Abstract

Clinical resistance is a complex phenomenon in major human cancers involving multifactorial mechanisms, and hypoxia is one of the key components that affect the cellular expression program and lead to therapy resistance. The present study aimed to summarize the role of hypoxia in cancer therapy by regulating the tumor microenvironment (TME) and to highlight the potential of hypoxia-targeted therapy. Relevant published studies were retrieved from PubMed, Web of Science, and Embase using keywords such as hypoxia, cancer therapy, resistance, TME, cancer, apoptosis, DNA damage, autophagy, p53, and other similar terms. Recent studies have shown that hypoxia is associated with poor prognosis in patients by regulating the TME. It confers resistance to conventional therapies through a number of signaling pathways in apoptosis, autophagy, DNA damage, mitochondrial activity, p53, and drug efflux. Hypoxia targeting might be relevant to overcome hypoxia-associated resistance in cancer treatment.

Keywords

Hypoxia (environmental)BiologyTumor microenvironmentCancer researchCancerTumor hypoxiaCancer therapyOncologyInternal medicineTumor cellsRadiation therapyMedicineGenetics

MeSH Terms

AnimalsAntineoplastic Combined Chemotherapy ProtocolsApoptosisAutophagyBiomarkersCell LineTumorDNA DamageDisease ManagementDrug ResistanceNeoplasmGene ExpressionHumansHypoxiaHypoxia-Inducible Factor 1MitochondriaNeoplasmsNeovascularizationPathologicTreatment OutcomeTumor Microenvironment

Affiliated Institutions

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Publication Info

Year
2019
Type
review
Volume
18
Issue
1
Pages
157-157
Citations
1956
Access
Closed

Social Impact

Social media, news, blog, policy document mentions

Citation Metrics

1956
OpenAlex
21
Influential

Cite This

Xinming Jing, Fengming Yang, Chuchu Shao et al. (2019). Role of hypoxia in cancer therapy by regulating the tumor microenvironment. Molecular Cancer , 18 (1) , 157-157. https://doi.org/10.1186/s12943-019-1089-9

Identifiers

DOI
10.1186/s12943-019-1089-9
PMID
31711497
PMCID
PMC6844052

Data Quality

Data completeness: 90%