PMID- 18645006 OWN - NLM STAT- MEDLINE DCOM- 20080908 LR - 20200930 IS - 1535-7163 (Print) IS - 1535-7163 (Linking) VI - 7 IP - 7 DP - 2008 Jul TI - Hypoxia-induced resistance to anticancer drugs is associated with decreased senescence and requires hypoxia-inducible factor-1 activity. PG - 1961-73 LID - 10.1158/1535-7163.MCT-08-0198 [doi] AB - Hypoxia in solid tumors is associated with the development of chemoresistance. Although many studies have focused on the effect of hypoxia on drug-induced apoptosis, the effect of nonapoptotic pathways on hypoxia-induced drug resistance has not been previously investigated. Here, we determined the effects of hypoxia on multiple forms of drug-induced death in human MDA-MB-231 breast carcinoma cells. Clonogenic assays showed that preexposure to hypoxia leads to resistance to various classes of chemotherapeutic agents, including anthracyclines (daunorubicin and doxorubicin), epipodophyllotoxins (etoposide), and anthracenediones (mitoxantrone). Results revealed a high degree of heterogeneity in nuclear and cytoplasmic alterations in response to acute drug exposure; however, the majority of exposed cells displayed morphologic and biochemical changes consistent with drug-induced senescence. Hypoxia decreased only the proportion of cells in the senescent population, whereas the small proportion of cells exhibiting features of apoptosis or mitotic catastrophe were unaffected. Similar results were obtained with human HCT116 colon carcinoma cells, indicating that the protective effect of hypoxia on drug-induced senescence is not unique to MDA-MB-231 cells. Treatment of MDA-MB-231 cells with small interfering RNA targeting the alpha-subunit of hypoxia-inducible factor-1 (HIF-1), a key regulator of cellular adaptations to hypoxia, prevented hypoxia-induced resistance. HIF-1alpha small interfering RNA also selectively abolished the hypoxia-induced changes in the senescent population, indicating that the increased survival was due to protection against drug-induced senescence. These results support a requirement for HIF-1 in the adaptations leading to drug resistance and reveal that decreased drug-induced senescence is also an important contributor to the development of hypoxia-induced resistance. FAU - Sullivan, Richard AU - Sullivan R AD - Department of Anatomy and Cell Biology, Queen's University, Botterell Hall, Room 859, Kingston, Ontario, Canada K7L 3N6. FAU - Pare, Genevieve C AU - Pare GC FAU - Frederiksen, Lisa J AU - Frederiksen LJ FAU - Semenza, Gregg L AU - Semenza GL FAU - Graham, Charles H AU - Graham CH LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Mol Cancer Ther JT - Molecular cancer therapeutics JID - 101132535 RN - 0 (Antineoplastic Agents) RN - 0 (Hypoxia-Inducible Factor 1) RN - 0 (RNA, Small Interfering) RN - 80168379AG (Doxorubicin) RN - H88EPA0A3N (Staurosporine) SB - IM MH - Antineoplastic Agents/*pharmacology MH - Apoptosis/drug effects MH - Cell Hypoxia/drug effects MH - Cell Line, Tumor MH - Cell Shape/drug effects MH - Cell Survival/drug effects MH - Cellular Senescence/*drug effects MH - Doxorubicin/pharmacology MH - Drug Resistance, Neoplasm/*drug effects MH - Humans MH - Hypoxia-Inducible Factor 1/*metabolism MH - Phenotype MH - RNA, Small Interfering/metabolism MH - Staurosporine/pharmacology MH - Tumor Stem Cell Assay EDAT- 2008/07/23 09:00 MHDA- 2008/09/09 09:00 CRDT- 2008/07/23 09:00 PHST- 2008/07/23 09:00 [pubmed] PHST- 2008/09/09 09:00 [medline] PHST- 2008/07/23 09:00 [entrez] AID - 7/7/1961 [pii] AID - 10.1158/1535-7163.MCT-08-0198 [doi] PST - ppublish SO - Mol Cancer Ther. 2008 Jul;7(7):1961-73. doi: 10.1158/1535-7163.MCT-08-0198.