Hypoxia-inducible factors: mediators of cancer progression and targets for cancer therapy
Open accessAbstract
Hypoxia-inducible factors (HIFs) mediate adaptive physiological responses to hypoxia. In human cancers that are accessible for O(2) electrode measurements, intratumoral hypoxia is common and severe hypoxia is associated with increased risk of mortality. HIF activity in regions of intratumoral hypoxia mediates angiogenesis, epithelial-mesenchymal transition, stem-cell maintenance, invasion, metastasis, and resistance to radiation therapy and chemotherapy. A growing number of drugs have been identified that inhibit HIF activity by a variety of molecular mechanisms. Because many of these drugs are already FDA-approved for other indications, clinical trials can (and should) be initiated to test the hypothesis that incorporation of HIF inhibitors into current standard-of-care therapy will increase the survival of cancer patients.
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Several approaches for targeting hypoxic tumor cells have been proposed including hypoxia-activated prodrugs, gene therapy, recombinant anaerobic bacteria, specific targeting of HIFs, or targeting pathways important in hypoxic cells such as the mTOR and UPR pathways.
“Several approaches for targeting hypoxic tumor cells have been proposed including hypoxia-activated prodrugs, gene therapy, recombinant anaerobic bacteria, specific targeting of HIFs, or targeting pathways important in hypoxic cells such as the mTOR and UPR pathways (Melillo, 2007;Wilson & Hay, 2011;Semenza, 2012).”
From Therapeutic targeting of hypoxia and hypoxia-inducible factors in cancer (2016) · cites this paper as Semenza, 2012
The “HIF-1 inhibitors for cancer therapy” section supports targeting HIFs, and its “HIF-1α synthesis” subsection identifies mTOR inhibitors as one approach (page numbers unavailable). The passages do not support the other listed approaches—hypoxia-activated prodrugs, gene therapy, recombinant anaerobic bacteria, or targeting the UPR pathway—as claims attributable to this source. (LLM, conf=0.85)
Experimental — accuracy not yet measuredHIF1α is a key regulator of the Warburg effect and regulates expression of a variety of metabolism-related proteins.
“HIF1α is a key regulator of the Warburg effect and regulates the expression of a variety of metabolism-related proteins61.”
From RETRACTED ARTICLE: Fasting inhibits aerobic glycolysis and proliferation in colorectal cancer via the Fdft1-mediated AKT/mTOR/HIF1α pathway suppression (2020) · cites this paper as [61]
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Self-citationAntiangiogenic agents and HIF-1 inhibitors meet at the crossroads
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ACRIFLAVINE AS A URINARY ANTISEPTIC
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Combination therapy in combating cancer
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“Moreover, HIF-α contributes to cancer metastasis by altering cancer cell adhesion and motility through regulation of epithelial-to-mesenchymal transition (EMT) and E-cad, ZEB1, -2 and TCF3 expression,(58) as well as migration and invasion abilities through CXCR4,(59) CAIX,(60) LOX,(61) MMP-2, and MMP-9.(47,62,63)”
BackgroundHypoxia and the extracellular matrix: drivers of tumour metastasis
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Self-citationCancer metabolism: a therapeutic perspective
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Hypoxia and Metabolic Adaptation of Cancer Cells
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Therapeutic targeting of hypoxia and hypoxia-inducible factors in cancer
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“Several approaches for targeting hypoxic tumor cells have been proposed including hypoxia-activated prodrugs, gene therapy, recombinant anaerobic bacteria, specific targeting of HIFs, or targeting pathways important in hypoxic cells such as the mTOR and UPR pathways (Melillo, 2007; Wilson & Hay, 2011; Semenza, 2012).”
BackgroundWang, T., Gilkes, D. M., Takano, N., Xiang, L., Luo, W., Bishop, C. J., Chaturvedi, P., Green, J. J., & Semenza, G. L. (2014) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.1410041111 · Cited by 493 · see citing works
Self-citationSamanta, D., Gilkes, D. M., Chaturvedi, P., Xiang, L., & Semenza, G. L. (2014) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.1421438111 · Cited by 460 · see citing works
Self-citationRetractedThe pre-metastatic niche: finding common ground
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Somatic<i>HIF2A</i>Gain-of-Function Mutations in Paraganglioma with Polycythemia
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Structural integration in hypoxia-inducible factors
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<p>Gold Nanoparticles as Radiosensitizers in Cancer Radiotherapy</p>
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Allosteric inhibition of hypoxia inducible factor-2 with small molecules
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Pharmacologic Targeting of Hypoxia-Inducible Factors
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Self-citationHIF-1 in cancer therapy: two decade long story of a transcription factor
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Targeting hypoxia-inducible factors: therapeutic opportunities and challenges
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RetractedThe Effect of Hypoxia on Mesenchymal Stem Cell Biology
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Self-citationUCHL1 provides diagnostic and antimetastatic strategies due to its deubiquitinating effect on HIF-1α
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HIF-2α activation potentiates oxidative cell death in colorectal cancers by increasing cellular iron
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Hypoxia-inducible factors: a central link between inflammation and cancer
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Hypoxia-regulated target genes implicated in tumor metastasis
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TET1 regulates hypoxia-induced epithelial-mesenchymal transition by acting as a co-activator
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Hypoxia Dictates Metabolic Rewiring of Tumors: Implications for Chemoresistance
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“HIF-1 is a heterodimeric complex composed of the HIF-1a and HIF-1b subunits and a central regulator of angiogenesis and energy metabolism in tumors [18–20].”
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- Authors
- Semenza, G. L.
- Affiliations
- Johns Hopkins University (US)
- Corresponding author
- Semenza, Gregg L.
- ORCID
- Semenza, Gregg L.
- Venue
- Trends in Pharmacological Sciences
- Publisher
- Elsevier BV
- Published
- 2012-04
- Volume
- 33
- Issue
- 4
- Pages
- 207-214
- ISSN
- 0165-6147 (ISSN-L)
- PMC
- PMC3437546
- OpenAlex
- W2118655588
- Cited by
- 1,514
- References
- 91
- Citations by year
- 2026: 45 · 2025: 78 · 2024: 89 · 2023: 82 · 2022: 132 · 2021: 124 · 2020: 145 · 2019: 108 · 2018: 100 · 2017: 97 · 2016: 130 · 2015: 106 · 2014: 130 · 2013: 115 · 2012: 33
- FWCI
- 8.90
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Trends in Pharmacological Sciences (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- American Cancer Society
- Johns Hopkins University
- National Cancer Institute (U54CA143868)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cancer Research › Cancer, Hypoxia, and Metabolism
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Angiogenesis and VEGF in Cancer
- Health Sciences › Medicine › Hematology › Erythropoietin and Anemia Treatment
- Keywords
- hypoxia-inducible factor, intratumoral hypoxia, tumor progression, HIF inhibitors, angiogenesis, epithelial-mesenchymal transition, cancer stem cells, metastasis, radioresistance (biology), chemoresistance, cancer therapy
- MeSH terms
- Animals, Antineoplastic Agents, Humans, Neoplasms, Cell Hypoxia, Disease Progression, Hypoxia-Inducible Factor 1, Molecular Targeted Therapy
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