Background and ImportanceHigh-grade gliomas (HGGs) are an aggressive group of primary glial brain cancers characterized by rapid, infiltrative growth. The most aggressive of these HGGs, WHO grade 4 astrocytomas, contain spontaneously hypoxic, necrotic, and hemorrhagic tumor domains resulting from rapid proliferation with ineffective neo vascularization. These hypovascularized, tumor regions harbor populations of glioma cells capable of selfrenewal, and tumor regrowth [1] and are resistant to radiation therapy, anti-mitotic agents, and anti-angiogenic therapies [2,3]. These hypoxic cancer cells have been shown to be non-proliferative or minimally proliferative enabling them to survive anti-mitotic drugs, radiation therapy, and anti-angiogenic agents [4]. Conventional therapies and anti-angiogenic therapy has been demonstrated to enrich for 'stem-like' and additional cancer initiating cells, which have been reprogrammed by hypoxicinduced transcription factors, notably HIF2α [5]. Consequently, hypoxic regenerative cancer cells are now recognized as a primary impediment to the successful treatment of highly proliferative cancers due to their roles in resistance, recurrence and metastasis [6,7].