HIF1 pathway Flashcards

1
Q

What in vitro conditions are used to mimic hypoxic conditions

A

1% oxygen

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2
Q

What is anoxia

A

Severe/complete deprivation of oxygen

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3
Q

In what normal physiological conditions would hypoxia occur

A

Embryonic development, vigorous exercise, high altitude.

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4
Q

In general, what percentage range are cancer tissue oxygen levels found compared to in normal tissues?

A

1-2% (pancreatic is ~0.3%)

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5
Q

What effect does hypoxia have on radiotherapy?

A

Cells experiencing hypoxia are less likely to respond to radiotherapy

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6
Q

Why does hypoxia occur in solid tumours?

A

Rapid proliferation of cells leads to obstruction and compression of blood vessels. Also the vasculature is abnormal so is unable to supply the high demand for oxygen.

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7
Q

What is the distance from vasculature a cell needs to be to experience hypoxic conditions?

A

50 - 80 um

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8
Q

If a cell is 80um from the vasculature, does it experience chronic or acute hypoxia?

A

Chronic

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9
Q

What are HIFs?

A

Hypoxia-induced factors - Transcription factors that regulate transcription of hundreds of genes.

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10
Q

In what structural form do HIFs exist?

A

As heterodimers with an alpha and B subunit

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11
Q

What is the role of the HIF alpha subunit>

A

Sense oxygen levels

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12
Q

How is HIF-1a regulated under normoxic conditions?

A

1) Degredation: PHD proteins hydroxylate proline residues on HIF-1a. Hydroxylation causes pVHL to bind which ubiquitinates the TF, sending it for degredation at the proteosome. (Iron and 2-oxoglutarate are required for PHD activity)
2. Transcriptional deactivation: HIF-1a activity also regulated by factor inhibiting HIF (FIH) FIH hydroxylates HIF-1a at asparagine residues on its C terminus, blocking recruitment of coactivators rendering HIF-1a transcriptionally inactive.

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13
Q

How does HIF-1a regulation change following hypoxia

A

PHD and FIH are actively repressed, permitting HIF-1a protein to translocate to the nucleus and dimerise with HIF-1b. HIF-1a-ARNT heterodimer binds to hypoxia response elements concensus sequences on target genes.

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14
Q

How does HIF-1a expression change in cancer?

A

Upregulated due to hypoxic conditions in the tumour.
Loss of function mutations in VHL so no ubiquitination of HIF.
Inhibition of hydroxylases uninhibits HIF-1 transcription
Inhibition of tumour suppressor gene function
Constitutive activation of Ras-MAPK or PI3K-AKT pathways increase HIF-1a expression

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15
Q

What is commonly mutated in renal cell carcinoma and what is the result of this?

A

90% of tumours have somatic mutations in VHL gene. Germline inactivation is also associated with an increased risk of RCC. As a result HIF-1a cannot be tagged for ubiquitination and is constituitively expressed. Leads to the oversecretion of VEGF and greater vascular density.

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16
Q

How can HIF-1a be targeted in cancer therapy?

A

1) inhibition of HIF-1 dimerisation or coactivator recruitment
2) Inhibition of hypoxia response element transcriptional activity by small molecules
3) Activation of HI1-a protein degradation (PHD activators)
to a lesser extent:
4) Inhibition of signalling pathways upstream of HIF-1 (MAPK, PI3K)
5) Inhibition of chaperone proteins
6) Activation of p53

17
Q

How is hypoxia detected in patients?

A

1) Oxygen tension electrodes
2) Immunohistochemistry markers
3) Gene signatures
4) Imaging

18
Q

What are examples of immunohistochemistry markers of hypoxia>

A

Pimonidazole, EF5, Hypoxia-inducible proteins

19
Q

What three hypoxia-induced proteins could be used for immunohistochemistry?

A

VEGF, CA9, GLUT1

20
Q

How can PET imaging be used to detect hypoxic conditions?

A

Tag nitroimadazole with F18 to use as a PET radiotracer. This can be used in conjunction with FDG to show which nodules revealed by FDG are hypoxic

21
Q

Why does chemotherapy not work as well on hypoxic tissues?

A

Because hypoxic cells tend to be less actively cycling, maybe quiescent, so won’t be targeted by chemo which targets proliferating cells.