PMID- 17289019 OWN - NLM STAT- MEDLINE DCOM- 20070412 LR - 20131121 IS - 0014-4827 (Print) IS - 0014-4827 (Linking) VI - 313 IP - 5 DP - 2007 Mar 10 TI - Confluence-dependent resistance to doxorubicin in human MDA-MB-231 breast carcinoma cells requires hypoxia-inducible factor-1 activity. PG - 867-77 AB - Compared with tumour cells cultured as sparse monolayers, tumour cells cultured as confluent monolayers exhibit high levels of resistance to anti-cancer agents. This phenomenon is called confluence-dependent resistance (CDR). We determined the contribution of hypoxia-inducible factor-1 (HIF-1), a key transcriptional regulator of cellular adaptations to hypoxia, to the development of CDR in MDA-MB-231 breast cancer cells. Clonogenic assays revealed a density-dependent increase in resistance to doxorubicin. Cell density also correlated with increased staining for reductively activated pimonidazole (a marker for hypoxia), as well as with increased levels of the HIF-1alpha subunit and HIF transcriptional activity as determined by immunocytochemistry, Western blot, and luciferase reporter assays. Importantly, inhibition of HIF-1alpha expression with siRNA significantly attenuated CDR. Similarly, shaking of cultures attenuated CDR, pimonidazole immunostaining, HIF-1alpha accumulation, and HIF-1 transcriptional activity. Having established a link between HIF-1 and CDR, we used HIF-1alpha and HIF-1 transcriptional activity as markers to investigate the role of additional factors in the regulation of CDR. Confluence-dependent increases in HIF-1alpha accumulation and HIF-1 transcriptional activity were observed even in cells cultured at 0.1% O(2) as well as in sparse cultures incubated with conditioned medium from confluent monolayers. Serum deprivation in both sparse and confluent cultures also resulted in HIF-1alpha accumulation. These results reveal that, although pericellular hypoxia may be a major contributor to HIF-1 activity, changes in the levels of soluble factors may also play a role. This study demonstrates that HIF-1 is required for CDR. FAU - Fang, Yu AU - Fang Y AD - Department of Anatomy and Cell Biology, Botterell Hall Room 859, Queen's University, Kingston, ON, Canada K7L 3N6. FAU - Sullivan, Richard AU - Sullivan R FAU - Graham, Charles H AU - Graham CH LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20061221 PL - United States TA - Exp Cell Res JT - Experimental cell research JID - 0373226 RN - 0 (Antibiotics, Antineoplastic) RN - 0 (Hypoxia-Inducible Factor 1) RN - 80168379AG (Doxorubicin) SB - IM MH - Antibiotics, Antineoplastic/*pharmacology MH - Breast Neoplasms/*metabolism MH - Carcinoma/*metabolism MH - Cell Count MH - Cell Culture Techniques/methods MH - Cell Hypoxia MH - Cell Line, Tumor MH - Doxorubicin/*pharmacology MH - *Drug Resistance, Neoplasm MH - *Gene Expression Regulation, Neoplastic MH - Humans MH - Hypoxia-Inducible Factor 1/genetics/*metabolism MH - Transcription, Genetic EDAT- 2007/02/10 09:00 MHDA- 2007/04/14 09:00 CRDT- 2007/02/10 09:00 PHST- 2006/10/27 00:00 [received] PHST- 2006/12/06 00:00 [revised] PHST- 2006/12/11 00:00 [accepted] PHST- 2007/02/10 09:00 [pubmed] PHST- 2007/04/14 09:00 [medline] PHST- 2007/02/10 09:00 [entrez] AID - S0014-4827(06)00499-X [pii] AID - 10.1016/j.yexcr.2006.12.004 [doi] PST - ppublish SO - Exp Cell Res. 2007 Mar 10;313(5):867-77. doi: 10.1016/j.yexcr.2006.12.004. Epub 2006 Dec 21.