PMID- 16899626 OWN - NLM STAT- MEDLINE DCOM- 20071214 LR - 20220602 IS - 1078-0432 (Print) IS - 1078-0432 (Linking) VI - 12 IP - 15 DP - 2006 Aug 1 TI - Hypoxia-inducible factor-1 inhibition in combination with temozolomide treatment exhibits robust antitumor efficacy in vivo. PG - 4747-54 AB - PURPOSE: Inhibiting hypoxia-inducible factor-1 (HIF-1) represents a unique mechanism for cancer therapy. It is conceived that HIF-1 inhibitors may synergize with many classes of cancer therapeutic agents, such as angiogenesis inhibitors and cytotoxic drugs, to achieve a more robust tumor response. However, these hypotheses have not been rigorously tested in tumor models in vivo. The present study was carried out to evaluate the antitumor efficacy of combining HIF-1 inhibition with angiogenesis inhibitors or cytotoxic agents. EXPERIMENTAL DESIGN: Using a D54MG-derived tumor model that allows knockdown of HIF-1alpha on doxycycline treatment, we examined the tumor responses to chemotherapeutic agents, including the angiogenesis inhibitor ABT-869 and cytotoxic agents 1,3-bis(2-chloroethyl)-1-nitrosourea and temozolomide, in the presence or absence of an intact HIF-1 pathway. RESULTS: Surprisingly, inhibiting HIF-1 in tumors treated with the angiogenesis inhibitor ABT-869 did not produce much added benefit compared with ABT-869 treatment alone, suggesting that the combination of an angiogenesis inhibitor with a HIF-1 inhibitor may not be a robust therapeutic regimen. In contrast, the cytotoxic drug temozolomide, when used in combination with HIF-1alpha knockdown, exhibited a superadditive and likely synergistic therapeutic effect compared with the monotherapy of either treatment alone in the D54MG glioma model. CONCLUSIONS: Our results show that the DNA alkylating agent temozolomide exhibits robust antitumor efficacy when used in combination with HIF-1 inhibition in D54MG-derived tumors, suggesting that the combination of temozolomide with HIF-1 inhibitors might be an effective regimen for cancer therapy. In addition, our results also show that the RNA interference-based inducible knockdown model can be a valuable platform for further evaluation of the combination treatment of other cancer therapeutics with HIF-1 inhibition. FAU - Li, Leiming AU - Li L AD - Cancer Research, Global Pharmaceutical Research and Development, Abbott Laboratories, Abbott Park, Illinois 60064, USA. FAU - Lin, Xiaoyu AU - Lin X FAU - Shoemaker, Alex R AU - Shoemaker AR FAU - Albert, Daniel H AU - Albert DH FAU - Fesik, Stephen W AU - Fesik SW FAU - Shen, Yu AU - Shen Y LA - eng PT - Journal Article PL - United States TA - Clin Cancer Res JT - Clinical cancer research : an official journal of the American Association for Cancer Research JID - 9502500 RN - 0 (Angiogenesis Inhibitors) RN - 0 (Antineoplastic Agents) RN - 0 (Indazoles) RN - 0 (Phenylurea Compounds) RN - 138391-32-9 (Aryl Hydrocarbon Receptor Nuclear Translocator) RN - 7GR28W0FJI (Dacarbazine) RN - CO93X137CW (linifanib) RN - EC 3.4.22.- (Caspases) RN - IY9XDZ35W2 (Glucose) RN - YF1K15M17Y (Temozolomide) SB - IM MH - Administration, Oral MH - Angiogenesis Inhibitors/*pharmacology MH - Animals MH - Antineoplastic Agents/administration & dosage/*pharmacology MH - Aryl Hydrocarbon Receptor Nuclear Translocator/*antagonists & inhibitors MH - Caspases/drug effects/metabolism MH - Cell Death/drug effects MH - Cell Line, Tumor MH - Cell Proliferation/drug effects MH - Dacarbazine/administration & dosage/*analogs & derivatives/pharmacology MH - Disease Models, Animal MH - Dose-Response Relationship, Drug MH - Glucose/pharmacology MH - Humans MH - Hypoxia/metabolism MH - Indazoles/*pharmacology MH - Mice MH - Mice, SCID MH - Phenylurea Compounds/*pharmacology MH - Structure-Activity Relationship MH - Temozolomide MH - Transplantation, Heterologous MH - Xenograft Model Antitumor Assays EDAT- 2006/08/11 09:00 MHDA- 2007/12/15 09:00 CRDT- 2006/08/11 09:00 PHST- 2006/08/11 09:00 [pubmed] PHST- 2007/12/15 09:00 [medline] PHST- 2006/08/11 09:00 [entrez] AID - 12/15/4747 [pii] AID - 10.1158/1078-0432.CCR-05-2842 [doi] PST - ppublish SO - Clin Cancer Res. 2006 Aug 1;12(15):4747-54. doi: 10.1158/1078-0432.CCR-05-2842.