Exp Neurobiol.  2017 Oct;26(5):295-306. 10.5607/en.2017.26.5.295.

Inhibition of HIF1α and PDK Induces Cell Death of Glioblastoma Multiforme

Affiliations
  • 1Department of Neurosurgery, Seoul National University College of Medicine, Seoul 03082, Korea. paeksh@snu.ac.kr
  • 2Smart Healthcare Medical Device Research Center, Samsung Medical Center, Seoul 06351, Korea.
  • 3Cancer Research Institute, Seoul National University College of Medicine, Seoul 03082, Korea.
  • 4Hypoxia Ischemia Disease Institute, Seoul National University College of Medicine, Seoul 03082, Korea.

Abstract

Glioblastoma multiforme (GBM) is the most common and aggressive form of brain tumors. GBMs, like other tumors, rely relatively less on mitochondrial oxidative phosphorylation (OXPHOS) and utilize more aerobic glycolysis, and this metabolic shift becomes augmented under hypoxia. In the present study, we investigated the physiological significance of altered glucose metabolism and hypoxic adaptation in the GBM cell line U251 and two newly established primary GBMs (GBM28 and GBM37). We found that these three GBMs exhibited differential growth rates under hypoxia compared to those under normoxia. Under normoxia, the basal expressions of HIF1α and the glycolysis-associated genes, PDK1, PDK3, and GLUT1, were relatively low in U251 and GBM28, while their basal expressions were high in GBM37. Under hypoxia, the expressions of these genes were enhanced further in all three GBMs. Treatment with dichloroacetate (DCA), an inhibitor of pyruvate dehydrogenase kinase (PDK), induced cell death in GBM28 and GBM37 maintained under normoxia, whereas DCA effects disappeared under hypoxia, suggesting that hypoxic adaptation dominated DCA effects in these GBMs. In contrast, the inhibition of HIF1α with chrysin suppressed the expression of PDK1, PDK3, and GLUT1 and markedly promoted cell death of all GBMs under both normoxia and hypoxia. Interestingly, however, GBMs treated with chrysin under hypoxia still sustained higher viability than those under normoxia, and chrysin and DCA co-treatment was unable to eliminate this hypoxia-dependent resistance. Together, these results suggest that hypoxic adaptation is critical for maintaining viability of GBMs, and targeting hypoxic adaptation can be an important treatment option for GBMs.

Keyword

Glioblastoma; HIF1alpha; hypoxia

MeSH Terms

Anoxia
Brain Neoplasms
Cell Death*
Cell Line
Dichloroacetic Acid
Glioblastoma*
Glucose
Glycolysis
Metabolism
Oxidative Phosphorylation
Oxidoreductases
Phosphotransferases
Pyruvic Acid
Glucose
Oxidoreductases
Phosphotransferases
Pyruvic Acid
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