Lactate stimulates migration of human cancer cells: possible consequences for the development of metastases

A high lactate production is a common feature of the majority of malignant tumors. In several independent series of clinical studies we could show that a high lactate content in primary human carcinomas was correlated with a higher incidence of metastases and a reduced patient survival, compared to tumors with a lower lactate content. Since one of the early events in metastasis is the active movement of cancer cells out of the primary tumor site, we have investigated the effect of exogenous lactate on the migratory activity of human cancer cells in vitro. - A 48 well micro chemotaxis chamber was used to quantify the migration of SQ20B and PCI13 cells which were derived from human head and neck squamous cell carcinomas. The chamber consists of bottom and a top Lucite slide, separated by a gelatin covered polycarbonate membrane with pores of 8 μm, where cells eventually migrate through. - In summary, there was a time and concentration dependent unidirectional enhancement of cell migration. For example, cells were incubated in growth medium supplemented with 20 mM L-lactate. On the average, the rate of cell migration was significantly enhanced (p < 0.001) to 139 % for SQ20 and 136 % for PCI cells, compared to untreated control cells (100 %). No effects on cell migration were detected for culture media containing 20 mM D-lactate or 20 mM sodium chloride. These results suggest that an elevated lactate production may not only be an accompanying phenomenon of malignant transformation, but may also play an active part in tumor progression by enhancing cell migration and dissemination of potentially metastatic cells from primary lesions