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Cancer Cell Int. 2021 Jan 20;21(1):62. doi: 10.1186/s12935-020-01719-5.

The role of hypoxia in the tumor microenvironment and development of cancer stem cell: a novel approach to developing treatment.

Cancer cell international

Asieh Emami Nejad, Simin Najafgholian, Alireza Rostami, Alireza Sistani, Samaneh Shojaeifar, Mojgan Esparvarinha, Reza Nedaeinia, Shaghayegh Haghjooy Javanmard, Marjan Taherian, Mojtaba Ahmadlou, Rasoul Salehi, Bahman Sadeghi, Mostafa Manian

Affiliations

  1. Department of Biology, Payame Noor University (PNU), P.O.Box 19395-3697, Tehran, Iran.
  2. Department of Emergency Medicine, School of Medicine , Arak University of Medical Sciences, Arak, Iran.
  3. Department of Surgery, School of Medicine Amiralmomenin Hospital, Arak University of Medical Sciences, Arak, Iran.
  4. Department of Emergency Medicine, School of Medicine Valiasr Hospital, Arak University of Medical Sciences, Arak, Iran.
  5. Department of Midwifery, Faculty of Nursing and Midwifery , Arak University of Medical Sciences , Arak, Iran.
  6. Department of Immunology, School of Medicine , Tabriz University of Medical Sciences , Tabriz, Iran.
  7. Pediatric Inherited Diseases Research Center, Research Institute for Primordial Prevention of Non-Communicable Disease , Isfahan University of Medical Sciences , Isfahan, Iran.
  8. Applied Physiology Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences , Isfahan, Iran.
  9. Department of Immunology, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.
  10. Sciences Medical of University Arak, Hospital Amiralmomenin, Center Development Research Clinical, Arak, Iran.
  11. Department of Genetics and Molecular Biology, School of Medicine , Isfahan University of Medical Sciences , Isfahan, Iran.
  12. Department of Health and Community Medicine, School of Medicine, Arak University of Medical Sciences, Arak, 3848176341, Iran. [email protected].
  13. Department of Immunology, School of Medicine, Iran University of Medical Sciences, Tehran, Iran. [email protected].
  14. Department of Medical Laboratory Science, Faculty of Medical Science Kermanshah Branch, Islamic Azad University, Imam Khomeini Campus, Farhikhtegan Bld., Shahid J'afari St., Kermanshah, 3848176341, Iran. [email protected].

PMID: 33472628 PMCID: PMC7816485 DOI: 10.1186/s12935-020-01719-5

Abstract

Hypoxia is a common feature of solid tumors, and develops because of the rapid growth of the tumor that outstrips the oxygen supply, and impaired blood flow due to the formation of abnormal blood vessels supplying the tumor. It has been reported that tumor hypoxia can: activate angiogenesis, thereby enhancing invasiveness and risk of metastasis; increase survival of tumor, as well as suppress anti-tumor immunity and hamper the therapeutic response. Hypoxia mediates these effects by several potential mechanisms: altering gene expression, the activation of oncogenes, inactivation of suppressor genes, reducing genomic stability and clonal selection. We have reviewed the effects of hypoxia on tumor biology and the possible strategiesto manage the hypoxic tumor microenvironment (TME), highlighting the potential use of cancer stem cells in tumor treatment.

Keywords: Cancer progression; Cancer stem cells; Hypoxia; Tumor microenvironment; Tumor treatment

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