HIF-1α inhibition as a novel mechanism of cardiac glycosides in cancer therapeutics

Document Type

Journal Article

Publication Date

2-1-2009

Journal

Expert Opinion on Investigational Drugs

Volume

18

Issue

2

DOI

10.1517/13543780802683081

Keywords

Cardiac glycosides; Digoxin; HIF-1 inhibition

Abstract

Background: Hypoxia inducible factor 1 (HIF-1α) is a potential valid cancer drug target in humans. Objectives: To search and identify novel inhibitors of HIF-1 from 'old' drugs that were already in clinical use or under clinical trial with known pharmacokinetics. Methods/results: Cell-based screen for inhibitors of HIF-1 transcriptional activity from the Hopkins Drug Library. Cardiac glycosides were the group of drugs showing significant inhibition of HIF-1 synthesis and expression of HIF-1 target genes in cancer cells. In vivo digoxin showed its antitumor activity in tumor xenografts model. Conclusions: HIF-1 is a critical target of digoxin and other cardiac glycosides for their anticancer activity. © 2009 Informa UK Ltd. All rights reserved.

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