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PMID: 23999440 Published · ppublish English Journal Article Research Support, N.I.H., Extramural Research Support, Non-U.S. Gov't Research Support, U.S. Gov't, Non-P.H.S. Review

HIF-1 mediates metabolic responses to intratumoral hypoxia and oncogenic mutations.

The Journal of clinical investigation ·Vol. 123 ·No. 9 ·2013-09-00 ·Pages 3664-71

Semenza GL

Abstract

Hypoxia occurs frequently in human cancers and induces adaptive changes in cell metabolism that include a switch from oxidative phosphorylation to glycolysis, increased glycogen synthesis, and a switch from glucose to glutamine as the major substrate for fatty acid synthesis. This broad metabolic reprogramming is coordinated at the transcriptional level by HIF-1, which functions as a master regulator to balance oxygen supply and demand. HIF-1 is also activated in cancer cells by tumor suppressor (e.g., VHL) loss of function and oncogene gain of function (leading to PI3K/AKT/mTOR activity) and mediates metabolic alterations that drive cancer progression and resistance to therapy. Inhibitors of HIF-1 or metabolic enzymes may impair the metabolic flexibility of cancer cells and make them more sensitive to anticancer drugs.

MeSH Terms
Adaptation, Physiological Animals Cell Hypoxia Drug Resistance, Neoplasm Energy Metabolism Humans Hypoxia-Inducible Factor 1, alpha Subunit/physiology Mutation Neoplasms/drug therapy,genetics,metabolism,pathology Oncogenes
Chemicals
HIF1A protein, human Hypoxia-Inducible Factor 1, alpha Subunit
Authors & Affiliations
1 authors, click to expand affiliations / ORCID
Semenza Gregg L
Vascular Program, Institute for Cell Engineering, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
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Article Info
Journal
The Journal of clinical investigation
Abbr.
J Clin Invest
ISSN
1558-8238
Published
2013-09-00
Epub
2013-00-03
Pages
3664-71
Language
English
Region
United States
NLM ID
7802877
PMCID
PMC3754249
Subset
IM
Grants
NCI NIH HHS · U54 CA143868 · United States
NCI NIH HHS · U54-CA143868 · United States
PHS HHS · HHS-N268201000032C · United States
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