Review
Nature Reviews Cancer 8, 425-437 (June 2008) | doi:10.1038/nrc2397
There is a Corrigendum (1 August 2008) associated with this article.
Article series: Hypoxia and metabolism
Cycling hypoxia and free radicals regulate angiogenesis and radiotherapy response
Mark W. Dewhirst1, Yiting Cao1 & Benjamin Moeller1 About the authors
Abstract
Hypoxia and free radicals, such as reactive oxygen and nitrogen species, can alter the function and/or activity of the transcription factor hypoxia-inducible factor 1 (HIF1). Interplay between free radicals, hypoxia and HIF1 activity is complex and can influence the earliest stages of tumour development. The hypoxic environment of tumours is heterogeneous, both spatially and temporally, and can change in response to cytotoxic therapy. Free radicals created by hypoxia, hypoxia–reoxygenation cycling and immune cell infiltration after cytotoxic therapy strongly influence HIF1 activity. HIF1 can then promote endothelial and tumour cell survival. As discussed here, a constant theme emerges: inhibition of HIF1 activity will have therapeutic benefit.
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Author affiliations
- Department of Radiation Oncology, Duke University Medical Center, Durham, North Carolina 27710, USA.
Correspondence to: Mark W. Dewhirst1 Email: dewhi001@mc.duke.edu
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