Hypoxia-inducible factor 1α modulates interstitial pneumonia-mediated lung cancer progression

Abstract Background The prognosis of patients with lung cancer accompanied by interstitial pneumonia is poorer than that of patients with lung cancer but without interstitial pneumonia. Moreover, the available therapeutic interventions for lung cancer patients with interstitial pneumonia are limited...

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Main Authors: Kiyofumi Shimoji, Taku Nakashima, Takeshi Masuda, Masashi Namba, Shinjiro Sakamoto, Kakuhiro Yamaguchi, Yasushi Horimasu, Takahiro Mimae, Shintaro Miyamoto, Hiroshi Iwamoto, Kazunori Fujitaka, Hironobu Hamada, Morihito Okada, Noboru Hattori
Format: Article
Language:English
Published: BMC 2023-11-01
Series:Journal of Translational Medicine
Subjects:
Online Access:https://doi.org/10.1186/s12967-023-04756-6
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author Kiyofumi Shimoji
Taku Nakashima
Takeshi Masuda
Masashi Namba
Shinjiro Sakamoto
Kakuhiro Yamaguchi
Yasushi Horimasu
Takahiro Mimae
Shintaro Miyamoto
Hiroshi Iwamoto
Kazunori Fujitaka
Hironobu Hamada
Morihito Okada
Noboru Hattori
author_facet Kiyofumi Shimoji
Taku Nakashima
Takeshi Masuda
Masashi Namba
Shinjiro Sakamoto
Kakuhiro Yamaguchi
Yasushi Horimasu
Takahiro Mimae
Shintaro Miyamoto
Hiroshi Iwamoto
Kazunori Fujitaka
Hironobu Hamada
Morihito Okada
Noboru Hattori
author_sort Kiyofumi Shimoji
collection DOAJ
description Abstract Background The prognosis of patients with lung cancer accompanied by interstitial pneumonia is poorer than that of patients with lung cancer but without interstitial pneumonia. Moreover, the available therapeutic interventions for lung cancer patients with interstitial pneumonia are limited. Therefore, a new treatment strategy for these patients is required. The aim of the present study was to investigate the pathophysiological relationship between interstitial pneumonia and lung cancer and explore potential therapeutic agents. Methods A novel hybrid murine model of lung cancer with interstitial pneumonia was established via bleomycin-induced pulmonary fibrosis followed by orthotopic lung cancer cell transplantation into the lungs. Changes in tumor progression, lung fibrosis, RNA expression, cytokine levels, and tumor microenvironment in the lung cancer with interstitial pneumonia model were investigated, and therapeutic agents were examined. Additionally, clinical data and samples from patients with lung cancer accompanied by interstitial pneumonia were analyzed to explore the potential clinical significance of the findings. Results In the lung cancer with interstitial pneumonia model, accelerated tumor growth was observed based on an altered tumor microenvironment. RNA sequencing analysis revealed upregulation of the hypoxia-inducible factor 1 signaling pathway. These findings were consistent with those obtained for human samples. Moreover, we explored whether ascorbic acid could be an alternative treatment for lung cancer with interstitial pneumonia to avoid the disadvantages of hypoxia-inducible factor 1 inhibitors. Ascorbic acid successfully downregulated the hypoxia-inducible factor 1 signaling pathway and inhibited tumor progression and lung fibrosis. Conclusions The hypoxia-inducible factor 1 pathway is critical in lung cancer with interstitial pneumonia and could be a therapeutic target for mitigating interstitial pneumonia-mediated lung cancer progression.
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spelling doaj.art-adb9342598e843a3a3a376c7407dd2412023-12-03T12:34:21ZengBMCJournal of Translational Medicine1479-58762023-11-0121111910.1186/s12967-023-04756-6Hypoxia-inducible factor 1α modulates interstitial pneumonia-mediated lung cancer progressionKiyofumi Shimoji0Taku Nakashima1Takeshi Masuda2Masashi Namba3Shinjiro Sakamoto4Kakuhiro Yamaguchi5Yasushi Horimasu6Takahiro Mimae7Shintaro Miyamoto8Hiroshi Iwamoto9Kazunori Fujitaka10Hironobu Hamada11Morihito Okada12Noboru Hattori13Department of Molecular and Internal Medicine, Graduate School of Biomedical and Health Sciences, Hiroshima UniversityDepartment of Molecular and Internal Medicine, Graduate School of Biomedical and Health Sciences, Hiroshima UniversityDepartment of Molecular and Internal Medicine, Graduate School of Biomedical and Health Sciences, Hiroshima UniversityDepartment of Molecular and Internal Medicine, Graduate School of Biomedical and Health Sciences, Hiroshima UniversityDepartment of Molecular and Internal Medicine, Graduate School of Biomedical and Health Sciences, Hiroshima UniversityDepartment of Molecular and Internal Medicine, Graduate School of Biomedical and Health Sciences, Hiroshima UniversityDepartment of Molecular and Internal Medicine, Graduate School of Biomedical and Health Sciences, Hiroshima UniversityDepartment of Surgical Oncology, Research Institute for Radiation Biology and Medicine, Hiroshima UniversityDepartment of Molecular and Internal Medicine, Graduate School of Biomedical and Health Sciences, Hiroshima UniversityDepartment of Molecular and Internal Medicine, Graduate School of Biomedical and Health Sciences, Hiroshima UniversityDepartment of Molecular and Internal Medicine, Graduate School of Biomedical and Health Sciences, Hiroshima UniversityDepartment of Physical Analysis and Therapeutic Sciences, Graduate School of Biomedical and Health Sciences, Hiroshima UniversityDepartment of Surgical Oncology, Research Institute for Radiation Biology and Medicine, Hiroshima UniversityDepartment of Molecular and Internal Medicine, Graduate School of Biomedical and Health Sciences, Hiroshima UniversityAbstract Background The prognosis of patients with lung cancer accompanied by interstitial pneumonia is poorer than that of patients with lung cancer but without interstitial pneumonia. Moreover, the available therapeutic interventions for lung cancer patients with interstitial pneumonia are limited. Therefore, a new treatment strategy for these patients is required. The aim of the present study was to investigate the pathophysiological relationship between interstitial pneumonia and lung cancer and explore potential therapeutic agents. Methods A novel hybrid murine model of lung cancer with interstitial pneumonia was established via bleomycin-induced pulmonary fibrosis followed by orthotopic lung cancer cell transplantation into the lungs. Changes in tumor progression, lung fibrosis, RNA expression, cytokine levels, and tumor microenvironment in the lung cancer with interstitial pneumonia model were investigated, and therapeutic agents were examined. Additionally, clinical data and samples from patients with lung cancer accompanied by interstitial pneumonia were analyzed to explore the potential clinical significance of the findings. Results In the lung cancer with interstitial pneumonia model, accelerated tumor growth was observed based on an altered tumor microenvironment. RNA sequencing analysis revealed upregulation of the hypoxia-inducible factor 1 signaling pathway. These findings were consistent with those obtained for human samples. Moreover, we explored whether ascorbic acid could be an alternative treatment for lung cancer with interstitial pneumonia to avoid the disadvantages of hypoxia-inducible factor 1 inhibitors. Ascorbic acid successfully downregulated the hypoxia-inducible factor 1 signaling pathway and inhibited tumor progression and lung fibrosis. Conclusions The hypoxia-inducible factor 1 pathway is critical in lung cancer with interstitial pneumonia and could be a therapeutic target for mitigating interstitial pneumonia-mediated lung cancer progression.https://doi.org/10.1186/s12967-023-04756-6Interstitial pneumoniaLung cancerHypoxia-inducible factorAlpha subunitTumor microenvironmentAscorbic acid
spellingShingle Kiyofumi Shimoji
Taku Nakashima
Takeshi Masuda
Masashi Namba
Shinjiro Sakamoto
Kakuhiro Yamaguchi
Yasushi Horimasu
Takahiro Mimae
Shintaro Miyamoto
Hiroshi Iwamoto
Kazunori Fujitaka
Hironobu Hamada
Morihito Okada
Noboru Hattori
Hypoxia-inducible factor 1α modulates interstitial pneumonia-mediated lung cancer progression
Journal of Translational Medicine
Interstitial pneumonia
Lung cancer
Hypoxia-inducible factor
Alpha subunit
Tumor microenvironment
Ascorbic acid
title Hypoxia-inducible factor 1α modulates interstitial pneumonia-mediated lung cancer progression
title_full Hypoxia-inducible factor 1α modulates interstitial pneumonia-mediated lung cancer progression
title_fullStr Hypoxia-inducible factor 1α modulates interstitial pneumonia-mediated lung cancer progression
title_full_unstemmed Hypoxia-inducible factor 1α modulates interstitial pneumonia-mediated lung cancer progression
title_short Hypoxia-inducible factor 1α modulates interstitial pneumonia-mediated lung cancer progression
title_sort hypoxia inducible factor 1α modulates interstitial pneumonia mediated lung cancer progression
topic Interstitial pneumonia
Lung cancer
Hypoxia-inducible factor
Alpha subunit
Tumor microenvironment
Ascorbic acid
url https://doi.org/10.1186/s12967-023-04756-6
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