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Nce to ionizing radiation and antiElsulfavirine site cancer drug therapy by means of the upregulation of DNA-PK in hypoxia tumor cells. Liu et al36 identified that HIF-1 contributed to cisplatin resistance in lung cancer by means of regulation of DNA repair pathway (Table 1). Wrann et al37 and Logsdon et al38 concluded that generally HIF-1 increases the capacity of DNA damage repair through the regulation of DNA repair technique in liver cancer,37 breast cancer,37 osteosarcoma,37 and pancreatic ductal adenocarcinoma cells.38 The majority of molecules in DNA repair pathway are regulated by HIF-1. One example is, HIF-1 mediates the overexpression of PARP-1, XPA, and XPD.39 These 3 proteins could have an impact around the BER process, and Li et al34 identified that BER is linked with resistance to some chemotherapeutic drugs in non-small-cell lung cancer (NSCLC) cells. Moreover, Stover et al32 identified that the activities of ATM, DNA-PK, and H2AX within the DSBs repair pathway are also regulated by HIF-1. Earlier, Wirthner et al40 recommended that an increased number of DSBs occurred in etoposide-treated HIF-1-deficient mouse embryonic fibroblasts (MEFs). When Wirthner et al40 studiedOncoTargets and Therapy 2018:submit your manuscript | dovepress.comDovepressXia et alDovepressthe possible molecular mechanism, markedly lowered protein expression of DNA-PK was discovered in HIF-1-deficient MEFs. This study demonstrated that etoposide remedy in HIF-1-deficient MEFs both lowered the protein expression of DNA-PK and increased the susceptibility to DNA repair (Table 1). Shenoy et al41 showed that HIF-1 enhanced DNA repair by way of upregulating XPA, which results in cisplatin resistance in testicular germ cell tumors (Table 1). Inside a study in regards to the mechanism of chemo-/radioresistance in hepatocellular carcinoma, Jin et al42 (Table 1) demonstrated that HIF-1 inhibited the formation of each radiotherapy-induced DSBs and SSBs. Klein et al43 (Table 1) suggested that the HIF-1activated DNA damage repair pathway also has an emerging role in chemo-/radioresistance in AMIGO2 Inhibitors products gastric cancer. Additionally, Sugrue et al44 suggested that the expressions of each DNA-PK and H2AX have been positively correlated together with the expression of HIF-1 in radiation-treated mouse mesenchymal stromal cells (MSCs) and showed that following knockdown of HIF-1 in MSCs, the MSC’s ability to repair DNA was impaired and that radiation-induced apoptosis in MSCs was elevated. Constant with earlier outcomes, the study of Segrue et al44 suggested that HIF-1 promoted radioresistance in MSCs via enhancing the ability of DNA repair (Table 1). The collective research supported HIF-1 function to market DNA repair and HIF-1’s emerging function in chemo-/radioresistance in a variety of tumor cells.HIF-1-mediated alterations in cellular metabolismReprogramming of energy metabolism is a further hallmark of cancer. Tan et al45 summarized that targeting metabolic pathways may raise sensitivity to either common chemotherapy or radiotherapy. Also, Gatenby and Gillies46 reported that the upregulation of enzymes involved in glycolysis has an emerging function in chemo-/radioresistance in many malignant tumors for example esophageal, gastric, breast, and colorectal malignant tumors. The initial rate-limiting step of glucose metabolism is the transport of glucose across the plasma membrane, and GLUT1 is the transport membrane protein within this procedure. Applying the xenograft model, Liu et al47 demonstrated that the inhibition of GLUT1 improved cisplatin-induced.

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