PMID- 17280792 OWN - NLM STAT- MEDLINE DCOM- 20070718 LR - 20070511 IS - 0306-9877 (Print) IS - 0306-9877 (Linking) VI - 69 IP - 1 DP - 2007 TI - Cell-permeable hypoxia-inducible factor-1 (HIF-1) antagonists function as tumor radiosensitizers. PG - 33-5 AB - Hypoxia is a common phenomenon in human solid tumors and has been considered as an important, independent negative prognostic factor for response to treatment and survival of tumor patients. Hypoxia-inducible factor-1 (HIF-1) is the central transcription factor which is activated by hypoxia and modulates the expression of many genes involved in cell metabolism, proliferation, apoptosis, angiogenesis. Recently, it has been reported that HIF-1 contributes to tumor radioresistance by upregulating survivin expression under hypoxic conditions. Moreover, in hypoxic tumor cells, HIF-1 dependent signal transduction pathway is activated and could be further enhanced by radiation, thereby providing survival signals to adjacent vascular endothelial cells by upregulation of VEGF and bFGF and resulting in tumor radioresistance through vascular radioprotection. Recent research revealed that the stability of HIF-1alpha, one of the two subunits of HIF-1, determines the whole HIF-1 activity and the C-terminal transactivation domain of HIF-1alpha could reduce HIF-1 activity when overexpressed in tumor cells by disruption of the assembly of HIF-1 transcription complex. Therefore, we postulate that fusion with protein transduction domains would overcome the inability of C-terminal transactivation domain of HIF-1alpha to cross cellular membrane. Thus the recombinant fusion proteins could serve as cell-permeable HIF-1 antagonists, function as both inhibitors of tumor angiogenesis and tumor radiosensitizers, and would be widely used in clinical settings to improve tumor response to radiotherapy. FAU - Shi, Mei AU - Shi M AD - Department of Radiotherapy, Xijing Hospital, The Fourth Military Medical University, No.17 Changle Western Road, Xi'an 710032, China. FAU - Guo, Xiao-Tong AU - Guo XT FAU - Shu, Mao-Guo AU - Shu MG FAU - Chen, Fu-Lin AU - Chen FL FAU - Li, Li-Wen AU - Li LW LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20070205 PL - United States TA - Med Hypotheses JT - Medical hypotheses JID - 7505668 RN - 0 (Antineoplastic Agents) RN - 0 (Hypoxia-Inducible Factor 1) RN - 0 (Radiation-Sensitizing Agents) SB - IM MH - Antineoplastic Agents/*administration & dosage MH - Cell Hypoxia/drug effects/radiation effects MH - Cell Membrane Permeability MH - Humans MH - Hypoxia-Inducible Factor 1/*antagonists & inhibitors/*metabolism MH - Models, Biological MH - Neoplasms/drug therapy/*metabolism/*radiotherapy MH - Radiation-Sensitizing Agents/*administration & dosage EDAT- 2007/02/07 09:00 MHDA- 2007/07/19 09:00 CRDT- 2007/02/07 09:00 PHST- 2006/10/15 00:00 [received] PHST- 2006/10/19 00:00 [accepted] PHST- 2007/02/07 09:00 [pubmed] PHST- 2007/07/19 09:00 [medline] PHST- 2007/02/07 09:00 [entrez] AID - S0306-9877(06)00900-5 [pii] AID - 10.1016/j.mehy.2006.10.062 [doi] PST - ppublish SO - Med Hypotheses. 2007;69(1):33-5. doi: 10.1016/j.mehy.2006.10.062. Epub 2007 Feb 5.