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Hypoxia, Metabolic Reprogramming, and Drug Resistance in Liver Cancer
Open accessAbstract
Hypoxia, low oxygen (O2) level, is a hallmark of solid cancers, especially hepatocellular carcinoma (HCC), one of the most common and fatal cancers worldwide. Hypoxia contributes to drug resistance in cancer through various molecular mechanisms. In this review, we particularly focus on the roles of hypoxia-inducible factor (HIF)-mediated metabolic reprogramming in drug resistance in HCC. Combination therapies targeting hypoxia-induced metabolic enzymes to overcome drug resistance will also be summarized. Acquisition of drug resistance is the major cause of unsatisfactory clinical outcomes of existing HCC treatments. Extra efforts to identify novel mechanisms to combat refractory hypoxic HCC are warranted for the development of more effective treatment regimens for HCC patients.
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“Intratumoral hypoxia is a major driving force for cancer progression (15–19).”
From HIF inhibitor 32-134D eradicates murine hepatocellular carcinoma in combination with anti-PD1 therapy (2022) · cites this paper as [15]
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Hypoxia-inducible factors: cancer progression and clinical translation
Wicks, E. E., & Semenza, G. L. (2022) · Journal of Clinical Investigation · doi:10.1172/jci159839 · Cited by 626
“…the large battery of HIF-regulated RNAs (>7000 identified to date), in aggregate these RNAs contribute to every critical aspect of cancer progression, including tumor vascularization, metabolic reprogramming, cell motility and invasion, and resistance to chemotherapy and radiation therapy (34–36).”
BackgroundImmune checkpoint inhibitor resistance in hepatocellular carcinoma
Wang, Z., Wang, Y., Gao, P., & Ding, J. (2022) · Cancer Letters · doi:10.1016/j.canlet.2022.216038 · Cited by 190
Pathogenesis and Current Treatment Strategies of Hepatocellular Carcinoma
Tümen, D., Heumann, P., Gülow, K., Demirci, C. N., Cosma, L.-S., Müller, M., & Kandulski, A. (2022) · Biomedicines · doi:10.3390/biomedicines10123202 · Cited by 192
Oxidative Stress–Induced Liver Damage and Remodeling of the Liver Vasculature
Banerjee, P., Gaddam, N., Chandler, V., & Chakraborty, S. (2023) · American Journal Of Pathology · doi:10.1016/j.ajpath.2023.06.002 · Cited by 147
Magar, A. G., Morya, V. K., Kwak, M. K., Oh, J. U., & Noh, K.-C. (2024) · International Journal of Molecular Sciences · doi:10.3390/ijms25063313 · Cited by 150
“…(NADH) and flavin adenine di-nucleotide electron transport chain (ETC) in mitochondria Glucose 6-phosphate dehydrogenase is directly transactivated by HIF-1 α and interacts with VEGF in cancer cells, linking PPP activation to angiogenesis [44]. and combine with the electron acceptor O 2 [31].”
BackgroundInfluential
Metadata
- Authors
- Bao, M. H.-R., & Wong, C. C.-L.
- Affiliations
- University of Hong Kong (HK)
- Corresponding author
- Wong, Carmen Chak-Lui
- Venue
- Cells
- Publisher
- MDPI AG
- Published
- 2021-07-06
- Volume
- 10
- Issue
- 7
- Pages
- 1715
- ISSN
- 2073-4409 (ISSN-L)
- PMC
- PMC8304710
- OpenAlex
- W3178403391
- Cited by
- 316
- References
- 121
- Citations by year
- 2026: 35 · 2025: 75 · 2024: 84 · 2023: 71 · 2022: 48 · 2021: 3
- FWCI
- 6.27
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Cells (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- Program for Guangdong Introducing Innovative and Entrepreneurial Teams (2019BT02Y198)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cancer Research › Cancer, Hypoxia, and Metabolism
- Health Sciences › Medicine › Hepatology › Hepatocellular Carcinoma Treatment and Prognosis
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cancer Research › Ferroptosis and cancer prognosis
- Keywords
- hepatocellular carcinoma, tumor hypoxia, metabolic reprogramming, drug resistance, hypoxia-inducible factor, combination therapy, liver cancer treatment
- MeSH terms
- Sorafenib, Nivolumab, Pyruvate Dehydrogenase Acetyl-Transferring Kinase, Immune Checkpoint Inhibitors, Hypoxia, Antineoplastic Agents, Carcinoma, Hepatocellular, Humans, Liver Neoplasms, Gene Expression Regulation, Neoplastic, Drug Resistance, Neoplasm, Protein Kinase Inhibitors, Hypoxia-Inducible Factor 1, alpha Subunit, Metabolic Networks and Pathways, Tumor Microenvironment, Antibodies, Monoclonal, Humanized, Cellular Reprogramming
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