“…In contrast, the potent vasoconstrictive 20-HETE, which has strong mitogenic and angiogenic properties, is increased in tumors of liver, brain, kidney, and ovary with increased expression of CYP4A/4F genes compared to those in normal tissues (Alexanian, Miller, Roman, & Sorokin, 2012). Similarly, increased expression of CYP4A11, CYP4F2, and CYP4F3 isoforms were significantly expressed in pancreatic ductal adenocarcinoma (Gandhi et al, 2013), suggesting that 20-HETE, which increases expression of HIF and its downstream target vascular endothelial growth factor (VEGF), promotes blood vessel sprouting and metastasis by activation of metalloproteinases (MMPs) (Yu et al, 2011). Thus, selective inhibitors of 20-HETE synthesis by CYP4 omega hydroxylase have been demonstrated to reduce proliferation, angiogenesis, and invasion in lung, renal, and brain cancers (Edson & Rettie, 2013).…”