PMID- 25040744 OWN - NLM STAT- MEDLINE DCOM- 20141117 LR - 20211021 IS - 1349-7006 (Electronic) IS - 1347-9032 (Print) IS - 1347-9032 (Linking) VI - 105 IP - 9 DP - 2014 Sep TI - Kruppel-like factor 8 contributes to hypoxia-induced MDR in gastric cancer cells. PG - 1109-15 LID - 10.1111/cas.12483 [doi] AB - We previously reported that hypoxia-induced MDR in gastric cancer (GC) cells is hypoxia-inducible factor-1 (HIF-1)-dependent. However, the exact mechanisms are still unknown. Our previous study revealed that Kruppel-like factor 8 (KLF8), a novel transcription factor, was associated with malignant phenotype in GC cells. KLF8 is overexpressed in clear cell renal carcinoma lacking von Hippel-Lindau protein function, which resulted in HIF-1 stabilization. Given this association, we hypothesized that KLF8 contributed to hypoxia-induced MDR in GC cells. Initial experiments revealed that hypoxia could increase KLF8 and HIF-1alpha expressions in GC cells, and KLF8 levels in GC drug-resistant cell lines were higher than in parental cell lines. Subsequent experiments showed that in normoxia, exogenous KLF8 could promote the MDR phenotype; however, blocking KLF8 expression could effectively reverse the MDR phenotype induced by hypoxia. Overexpressed KLF8 increased resistance-associated gene MDR1 mRNA levels, Bcl-2 and P-gp protein levels, and decreased Bax and caspase-3 protein levels in GC cells, and knockout KLF8 reversed these effects. Dual luciferase reporter and ChIP assays showed that KLF8 could promote MDR1 transcriptional activity by combining with KLF8 binding sites located in the upstream of MDR1 transcriptional start site. These results suggest that KLF8 is involved in hypoxia-induced MDR through inhibiting apoptosis and increasing the drug release rate by directly regulating MDR1 transcription. CI - (c) 2014 The Authors. Cancer Science published by Wiley Publishing Asia Pty Ltd on behalf of Japanese Cancer Association. FAU - Zhang, Hui AU - Zhang H AD - Department of Oncology, Tangdu Hospital, Fourth Military Medical University, Xi'an, China; Department of Tuberculosis Control and Prevention, Xi'an Center for Disease Control and Prevention, Xi'an, China. FAU - Sun, Li AU - Sun L FAU - Xiao, Xiao AU - Xiao X FAU - Xie, Rougang AU - Xie R FAU - Liu, Changhao AU - Liu C FAU - Wang, Yafang AU - Wang Y FAU - Wei, Yanling AU - Wei Y FAU - Zhang, Hongbo AU - Zhang H FAU - Liu, Lili AU - Liu L LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20140908 PL - England TA - Cancer Sci JT - Cancer science JID - 101168776 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 (Antibiotics, Antineoplastic) RN - 0 (Apoptosis Regulatory Proteins) RN - 0 (HIF1A protein, human) RN - 0 (Hypoxia-Inducible Factor 1, alpha Subunit) RN - 0 (KLF8 protein, human) RN - 0 (Kruppel-Like Transcription Factors) RN - 0 (Repressor Proteins) RN - 80168379AG (Doxorubicin) SB - IM MH - ATP Binding Cassette Transporter, Subfamily B MH - ATP Binding Cassette Transporter, Subfamily B, Member 1/*genetics/metabolism MH - Antibiotics, Antineoplastic/pharmacology MH - Apoptosis MH - Apoptosis Regulatory Proteins/genetics/metabolism MH - Cell Hypoxia MH - Cell Line, Tumor MH - Doxorubicin/pharmacology MH - *Drug Resistance, Multiple MH - *Drug Resistance, Neoplasm MH - Gene Expression Regulation, Neoplastic MH - Humans MH - Hypoxia-Inducible Factor 1, alpha Subunit/genetics/metabolism MH - Kruppel-Like Transcription Factors MH - Repressor Proteins/*physiology MH - Stomach Neoplasms MH - Transcription, Genetic MH - Transcriptional Activation PMC - PMC4462403 OTO - NOTNLM OT - Gastric cancer cells OT - Kruppel-like factor 8 OT - hypoxia OT - multidrug resistance OT - normoxia EDAT- 2014/07/22 06:00 MHDA- 2014/11/18 06:00 PMCR- 2014/09/01 CRDT- 2014/07/22 06:00 PHST- 2014/01/09 00:00 [received] PHST- 2014/07/02 00:00 [revised] PHST- 2014/07/04 00:00 [accepted] PHST- 2014/07/22 06:00 [entrez] PHST- 2014/07/22 06:00 [pubmed] PHST- 2014/11/18 06:00 [medline] PHST- 2014/09/01 00:00 [pmc-release] AID - 10.1111/cas.12483 [doi] PST - ppublish SO - Cancer Sci. 2014 Sep;105(9):1109-15. doi: 10.1111/cas.12483. Epub 2014 Sep 8.