Hypoxia-inducible factors: mediators of cancer progression and targets for cancer therapy

被引:1232
作者
Semenza, Gregg L. [1 ,2 ,3 ,4 ,5 ,6 ]
机构
[1] Johns Hopkins Univ, Sch Med, Vasc Program, Inst Cell Engn, Baltimore, MD 21205 USA
[2] Johns Hopkins Univ, Sch Med, Dept Pediat, Baltimore, MD 21205 USA
[3] Johns Hopkins Univ, Sch Med, Dept Med, Baltimore, MD 21205 USA
[4] Johns Hopkins Univ, Sch Med, Dept Radiat Oncol, Baltimore, MD 21205 USA
[5] Johns Hopkins Univ, Sch Med, Dept Biol Chem, Baltimore, MD 21205 USA
[6] Johns Hopkins Univ, Sch Med, McKusick Nathans Inst Genet Med, Baltimore, MD 21205 USA
关键词
RENAL-CELL CARCINOMA; GROWTH-FACTOR RECEPTOR; BREAST-CANCER; UP-REGULATION; TRANSCRIPTIONAL ACTIVITY; INDUCED CHEMORESISTANCE; DOWN-REGULATION; HIF-BINDING; STEM-CELLS; E-CADHERIN;
D O I
10.1016/j.tips.2012.01.005
中图分类号
R9 [药学];
学科分类号
1007 ;
摘要
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.
引用
收藏
页码:207 / 214
页数:8
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