2014
DOI: 10.2217/fon.14.201
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The Hypoxic Tumor Microenvironment: Driving the Tumorigenesis of Non-Small-Cell Lung Cancer

Abstract: Since the application of molecular biology in cancer biology, lung cancer research has classically focused on molecular drivers of disease. One such pathway, the hypoxic response pathway, is activated by reduced local oxygen concentrations at the tumor site. Hypoxia-driven gene and protein changes enhance epithelial-to-mesenchymal transition, remodel the extracellular matrix, drive drug resistance, support cancer stem cells and aid evasion from immune cells. However, it is not the tumor cells alone which drive… Show more

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Cited by 42 publications
(43 citation statements)
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“…Given this evidence, we argue that hypoxic microenvironment promotes tumor growth in specific lung sites, a conclusion supported by the data that a high-rate intermittent hypoxia mimicking the one experienced by OSAS patients induces melanoma lung metastasis [1]. Other evidence also suggests that hypoxic tumor microenvironment contribute to the tumorigenesis of non-small-cell lung cancer [28]. It should be noted that, no animal or cell models have encompassed the major components of OSAS such as intermittent hypoxia and fragment sleep, and swinging shifts in intrathoracic pressure and episodic hypercapnia [26].…”
Section: Discussionmentioning
confidence: 59%
“…Given this evidence, we argue that hypoxic microenvironment promotes tumor growth in specific lung sites, a conclusion supported by the data that a high-rate intermittent hypoxia mimicking the one experienced by OSAS patients induces melanoma lung metastasis [1]. Other evidence also suggests that hypoxic tumor microenvironment contribute to the tumorigenesis of non-small-cell lung cancer [28]. It should be noted that, no animal or cell models have encompassed the major components of OSAS such as intermittent hypoxia and fragment sleep, and swinging shifts in intrathoracic pressure and episodic hypercapnia [26].…”
Section: Discussionmentioning
confidence: 59%
“…12 PHDs require oxygen for catalytic activity; thus, prolyl hydroxylation of HIF-1α is reduced in low oxygen tension, allowing HIF-1α to escape pVHL-mediated degradation and then accumulate in the nucleus. 12,13 Elevated levels of HIF-1α drive the expression of common target genes, characterized by a consensus hypoxia-responsive element, which is involved in cell growth, proliferation, migration and cancer vascularization. 7,14 Increase of HIF-1α and hypoxia-related proteins are associated with poor outcome in lung cancer patients.…”
Section: Introductionmentioning
confidence: 99%
“…The physiological response to hypoxia is initiated by the stabilization of the hypoxia-inducible factor-1α (HIF-1α) transcription factor targeting genes containing a hypoxia response element (HRE) (Wenger et al 2005;Lokmic et al 2012;Hong et al 2014;Semenza 2014b). HIF-1α is also important for promoting cancer cell survival through interactions with Myc and Jun, and it is well documented that hypoxia drives tumor angiogenesis (Harris 2002;Laderoute et al 2002;Nelson et al 2004;Dang et al 2008;Rankin and Giaccia 2008;Li et al 2009;Foster et al 2014). HIF-1α directly stimulates the transcription of vascular endothelial growth factor (VEGF).…”
Section: Introductionmentioning
confidence: 99%