Inhibition of FXa could be a novel therapeutic target associated with hypoxia-associated tumor behavior?

Ozge Bayrak1, Nazlı Mert2, Yasemin Basbinar2

  • 1Department of Translational Oncology, Institute of Health Sciences, Dokuz Eylul University Health Campus, Balcova, Izmir, Turkey.

Discover Oncology
|November 21, 2025
PubMed
Abstract

Insights

Rivaroxaban, an FXa inhibitor, reduced cancer cell migration and key metabolic markers like HIF1 alpha and LDHA under hypoxia. This suggests FXa inhibition is a potential therapeutic target for colorectal cancer (CRC) treatment.

Area of Science:

  • Oncology
  • Pharmacology
  • Molecular Biology

Background:

  • Factor Xa (FXa) promotes colorectal cancer (CRC) growth and metastasis.
  • FXa plays a crucial role in cancer metabolism, particularly in hypoxic conditions.
  • Investigating FXa inhibition offers a potential therapeutic strategy for CRC.

Purpose of the Study:

  • To investigate the effect of FXa inhibition using rivaroxaban on colorectal cancer cell lines (HCT116 and HT29).
  • To assess the impact of rivaroxaban on tumor metabolism markers under normoxic and hypoxic conditions.
  • To evaluate the potential of rivaroxaban as an anticancer agent.

Main Methods:

  • Colorectal cancer cell lines (HCT116, HT29) were cultured under normoxic and hypoxic conditions.
  • Immunofluorescence was used to measure HIF1 alpha, LDHA, and GLUT1 expression.
  • Cell migration was assessed using wound healing assays and E-cadherin/N-cadherin expression analysis.

Main Results:

  • Hypoxia increased HIF1 alpha and LDHA expression, which decreased with rivaroxaban treatment.
  • Rivaroxaban significantly reduced cancer cell migration under hypoxia.
  • No significant change in GLUT1 expression was observed; rivaroxaban did not affect cell viability.

Conclusions:

  • FXa inhibition with rivaroxaban shows potential as a novel therapeutic strategy for colorectal cancer, especially in hypoxic environments.
  • Rivaroxaban may serve as both an anticoagulant and an anticancer agent for CRC.
  • This study highlights an alternative application for rivaroxaban in cancer therapy.

Related Concept Videos

Regulation of Angiogenesis and Blood Supply01:24

Regulation of Angiogenesis and Blood Supply

Rapidly dividing tumors, embryos, and wounded tissues require more oxygen than usual, lowering the oxygen concentration in the blood. At low oxygen or hypoxic conditions, an oxygen-sensitive transcription factor called the hypoxia-inducible factor 1 or HIF1 is activated. HIF1 is a dimeric protein of alpha (ɑ) and beta (β) subunits.  Under optimal oxygen conditions, HIF1β is present in the nucleus while HIF1ɑ remains in the cytosol. HIF1ɑ is hydroxylated by prolyl...
3.3K
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,...
6.9K
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...
9.8K
Hypoxia01:23

Hypoxia

Hypoxia is a medical condition characterized by an inadequate oxygen supply to body tissues. It typically manifests as a bluish discoloration of the skin and mucosae, especially in fair-skinned individuals, when hemoglobin (Hb) saturation drops below 75%.
Types of Hypoxia
There are four primary types of hypoxia, each resulting from a different cause:
1. Anemic hypoxia: This type occurs due to insufficient oxygen delivery caused by a lack of red blood cells (RBCs) or RBCs with abnormal or...
1.9K
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...
8.6K