Hypoxia-directed drug strategies to target the tumor microenvironment

Michael P Hay1, Kevin O Hicks, Jingli Wang

  • 1Auckland Cancer Society Research Centre, The University of Auckland, 92019, Auckland, 1142, New Zealand, m.hay@auckland.ac.nz.

Insights

Hypoxia, a hallmark of the tumor microenvironment, is being targeted by novel drugs. These hypoxia-directed therapies include radiosensitizers and cytotoxins for improved cancer treatment.

Area of Science:

  • Oncology
  • Pharmacology
  • Biochemistry

Background:

  • Hypoxia is a critical component of the tumor microenvironment.
  • Targeting tumor hypoxia has been a focus of drug discovery for decades.
  • Hypoxia-inducible factors (HIFs) offer new therapeutic targets.

Purpose of the Study:

  • To develop novel hypoxia-directed drugs for cancer therapy.
  • To explore new strategies for targeting tumors using hypoxia.
  • To discuss current projects in hypoxia-directed drug discovery.

Main Methods:

  • Development of novel radiosensitizers for hypofractionated radiotherapy.
  • Creation of a second-generation hypoxia-activated prodrug (benzotriazine di-N-oxide).
  • Design of a hypoxia-inducible factor-1 dependent cytotoxin targeting glucose transport.

Main Results:

  • Multiple hypoxia-directed drug candidates are under development.
  • These candidates target different aspects of the hypoxia response network.
  • The research focuses on selective tumor targeting via hypoxia.

Conclusions:

  • Hypoxia-directed drug discovery offers promising avenues for cancer treatment.
  • Targeting HIFs and related pathways can lead to effective therapies.
  • Advancements in understanding tumor hypoxia are driving new drug development.

Related Concept Videos

Targeted Cancer Therapies02:57

Targeted Cancer Therapies

The targeted cancer therapies, also known as “molecular targeted therapies,” take advantage of the molecular and genetic differences between the cancer cells and the normal cells. It needs a thorough understanding of the cancer cells to develop drugs that can target specific molecular aspects that drive the growth, progression, and spread of cancer cells without affecting the growth and survival of other normal cells in the body.
There are several types of targeted therapies against...
7.1K
Targeted Cancer Therapies02:57

Targeted Cancer Therapies

1.5K
Cancer Therapies02:49

Cancer Therapies

Cancer therapies are various modes of treatment, such as surgery, radiation therapy, and chemotherapy that are administered to cancer patients.
However, cancer treatments can pose several challenges, as therapies used to kill cancer cells are generally also toxic to normal cells. Moreover, cancer cells mutate rapidly and can develop resistance to chemical agents or radiation therapy. Besides, all types of cancer cells may not respond to the same therapy. Some cancer cells respond to one...
8.6K
The Tumor Microenvironment02:17

The Tumor Microenvironment

Every normal cell or tissue is embedded in a complex local environment called stroma, consisting of different cell types, a basal membrane, and blood vessels. As normal cells mutate and develop into cancer cells, their local environment also changes to allow cancer progression. The tumor microenvironment (TME) consists of a complex cellular matrix of stromal cells and the developing tumor. The cross-talk between cancer cells and surrounding stromal cells is critical to disrupt normal tissue...
6.3K
The Tumor Microenvironment02:17

The Tumor Microenvironment

2.7K
Adaptive Mechanisms in Cancer Cells02:53

Adaptive Mechanisms in Cancer Cells

Cancer cells accumulate genetic changes at an abnormally rapid rate due to the defects in the DNA repair mechanisms. From an evolutionary perspective, such genetic instability is advantageous for cancer development. Mutant cell lines accumulate a series of beneficial mutations that contribute to their progression into cancer.
Some of the advantages that cancer cells have on normal cells include - enhanced ability to divide without terminally differentiating, induce new blood vessel formation,...
5.8K