“…In a hypoxic microenvironment, hypoxia-inducible factors (HIFs) are upregulated due to the stabilization of HIF-α subunits and play a vital role in tumor progression including angiogenesis, metabolic reprogramming, invasion, and resistance to radiation therapy or chemotherapy ( 5 ). Hundreds of genes including VEGFA, Glut1, KLF8, ITGβ1 and etc., transcribed by HIFs are reported to promote metastasis and result in poor prognosis of GC ( 6 – 9 ). However, most of these studies are based on acute hypoxia treatment, while the actual condition inside solid tumors is chronic or cycling hypoxia, which deserves greater concern ( 10 , 11 ).…”