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HIF-1 in cancer therapy: two decade long story of a transcription factor
Open accessAbstract
Background: Oxygen (O2) homeostasis is an indispensable requirement of eukaryotes. O2 concentration in cellular milieu is defined as normoxia (∼21% O2), physoxia (∼1–13% O2) or hypoxia (∼0.1–1% O2). Hypoxia, a striking micro-environmental feature in tumorigenesis, is countered by tumor cells via induction of O2 governed transcription factor, hypoxia inducible factor-1 (HIF-1). Post discovery, HIF-1 has emerged as a promising anticancer therapeutic target during the last two decades. Recent reports have highlighted that enhanced levels of HIF-1 correlate with tumor metastasis leading to poor patient prognosis.Material and methods: A systematic search in PubMed and SciFinder for the literature on HIF-1 biology and therapeutic importance in cancer was carried out.Results: This review highlights the initial description as well as the recent insights into HIF-1 biology and regulation. We have focused on emerging data regarding varied classes of HIF-1 target genes affecting various levels of crosstalk among tumorigenic pathways. We have emphasized on the fact that HIF-1 acts as a networking hub coordinating activities of multiple signaling molecules influencing tumorigenesis. Emerging evidences indicate role of many HIF-induced proteomic and genomic alterations in malignant progression by mediating a myriad of genes stimulating angiogenesis, anaerobic metabolism and survival of cancer cells in O2-deficient microenvironment.Conclusions: Better understanding of the crucial role of HIF-1 in carcinogenesis could offer promising new avenues to researchers and aid in elucidating various open issues regarding the use of HIF-1 as an anticancer therapeutic target. In spite of large efforts in this field, many questions still remain unanswered. Hence, future investigations are necessary to devise, assess and refine methods for translating previous research efforts into novel clinical practices in cancer treatment.
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“However, no specific HIF inhibitor has been approved for clinical use8.”
From Liposomal Formulation of HIF-1α Inhibitor Echinomycin Eliminates Established Metastases of Triple-negative Breast Cancer (2020) · cites this paper as [8]
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“HIF-1α drives tumor progression because it orchestrates fundamental processes such as angiogenesis, glycolytic switch, and metastasis8.”
From Liposomal Formulation of HIF-1α Inhibitor Echinomycin Eliminates Established Metastases of Triple-negative Breast Cancer (2020) · cites this paper as [8]
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4 retracted
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“cell proliferation/viability, invasion and metastasis [9].”
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SUMOylation of hypoxia-inducible factor-1α reduces its transcriptional activity
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“Additionally, it has been reported that elevated nitric oxide (NO) levels and enhanced expression of nitric oxide synthase (NOS) isoforms increases HIF-1a protein stability in human oral squamous cell carcinoma [42] (Table 1).”
BackgroundHIF-1α can act as a tumor suppressor gene in murine acute myeloid leukemia
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Tumor suppressor p53 negatively regulates glycolysis stimulated by hypoxia through its target RRAD
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“Recent reports have exhibited that p53 is stimulated by hypoxia and acts as a negative regulator of glycolysis [74] (Figure 4).”
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Expression of hypoxia-inducible factor-1α in cervical carcinomas: correlation with tumor oxygenation
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Anoxia-induced apoptosis occurs through a mitochondria-dependent pathway in lung epithelial cells
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“Poly (ADP-ribose) polymerase 1 (PARP1) is one more NADþ-dependent enzyme, which was reported to interact with and promote HIF-1a transactivation [41].”
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Differential roles of Sirt1 in HIF-1α and HIF-2α mediated hypoxic responses
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“These nicotinamide adenine dinucleotide (NADþ)-dependent enzymes have exhibited potential to regulate HIF activity, thereby strengthening the association between HIF responses and cellular stress [40].”
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miR-21 Is Linked to Glioma Angiogenesis
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The effect of HIF-1α on glucose metabolism, growth and apoptosis of pancreatic cancerous cells.
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“Interestingly, HIF-1a induces glycolysis and actively restrains mitochondrial function and O2 utilization by inducing pyruvate dehydrogenase kinase-1 (PDK-1) activity [68].”
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IGF-1 induced HIF-1α-TLR9 cross talk regulates inflammatory responses in glioma
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“These include platelet-derived growth factor (PDGF) [37], insulin [38] and insulin-like growth factors (IGF) [39], which induces HIF-1a translation (Table 1).”
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Hypoxia-inducible factor (HIF) inhibitors: a patent survey (2011-2015)
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Hypoxia inhibits mesenchymal stem cell proliferation through HIF1α-dependent regulation of P27
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“BCL2/ adenovirus E1B 19 kDa protein-interacting protein 3 (BNIP3) is a HIF-1 target gene correlated to autophagy [72] through disruption of interaction between Beclin-1 (a highly conserved autophagy inducer protein) and B-cell lymphoma 2 (Bcl-2) or B-cell lymphoma-extra-large (Bcl-xL) [73].”
BackgroundLeu-574 of HIF-1α Is Essential for the von Hippel-Lindau (VHL)-mediated Degradation Pathway
Huang, E. L., Pete, E. A., Schau, M., Milligan, J., & Gu, J. (2002) · Journal of Biological Chemistry · doi:10.1074/jbc.m207280200 · Cited by 38 · cited 1×
“Collectively, these alterations lead to 26S proteasomal degradation of HIF-1a subunit by tethering to the b-domain of von Hippel-Lindau protein (pVHL), an E3 ubiquitin ligase at Leucine-574 (L574) [18].”
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“Recently HIF-1a has been reported to be activated at physiological O2 levels in a p42/44 mitogen-activated protein kinase (MAPK)dependent manner determining increased cellular proliferation commonly found in these conditions [36].”
BackgroundGreco, S., & Martelli, F. (2014) · Antioxidants and Redox Signaling · doi:10.1089/ars.2014.6083 · Cited by 34 · cited 1×
“Previous studies have demonstrated number of miRNAs induced during hypoxia and they play critical roles in angiogenesis [80].”
BackgroundCurcumin induces p53-independent necrosis in H1299 cells via a mitochondria-associated pathway
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“These include platelet-derived growth factor (PDGF) [37], insulin [38] and insulin-like growth factors (IGF) [39], which induces HIF-1a translation (Table 1).”
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Antagonistic crosstalk between APC and HIF-1α
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“BCL2/ adenovirus E1B 19 kDa protein-interacting protein 3 (BNIP3) is a HIF-1 target gene correlated to autophagy [72] through disruption of interaction between Beclin-1 (a highly conserved autophagy inducer protein) and B-cell lymphoma 2 (Bcl-2) or B-cell lymphoma-extra-large (Bcl-xL) [73].”
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Expression of Hypoxia Inducible Factor-1α and Its Significance in Laryngeal Carcinoma
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“Very little was known about the newest isoform HIF-3a until the identification of its spliced variant, inhibitory PAS (IPAS) which in a dominant negative way regulates HIF-1 DNA binding ability [29].”
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Differential effects of HIF-α isoforms on apoptosis in renal carcinoma cell lines
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“HRE, they are functionally non-redundant [26].”
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Cited by
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Nedeljković, M., & Damjanović, A. (2019) · Cells · doi:10.3390/cells8090957 · Cited by 910
“Since the discovery of HIFs, many inhibitors with diverse modes of action have been identified, but none have progressed to clinical use [119].”
BackgroundThe anti-cancer effect of quercetin: molecular implications in cancer metabolism
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“In fact, HIF-1α is the primary driver of increased glycolysis and lactate production during hypoxia [35].”
BackgroundThe Drug-Resistance Mechanisms of Five Platinum-Based Antitumor Agents
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“Whereas under hypoxic conditions, impaired hydroxylation process stabilizes the HIF1a protein, furthermore HIF1a will translocate into nuclear and dimerize with HIF1b to transactivate the target genes which relate with glucose metabolism, angiogenesis, cell proliferation, invasion and metastasis (reviewed in Pawlus an…”
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HIF-1α signaling: Essential roles in tumorigenesis and implications in targeted therapies
Zhao, Y., Xing, C., Deng, Y., Ye, C., & Peng, H. (2023) · Genes & Diseases · doi:10.1016/j.gendis.2023.02.039 · Cited by 231
“It has been reported that HIF-1a is highly expressed in tumors such as breast, liver, bladder, cervical, colorectal, endometrial, lung, etc.(77) NANOG is a protein required for the self-renewal of breast cancer stem cells (BCSCs), and high expression of NANOG in tumor tissues of breast cancer patients is correlated wi…”
Background
Metadata
- Authors
- Soni, S., & Padwad, Y. S.
- Affiliations
- Institute of Himalayan Bioresource Technology (IN)
- Corresponding author
- Padwad, Yogendra S.
- Venue
- Acta Oncologica
- Published
- 2017-03-30
- Volume
- 56
- Issue
- 4
- Pages
- 503-515
- ISSN
- 0284-186X (ISSN-L)
- 1651-226X
- OpenAlex
- W2599085091
- Cited by
- 251
- References
- 122
- Citations by year
- 2026: 6 · 2025: 16 · 2024: 16 · 2023: 35 · 2022: 34 · 2021: 38 · 2020: 41 · 2019: 43 · 2018: 20 · 2017: 1
- FWCI
- 2.92
- Type
- journal article
- Language
- en
- Open access
- diamond
- doi.org
- Locations
- Acta Oncologica (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Council of Scientific and Industrial Research
- Council for Scientific and Industrial Research (MLP0039)
- 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
- HIF-1, tumor hypoxia, oxygen homeostasis, transcription factor regulation, HIF-1 target genes, tumor angiogenesis, anaerobic metabolism, metastasis, carcinogenesis, cancer therapy targets, tumor microenvironment
- MeSH terms
- Animals, Humans, Neoplasms, Cell Hypoxia, Hypoxia-Inducible Factor 1, alpha Subunit
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