Hypoxia-inducible factor-1 (HIF-1) is a
transcription factor that plays a critical role in
tumor growth by increasing resistance to apoptosis and the production of angiogenic factors such as
vascular endothelial growth factor (
VEGF). HIF-1 is a heterodimer comprised of
oxygen-regulated HIF-1alpha and constitutively expressed HIF-1beta subunits. The redox
protein thioredoxin-1 (Trx-1), which is found at high levels in many human
cancers, increases both aerobic and
hypoxia-induced HIF-1alpha
protein in cells leading to increased expression of HIF-regulated genes. We have investigated whether two
cancer drugs that inhibit Trx-1 signaling, PX-12 (1-methylpropyl 2-imidazolyl disulfide) and
pleurotin, decrease HIF-1alpha
protein levels and the expression of downstream target genes. Treatment of MCF-7 human
breast cancer and HT-29 human colon
carcinoma cells with PX-12 and
pleurotin prevented the
hypoxia (1%
oxygen)-induced increase in HIF-1alpha
protein. HIF-1-trans-activating activity,
VEGF formation, and
inducible nitric oxide synthase were also decreased by treatment with PX-12 and
pleurotin under hypoxic conditions. PX-12 and
pleurotin also decreased HIF-1alpha
protein levels and HIF-1 trans-activation in RCC4
renal cell carcinoma cells that constitutively overexpress HIF-1alpha
protein because of loss of the pVHL gene, indicating that HIF-1alpha is inhibited independently of the pVHL pathway. HIF-1alpha and
VEGF protein levels in MCF-7
tumor xenografts in vivo were decreased by PX-12 treatment of mice. The results suggest that inhibition of HIF-1alpha by Trx-1 inhibitors may contribute to the growth inhibitory and antitumor activity of these agents.