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Blood, 15 March 2007, Vol. 109, No. 6, pp. 2565-2570.
Prepublished online as a Blood First Edition Paper on November 16, 2006; DOI 10.1182/blood-2006-06-032664.
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Submitted June 29, 2006
Accepted November 1, 2006
Hypoxia-inducible transcription factor-1alpha determines sensitivity of endothelial cells to the proteosome inhibitor Bortezomib
Lorenzo Veschini, Daniela Belloni, Chiara Foglieni, M. Giulia Cangi, Marina Ferrarini, Federico Caligaris-Cappio, and Elisabetta Ferrero*
IRCCS H San Raffaele, Italy
Vita-Salute San Raffaele University School of Medicine, Italy
* Corresponding author; email: ferrero.elisabetta{at}hsr.it.
Angiogenesis is a complex, orchestrated process that plays a critical role in several conditions and has special relevance in the progression of cancer. Hypoxia is the major stimulus for angiogenesis, and HIF-1 is its key mediator. We set up a novel in vitro model of HIF-1 upregulation by treating HUVEC with the hypoxia mimicking Deferoxamine (DFO) and found that this condition was sufficient to promote angiogenesis, like the well-known HUVEC model cultured under low pO2. The proteasome inhibitor Bortezomib, which induces strong apoptosis in cancer cells, abrogated proliferation and angiogenesis of HUVEC when used at high concentration (100 nM) yet promoted both functions at low dosage (10 nM). This double-edged effect appeared to be mediated by differential effects exerted by the different concentrations of Bortezomib on two master regulators of tumor-associated angiogenesis, HIF-1 and NF-kB. Significantly, when HUVEC were induced to express HIF-1 prior to Bortezomib treatment, proliferative and angiogenic responses were abolished and a greatly enhanced proapoptotic effect was promoted with both concentrations of the drug.
These findings indicate that HIF-1 upregulation may sensitize endothelial cells to the antiangiogenic and proapoptotic effects of Bortezomib and might be exploited to target tumor-associated vessels in the course of antiangiogenic therapies.

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