Hypoxic resistance is the main obstacle to
radiotherapy for laryngeal
carcinoma. Our previous study indicated that
hypoxia-inducible factor 1α (HIF-1α) and
glucose transporter 1 (Glut-1) double knockout reduced tumour biological behaviour in laryngeal
carcinoma cells. However, their radioresistance mechanism remains unclear. In this study, cell viability was determined by CCK8 assay.
Glucose uptake capability was evaluated by measurement of 18 F-fluorodeoxyglucose radioactivity. A tumour xenograft model was established by
subcutaneous injection of Tu212 cells. Tumour histopathology was determined by haematoxylin and
eosin staining, immunohistochemical staining, and TUNEL assays. Signalling transduction was evaluated by Western blotting. We found that
hypoxia induced radioresistance in Tu212 cells accompanied by increased
glucose uptake capability and activation of the PI3K/Akt/mTOR pathway. Inhibition of PI3K/Akt/mTOR activity abolished
hypoxia-induced radioresistance and
glucose absorption. Mechanistic analysis revealed that
hypoxia promoted higher expressions of HIF-1α and Glut-1. Moreover, the PI3K/Akt/mTOR pathway was a positive mediator of HIF-1α and/or Glut-1 in the presence of irradiation. HIF-1α and/or Glut-1 knockout significantly reduced cell viability,
glucose uptake and PI3K/Akt/mTOR activity, all of which were induced by
hypoxia in the presence of irradiation. In vivo analysis showed that knockout of HIF-1α and/or Glut-1 also inhibited tumour growth by promoting cell apoptosis, more robustly compared with the PI3K inhibitor
wortmannin, particularly in tumours with knockout of both HIF-1α and Glut-1. HIF-1α and/or Glut-1 knockout also abrogated PI3K/Akt/mTOR signalling transduction in tumour tissues, in a manner similar to
wortmannin. HIF-1α and/or Glut-1 knockout facilitated radiosensitivity in laryngeal
carcinoma Tu212 cells by regulation of the PI3K/Akt/mTOR pathway.