PMID- 26001024 OWN - NLM STAT- MEDLINE DCOM- 20161213 LR - 20210102 IS - 1804-7521 (Electronic) IS - 1213-8118 (Linking) VI - 159 IP - 2 DP - 2015 Jun TI - Hypoxia-induced chemoresistance in cancer cells: The role of not only HIF-1. PG - 166-77 LID - 10.5507/bp.2015.025 [doi] AB - BACKGROUND: The aim of this review is to provide the information about molecular basis of hypoxia-induced chemoresistance, focusing on the possibility of diagnostic and therapeutic use. RESULTS: Hypoxia is a common feature of tumors and represents an independent prognostic factor in many cancers. It is the result of imbalances in the intake and consumption of oxygen caused by abnormal vessels in the tumor and the rapid proliferation of cancer cells. Hypoxia-induced resistance to cisplatin, doxorubicin, etoposide, melphalan, 5-flouoruracil, gemcitabine, and docetaxel has been reported in a number of experiments. Adaptation of tumor cells to hypoxia has important biological effects. The most studied factor responsible for these effects is hypoxia-inducible factor-1 (HIF-1) that significantly contributes to the aggressiveness and chemoresistance of different tumors. The HIF-1 complex, induced by hypoxia, binds to target genes, thereby increasing the expression of many genes. In addition, the expression of hundreds of genes can be also decreased in response to hypoxia in HIF-1 dependent manner, but without the detection of HIF-1 in these genes' promoters. HIF-1 independent mechanisms for drug resistance in hypoxia have been described, however, they are still rarely reported. The first clinical studies focusing on diagnosis of hypoxia and on inhibition of hypoxia-induced changes in cancer cells are starting to yield results. CONCLUSIONS: The adaptation to hypoxia requires many genetic and biochemical responses that regulate one another. Hypoxia-induced resistance is a very complex field and we still know very little about it. Different approaches to circumvent hypoxia in tumors are under development. FAU - Doktorova, Helena AU - Doktorova H AD - Department of Pediatric Hematology and Oncology, 2nd Faculty of Medicine, Charles University in Prague and University Hospital Motol, Prague, Czech Republic. FAU - Hrabeta, Jan AU - Hrabeta J AD - Department of Pediatric Hematology and Oncology, 2nd Faculty of Medicine, Charles University in Prague and University Hospital Motol, Prague, Czech Republic. FAU - Khalil, Mohamed Ashraf AU - Khalil MA AD - Department of Pediatric Hematology and Oncology, 2nd Faculty of Medicine, Charles University in Prague and University Hospital Motol, Prague, Czech Republic. FAU - Eckschlager, Tomas AU - Eckschlager T AD - Department of Pediatric Hematology and Oncology, 2nd Faculty of Medicine, Charles University in Prague and University Hospital Motol, Prague, Czech Republic. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20150519 PL - Czech Republic TA - Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub JT - Biomedical papers of the Medical Faculty of the University Palacky, Olomouc, Czechoslovakia JID - 101140142 RN - 0 (Hypoxia-Inducible Factor 1, alpha Subunit) RN - 8L70Q75FXE (Adenosine Triphosphate) SB - IM MH - Adenosine Triphosphate/metabolism/physiology MH - Apoptosis/genetics/physiology MH - Drug Resistance, Neoplasm/genetics/*physiology MH - Forecasting MH - Humans MH - Hypoxia-Inducible Factor 1, alpha Subunit/genetics/*physiology MH - Mitochondria/metabolism/physiology MH - Models, Biological MH - Neoplasms/*drug therapy/genetics MH - Neoplastic Stem Cells MH - Tumor Hypoxia/genetics/*physiology OTO - NOTNLM OT - HIF-1 OT - chemoresistance OT - hypoxia OT - hypoxia-induced chemoresistance EDAT- 2015/05/23 06:00 MHDA- 2016/12/15 06:00 CRDT- 2015/05/23 06:00 PHST- 2014/12/22 00:00 [received] PHST- 2015/05/07 00:00 [accepted] PHST- 2015/05/23 06:00 [entrez] PHST- 2015/05/23 06:00 [pubmed] PHST- 2016/12/15 06:00 [medline] AID - 10.5507/bp.2015.025 [doi] PST - ppublish SO - Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub. 2015 Jun;159(2):166-77. doi: 10.5507/bp.2015.025. Epub 2015 May 19.