by cancer cells. This acidic milieu enhances the invasiveness and metastatic potential of cancer cells and contributes to increased resistance to chemotherapy. Alkalization therapy, which involves neutralizing this acidity through dietary modifications and the administration of alkalizing agents such as sodium bicarbonate, is highlighted as an effective strategy to counteract these adverse conditions and impede cancer progression. Integrating insights from science-based medicine, the review evaluates the effectiveness of alkalization therapy across various cancer types through clinical assessments. Science-based medicine, which utilizes inductive reasoning from observed clinical outcomes, lends support to the hypothesis of metabolic reprogramming in cancer treatment. By addressing both metabolic and environmental disruptions, this review suggests that considering cancer as primarily a metabolic disorder could lead to more targeted and effective treatment strategies, potentially improving outcomes for patients with advanced-stage cancers.
Keywords: cancer metabolism; mitochondrial dysfunction; Warburg effect; alkalization therapy; tumor microenvironment; pH regulation; glycolysis; oxidative phosphorylation cancer metabolism; mitochondrial dysfunction; Warburg effect; alkalization therapy; tumor microenvironment; pH regulation; glycolysis; oxidative phosphorylation

Share and Cite

MDPI and ACS Style

Hamaguchi, R.; Isowa, M.; Narui, R.; Morikawa, H.; Okamoto, T.; Wada, H. How Does Cancer Occur? How Should It Be Treated? Treatment from the Perspective of Alkalization Therapy Based on Science-Based Medicine. Biomedicines 2024, 12, 2197. https://doi.org/10.3390/biomedicines12102197

AMA Style

Hamaguchi R, Isowa M, Narui R, Morikawa H, Okamoto T, Wada H. How Does Cancer Occur? How Should It Be Treated? Treatment from the Perspective of Alkalization Therapy Based on Science-Based Medicine. Biomedicines. 2024; 12(10):2197. https://doi.org/10.3390/biomedicines12102197

Chicago/Turabian Style

Hamaguchi, Reo, Masahide Isowa, Ryoko Narui, Hiromasa Morikawa, Toshihiro Okamoto, and Hiromi Wada. 2024. "How Does Cancer Occur? How Should It Be Treated? Treatment from the Perspective of Alkalization Therapy Based on Science-Based Medicine" Biomedicines 12, no. 10: 2197. https://doi.org/10.3390/biomedicines12102197

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