PMID- 16540671 OWN - NLM STAT- MEDLINE DCOM- 20060503 LR - 20181201 IS - 0008-5472 (Print) IS - 0008-5472 (Linking) VI - 66 IP - 6 DP - 2006 Mar 15 TI - EGFR tyrosine kinase inhibitors decrease VEGF expression by both hypoxia-inducible factor (HIF)-1-independent and HIF-1-dependent mechanisms. PG - 3197-204 AB - Epidermal growth factor receptor (EGFR) inhibitors can decrease vascular endothelial growth factor (VEGF) expression and tumor angiogenesis. In the current study, we investigate the molecular pathways by which this occurs using two drugs that have been used in the clinic, gefitinib (Iressa) and erlotinib (Tarceva). The decrease in VEGF expression by gefitinib in SQ20B squamous cell carcinoma cells was opposed by adenoviral expression of Akt in these cells. The hypoxia-inducible factor-1 (HIF-1) binding site located at approximately -1 kbp in the VEGF promoter was not required for down-regulation of promoter activity by gefitinib under normoxia. Furthermore, the drug decreased activity of a reporter containing the -88/+54 region. In a gel shift assay, gefitinib led to decreased retardation of a labeled DNA oligonucleotide probe corresponding to the -88/-66 region of the VEGF promoter, which contains Sp1 binding sites. These effects of gefitinib on VEGF promoter activity and DNA binding were both reversed by Akt expression. Phosphorylation of Sp1 was decreased in the presence of gefitinib. Gefitinib also decreases VEGF expression by decreasing HIF-1alpha expression. This occurs due to decreased protein translation without any change in the level of HIF-1alpha mRNA. Together, these results suggest that gefitinib decreases VEGF expression both by decreasing Sp1 binding to the proximal core VEGF promoter and by down-regulating HIF-1alpha expression. Similar results were obtained with erlotinib in SQ20B and gefitinib in HSC3 squamous carcinoma cells. These results indicate that there are at least two separate mechanisms by which EGFR inhibitors decrease VEGF expression. FAU - Pore, Nabendu AU - Pore N AD - Department of Radiation Oncology, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania 19104, USA. FAU - Jiang, Zibin AU - Jiang Z FAU - Gupta, Anjali AU - Gupta A FAU - Cerniglia, George AU - Cerniglia G FAU - Kao, Gary D AU - Kao GD FAU - Maity, Amit AU - Maity A LA - eng GR - R01 CA093638-01/CA/NCI NIH HHS/United States GR - R01 CA107956-01/CA/NCI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, U.S. Gov't, Non-P.H.S. PL - United States TA - Cancer Res JT - Cancer research JID - 2984705R RN - 0 (HIF1A protein, human) RN - 0 (Hypoxia-Inducible Factor 1, alpha Subunit) RN - 0 (Protein Kinase Inhibitors) RN - 0 (Quinazolines) RN - 0 (Sp1 Transcription Factor) RN - 0 (Vascular Endothelial Growth Factor A) RN - 62229-50-9 (Epidermal Growth Factor) RN - DA87705X9K (Erlotinib Hydrochloride) RN - EC 2.7.10.1 (ErbB Receptors) RN - S65743JHBS (Gefitinib) SB - IM MH - Binding Sites MH - Carcinoma, Squamous Cell/drug therapy/enzymology/*metabolism MH - Cell Line, Tumor MH - Down-Regulation/drug effects MH - Epidermal Growth Factor/antagonists & inhibitors MH - ErbB Receptors/*antagonists & inhibitors MH - Erlotinib Hydrochloride MH - Gefitinib MH - Head and Neck Neoplasms/drug therapy/enzymology/*metabolism MH - Humans MH - Hypoxia-Inducible Factor 1, alpha Subunit/*metabolism MH - Promoter Regions, Genetic MH - Protein Kinase Inhibitors/*pharmacology MH - Quinazolines/pharmacology MH - Sp1 Transcription Factor/metabolism MH - Vascular Endothelial Growth Factor A/antagonists & inhibitors/*biosynthesis/genetics EDAT- 2006/03/17 09:00 MHDA- 2006/05/04 09:00 CRDT- 2006/03/17 09:00 PHST- 2006/03/17 09:00 [pubmed] PHST- 2006/05/04 09:00 [medline] PHST- 2006/03/17 09:00 [entrez] AID - 66/6/3197 [pii] AID - 10.1158/0008-5472.CAN-05-3090 [doi] PST - ppublish SO - Cancer Res. 2006 Mar 15;66(6):3197-204. doi: 10.1158/0008-5472.CAN-05-3090.