Molecular pathways: hypoxia response in immune cells fighting or promoting cancer
Abstract
Both malignant and stromal components in tumors are influenced by the physiologic conditions of the microenvironment. Hypoxia is a prominent feature of solid tumors as a result of defective vascularization and intense metabolic activity. The gene-expression control mechanisms that adapt tissues to hypoxia are exploited by tumors to promote angiogenesis and vasculogenesis. The functions of infiltrating immune cells (macrophages and lymphocytes) and other stromal components are also influenced by a limited O(2) supply. Hypoxia-inducible factors (HIF) are the main molecular transcriptional mediators in the hypoxia response. The degradation and activity of HIF-1α and HIF-2α are tightly controlled by the fine-tuned action of oxygen-sensing prolyl and asparaginyl hydroxylase enzymes. Recent evidence indicates that hypoxia can modulate the differentiation and function of T lymphocytes and myeloid cells, skewing their cytokine-production profiles and modifying the expression of costimulatory receptors. This conceivably includes tumor-infiltrating lymphocytes. Hypoxia not only directly affects tumor-infiltrating leukocytes but also exerts effects on tumor cells and vascular cells that indirectly cause selective chemokine-mediated recruitment of suppressive and proangiogenic T-cell subsets. This review focuses on changes induced by hypoxia in immune cells infiltrating solid malignancies. Such changes may either promote or fight cancer, and thus are important for immunotherapy.
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Intratumoral hypoxia modulates the tumoral immune response in many ways, collectively pointing to an overall immunosuppressive effect.
“Intratumoral hypoxia modulates the tumoral immune response in many ways, collectively pointing to an overall immunosuppressive effect (Palazon et al., 2012).”
From Therapeutic targeting of hypoxia and hypoxia-inducible factors in cancer (2016) · cites this paper as Palazon et al., 2012
Hypoxia can suppress dendritic cell function and inhibit infiltrating cytotoxic T-lymphocyte activity in a HIF-1α-dependent manner.
“Hypoxia can also suppress dendritic cell function and inhibit infiltrating cytotoxic T-lymphocyte activity in a HIF-1αdependent manner (Barsoum et al., 2014;Palazon et al., 2012).”
From Therapeutic targeting of hypoxia and hypoxia-inducible factors in cancer (2016) · cites this paper as Palazon et al., 2012
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- Authors
- Palazón, A., Aragonés, J., Morales-Kastresana, A., de Landázuri, M. O., & Melero, I.
- Affiliations
- Authors' Affiliations: 1Center for Applied Medical Research, University of Navarra, and 2Servicio de Oncología, Clinica Universidad de Navarra, Pamplona, Spain; 3Servicio de Inmunologia, Hospital Universitario de la Princesa, Universidad Autonoma de Madrid, Madrid, Spain
- Hospital Universitario de La Princesa (ES)
- Corresponding author
- Melero, Ignacio
- Venue
- Clinical Cancer Research
- Published
- 2012-03-01
- Volume
- 18
- Issue
- 5
- Pages
- 1207-1213
- ISSN
- 1078-0432 (ISSN-L)
- 1557-3265
- OpenAlex
- W2108984461
- Cited by
- 214
- References
- 66
- Citations by year
- 2026: 1 · 2025: 11 · 2024: 8 · 2023: 14 · 2022: 13 · 2021: 20 · 2020: 24 · 2019: 8 · 2018: 16 · 2017: 16 · 2016: 24 · 2015: 14 · 2014: 23 · 2013: 16 · 2012: 6
- FWCI
- 1.04
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Clinical Cancer Research (publishedVersion)
- PubMed (publishedVersion)
- Deposito Adademico Digital Universidad De Navarra (University of Navarra) (submittedVersion)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cancer Research › Cancer, Hypoxia, and Metabolism
- Life Sciences › Immunology and Microbiology › Immunology › Immune cells in cancer
- Health Sciences › Medicine › Oncology › Cancer Immunotherapy and Biomarkers
- Keywords
- tumor hypoxia, hypoxia-inducible factor, HIF-1α, HIF-2α, oxygen sensing, prolyl hydroxylase, asparaginyl hydroxylase, tumor microenvironment, tumor-infiltrating lymphocytes, tumor-associated macrophages, T cell differentiation, tumor angiogenesis, tumor stroma, cancer immunotherapy
- MeSH terms
- Animals, Humans, Immunotherapy, Neoplasms, T-Lymphocytes, Signal Transduction, Cell Hypoxia, Lymphocytes, Tumor-Infiltrating, Translational Research, Biomedical
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