PMID- 34639040 OWN - NLM STAT- MEDLINE DCOM- 20211028 LR - 20211028 IS - 1422-0067 (Electronic) IS - 1422-0067 (Linking) VI - 22 IP - 19 DP - 2021 Oct 2 TI - Chronic and Cycling Hypoxia: Drivers of Cancer Chronic Inflammation through HIF-1 and NF-kappaB Activation: A Review of the Molecular Mechanisms. LID - 10.3390/ijms221910701 [doi] LID - 10701 AB - Chronic (continuous, non-interrupted) hypoxia and cycling (intermittent, transient) hypoxia are two types of hypoxia occurring in malignant tumors. They are both associated with the activation of hypoxia-inducible factor-1 (HIF-1) and nuclear factor kappaB (NF-kappaB), which induce changes in gene expression. This paper discusses in detail the mechanisms of activation of these two transcription factors in chronic and cycling hypoxia and the crosstalk between both signaling pathways. In particular, it focuses on the importance of reactive oxygen species (ROS), reactive nitrogen species (RNS) together with nitric oxide synthase, acetylation of HIF-1, and the action of MAPK cascades. The paper also discusses the importance of hypoxia in the formation of chronic low-grade inflammation in cancerous tumors. Finally, we discuss the effects of cycling hypoxia on the tumor microenvironment, in particular on the expression of VEGF-A, CCL2/MCP-1, CXCL1/GRO-alpha, CXCL8/IL-8, and COX-2 together with PGE(2). These factors induce angiogenesis and recruit various cells into the tumor niche, including neutrophils and monocytes which, in the tumor, are transformed into tumor-associated neutrophils (TAN) and tumor-associated macrophages (TAM) that participate in tumorigenesis. FAU - Korbecki, Jan AU - Korbecki J AUID- ORCID: 0000-0003-1642-1259 AD - Department of Biochemistry and Medical Chemistry, Pomeranian Medical University in Szczecin, Powstancow Wielkopolskich 72 Av., 70-111 Szczecin, Poland. FAU - Siminska, Donata AU - Siminska D AUID- ORCID: 0000-0001-8517-0364 AD - Department of Biochemistry and Medical Chemistry, Pomeranian Medical University in Szczecin, Powstancow Wielkopolskich 72 Av., 70-111 Szczecin, Poland. FAU - Gassowska-Dobrowolska, Magdalena AU - Gassowska-Dobrowolska M AUID- ORCID: 0000-0001-9777-1378 AD - Department of Cellular Signalling, Mossakowski Medical Research Institute, Polish Academy of Sciences, Pawinskiego 5, 02-106 Warsaw, Poland. FAU - Listos, Joanna AU - Listos J AD - Department of Pharmacology and Pharmacodynamics, Medical University of Lublin, Chodzki 4a St., 20-093 Lublin, Poland. FAU - Gutowska, Izabela AU - Gutowska I AD - Department of Biochemistry and Medical Chemistry, Pomeranian Medical University in Szczecin, Powstancow Wielkopolskich 72 Av., 70-111 Szczecin, Poland. FAU - Chlubek, Dariusz AU - Chlubek D AUID- ORCID: 0000-0003-4497-4395 AD - Department of Biochemistry and Medical Chemistry, Pomeranian Medical University in Szczecin, Powstancow Wielkopolskich 72 Av., 70-111 Szczecin, Poland. FAU - Baranowska-Bosiacka, Irena AU - Baranowska-Bosiacka I AUID- ORCID: 0000-0001-9187-8895 AD - Department of Biochemistry and Medical Chemistry, Pomeranian Medical University in Szczecin, Powstancow Wielkopolskich 72 Av., 70-111 Szczecin, Poland. LA - eng PT - Journal Article PT - Review DEP - 20211002 PL - Switzerland TA - Int J Mol Sci JT - International journal of molecular sciences JID - 101092791 RN - 0 (Biomarkers) RN - 0 (Hypoxia-Inducible Factor 1) RN - 0 (Hypoxia-Inducible Factor 1, alpha Subunit) RN - 0 (Inflammation Mediators) RN - 0 (NF-kappa B) RN - 0 (Reactive Oxygen Species) RN - 31C4KY9ESH (Nitric Oxide) SB - IM MH - Biomarkers MH - Disease Susceptibility MH - Enzyme Activation MH - Humans MH - Hypoxia/genetics/*metabolism MH - Hypoxia-Inducible Factor 1/genetics/*metabolism MH - Hypoxia-Inducible Factor 1, alpha Subunit/metabolism MH - Inflammation/etiology/*metabolism/pathology MH - Inflammation Mediators/metabolism MH - Models, Biological MH - Molecular Targeted Therapy MH - NF-kappa B/*metabolism MH - Neoplasms/drug therapy/etiology/*metabolism/pathology MH - Nitric Oxide/metabolism MH - Oxidation-Reduction MH - Reactive Oxygen Species/metabolism MH - Tumor Microenvironment PMC - PMC8509318 OTO - NOTNLM OT - HIF-1alpha OT - HIF-1beta OT - NF-kappaB OT - cancer OT - cycling hypoxia OT - hypoxia-inducible factor OT - low-grade inflammation OT - tumor COIS- The authors declare no conflict of interest. EDAT- 2021/10/14 06:00 MHDA- 2021/10/29 06:00 PMCR- 2021/10/02 CRDT- 2021/10/13 01:04 PHST- 2021/09/15 00:00 [received] PHST- 2021/09/28 00:00 [revised] PHST- 2021/10/01 00:00 [accepted] PHST- 2021/10/13 01:04 [entrez] PHST- 2021/10/14 06:00 [pubmed] PHST- 2021/10/29 06:00 [medline] PHST- 2021/10/02 00:00 [pmc-release] AID - ijms221910701 [pii] AID - ijms-22-10701 [pii] AID - 10.3390/ijms221910701 [doi] PST - epublish SO - Int J Mol Sci. 2021 Oct 2;22(19):10701. doi: 10.3390/ijms221910701.