{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T17:07:47Z","timestamp":1786122467562,"version":"build-2736575974"},"reference-count":143,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T00:00:00Z","timestamp":1786060800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Oncol. Rev."],"abstract":"<jats:p>Far from being a mere epiphenomenon, acidosis is a pivotal factor in the somatic evolution of cancer and its progression toward malignancy. This review provides an inclusive overview of the mechanisms by which acidosis induces and selects for malignant phenotypes. We analyze enhanced invasion and metastasis, chemoresistance, immune surveillance suppression, and metabolic reprogramming. 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