PMID- 24729302 OWN - NLM STAT- MEDLINE DCOM- 20150602 LR - 20160303 IS - 1097-0215 (Electronic) IS - 0020-7136 (Linking) VI - 136 IP - 11 DP - 2015 Jun 1 TI - The potential role of HIF on tumour progression and dissemination. PG - 2491-503 LID - 10.1002/ijc.28889 [doi] AB - Cancer is the second cause of mortality worldwide, primarily owing to failure to cure metastatic disease. The need to target the metastatic process to reduce mortality is clear and research over the past decade has shown hypoxia-inducible factor-1 (HIF-1) to be one of the promising targets. In order for metastatic disease to be established, multiple steps need to be taken whereby the tumour cells escape into the bloodstream and survive, disseminate and then establish at a premetastatic niche. HIF-1 mediates hypoxia-induced proangiogenic factors such as vascular endothelial growth factor (VEGF) and platelet-derived growth factor (PDGF), which promote extravasation and chemotaxis. The migration of tumour cells is mediated by loss of E-cadherin, which results in a more invasive phenotype; dissemination of the tumour cells by increased vascular permeability and survival in the bloodstream through resistance to apoptosis as well as adhesion at the premetastatic niche are all controlled by factors under the influence of HIF-1. The overexpression of HIF in many aggressive cancer types as well as its role in the establishment of metastatic disease and treatment resistance demonstrate its potential target in therapeutics. Taken together, the role of HIF-1 in cancer and metastatic disease is clear and the need for better treatment targeting metastases is paramount; more aggressive phenotypes with less response to treatment are associated with HIF-1 expression. Our research has shown promise but many questions still remain to be answered. CI - (c) 2014 UICC. FAU - Unwith, Sandeep AU - Unwith S AD - Section of Anaesthetics, Pain Medicine and Intensive Care, Department of Surgery and, Cancer, Faculty of Medicine, Imperial College London, Chelsea & Westminster Hospital, London, United Kingdom. FAU - Zhao, Hailin AU - Zhao H FAU - Hennah, Lindsay AU - Hennah L FAU - Ma, Daqing AU - Ma D LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20140429 PL - United States TA - Int J Cancer JT - International journal of cancer JID - 0042124 RN - 0 (Antineoplastic Agents) RN - 0 (Hypoxia-Inducible Factor 1) SB - IM MH - Antineoplastic Agents/pharmacology MH - Gene Expression Regulation, Neoplastic MH - Humans MH - Hypoxia-Inducible Factor 1/antagonists & inhibitors/*metabolism MH - Neoplasm Metastasis MH - Neoplasms/metabolism/*pathology OTO - NOTNLM OT - HIF-1 OT - cancer metastasis OT - cancer therapy EDAT- 2014/04/15 06:00 MHDA- 2015/06/03 06:00 CRDT- 2014/04/15 06:00 PHST- 2013/11/08 00:00 [received] PHST- 2014/03/07 00:00 [revised] PHST- 2014/04/03 00:00 [accepted] PHST- 2014/04/15 06:00 [entrez] PHST- 2014/04/15 06:00 [pubmed] PHST- 2015/06/03 06:00 [medline] AID - 10.1002/ijc.28889 [doi] PST - ppublish SO - Int J Cancer. 2015 Jun 1;136(11):2491-503. doi: 10.1002/ijc.28889. Epub 2014 Apr 29.