PMID- 17984117 OWN - NLM STAT- MEDLINE DCOM- 20080331 LR - 20091119 IS - 1460-2180 (Electronic) IS - 0143-3334 (Linking) VI - 29 IP - 1 DP - 2008 Jan TI - A hypoxia-independent up-regulation of hypoxia-inducible factor-1 by AKT contributes to angiogenesis in human gastric cancer. PG - 44-51 AB - Underlying mechanisms involved in the activation of hypoxia-inducible factor-1 (HIF-1) in cancer cells are diverse and cell type specific. Although both HIF-1alpha and AKT (protein kinase B) have been implicated in gastric tumor promotion and angiogenesis, it remains unclear whether HIF-1 mediates the role of AKT in terms of promoting vascular endothelial growth factor (VEGF) expression. The present study was performed to investigate the correlation between HIF-1alpha activation and AKT activation in gastric cancer using human gastric cancer specimens, in vitro cell experiments and in vivo animal experiments. Immunohistochemistry performed on tissue array slides containing 268 surgical specimens of gastric carcinomas showed immunoreactivity for HIF-1alpha in 29% of samples. Moreover, HIF-1alpha was positively associated with phosphorylated AKT (pAKT) (P = 0.002) or VEGF (P = 0.002), and the immunoreactivities of pAKT and VEGF were positively correlated (P < 0.001). Western blot analysis and reverse transcription-polymerase chain reaction in cell experiments revealed that the over-expression of constitutively active AKT (CA-AKT) promotes the expressions of HIF-1alpha protein and VEGF messenger ribonucleic acid in Seoul national university (SNU)-216 and SNU-668 gastric cancer cells under normoxic conditions, whereas kinase-dead mutant of AKT down-regulated these expressions under the same conditions. Xenografts in nude mice derived from stable gastric cancer cells over-expressing CA-AKT showed higher tumor incidence, larger tumor volumes, higher microvessel density and stronger HIF-1alpha immunoreactivity than those derived from vector control cells. Thus, we propose that the hypoxia-independent promotion of the AKT-HIF-1alpha-VEGF pathway contributes, at least in part, to gastric cancer tumorigenesis and angiogenesis. FAU - Lee, Byung Lan AU - Lee BL AD - Department of Anatomy, Seoul National University College of Medicine, Seoul 110-799, Korea. FAU - Kim, Woo Ho AU - Kim WH FAU - Jung, Jieun AU - Jung J FAU - Cho, Sung Jin AU - Cho SJ FAU - Park, Jong-Wan AU - Park JW FAU - Kim, Jihyen AU - Kim J FAU - Chung, Hee-Yong AU - Chung HY FAU - Chang, Mee Soo AU - Chang MS FAU - Nam, Seon Young AU - Nam SY LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20071104 PL - England TA - Carcinogenesis JT - Carcinogenesis JID - 8008055 RN - 0 (DNA Primers) RN - 0 (Hypoxia-Inducible Factor 1) RN - 0 (RNA, Messenger) RN - 0 (Vascular Endothelial Growth Factor A) RN - EC 2.7.11.1 (Proto-Oncogene Proteins c-akt) SB - IM MH - Animals MH - Base Sequence MH - Cell Hypoxia MH - Cell Line, Tumor MH - Cell Proliferation MH - DNA Primers MH - Enzyme Activation MH - Female MH - Humans MH - Hypoxia-Inducible Factor 1/*metabolism MH - Immunohistochemistry MH - Mice MH - Mice, Nude MH - *Neovascularization, Pathologic MH - Phosphorylation MH - Proto-Oncogene Proteins c-akt/*metabolism MH - RNA, Messenger/genetics MH - Stomach Neoplasms/*blood supply/enzymology/metabolism MH - *Up-Regulation MH - Vascular Endothelial Growth Factor A/genetics EDAT- 2007/11/07 09:00 MHDA- 2008/04/01 09:00 CRDT- 2007/11/07 09:00 PHST- 2007/11/07 09:00 [pubmed] PHST- 2008/04/01 09:00 [medline] PHST- 2007/11/07 09:00 [entrez] AID - bgm232 [pii] AID - 10.1093/carcin/bgm232 [doi] PST - ppublish SO - Carcinogenesis. 2008 Jan;29(1):44-51. doi: 10.1093/carcin/bgm232. Epub 2007 Nov 4.