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pubmed-article:10362108pubmed:abstractTextThe extracellular (interstitial) pH (pHe) of solid tumours is significantly more acidic compared to normal tissues. In-vitro, low pH reduces the uptake of weakly basic chemotherapeutic drugs and, hence, reduces their cytotoxicity. This phenomenon has been postulated to contribute to a 'physiological' resistance to weakly basic drugs in vivo. Doxorubicin is a weak base chemotherapeutic agent that is commonly used in combination chemotherapy to clinically treat breast cancers. This report demonstrates that MCF-7 human breast cancer cells in vitro are more susceptible to doxorubicin toxicity at pH 7.4, compared to pH 6.8. Furthermore 31P-magnetic resonance spectroscopy (MRS) has shown that the pHe of MCF-7 human breast cancer xenografts can be effectively and significantly raised with sodium bicarbonate in drinking water. The bicarbonate-induced extracellular alkalinization leads to significant improvements in the therapeutic effectiveness of doxorubicin against MCF-7 xenografts in vivo. Although physiological resistance to weakly basic chemotherapeutics is well-documented in vitro and in theory, these data represent the first in vivo demonstration of this important phenomenon.lld:pubmed
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pubmed-article:10362108pubmed:articleTitleEnhancement of chemotherapy by manipulation of tumour pH.lld:pubmed
pubmed-article:10362108pubmed:affiliationArizona Cancer Center, Tucson 85724-5024, USA.lld:pubmed
pubmed-article:10362108pubmed:publicationTypeJournal Articlelld:pubmed
pubmed-article:10362108pubmed:publicationTypeResearch Support, U.S. Gov't, P.H.S.lld:pubmed
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