As cancer develops, it often outstrips its blood supply and receives less oxygen than normal tissue. This low-oxygen environment, called hypoxia, is associated with aggressive tumors of all types that are more likely to progress despite chemotherapy and radiation therapy.
The study, which used colon cancer tissue, found that hypoxia also triggers the silencing of a critical tumor-suppressing gene called MLH1.
The team also identified an enzyme, LSD1 (lysine specific demethylase), associated with MLH1 that could be a target to reverse or block the silencing process. Since LSD1 is an enzyme, it is possible to target it with small molecules to inhibit its activity.
"We've long known that hypoxic tumors are associated with worse prognoses, but the idea that hypoxic tumors could silence genes was an unexpected finding," said senior author Peter M. Glazer, M.D., the Robert H. Hunter Professor and chair of therapeutic radiology, and professor of genetics at Yale School of Medicine. "Now that we know how big a role hypoxia plays, we have a new and clinically-relevant path to explore in terms of circumventing this process. The next step is to determine how hypoxia affects other tumor-suppressing genes."
Other authors were first author Yuhong Lu, and Narendra Wajapeyee of Yale School of Medicine; and Mitchell Turker of Oregon Health & Science University.
This study was supported by the National Institutes of Health (R01ES005775).
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