J Breast Cancer.  2018 Sep;21(3):259-266. 10.4048/jbc.2018.21.e42.

Hypoxia-Inducible Factor 1α Regulates the Transforming Growth Factor β1/SMAD Family Member 3 Pathway to Promote Breast Cancer Progression

Affiliations
  • 1Department of Physical Examination, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China. liang-ran@outlook.com
  • 2Department of Breast and Thyroid Surgery, Renmin Hospital of Wuhan University, Wuhan, China.

Abstract

PURPOSE
The transforming growth factor β1 (TGF-β1)/SMAD family member 3 (SMAD3) pathway, and hypoxia-inducible factor 1α (HIF-1α) are two key players in various types of malignancies including breast cancer. The TGF-β1/SMAD3 pathway can interact with HIF-1α in some diseases; however, their interaction in breast cancer is still unknown. Therefore, our study aimed to investigate the interactions between the TGF-β1/SMAD3 pathway and HIF-1α in breast cancer.
METHODS
Expression of HIF-1α in serum of breast cancer patients and healthy controls was detected by quantitative reverse transcription polymerase chain reaction, and the diagnostic value of HIF-1α for breast cancer was evaluated by receiver operating characteristic curve analysis. Breast cancer cell lines overexpressing SMAD3 and HIF-1α were established. Cell apoptosis and proliferation following different treatments were detected by 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide, and cell counting kit-8, respectively. Expression of related proteins was detected by western blot.
RESULTS
Serum levels of HIF-1α were higher in breast cancer patients than in normal controls. Both SMAD3 and HIF-1α overexpression inhibited cell apoptosis and promoted cell proliferation. Treatment with inhibitors of HIF-1α and SMAD3 promoted apoptosis in breast cancer cells and inhibited their proliferation. Overexpression of HIF-1α promoted the expression of TGF-β1 and SMAD3, while SMAD3 overexpression did not significantly affect expression of HIF-1α or TGF-β1.
CONCLUSION
HIF-1α serves as an upstream regulator of the TGF-β1/SMAD3 pathway and promotes the growth of breast cancer.

Keyword

Breast neoplasms; Hypoxia-inducible factor 1; Smad3 protein; Transforming growth factor beta1

MeSH Terms

Apoptosis
Blotting, Western
Breast Neoplasms*
Breast*
Cell Count
Cell Line
Cell Proliferation
Humans
Hypoxia-Inducible Factor 1
Polymerase Chain Reaction
Reverse Transcription
ROC Curve
Smad3 Protein
Transforming Growth Factor beta1
Transforming Growth Factors*
Hypoxia-Inducible Factor 1
Smad3 Protein
Transforming Growth Factor beta1
Transforming Growth Factors

Figure

  • Figure 1 Expression of hypoxia-inducible factor 1α (HIF-1α) mRNA in serum of healthy controls and patients with different stages of breast cancer. *p<0.05.

  • Figure 2 Potentials of hypoxia-inducible factor 1α (HIF-1α) mRNA in the diagnosis and prognosis of breast cancer. (A) Diagnostic values of serum HIF-1α mRNA for breast cancer was analyzed by receiver operating characteristic curve analysis. (B) Comparison of survival curves of patients with high and low serum level of HIF-1α mRNA was shown.

  • Figure 3 Effects of hypoxia-inducible factor 1α (HIF-1α) and SMAD family member 3 (SMAD3) on cell proliferation and apoptosis of breast cancer cells. (A, B) Cell proliferation of different cell lines was influenced with different treatment. (C, D) Cell apoptosis of different cell lines was influenced with different treatment. SIS3=SMAD3 inhibitor; C=control; NC=negative control; over=overexpression. *p<0.05.

  • Figure 4 Hypoxia-inducible factor 1α (HIF-1α) is a positive upstream regulator of transforming growth factor β1 (TGF-β1)/SMAD family member 3 (SMAD3) pathway in breast cancer. (A, B) HIF-1α overexpression significantly increased the expression levels of TGF-β 1 and SMAD3 in BT-483 and MCF-7 cell line. (C, D) SMAD3 overexpression showed no significant effects on the expression of HIF-1α or TGF-β 1 in BT-483 and MCF-7 cell line. C=control; NC=negative control; over=overexpression; GAPDH=glyceraldehyde-3-phosphate dehydrogenase. *p<0.05.

  • Figure 5 Effects of hypoxia-inducible factor inhibitor dimethyl-bisphenol A (DBA) on transforming growth factor β1 (TGF-β1) (A) and SMAD family member 3 (SMAD3) (B) expression. C=control; GAPDH=glyceraldehyde-3-phosphate dehydrogenase. *p<0.05.

  • Figure 6 Overexpression of hypoxia-inducible factor 1α (HIF-1α) and the growth of transplanted tumor in mice. (A) Representative tumors collected at 6 week after injection was shown. (B) Tumors were derived from MCF-7 cells (control), MCF-7 cells transfected with empty vector (negative control), and HIF-1α-overexpressing MCF-7 cell lines (overexpression), and the tumor growth rate was recorded and compared. (C) Comparison of tumor weight at week 6 between tumors derived from MCF-7 cells (control), MCF-7 cells transfected with empty vector (negative control), and HIF-1α-overexpressing MCF-7 cell line (overexpression). C=control; NC=negative control; over=overexpression. *p<0.05.


Reference

1. DeSantis CE, Ma J, Goding Sauer A, Newman LA, Jemal A. Breast cancer statistics, 2017, racial disparity in mortality by state. CA Cancer J Clin. 2017; 67:439–448.
Article
2. Ward EM, DeSantis CE, Lin CC, Kramer JL, Jemal A, Kohler B, et al. Cancer statistics: breast cancer in situ. CA Cancer J Clin. 2015; 65:481–495.
Article
3. Daly B, Olopade OI. A perfect storm: how tumor biology, genomics, and health care delivery patterns collide to create a racial survival disparity in breast cancer and proposed interventions for change. CA Cancer J Clin. 2015; 65:221–238.
Article
4. Carroll JS, Hickey TE, Tarulli GA, Williams M, Tilley WD. Deciphering the divergent roles of progestogens in breast cancer. Nat Rev Cancer. 2017; 17:54–64.
Article
5. O'Driscoll L, Clynes M. Biomarkers and multiple drug resistance in breast cancer. Curr Cancer Drug Targets. 2006; 6:365–384.
6. Ellis LM, Hicklin DJ. Resistance to targeted therapies: refining anticancer therapy in the era of molecular oncology. Clin Cancer Res. 2009; 15:7471–7478.
Article
7. Semenza GL. Targeting HIF-1 for cancer therapy. Nat Rev Cancer. 2003; 3:721–732.
Article
8. Bensaad K, Favaro E, Lewis CA, Peck B, Lord S, Collins JM, et al. Fatty acid uptake and lipid storage induced by HIF-1alpha contribute to cell growth and survival after hypoxia-reoxygenation. Cell Rep. 2014; 9:349–365.
Article
9. Blancher C, Moore JW, Talks KL, Houlbrook S, Harris AL. Relationship of hypoxia-inducible factor (HIF)-1alpha and HIF-2alpha expression to vascular endothelial growth factor induction and hypoxia survival in human breast cancer cell lines. Cancer Res. 2000; 60:7106–7113.
10. Xiang L, Gilkes DM, Hu H, Luo W, Bullen JW, Liang H, et al. HIF-1alpha and TAZ serve as reciprocal co-activators in human breast cancer cells. Oncotarget. 2015; 6:11768–11778.
Article
11. Wang J, Ni Z, Duan Z, Wang G, Li F. Altered expression of hypoxia-inducible factor-1alpha (HIF-1alpha) and its regulatory genes in gastric cancer tissues. PLoS One. 2014; 9:e99835.
12. Cho KH, Choi MJ, Jeong KJ, Kim JJ, Hwang MH, Shin SC, et al. A ROS/STAT3/HIF-1 alpha signaling cascade mediates EGF-induced TWIST1 expression and prostate cancer cell invasion. Prostate. 2014; 74:528–536.
Article
13. Nalwoga H, Ahmed L, Arnes JB, Wabinga H, Akslen LA. Strong expression of hypoxia-inducible factor-1alpha (HIF-1alpha) is associated with axl expression and features of aggressive tumors in African breast cancer. PLoS One. 2016; 11:e0146823.
14. Li G, Shan C, Liu L, Zhou T, Zhou J, Hu X, et al. Tanshinone IIA inhibits HIF-1alpha and VEGF expression in breast cancer cells via mTOR/p70S6K/RPS6/4E-BP1 signaling pathway. PLoS One. 2015; 10:e0117440.
15. Pipinikas CP, Carter ND, Corbishley CM, Fenske CD. HIF-1alpha mRNA gene expression levels in improved diagnosis of early stages of prostate cancer. Biomarkers. 2008; 13:680–691.
Article
16. Birner P, Schindl M, Obermair A, Plank C, Breitenecker G, Oberhuber G. Overexpression of hypoxia-inducible factor 1alpha is a marker for an unfavorable prognosis in early-stage invasive cervical cancer. Cancer Res. 2000; 60:4693–4696.
17. Kim SJ, Rabbani ZN, Dewhirst MW, Vujaskovic Z, Vollmer RT, Schreiber EG, et al. Expression of HIF-1alpha, CA IX, VEGF, and MMP-9 in surgically resected non-small cell lung cancer. Lung Cancer. 2005; 49:325–335.
Article
18. Jia ZZ, Jiang GM, Feng YL. Serum HIF-1alpha and VEGF levels pre- and post-TACE in patients with primary liver cancer. Chin Med Sci J. 2011; 26:158–162.
Article
19. He G, Jiang Y, Zhang B, Wu G. The effect of HIF-1alpha on glucose metabolism, growth and apoptosis of pancreatic cancerous cells. Asia Pac J Clin Nutr. 2014; 23:174–180.
20. Chen HS, Bai MH, Zhang T, Li GD, Liu M. Ellagic acid induces cell cycle arrest and apoptosis through TGF-beta/Smad3 signaling pathway in human breast cancer MCF-7 cells. Int J Oncol. 2015; 46:1730–1738.
Article
21. Kushida N, Nomura S, Mimura I, Fujita T, Yamamoto S, Nangaku M, et al. Hypoxia-inducible factor-1alpha activates the transforming growth factor-beta/smad3 pathway in kidney tubular epithelial cells. Am J Nephrol. 2016; 44:276–285.
Article
Full Text Links
  • JBC
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr