HIF-1-Independent Mechanisms Regulating Metabolic Adaptation in Hypoxic Cancer Cells.
dc.contributor.author | Lee, Shen-Han | |
dc.contributor.author | Golinska, Monika | |
dc.contributor.author | Griffiths, John R | |
dc.contributor.orcid | Lee, Shen-Han [0000-0002-6147-2963] | |
dc.contributor.orcid | Griffiths, John R [0000-0001-7369-6836] | |
dc.date.accessioned | 2021-10-30T01:12:46Z | |
dc.date.available | 2021-10-30T01:12:46Z | |
dc.date.issued | 2021-09-09 | |
dc.date.updated | 2021-10-30T01:12:45Z | |
dc.description.abstract | In solid tumours, cancer cells exist within hypoxic microenvironments, and their metabolic adaptation to this hypoxia is driven by HIF-1 transcription factor, which is overexpressed in a broad range of human cancers. HIF inhibitors are under pre-clinical investigation and clinical trials, but there is evidence that hypoxic cancer cells can adapt metabolically to HIF-1 inhibition, which would provide a potential route for drug resistance. Here, we review accumulating evidence of such adaptions in carbohydrate and creatine metabolism and other HIF-1-independent mechanisms that might allow cancers to survive hypoxia despite anti-HIF-1 therapy. These include pathways in glucose, glutamine, and lipid metabolism; epigenetic mechanisms; post-translational protein modifications; spatial reorganization of enzymes; signalling pathways such as Myc, PI3K-Akt, 2-hyxdroxyglutarate and AMP-activated protein kinase (AMPK); and activation of the HIF-2 pathway. All of these should be investigated in future work on hypoxia bypass mechanisms in anti-HIF-1 cancer therapy. In principle, agents targeted toward HIF-1β rather than HIF-1α might be advantageous, as both HIF-1 and HIF-2 require HIF-1β for activation. However, HIF-1β is also the aryl hydrocarbon nuclear transporter (ARNT), which has functions in many tissues, so off-target effects should be expected. In general, cancer therapy by HIF inhibition will need careful attention to potential resistance mechanisms. | |
dc.identifier.doi | 10.17863/CAM.77531 | |
dc.identifier.issn | 2073-4409 | |
dc.identifier.other | PMC8472468 | |
dc.identifier.other | 34572020 | |
dc.identifier.uri | https://www.repository.cam.ac.uk/handle/1810/330087 | |
dc.language | eng | |
dc.rights | Attribution 4.0 International | |
dc.rights.uri | https://creativecommons.org/licenses/by/4.0/ | |
dc.source | essn: 2073-4409 | |
dc.source | nlmid: 101600052 | |
dc.subject | Hypoxia | |
dc.subject | MYC | |
dc.subject | lipid metabolism | |
dc.subject | glycolysis | |
dc.subject | Cancer Metabolism | |
dc.subject | Glutamine Metabolism | |
dc.subject | Amp-activated Protein Kinase (Ampk) | |
dc.subject | 2-Hydroxyglutarate | |
dc.subject | Phosphatidylinositol 3-Kinase (Pi3k) | |
dc.subject | Hypoxia-inducible Factor-1 (Hif-1) | |
dc.subject | Creatine Metabolism | |
dc.title | HIF-1-Independent Mechanisms Regulating Metabolic Adaptation in Hypoxic Cancer Cells. | |
dc.type | Article | |
prism.issueIdentifier | 9 | |
prism.publicationName | Cells | |
prism.volume | 10 | |
rioxxterms.licenseref.uri | https://creativecommons.org/licenses/by/4.0/ | |
rioxxterms.version | VoR | |
rioxxterms.versionofrecord | 10.3390/cells10092371 |
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