“…[8][9][10][11] It is well known that a normoxic HIF1 accumulation can be induced by growth factor stimulation (e.g., insulin or EGF), which induces proliferation and modified cell metabolism. 5,6,12 Nevertheless, the growth factor-induced normoxic accumulation of HIF1/HIF1α is not caused by a direct response to oxygen deprivation. Rather the application of insulin can increase the local concentration of intracellular oxygen in a tumor cell.…”