PMID- 19671732 OWN - NLM STAT- MEDLINE DCOM- 20100119 LR - 20200930 IS - 1538-8514 (Electronic) IS - 1535-7163 (Linking) VI - 8 IP - 8 DP - 2009 Aug TI - Inhibition of hypoxia-inducible factor-1 function enhances the sensitivity of multiple myeloma cells to melphalan. PG - 2329-38 LID - 10.1158/1535-7163.MCT-09-0150 [doi] AB - Abnormal activation of hypoxia-inducible factor-1 (HIF-1), one of the most important transcription factors for the adaptation of cells to hypoxia, is frequently observed in numerous types of solid tumors. Dysregulation of HIF-1 induces tumor angiogenesis and enhances the expression of anti-apoptotic proteins and glycolysis-associated enzymes in cancer cells, which in turn leads to the promotion of tumor growth. In the present study, we examined the pathophysiologic role of HIF-1 in multiple myeloma. Furthermore, we explored the possibility that HIF-1 may be a molecular target for myeloma therapy. We identified constitutive expression of the hypoxia-inducible factor-1 alpha (HIF-1alpha)-subunit in established myeloma cell lines and in primary myeloma cells. Treatment with insulin-like growth factor-1 (IGF-1) significantly increased HIF-1alpha expression through activation of the AKT and mitogen-activated protein kinase signaling pathways. Inhibition of HIF-1 function either by echinomycin, a specific HIF-1 inhibitor, or a siRNA against HIF-1alpha resulted in enhanced sensitivity to melphalan in myeloma cells. This inhibition of HIF-1 also reversed the protective effect of IGF-1 on melphalan-induced apoptosis. Inhibition of HIF-1 drastically reduced both basal and IGF-1-induced expression of survivin, one of the most important anti-apoptotic proteins in myeloma cells. We conclude that HIF-1 inhibition may be an attractive therapeutic strategy for multiple myeloma. FAU - Hu, Yongzhen AU - Hu Y AD - Department of Hematology and Oncology, University of Yamanashi, Yamanashi, Japan. FAU - Kirito, Keita AU - Kirito K FAU - Yoshida, Kozue AU - Yoshida K FAU - Mitsumori, Toru AU - Mitsumori T FAU - Nakajima, Kei AU - Nakajima K FAU - Nozaki, Yumi AU - Nozaki Y FAU - Hamanaka, Satoshi AU - Hamanaka S FAU - Nagashima, Takahiro AU - Nagashima T FAU - Kunitama, Masae AU - Kunitama M FAU - Sakoe, Kumi AU - Sakoe K FAU - Komatsu, Norio AU - Komatsu N LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20090811 PL - United States TA - Mol Cancer Ther JT - Molecular cancer therapeutics JID - 101132535 RN - 0 (Antigens, CD19) RN - 0 (Antineoplastic Agents, Alkylating) RN - 0 (Hypoxia-Inducible Factor 1) RN - 0 (RNA, Small Interfering) RN - 512-64-1 (Echinomycin) RN - 67763-96-6 (Insulin-Like Growth Factor I) RN - EC 2.7.1.- (Phosphatidylinositol 3-Kinases) RN - EC 2.7.11.24 (Mitogen-Activated Protein Kinases) RN - Q41OR9510P (Melphalan) SB - IM MH - Antigens, CD19/metabolism MH - Antineoplastic Agents, Alkylating/*pharmacology MH - Apoptosis MH - Cell Line, Tumor MH - Echinomycin/pharmacology MH - Fluorescent Antibody Technique MH - Humans MH - Hypoxia-Inducible Factor 1/*antagonists & inhibitors/metabolism MH - Insulin-Like Growth Factor I/metabolism MH - Melphalan/*pharmacology MH - Mitogen-Activated Protein Kinases/metabolism MH - Multiple Myeloma/*drug therapy/metabolism MH - Phosphatidylinositol 3-Kinases/metabolism MH - RNA, Small Interfering/metabolism EDAT- 2009/08/13 09:00 MHDA- 2010/01/20 06:00 CRDT- 2009/08/13 09:00 PHST- 2009/08/13 09:00 [entrez] PHST- 2009/08/13 09:00 [pubmed] PHST- 2010/01/20 06:00 [medline] AID - 1535-7163.MCT-09-0150 [pii] AID - 10.1158/1535-7163.MCT-09-0150 [doi] PST - ppublish SO - Mol Cancer Ther. 2009 Aug;8(8):2329-38. doi: 10.1158/1535-7163.MCT-09-0150. Epub 2009 Aug 11.