RT Journal Article SR Electronic T1 SN-38 Overcomes Chemoresistance of Colorectal Cancer Cells Induced by Hypoxia, through HIF1alpha JF Anticancer Research JO Anticancer Res FD International Institute of Anticancer Research SP 865 OP 872 VO 32 IS 3 A1 KOJI MURONO A1 NELSON H. TSUNO A1 KAZUSHIGE KAWAI A1 KAZUHITO SASAKI A1 KUMIKO HONGO A1 MANABU KANEKO A1 MASAYA HIYOSHI A1 NORIKO TADA A1 TAKAKO NIREI A1 EIJI SUNAMI A1 KOKI TAKAHASHI A1 JOJI KITAYAMA YR 2012 UL http://ar.iiarjournals.org/content/32/3/865.abstract AB Background: Cancer cells can acquire resistance to therapy under hypoxic condition. We aimed to investigate the mechanisms regulating chemoresistance induced by hypoxia. Materials and Methods: Human colorectal cancer cells, HT-29 and SW480, were cultured under hypoxic conditions and the sensitivity to 5-fluorouracil (FU), oxaliplatin, and SN-38 (active metabolite of irinotecan) was tested. The cell cycle was evaluated by flow cytometry after staining of cells with propidium iodide (PI). hypoxia-inducible factor 1α (HIF-1α) expression was evaluated by western blot analysis. Results: Hypoxia induced strong G0/G1 cell cycle arrest of cancer cells and abrogated the cytotoxic effects of 5-FU and oxaliplatin, but not that of SN-38. This effect was dependent on the significant inhibition of the accumulation of HIF-1α in cancer cells cultured under hypoxia by SN-38. Neither 5-FU nor oxaliplatin affected HIF-1α expression. Conclusion: SN-38, through inhibition of HIF-1α can overcome chemoresistance under hypoxic conditions of colon cancer cells.