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Updated: Feb 6, 2026

Induction and Testing of Hypoxia in Cell Culture
Published on: August 12, 2011
Cancer cell adaptation to hypoxia involves a HIF-GPRC5A-YAP axis
Alexander Greenhough1,2, Clare Bagley3, Kate J Heesom4
1Cancer Research UK Colorectal Tumour Biology Group, School of Cellular & Molecular Medicine, Faculty of Life Sciences University of Bristol, Bristol, UK a.greenhough@bristol.ac.uk k.t.a.malik@bristol.ac.uk ann.c.williams@bristol.ac.uk.
Abstract:
Hypoxia is a hallmark of solid tumours and a key physiological feature distinguishing cancer from normal tissue. However, a major challenge remains in identifying tractable molecular targets that hypoxic cancer cells depend on for survival. Here, we used SILAC-based proteomics to identify the orphan G protein-coupled receptor GPRC5A as a novel hypoxia-induced protein that functions to protect cancer cells from apoptosis during oxygen deprivation. Using genetic approaches in vitro and in vivo, we reveal HIFs as direct activators of GPRC5A transcription. Furthermore, we find that GPRC5A is upregulated in the colonic epithelium of patients with mesenteric ischaemia, and in colorectal cancers high GPRC5A correlates with hypoxia gene signatures and poor clinical outcomes. Mechanistically, we show that GPRC5A enables hypoxic cell survival by activating the Hippo pathway effector YAP and its anti-apoptotic target gene BCL2L1 Importantly, we show that the apoptosis induced by GPRC5A depletion in hypoxia can be rescued by constitutively active YAP. Our study identifies a novel HIF-GPRC5A-YAP axis as a critical mediator of the hypoxia-induced adaptive response and a potential target for cancer therapy.
Insights
Researchers identified GPRC5A as a novel protein protecting cancer cells from death during hypoxia. This discovery reveals a new therapeutic target, the HIF-GPRC5A-YAP pathway, crucial for cancer survival under low oxygen conditions.
Area of Science:
- Oncology
- Molecular Biology
- Cell Biology
Background:
- Hypoxia, or low oxygen, is characteristic of solid tumors and essential for cancer cell survival.
- Identifying molecular targets that hypoxic cancer cells rely on is a significant challenge in cancer research.
Purpose of the Study:
- To identify novel hypoxia-induced proteins crucial for cancer cell survival.
- To elucidate the molecular mechanisms by which these proteins promote cancer cell adaptation to hypoxia.
Main Methods:
- Utilized SILAC-based proteomics to discover hypoxia-induced proteins.
- Employed genetic approaches in vitro and in vivo to study gene regulation and function.
- Analyzed patient data for correlations between gene expression, clinical outcomes, and hypoxia signatures.
Main Results:
- Identified G protein-coupled receptor GPRC5A as a novel hypoxia-induced protein that protects cancer cells from apoptosis.
- Demonstrated that Hypoxia-Inducible Factors (HIFs) directly activate GPRC5A transcription.
- Found GPRC5A upregulation in mesenteric ischemia and its correlation with poor outcomes in colorectal cancers.
- Showed GPRC5A promotes hypoxic cell survival by activating the Hippo pathway effector YAP and its target BCL2L1.
- Confirmed that constitutively active YAP can rescue apoptosis induced by GPRC5A depletion in hypoxia.
Conclusions:
- Identified a novel HIF-GPRC5A-YAP signaling axis critical for the adaptive response to hypoxia in cancer.
- GPRC5A plays a key role in mediating cancer cell survival under hypoxic conditions.
- The HIF-GPRC5A-YAP axis represents a potential therapeutic target for treating hypoxic tumors.
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