PMID- 22946104 OWN - NLM STAT- MEDLINE DCOM- 20130314 LR - 20211021 IS - 1523-5866 (Electronic) IS - 1522-8517 (Print) IS - 1522-8517 (Linking) VI - 14 IP - 10 DP - 2012 Oct TI - Tumor cycling hypoxia induces chemoresistance in glioblastoma multiforme by upregulating the expression and function of ABCB1. PG - 1227-38 AB - Tumor cycling hypoxia is now a well-recognized phenomenon in animal and human solid tumors. However, how tumor cycling hypoxia impacts chemotherapy is unclear. In the present study, we explored the impact and the mechanism of cycling hypoxia on tumor microenvironment-mediated chemoresistance. Hoechst 33342 staining and hypoxia-inducible factor-1 (HIF-1) activation labeling together with immunofluorescence imaging and fluorescence-activated cell sorting were used to isolate hypoxic tumor subpopulations from human glioblastoma xenografts. ABCB1 expression, P-glycoprotein function, and chemosensitivity in tumor cells derived from human glioblastoma xenografts or in vitro cycling hypoxic stress-treated glioblastoma cells were determined using Western blot analysis, drug accumulation and efflux assays, and MTT assay, respectively. ABCB1 expression and P-glycoprotein function were upregulated under cycling hypoxia in glioblastoma cells concomitant with decreased responses to doxorubicin and BCNU. However, ABCB1 knockdown inhibited these effects. Moreover, immunofluorescence imaging and flow cytometric analysis for ABCB1, HIF-1 activation, and Hoechst 3342 in glioblastoma revealed highly localized ABCB1 expression predominantly in potentially cycling hypoxic areas with HIF-1 activation and blood perfusion in the solid tumor microenvironment. The cycling hypoxic tumor cells derived from glioblastoma xenografts exhibited higher ABCB1 expression, P-glycoprotein function, and chemoresistance, compared with chronic hypoxic and normoxic cells. Tumor-bearing mice that received YC-1, an HIF-1alpha inhibitor, exhibited suppressed tumor microenvironment-induced ABCB1 induction and enhanced survival rate in BCNU chemotherapy. Cycling hypoxia plays a vital role in tumor microenvironment-mediated chemoresistance through the HIF-1-dependent induction of ABCB1. HIF-1 blockade before and concurrent with chemotherapy could suppress cycling hypoxia-induced chemoresistance. FAU - Chou, Chii-Wen AU - Chou CW AD - Institute of Medicine, Chung Shan Medical University, Taichung, Taiwan. FAU - Wang, Chi-Chung AU - Wang CC FAU - Wu, Chung-Pu AU - Wu CP FAU - Lin, Yu-Jung AU - Lin YJ FAU - Lee, Yu-Chun AU - Lee YC FAU - Cheng, Ya-Wen AU - Cheng YW FAU - Hsieh, Chia-Hung AU - Hsieh CH LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20120903 PL - England TA - Neuro Oncol JT - Neuro-oncology JID - 100887420 RN - 0 (ABCB1 protein, human) RN - 0 (ATP Binding Cassette Transporter, Subfamily B) RN - 0 (ATP Binding Cassette Transporter, Subfamily B, Member 1) RN - 0 (Biomarkers, Tumor) RN - 0 (HIF1A protein, human) RN - 0 (Hypoxia-Inducible Factor 1, alpha Subunit) RN - EC 1.13.12.- (Luciferases) SB - IM MH - ATP Binding Cassette Transporter, Subfamily B MH - ATP Binding Cassette Transporter, Subfamily B, Member 1/*metabolism MH - Animals MH - Biomarkers, Tumor/metabolism MH - Blotting, Western MH - Brain Neoplasms/drug therapy/metabolism/*pathology MH - Cell Proliferation MH - *Drug Resistance, Neoplasm MH - Flow Cytometry MH - Fluorescent Antibody Technique MH - Glioblastoma/drug therapy/metabolism/*pathology MH - Humans MH - Hypoxia/*physiopathology MH - Hypoxia-Inducible Factor 1, alpha Subunit/*metabolism MH - Luciferases/metabolism MH - Male MH - Mice MH - Mice, Inbred NOD MH - Mice, SCID MH - Tumor Cells, Cultured MH - Up-Regulation MH - Xenograft Model Antitumor Assays PMC - PMC3452342 EDAT- 2012/09/05 06:00 MHDA- 2013/03/15 06:00 PMCR- 2013/10/01 CRDT- 2012/09/05 06:00 PHST- 2012/09/05 06:00 [entrez] PHST- 2012/09/05 06:00 [pubmed] PHST- 2013/03/15 06:00 [medline] PHST- 2013/10/01 00:00 [pmc-release] AID - nos195 [pii] AID - 10.1093/neuonc/nos195 [doi] PST - ppublish SO - Neuro Oncol. 2012 Oct;14(10):1227-38. doi: 10.1093/neuonc/nos195. Epub 2012 Sep 3.