PMID- 38424190 OWN - NLM STAT- MEDLINE DCOM- 20240403 LR - 20240405 IS - 2092-6413 (Electronic) IS - 1226-3613 (Print) IS - 1226-3613 (Linking) VI - 56 IP - 3 DP - 2024 Mar TI - Hypoxia, oxidative stress, and the interplay of HIFs and NRF2 signaling in cancer. PG - 501-514 LID - 10.1038/s12276-024-01180-8 [doi] AB - Oxygen is crucial for life and acts as the final electron acceptor in mitochondrial energy production. Cells adapt to varying oxygen levels through intricate response systems. Hypoxia-inducible factors (HIFs), including HIF-1alpha and HIF-2alpha, orchestrate the cellular hypoxic response, activating genes to increase the oxygen supply and reduce expenditure. Under conditions of excess oxygen and resulting oxidative stress, nuclear factor erythroid 2-related factor 2 (NRF2) activates hundreds of genes for oxidant removal and adaptive cell survival. Hypoxia and oxidative stress are core hallmarks of solid tumors and activated HIFs and NRF2 play pivotal roles in tumor growth and progression. The complex interplay between hypoxia and oxidative stress within the tumor microenvironment adds another layer of intricacy to the HIF and NRF2 signaling systems. This review aimed to elucidate the dynamic changes and functions of the HIF and NRF2 signaling pathways in response to conditions of hypoxia and oxidative stress, emphasizing their implications within the tumor milieu. Additionally, this review explored the elaborate interplay between HIFs and NRF2, providing insights into the significance of these interactions for the development of novel cancer treatment strategies. CI - (c) 2024. The Author(s). FAU - Bae, Taegeun AU - Bae T AD - Integrated Research Institute for Pharmaceutical Sciences, The Catholic University of Korea, Bucheon, Gyeonggi‑do, 14662, Republic of Korea. FAU - Hallis, Steffanus Pranoto AU - Hallis SP AD - Department of Pharmacy, Graduate School of The Catholic University of Korea, Bucheon, Gyeonggi‑do, 14662, Republic of Korea. FAU - Kwak, Mi-Kyoung AU - Kwak MK AUID- ORCID: 0000-0001-6254-2516 AD - Integrated Research Institute for Pharmaceutical Sciences, The Catholic University of Korea, Bucheon, Gyeonggi‑do, 14662, Republic of Korea. mkwak@catholic.ac.kr. AD - Department of Pharmacy, Graduate School of The Catholic University of Korea, Bucheon, Gyeonggi‑do, 14662, Republic of Korea. mkwak@catholic.ac.kr. AD - College of Pharmacy, The Catholic University of Korea, Bucheon, Gyeonggi‑do, 14662, Republic of Korea. mkwak@catholic.ac.kr. LA - eng GR - 2022R1A2C2011866/National Research Foundation of Korea (NRF)/ GR - 2018R1A6A1A03025108/National Research Foundation of Korea (NRF)/ PT - Journal Article PT - Review DEP - 20240301 PL - United States TA - Exp Mol Med JT - Experimental & molecular medicine JID - 9607880 RN - 0 (Hypoxia-Inducible Factor 1, alpha Subunit) RN - 0 (NF-E2-Related Factor 2) RN - 0 (NFE2L2 protein, human) RN - S88TT14065 (Oxygen) SB - IM MH - Humans MH - Cell Hypoxia MH - Hypoxia MH - Hypoxia-Inducible Factor 1, alpha Subunit/metabolism MH - *Neoplasms/pathology MH - *NF-E2-Related Factor 2/metabolism MH - Oxidative Stress MH - Oxygen MH - Tumor Microenvironment PMC - PMC10985007 COIS- The authors declare no competing interests. EDAT- 2024/03/01 01:27 MHDA- 2024/04/03 06:44 PMCR- 2024/03/01 CRDT- 2024/02/29 23:24 PHST- 2023/11/14 00:00 [received] PHST- 2023/12/13 00:00 [accepted] PHST- 2023/12/12 00:00 [revised] PHST- 2024/04/03 06:44 [medline] PHST- 2024/03/01 01:27 [pubmed] PHST- 2024/02/29 23:24 [entrez] PHST- 2024/03/01 00:00 [pmc-release] AID - 10.1038/s12276-024-01180-8 [pii] AID - 1180 [pii] AID - 10.1038/s12276-024-01180-8 [doi] PST - ppublish SO - Exp Mol Med. 2024 Mar;56(3):501-514. doi: 10.1038/s12276-024-01180-8. Epub 2024 Mar 1.