Purpose: Hypoxia-inducible factor-a (HIF-a) is a transcription factor that regulates the response to hypoxia. HIF-a protein is found at high levels in many cancers, and the redox protein thioredoxin-1 (Trx-1) increases both aerobic and hypoxia-induced HIF-a. Therefore, Trx-1 and HIF-a are attractive molecular targets for novel cancer therapeutics. Experimental Design: We investigated whether two novel anticancer drugs AJM290 and AW464 (quinols), which inhibit Trx-1function, can inhibit the HIF pathway. Results: Treatment of several cancer cell lines with AJM290 or AW464 prevented the hypoxiainduced increase of vascular endothelial growth factor (VEGF) at subtoxic concentrations. AJM290 and AW464 also decreased VEGF in pVHL mutant renal cell carcinoma cells that constitutively overexpress HIF-a protein. They surprisingly up-regulated HIF-a expression in breast cancer cell lines in normoxia and hypoxia as well as in pVHL mutant cells. In the MDA-MB-468 breast cancer cell line, the compounds inhibited RNA and protein expression of the HIF-a target genes, carbonic anhydrase IX, VEGF, and BNIP3, concordantly with HIF-a up-regulation. Both compounds specifically inhibited HIF-a-dependent induction of hypoxia regulatory elementluciferase and HIF-1a hypoxia regulatory element-DNA binding. To analyze the HIF-1a domain inhibited byAJM290, we transfected cells with plasmids expressing a fusion protein of Gal linked to HIF-1a or HIF-1a COOH-terminal transactivation domain (CAD) with a Gal4-responsive luciferase reporter gene. AJM290 inhibited both the full-length HIF-1aand HIF-1aCAD transcriptional activity. Conclusions: AJM290 and AW464 are inhibitors of HIF-1aCAD transcription activity and DNA binding, but they also inhibit degradation of HIF, in contrast to other Trx inhibitors.