Department of Neurosurgery, Chongqing General Hospital, University of Chinese Academy of Sciences, 401147, Chongqing, China.
Chongqing Medical University, 400016, Chongqing, China.
Cell Death Dis. 2021 Mar 24;12(4):312. doi: 10.1038/s41419-021-03598-8.
Previous studies have suggested that hypoxic responses are regulated by hypoxia-inducible factors (HIFs), which in turn promote the malignant progression of glioblastoma (GBM) by inhibiting apoptosis and increasing proliferation; these events lead to a poor prognosis of GBM patients. However, there are still no HIF-targeted therapies for the treatment of GBM. We have conducted series of experiments and discovered that GBM cells exhibit features indicative of malignant progression and are present in a hypoxic environment. Knocking out HIF1α or HIF2α alone resulted in no significant change in cell proliferation and cell cycle progression in response to acute hypoxia, but cells showed inhibition of stemness expression and chemosensitization to temozolomide (TMZ) treatment. However, simultaneously knocking out HIF1α and HIF2α inhibited cell cycle arrest and promoted proliferation with decreased stemness, making GBM cells more sensitive to chemotherapy, which could improve patient prognosis. Thus, HIF1α and HIF2α regulate each other with negative feedback. In addition, HIF1α and HIF2α are upstream regulators of epidermal growth factor (EGF), which controls the malignant development of GBM through the EGFR-PI3K/AKT-mTOR-HIF1α signalling pathway. In brief, the HIF1α/HIF2α-EGF/EGFR-PI3K/AKT-mTOR-HIF1α signalling axis contributes to the growth of GBM through a positive feedback mechanism. Finally, HIF1α and HIF2α regulate Sox2 and Klf4, contributing to stemness expression and inducing cell cycle arrest, thus increasing malignancy in GBM. In summary, HIF1α and HIF2α regulate glioblastoma malignant progression through the EGFR-PI3K/AKT pathway via a positive feedback mechanism under the effects of Sox2 and Klf4, which provides a new tumour development model and strategy for glioblastoma treatment.
先前的研究表明,缺氧反应受缺氧诱导因子(HIFs)调节,HIF 转而通过抑制细胞凋亡和增加增殖来促进胶质母细胞瘤(GBM)的恶性进展;这些事件导致 GBM 患者预后不良。然而,目前仍然没有针对 GBM 的 HIF 靶向治疗方法。我们进行了一系列实验,发现 GBM 细胞表现出恶性进展的特征,并且存在于缺氧环境中。单独敲除 HIF1α 或 HIF2α 对急性缺氧时细胞增殖和细胞周期进展没有显著影响,但细胞表现出干性表达抑制和替莫唑胺(TMZ)治疗的化疗增敏作用。然而,同时敲除 HIF1α 和 HIF2α 抑制细胞周期阻滞并促进增殖,降低干性,使 GBM 细胞对化疗更敏感,从而改善患者预后。因此,HIF1α 和 HIF2α 通过负反馈相互调节。此外,HIF1α 和 HIF2α 是表皮生长因子(EGF)的上游调节剂,通过 EGFR-PI3K/AKT-mTOR-HIF1α 信号通路控制 GBM 的恶性发展。简而言之,HIF1α/HIF2α-EGF/EGFR-PI3K/AKT-mTOR-HIF1α 信号轴通过正反馈机制促进 GBM 的生长。最后,HIF1α 和 HIF2α 调节 Sox2 和 Klf4,促进干性表达并诱导细胞周期阻滞,从而增加 GBM 的恶性程度。总之,HIF1α 和 HIF2α 通过 Sox2 和 Klf4 调节 EGFR-PI3K/AKT 通路,通过正反馈机制调节 GBM 的恶性进展,为 GBM 的治疗提供了新的肿瘤发展模型和策略。
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