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Current Oncology Reports

, 21:6 | Cite as

HIF Inhibitors: Status of Current Clinical Development

  • Jaleh Fallah
  • Brian I. RiniEmail author
Evolving Therapies (RM Bukowski, Section Editor)
Part of the following topical collections:
  1. Topical Collection on Evolving Therapies

Abstract

Purpose of Review

In this review, the importance of the hypoxia inducible factor (HIF) pathway in tumorigenesis and cancer treatment outcomes will be discussed. The outcomes of phase II and III clinical trials of direct HIF inhibitors in the treatment of cancer will be reviewed.

Recent Findings

The HIF signaling pathway is activated by tumor-induced hypoxia or by inactivating mutations of the VHL gene. HIF is a transcription factor which regulates the expression of genes involved in adjusting mechanisms to hypoxia such as angiogenesis or apoptosis as well as tumor growth, invasion, and metastasis. The HIF pathway has a key role in development of resistance to different treatment modalities and higher expression of the HIF molecule is associated with poor prognosis.

Summary

Clinical studies of the HIF inhibitors in patients with advanced/refractory cancers suggest benefit and warrant further studies of the HIF inhibitors either as a single agent or in combination with other therapeutic agents.

Keywords

HIF HIF inhibitor Hypoxia inducible factor Renal cell carcinoma VEGF VHL 

Notes

Compliance with Ethical Standards

Conflict of Interest

The authors declare that they have no conflict of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

References

Papers of particular interest, published recently, have been highlighted as: • Of importance

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Authors and Affiliations

  1. 1.Department of Hematology and Medical OncologyCleveland Clinic Taussig Cancer InstituteClevelandUSA

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