Abstract
Background Hepatocellular carcinoma (HCC) is the 5th most common solid tumor worldwide and 4th leading cause of cancer death. HCC is highly vascular with a strong propensity for invasion. Hypoxia-inducible factor (HIF), a potent inducer of angiogenesis, is an ideal target for anti-angiogenic strategies. HIF transcription factors upregulate hypoxia-responsive genes and are post-translationally controlled by O2-dependent HIF prolyl 4-hydroxylases (PHD). These novel enzymes are highly expressed in liver, a unique organ due to its physiologic O2 gradient. Hypothesis Dysregulation of PHDs leads to HIF over-expression and hypervascularity in HCC. Here we describe a syngeneic rat hepatoma model to study hypoxic regions of tumors. Methods JM1 (↑invasive) or JM2 (↓aggressive) rat hepatoma cells were transplanted into livers of Fisher 344 rats. After 2–4wk of syngeneic engraftment, rats were injected with Hypoxyprobe™ (pimonidazole) hypoxia marker 1hr before harvesting livers. Hypoxia markers were analyzed on tumor and normal adjacent liver (NAL) serial sections. Results JM1 hepatomas, unlike JM2, progressed from single nodules to metastases in 2–4wk. Hypoxyprobe™ consistently identified tumor hypoxia and compressed NAL in hepatomas. Nuclear HIF-1α co-localized to hypoxic regions. Surprisingly, tumors had ↑PHD1–3 with distinct subcellular localization. Conclusion Tissue hypoxia in hepatomas clearly disrupts the liver's physiologic O2 gradient. Preliminary results show differential expression of HIFs and PHDs in NAL vs. tumors. Our syngeneic hepatoma model provides a practical method of tumor cell engraftment and metastasis without immunosuppression. This is a functional in vivo approach to test potential anti-angiogenic regulators of the HIF pathway and to advance our knowledge of HCC pathophysiology. (PHS1T32EB001026/CA35373/CA103958)
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