2016
DOI: 10.1080/15384047.2016.1177679
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HIF-1α inhibition by 2-methoxyestradiol induces cell death via activation of the mitochondrial apoptotic pathway in acute myeloid leukemia

Abstract: The bone marrow microenvironment plays an important role in the development and progression of AML. Leukemia stem cells are in a hypoxic condition, which induces the expression of HIF-1α. Aberrant activation of HIF-1α is implicated in the poor prognosis of patients with acute myeloid leukemia (AML). Herein, we investigated the expression of HIF-1α in AML and tested 2-methoxyestradiol (2ME2) as a candidate HIF-1α inhibitor for the treatment of AML. We found that HIF-1α was overexpressed in AML. HIF-1α suppressi… Show more

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Cited by 40 publications
(39 citation statements)
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“…A synergy was observed between metformin, which inhibits Complex I in mitochondria, and the broad‐spectrum metabolic inhibitor 6‐benzylthioinosine (6‐BT), with reduced glycolysis, ROS suppression and increased apoptosis (Sabnis et al , ). Inhibition of HIF1α by 2‐methoxyestradiol was found to activate the mitochondrial apoptotic pathway in AML (Zhe et al , ). Inhibitors for histone deacetylases as well as protein deacetylase SIRT1 have been evaluated in clinical trials in the US and European Union.…”
Section: Discussionmentioning
confidence: 99%
“…A synergy was observed between metformin, which inhibits Complex I in mitochondria, and the broad‐spectrum metabolic inhibitor 6‐benzylthioinosine (6‐BT), with reduced glycolysis, ROS suppression and increased apoptosis (Sabnis et al , ). Inhibition of HIF1α by 2‐methoxyestradiol was found to activate the mitochondrial apoptotic pathway in AML (Zhe et al , ). Inhibitors for histone deacetylases as well as protein deacetylase SIRT1 have been evaluated in clinical trials in the US and European Union.…”
Section: Discussionmentioning
confidence: 99%
“…The latest reports about the mechanism of action of 2-ME2 offer further insight into the importance of its influence on HIF-1α function, supported by the observations that when 2-ME2 is combined with other conventional chemotherapeutics or radiation therapy, it can increase the anticancer activity of the concomitant agent(s) or that of the irradiation [35][36][37]. Moreover, based on its inhibitory effect on HIF-1α acute myeloid leukemia has also been identified as a possible novel therapeutic target for 2-ME2 [38].…”
Section: -Methoxyestradiolmentioning
confidence: 85%
“…2-ME-mediated mitochondrial apoptotic pathway activation is mediated by reactive oxygen species (ROS) in acute myeloid leukemia cells. 37 Furthermore, Foster et al 38 indicated that 1 µM 2-MeE2bi-sMATE caused loss of mitochondrial membrane potential followed by increased caspase-3 and caspase-7 activation in ovarian carcinoma (A2780), LNCaP and MCF-7 cells.…”
Section: Discussionmentioning
confidence: 99%