Title : COX-2/PGE2 Axis Regulates HIF2α Activity to Promote Hepatocellular Carcinoma Hypoxic Response and Reduce the Sensitivity of Sorafenib Treatment.

Pub. Date : 2018 Jul 1

PMID : 29514844






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1 COX-2/PGE2 Axis Regulates HIF2alpha Activity to Promote Hepatocellular Carcinoma Hypoxic Response and Reduce the Sensitivity of Sorafenib Treatment. Sorafenib mitochondrially encoded cytochrome c oxidase II Homo sapiens
2 We sought to determine whether the COX-2/PGE2 axis is involved in the regulatory mechanisms of HIF2alpha activity and of sorafenib resistance in hypoxic HCC cells.Experimental Design: The cell viability, migration, and invasion abilities were measured to analyze the effects of HIF2alpha on hypoxic HCC cells. Sorafenib mitochondrially encoded cytochrome c oxidase II Homo sapiens
3 Both in vitro and in vivo HCC models were used to determine whether the COX-2/PGE2 axis is a driver of HIF2alpha level and activity, which then reduces the sensitivity of sorafenib treatment in hypoxic HCC cells.Results: Under hypoxic conditions, the COX-2/PGE2 axis effectively stabilized HIF2alpha and increased its level and activity via decreasing von Hippel-Lindau protein (p-VHL) level, and also enhanced HIF2alpha activity by promoting HIF2alpha nuclear translocation via MAPK pathway. Sorafenib mitochondrially encoded cytochrome c oxidase II Homo sapiens
4 Both in vitro and in vivo HCC models were used to determine whether the COX-2/PGE2 axis is a driver of HIF2alpha level and activity, which then reduces the sensitivity of sorafenib treatment in hypoxic HCC cells.Results: Under hypoxic conditions, the COX-2/PGE2 axis effectively stabilized HIF2alpha and increased its level and activity via decreasing von Hippel-Lindau protein (p-VHL) level, and also enhanced HIF2alpha activity by promoting HIF2alpha nuclear translocation via MAPK pathway. Sorafenib mitochondrially encoded cytochrome c oxidase II Homo sapiens
5 More importantly, COX-2-specific inhibitors synergistically enhanced the antitumor activity of sorafenib treatment.Conclusions: Our data obtained demonstrate that the COX/PGE2 axis acts as a regulator of HIF2alpha expression and activity to promote HCC development and reduce sorafenib sensitivity by constitutively activating the TGFalpha/EGFR pathway. Sorafenib mitochondrially encoded cytochrome c oxidase II Homo sapiens
6 More importantly, COX-2-specific inhibitors synergistically enhanced the antitumor activity of sorafenib treatment.Conclusions: Our data obtained demonstrate that the COX/PGE2 axis acts as a regulator of HIF2alpha expression and activity to promote HCC development and reduce sorafenib sensitivity by constitutively activating the TGFalpha/EGFR pathway. Sorafenib mitochondrially encoded cytochrome c oxidase II Homo sapiens
7 This study highlights the potential of COX-2-specific inhibitors for HCC treatment and particularly for enhancing the response to sorafenib treatment. Sorafenib mitochondrially encoded cytochrome c oxidase II Homo sapiens