PMID- 22713363 OWN - NLM STAT- MEDLINE DCOM- 20121221 LR - 20220317 IS - 1873-4596 (Electronic) IS - 0891-5849 (Linking) VI - 53 IP - 4 DP - 2012 Aug 15 TI - NADPH oxidase subunit 4 mediates cycling hypoxia-promoted radiation resistance in glioblastoma multiforme. PG - 649-58 LID - 10.1016/j.freeradbiomed.2012.06.009 [doi] AB - Cycling hypoxia is a well-recognized phenomenon within animal and human solid tumors. It mediates tumor progression and radiotherapy resistance through mechanisms that involve reactive oxygen species (ROS) production. However, details of the mechanism underlying cycling hypoxia-mediated radioresistance remain obscure. We have previously shown that in glioblastoma, NADPH oxidase subunit 4 (Nox4) is a critical mediator involved in cycling hypoxia-mediated ROS production and tumor progression. Here, we examined the impact of an in vivo tumor microenvironment on Nox4 expression pattern and its impact on radiosensitivity in GBM8401 and U251, two glioblastoma cell lines stably transfected with a dual hypoxia-inducible factor-1 (HIF-1) signaling reporter construct. Furthermore, in order to isolate hypoxic tumor cell subpopulations from human glioblastoma xenografts based on the physiological and molecular characteristics of tumor hypoxia, several techniques were utilized. In this study, the perfusion marker Hoechst 33342 staining and HIF-1 activation labeling were used together with immunofluorescence imaging and fluorescence-activated cell sorting (FACS). Our results revealed that Nox4 was predominantly highly expressed in the endogenous cycling hypoxic areas with HIF-1 activation and blood perfusion within the solid tumor microenvironment. Moreover, when compared to the normoxic or chronic hypoxic cells, the cycling hypoxic tumor cells derived from glioblastoma xenografts have much higher Nox4 expression, ROS levels, and radioresistance. Nox4 suppression in intracerebral glioblastoma-bearing mice suppressed tumor microenvironment-mediated radioresistance and enhanced the efficiency of radiotherapy. In summary, our findings indicated that cycling hypoxia-induced Nox4 plays an important role in tumor microenvironment-promoted radioresistance in glioblastoma; hence, targeting Nox4 may be an attractive therapeutic strategy for blocking cycling hypoxia-mediated radioresistance. CI - Copyright (c) 2012 Elsevier Inc. All rights reserved. FAU - Hsieh, Chia-Hung AU - Hsieh CH AD - Graduate Institute of Basic Medical Science, China Medical University, Taichung, Taiwan. chhsiehcmu@mail.cmu.edu.tw FAU - Wu, Chung-Pu AU - Wu CP FAU - Lee, Hsu-Tung AU - Lee HT FAU - Liang, Ji-An AU - Liang JA FAU - Yu, Chun-Yen AU - Yu CY FAU - Lin, Yu-Jung AU - Lin YJ LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20120616 PL - United States TA - Free Radic Biol Med JT - Free radical biology & medicine JID - 8709159 RN - 0 (Reactive Oxygen Species) RN - EC 1.13.12.- (Luciferases) RN - EC 1.6.3.- (NADPH Oxidase 4) RN - EC 1.6.3.- (NADPH Oxidases) RN - EC 1.6.3.- (NOX4 protein, human) SB - IM MH - Animals MH - Brain Neoplasms/*enzymology/pathology/radiotherapy MH - Cell Hypoxia MH - Cell Line, Tumor MH - Cell Survival/radiation effects MH - Gene Expression Regulation, Neoplastic MH - Gene Knockdown Techniques MH - Genes, Reporter MH - Glioblastoma/*enzymology/pathology/radiotherapy MH - Humans MH - Luciferases/biosynthesis/genetics MH - Male MH - Mice MH - Mice, Inbred BALB C MH - Mice, Nude MH - NADPH Oxidase 4 MH - NADPH Oxidases/genetics/metabolism/*physiology MH - RNA Interference MH - *Radiation Tolerance MH - Reactive Oxygen Species MH - Tumor Microenvironment MH - Xenograft Model Antitumor Assays EDAT- 2012/06/21 06:00 MHDA- 2012/12/22 06:00 CRDT- 2012/06/21 06:00 PHST- 2011/12/07 00:00 [received] PHST- 2012/06/08 00:00 [revised] PHST- 2012/06/08 00:00 [accepted] PHST- 2012/06/21 06:00 [entrez] PHST- 2012/06/21 06:00 [pubmed] PHST- 2012/12/22 06:00 [medline] AID - S0891-5849(12)00344-9 [pii] AID - 10.1016/j.freeradbiomed.2012.06.009 [doi] PST - ppublish SO - Free Radic Biol Med. 2012 Aug 15;53(4):649-58. doi: 10.1016/j.freeradbiomed.2012.06.009. Epub 2012 Jun 16.