PMID- 22006996 OWN - NLM STAT- MEDLINE DCOM- 20120306 LR - 20161125 IS - 1538-7445 (Electronic) IS - 0008-5472 (Linking) VI - 71 IP - 24 DP - 2011 Dec 15 TI - Hypoxia induces escape from innate immunity in cancer cells via increased expression of ADAM10: role of nitric oxide. PG - 7433-41 LID - 10.1158/0008-5472.CAN-11-2104 [doi] AB - One key to malignant progression is the acquired ability of tumor cells to escape immune-mediated lysis. Whereas tumor hypoxia is known to play a causal role in cancer metastasis and resistance to therapy, the link between hypoxia and immune escape in cancer remains poorly understood. Here, we show that hypoxia induces tumor cell resistance to lysis mediated by immune effectors and that this resistance to lysis occurs via a hypoxia-inducible factor-1 (HIF-1)-dependent pathway linked to increased expression of the metalloproteinase ADAM10. This enzyme is required for the hypoxia-induced shedding of MHC class I chain-related molecule A (MICA), a ligand that triggers the cytolytic action of immune effectors, from the surface of tumor cells. Indeed, our findings show a mechanistic link between hypoxia-induced accumulation of the alpha-subunit of HIF-1 (HIF-1alpha), increased expression of ADAM10, and decreased surface MICA levels leading to tumor cell resistance to lysis mediated by innate immune effectors. Nitric oxide mimetic agents interfered with the hypoxia-induced accumulation of HIF-1alpha and with the hypoxia-induced upregulation of ADAM10 expression required for decreased surface MICA expression and resistance to lysis. Furthermore, treatment of tumor-bearing mice with nitroglycerin, a nitric oxide mimetic, attenuated tumor growth by a mechanism that relied upon innate immune effector cells. Together, these findings reveal a novel mechanism by which the hypoxic tumor microenvironment contributes to immune escape in cancer, lending support to potential immunotherapeutic strategies involving the use of nitric oxide mimetics. FAU - Barsoum, Ivraym B AU - Barsoum IB AD - Department of Anatomy and Cell Biology, Queen's University, Kingston, Ontario, Canada. FAU - Hamilton, Thomas K AU - Hamilton TK FAU - Li, Xin AU - Li X FAU - Cotechini, Tiziana AU - Cotechini T FAU - Miles, Ellen A AU - Miles EA FAU - Siemens, D Robert AU - Siemens DR FAU - Graham, Charles H AU - Graham CH LA - eng GR - Canadian Institutes of Health Research/Canada PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20111017 PL - United States TA - Cancer Res JT - Cancer research JID - 2984705R RN - 0 (Histocompatibility Antigens Class I) RN - 0 (Hypoxia-Inducible Factor 1, alpha Subunit) RN - 0 (MHC class I-related chain A) RN - 0 (Membrane Proteins) RN - 0 (Vasodilator Agents) RN - 31C4KY9ESH (Nitric Oxide) RN - EC 3.4.- (Amyloid Precursor Protein Secretases) RN - EC 3.4.24.- (ADAM Proteins) RN - EC 3.4.24.81 (ADAM10 Protein) RN - EC 3.4.24.81 (ADAM10 protein, human) RN - G59M7S0WS3 (Nitroglycerin) SB - IM EIN - Cancer Res. 2012 Feb 1;72(3):827 MH - ADAM Proteins/genetics/*metabolism MH - ADAM10 Protein MH - Amyloid Precursor Protein Secretases/genetics/*metabolism MH - Animals MH - Blotting, Western MH - Cell Hypoxia MH - Cell Line, Tumor MH - Flow Cytometry MH - Histocompatibility Antigens Class I/metabolism MH - Humans MH - Hypoxia-Inducible Factor 1, alpha Subunit/genetics/metabolism MH - *Immunity, Innate MH - Membrane Proteins/genetics/*metabolism MH - Mice MH - Mice, Nude MH - Neoplasms/genetics/*metabolism/pathology MH - Neoplasms, Experimental/genetics/metabolism/pathology MH - Nitric Oxide/*metabolism MH - Nitroglycerin/pharmacology MH - RNA Interference MH - Transplantation, Heterologous MH - Tumor Burden/drug effects MH - Tumor Microenvironment/drug effects/genetics/immunology MH - Vasodilator Agents/pharmacology EDAT- 2011/10/19 06:00 MHDA- 2012/03/07 06:00 CRDT- 2011/10/19 06:00 PHST- 2011/10/19 06:00 [entrez] PHST- 2011/10/19 06:00 [pubmed] PHST- 2012/03/07 06:00 [medline] AID - 0008-5472.CAN-11-2104 [pii] AID - 10.1158/0008-5472.CAN-11-2104 [doi] PST - ppublish SO - Cancer Res. 2011 Dec 15;71(24):7433-41. doi: 10.1158/0008-5472.CAN-11-2104. Epub 2011 Oct 17.