PMID- 23970191 OWN - NLM STAT- MEDLINE DCOM- 20140519 LR - 20130918 IS - 1791-2423 (Electronic) IS - 1019-6439 (Linking) VI - 43 IP - 5 DP - 2013 Nov TI - HIF-1alpha is a crucial factor in the development of peritoneal dissemination via natural metastatic routes in scirrhous gastric cancer. PG - 1431-40 LID - 10.3892/ijo.2013.2068 [doi] AB - The molecular mechanisms underlying the peritoneal dissemination of gastric cancer remain unclear. Using in vivo metastatic models, this study attempted to clarify the role of hypoxia inducible factor (HIF)-1alpha in the development of peritoneal dissemination of gastric cancer. HIF-1alpha knockdown (KD) cells were established in the scirrhous gastric cancer cell line 58As9. Using KD and control (SC) cells, the presence of peritoneal dissemination was assessed in orthotopic implantation (o.i.) and intraperitoneal injection (i.p.) models. A series of in vitro analyses were also conducted. Finally, tumor angiogenesis was immunohistochemically analyzed. In the o.i. model, peritoneal dissemination was more frequently observed in the SC mice (93%) compared to the KD mice (13%) (P<0.001). In the i.p. model, peritoneal dissemination occurred at a high rate in both types of mice; however, a greater number of nodules was observed in the KD mice (P=0.017). The in vitro assays showed that HIF-1alpha exerts unfavorable effects on anoikis resistance and adhesion to extracellular matrix. Angiogenesis and vascular invasion were more aggressive in the SC gastric tumors. Vascular invasion was present in the intratumoral regions of the disseminated nodules in the SC o.i., but not the i.p., mice. HIF-1alpha was found to be crucial for the development of peritoneal dissemination in o.i. model, which mimics natural metastasis. In contrast, HIF-1alpha played an inhibitory role in suppressing peritoneal dissemination in the i.p. model. These results indicate that peritoneal dissemination in o.i. mice may not act through a seeding mechanism. An immunohistochemical analysis demonstrated HIF-1alpha-activated angiogenesis and vascular invasion in stomach tumors. Furthermore, the results showed that the disseminated nodules observed in SC o.i. mice were formed via extravasation of cancer cells. We provide a possible mechanism in which peritoneal dissemination of gastric cancer develops via a vascular network whereby HIF-1alpha activates tumor angiogenesis. FAU - Miyake, Shuusuke AU - Miyake S AD - Department of Surgery, Saga University Faculty of Medicine, Saga 849-8501, Japan. FAU - Kitajima, Yoshihiko AU - Kitajima Y FAU - Nakamura, Jun AU - Nakamura J FAU - Kai, Keita AU - Kai K FAU - Yanagihara, Kazuyoshi AU - Yanagihara K FAU - Tanaka, Tomokazu AU - Tanaka T FAU - Hiraki, Masatsugu AU - Hiraki M FAU - Miyazaki, Kohji AU - Miyazaki K FAU - Noshiro, Hirokazu AU - Noshiro H LA - eng PT - Journal Article DEP - 20130821 PL - Greece TA - Int J Oncol JT - International journal of oncology JID - 9306042 RN - 0 (HIF1A protein, human) RN - 0 (Hypoxia-Inducible Factor 1, alpha Subunit) RN - 0 (RNA, Messenger) RN - 0 (RNA, Small Interfering) SB - IM MH - Adenocarcinoma, Scirrhous/genetics/metabolism/*pathology MH - Animals MH - *Apoptosis MH - Blotting, Western MH - Cell Adhesion MH - Cell Proliferation MH - Female MH - Humans MH - Hypoxia-Inducible Factor 1, alpha Subunit/antagonists & inhibitors/genetics/*metabolism MH - Immunoenzyme Techniques MH - Mice MH - Mice, Inbred BALB C MH - Mice, Nude MH - *Neovascularization, Pathologic MH - Peritoneal Neoplasms/genetics/metabolism/*secondary MH - RNA, Messenger/genetics MH - RNA, Small Interfering/genetics MH - Real-Time Polymerase Chain Reaction MH - Reverse Transcriptase Polymerase Chain Reaction MH - Stomach Neoplasms/genetics/metabolism/*pathology EDAT- 2013/08/24 06:00 MHDA- 2014/05/20 06:00 CRDT- 2013/08/24 06:00 PHST- 2013/05/27 00:00 [received] PHST- 2013/07/02 00:00 [accepted] PHST- 2013/08/24 06:00 [entrez] PHST- 2013/08/24 06:00 [pubmed] PHST- 2014/05/20 06:00 [medline] AID - 10.3892/ijo.2013.2068 [doi] PST - ppublish SO - Int J Oncol. 2013 Nov;43(5):1431-40. doi: 10.3892/ijo.2013.2068. Epub 2013 Aug 21.