2006
DOI: 10.1158/0008-5472.can-06-2056
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Preconditioning of the Tumor Vasculature and Tumor Cells by Intermittent Hypoxia: Implications for Anticancer Therapies

Abstract: Hypoxia is a common feature in tumors associated with an increased resistance of tumor cells to therapies. In addition to O 2 diffusion-limited hypoxia, another form of tumor hypoxia characterized by fluctuating changes in pO 2 within the disorganized tumor vascular network is described. Here, we postulated that this form of intermittent hypoxia promotes endothelial cell survival, thereby extending the concept of hypoxia-driven resistance to the tumor vasculature. We found that endothelial cell exposure to cyc… Show more

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Cited by 175 publications
(187 citation statements)
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“…Cycling hypoxia has been shown to render tumors more invasive in animal models (10,11). Moreover, cycling hypoxia positively modulates angiogenic processes and radioresistance in the vascular endothelium of tumors (9). We report here that both noninterrupted and cycling hypoxia pretreatment significantly increases cell resistance to ionizing radiation compared with normoxic controls in U87 cells or U87 glioma xenografts.…”
Section: Discussionmentioning
confidence: 70%
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“…Cycling hypoxia has been shown to render tumors more invasive in animal models (10,11). Moreover, cycling hypoxia positively modulates angiogenic processes and radioresistance in the vascular endothelium of tumors (9). We report here that both noninterrupted and cycling hypoxia pretreatment significantly increases cell resistance to ionizing radiation compared with normoxic controls in U87 cells or U87 glioma xenografts.…”
Section: Discussionmentioning
confidence: 70%
“…There is ample evidence to suggest that cycling hypoxia as well as chronic hypoxia play roles in many aspects of tumor development and growth (9)(10)(11). In vitro and in vivo studies have shown that cycling hypoxia can modulate tumor growth, angiogenesis, invasion and metastasis in several tumor models.…”
Section: Introductionmentioning
confidence: 99%
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“…Repeated exposure of endothelial cells to hypoxia and reoxygenation can lead to much greater upregulation of HIF1α than can be achieved by chronic exposure to hypoxia. This effect may be regulated by increased phosphorylation of HIF1α 102,103 . Cycling hypoxia can also be expected to increase levels of free radicals, as a result of hypoxia-reoxygenation injury.…”
Section: Mechanisms Underlying Cycling Hypoxia and Implicationsmentioning
confidence: 99%
“…Functional interference with HIF-1 α in various tumor cells has been shown to result in enhanced cell death upon treatment with chemotherapeutic agents (Ricker et al , 2004 ;Peng et al , 2006 ;Hao et al , 2008 ;Sermeus et al , 2008 ;Flamant et al , 2010 ). However, experimentally increasing HIF-1 α enhanced therapy resistance (Ji et al , 2006 ;Martinive et al , 2006 ). Of note, HIF-1 in germ cells of Ceanorhabditis elegans has recently been reported to antagonize p53-mediated apoptosis due to DNA damage (Sendoel et al , 2010 ).…”
Section: Targeting Hif To Improve Cancer Therapymentioning
confidence: 99%