PMID- 34381712 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20210813 IS - 2234-943X (Print) IS - 2234-943X (Electronic) IS - 2234-943X (Linking) VI - 11 DP - 2021 TI - SIRT1/PGC-1alpha/PPAR-gamma Correlate With Hypoxia-Induced Chemoresistance in Non-Small Cell Lung Cancer. PG - 682762 LID - 10.3389/fonc.2021.682762 [doi] LID - 682762 AB - Resistance is the major cause of treatment failure and disease progression in non-small cell lung cancer (NSCLC). There is evidence that hypoxia is a key microenvironmental stress associated with resistance to cisplatin, epidermal growth factor receptor (EGFR) tyrosine kinase inhibitors (TKIs), and immunotherapy in solid NSCLCs. Numerous studies have contributed to delineating the mechanisms underlying drug resistance in NSCLC; nevertheless, the mechanisms involved in the resistance associated with hypoxia-induced molecular metabolic adaptations in the microenvironment of NSCLC remain unclear. Studies have highlighted the importance of posttranslational regulation of molecular mediators in the control of mitochondrial function in response to hypoxia-induced metabolic adaptations. Hypoxia can upregulate the expression of sirtuin 1 (SIRT1) in a hypoxia-inducible factor (HIF)-dependent manner. SIRT1 is a stress-dependent metabolic sensor that can deacetylate some key transcriptional factors in both metabolism dependent and independent metabolic pathways such as HIF-1alpha, peroxisome proliferator-activated receptor gamma (PPAR-gamma), and PPAR-gamma coactivator 1-alpha (PGC-1alpha) to affect mitochondrial function and biogenesis, which has a role in hypoxia-induced chemoresistance in NSCLC. Moreover, SIRT1 and HIF-1alpha can regulate both innate and adaptive immune responses through metabolism-dependent and -independent ways. The objective of this review is to delineate a possible SIRT1/PGC-1alpha/PPAR-gamma signaling-related molecular metabolic mechanism underlying hypoxia-induced chemotherapy resistance in the NSCLC microenvironment. Targeting hypoxia-related metabolic adaptation may be an attractive therapeutic strategy for overcoming chemoresistance in NSCLC. CI - Copyright (c) 2021 Xu, Luo, Ye, Li, Liu, Du and Zhai. FAU - Xu, Rui AU - Xu R AD - Department of Pharmacy, Fudan University Shanghai Cancer Center, Minhang Branch, Shanghai, China. FAU - Luo, Xin AU - Luo X AD - Department of Pharmacy, Fudan University Shanghai Cancer Center, Shanghai, China. AD - Department of Oncology, Shanghai Medical College, Fudan University, Shanghai, China. FAU - Ye, Xuan AU - Ye X AD - Department of Pharmacy, Fudan University Shanghai Cancer Center, Shanghai, China. AD - Department of Oncology, Shanghai Medical College, Fudan University, Shanghai, China. FAU - Li, Huan AU - Li H AD - Department of Pharmacy, Fudan University Shanghai Cancer Center, Shanghai, China. AD - Department of Oncology, Shanghai Medical College, Fudan University, Shanghai, China. FAU - Liu, Hongyue AU - Liu H AD - Department of Pharmacy, Fudan University Shanghai Cancer Center, Shanghai, China. AD - Department of Oncology, Shanghai Medical College, Fudan University, Shanghai, China. FAU - Du, Qiong AU - Du Q AD - Department of Pharmacy, Fudan University Shanghai Cancer Center, Minhang Branch, Shanghai, China. AD - Department of Pharmacy, Fudan University Shanghai Cancer Center, Shanghai, China. AD - Department of Oncology, Shanghai Medical College, Fudan University, Shanghai, China. FAU - Zhai, Qing AU - Zhai Q AD - Department of Pharmacy, Fudan University Shanghai Cancer Center, Minhang Branch, Shanghai, China. AD - Department of Pharmacy, Fudan University Shanghai Cancer Center, Shanghai, China. AD - Department of Oncology, Shanghai Medical College, Fudan University, Shanghai, China. LA - eng PT - Journal Article PT - Review DEP - 20210726 PL - Switzerland TA - Front Oncol JT - Frontiers in oncology JID - 101568867 PMC - PMC8351465 OTO - NOTNLM OT - PGC-1alpha OT - PPAR-gamma OT - SIRT1 OT - chemoresistance OT - non-small cell lung cancer COIS- The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. EDAT- 2021/08/13 06:00 MHDA- 2021/08/13 06:01 PMCR- 2021/01/01 CRDT- 2021/08/12 06:36 PHST- 2021/03/19 00:00 [received] PHST- 2021/06/30 00:00 [accepted] PHST- 2021/08/12 06:36 [entrez] PHST- 2021/08/13 06:00 [pubmed] PHST- 2021/08/13 06:01 [medline] PHST- 2021/01/01 00:00 [pmc-release] AID - 10.3389/fonc.2021.682762 [doi] PST - epublish SO - Front Oncol. 2021 Jul 26;11:682762. doi: 10.3389/fonc.2021.682762. eCollection 2021.