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HIF-dependent antitumorigenic effect of antioxidants in vivo
Ping Gao1, Huafeng Zhang, Ramani Dinavahi
1Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD 21205, USA.
Abstract:
The antitumorigenic activity of antioxidants has been presumed to arise from their ability to squelch DNA damage and genomic instability mediated by reactive oxygen species (ROS). Here, we report that antioxidants inhibited three tumorigenic models in vivo. Inhibition of a MYC-dependent human B lymphoma model was unassociated with genomic instability but was linked to diminished hypoxia-inducible factor (HIF)-1 levels in a prolyl hydroxylase 2 and von Hippel-Lindau protein-dependent manner. Ectopic expression of an oxygen-independent, stabilized HIF-1 mutant rescued lymphoma xenografts from inhibition by two antioxidants: N-acetylcysteine and vitamin C. These findings challenge the paradigm that antioxidants diminish tumorigenesis primarily through decreasing DNA damage and mutations and provide significant support for a key antitumorigenic effect of diminishing HIF levels.
Insights
Antioxidants inhibit cancer by reducing hypoxia-inducible factor (HIF) levels, not primarily by preventing DNA damage. This challenges the traditional view of antioxidant antitumorigenic mechanisms.
Area of Science:
- Oncology
- Molecular Biology
- Biochemistry
Background:
- Antioxidants are believed to prevent cancer by protecting DNA from reactive oxygen species (ROS) and genomic instability.
- The precise mechanisms underlying the antitumorigenic effects of antioxidants are still under investigation.
Purpose of the Study:
- To investigate the antitumorigenic mechanisms of antioxidants beyond their ROS-scavenging activity.
- To explore the role of hypoxia-inducible factor (HIF) in antioxidant-mediated cancer inhibition.
Main Methods:
- Tested the in vivo efficacy of antioxidants in three distinct tumorigenic models.
- Investigated the association between antioxidant treatment, genomic instability, and HIF-1 levels in a MYC-dependent B lymphoma model.
- Utilized ectopic expression of a stabilized HIF-1 mutant to assess its impact on antioxidant efficacy.
Main Results:
- Antioxidants demonstrated significant antitumorigenic activity across all three tested models.
- Inhibition of B lymphoma xenografts by antioxidants was not linked to reduced genomic instability.
- Antioxidant treatment led to diminished hypoxia-inducible factor (HIF)-1 levels in a manner dependent on prolyl hydroxylase 2 and von Hippel-Lindau protein.
- Restoring HIF-1 levels via a stabilized mutant rescued lymphoma xenografts from antioxidant-induced inhibition.
Conclusions:
- The study challenges the established paradigm that antioxidants primarily exert antitumorigenic effects by reducing DNA damage.
- Diminishing hypoxia-inducible factor (HIF) levels represents a key mechanism through which antioxidants inhibit tumorigenesis.
- These findings highlight a novel therapeutic avenue involving HIF modulation for cancer treatment.
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