22 30 tubulogenesis capacity and hLECs migration were escalated in the 31 hypoxia, the hLECs mainly relied on fatty acid metabolism not aerobic 32 glycolysis during lymphangiogenesis. SEMA3F-deficient CRCs 33 up-regulated PMAKP expression and phosphorylation of hLECs, and 34 activated its peroxisome proliferator-activated receptor (PPARs) and 35 Peroxisome proliferator-activated receptor gamma coactivator-1 alpha 36 (PGC-1a) facilitated their switched toward fatty acids (FA) catabolism. 37Furthermore, we observed that activation of the PGCI-PPAR lipid 38 oxidation signaling pathway in hLECs was caused by the secretion of 39 interleukin-6 by tumor cells.Taken together, this study indicates that 40 CRCs with SEMA3F expression depletion significantly promotes 41 lymphangiogenesis in hypoxia and faciliates the secretion of IL-6 in 42 tumor cell, and activates mitochondria fatty acids oxidation (FAO) 43 reaction in the hLECs by PGCI-PPAR signaling pathways to support its 44 growth. 45 46 acid metabolism; hypoxia 48 49 104 CRCs promotion hLECs lipid metabolism and lymphangiogenesis under 105 hypoxemia.We demonstrated that SEMA3F plays a crucial role in hLECs 106 energy metabolism. CRCs with SEMA3F expression depletion 107 significantly promotes hLECs migration and tubulogenesis capacity in 108 hypoxia, and enhance the lipid metabolism via suppressing aerobic 109 glycolysis of hLECs, and the lipid metabolism to induce the PGCI-PPAR 110 signaling pathway in hLECs. Further evidence demonstrated that CRCs 111 cell with SEMA3F expression depletion up-regulated its IL-6 secretion, 112 to activate the PGCI-PPAR signaling pathway and induces the lipid 113 metabolismin of hLECs in hypoxia. Our findings for the first time 114 revealed a novel role and the underlying mechanism, the CRCs cell with 115 SEMA3F expression deficiency was involved the energy metabolism 116 with hLECs in the hypoxia environment, and induce tumor 117 lymphangiogenesis of CRCs to promote lymphatic metastasis. 118 119 Result 120 1.SEMA 3F-deficient CRCs further enhance lymphangiogenesis 121 under hypoxic conditions 122 In our previous study, loss of SEMA3F expression, the inhibitory ligand 123 of NRP2, critically contributes to CRCs metastasis and 124 lymphangiogenesis in normoxia(Wu et al, 2011; Ou et al, 2015). To 125 examine whether SEMA3F loss expression plays any roles in induce 126 lymphangiogenesis of colorectal cancer cell in hypoxia, We used 127 supernatants of the colorectal adenocarcinoma cell line HCT116 with 128 SEMA3F expression and SEMA3F knockout (SEMA3F KD), to culture 129 hLECs three-dimensionally on matrigel substrate under normoxia and 130 hypoxia to induce tubule formation of hLECs. The tubulogenesis of 131 hLECs was improved in hypoxia than that in normoxia (p < 0.001; Figure 132 1A and B). Strikingly, comparing with control cells, SEMA3F KD groups 133 displayed significantly enhancement of tubulogenesis ability of hLECs 134 under normoxic conditions. Consistent with normoxic conditions 135 culture, SEMA3F KD groups had stronger abili...