Research progress of HIF-1a on immunotherapy outcomes in immune vascular microenvironment

The hypoxia-inducible factor-1α (HIF-1α) plays a key role in facilitating the adaptation of cells to hypoxia, profoundly influencing the immune vascular microenvironment (IVM) and immunotherapy outcomes. HIF-1α-mediated tumor hypoxia drives angiogenesis, immune suppression, and extracellular matrix...

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Main Authors: Shaoyan Shi, Xuehai Ou, Chao Liu, Hao Wen, Jiang Ke
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-02-01
Series:Frontiers in Immunology
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Online Access:https://www.frontiersin.org/articles/10.3389/fimmu.2025.1549276/full
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author Shaoyan Shi
Xuehai Ou
Chao Liu
Hao Wen
Jiang Ke
author_facet Shaoyan Shi
Xuehai Ou
Chao Liu
Hao Wen
Jiang Ke
author_sort Shaoyan Shi
collection DOAJ
description The hypoxia-inducible factor-1α (HIF-1α) plays a key role in facilitating the adaptation of cells to hypoxia, profoundly influencing the immune vascular microenvironment (IVM) and immunotherapy outcomes. HIF-1α-mediated tumor hypoxia drives angiogenesis, immune suppression, and extracellular matrix remodeling, creating an environment that promotes tumor progression and resistance to immunotherapies. HIF-1α regulates critical pathways, including the expression of vascular endothelial growth factor and immune checkpoint upregulation, leading to tumor-infiltrating lymphocyte dysfunction and recruitment of immunosuppressive cells like regulatory T cells and myeloid-derived suppressor cells. These alterations reduce the efficacy of checkpoint inhibitors and other immunotherapies. Recent studies highlight therapeutic strategies that target HIF-1α, such as the use of pharmacological inhibitors, gene editing techniques, and hypoxia-modulating treatments, which show promise in enhancing responses to immunotherapy. This review explores the molecular mechanisms of action of HIF-1α in IVM, its impact on immunotherapy resistance, as well as potential interventions, emphasizing the need for innovative approaches to circumvent hypoxia-driven immunosuppression in cancer therapy.
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publisher Frontiers Media S.A.
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spelling doaj-art-7689ce1466ed4913be05885ca59347602025-02-06T07:10:26ZengFrontiers Media S.A.Frontiers in Immunology1664-32242025-02-011610.3389/fimmu.2025.15492761549276Research progress of HIF-1a on immunotherapy outcomes in immune vascular microenvironmentShaoyan ShiXuehai OuChao LiuHao WenJiang KeThe hypoxia-inducible factor-1α (HIF-1α) plays a key role in facilitating the adaptation of cells to hypoxia, profoundly influencing the immune vascular microenvironment (IVM) and immunotherapy outcomes. HIF-1α-mediated tumor hypoxia drives angiogenesis, immune suppression, and extracellular matrix remodeling, creating an environment that promotes tumor progression and resistance to immunotherapies. HIF-1α regulates critical pathways, including the expression of vascular endothelial growth factor and immune checkpoint upregulation, leading to tumor-infiltrating lymphocyte dysfunction and recruitment of immunosuppressive cells like regulatory T cells and myeloid-derived suppressor cells. These alterations reduce the efficacy of checkpoint inhibitors and other immunotherapies. Recent studies highlight therapeutic strategies that target HIF-1α, such as the use of pharmacological inhibitors, gene editing techniques, and hypoxia-modulating treatments, which show promise in enhancing responses to immunotherapy. This review explores the molecular mechanisms of action of HIF-1α in IVM, its impact on immunotherapy resistance, as well as potential interventions, emphasizing the need for innovative approaches to circumvent hypoxia-driven immunosuppression in cancer therapy.https://www.frontiersin.org/articles/10.3389/fimmu.2025.1549276/fullHIF-1 αVEGFimmune vascular microenvironmentimmunotherapy resistancepersonalized cancer therapymachine learning HIF-1a
spellingShingle Shaoyan Shi
Xuehai Ou
Chao Liu
Hao Wen
Jiang Ke
Research progress of HIF-1a on immunotherapy outcomes in immune vascular microenvironment
Frontiers in Immunology
HIF-1 α
VEGF
immune vascular microenvironment
immunotherapy resistance
personalized cancer therapy
machine learning HIF-1a
title Research progress of HIF-1a on immunotherapy outcomes in immune vascular microenvironment
title_full Research progress of HIF-1a on immunotherapy outcomes in immune vascular microenvironment
title_fullStr Research progress of HIF-1a on immunotherapy outcomes in immune vascular microenvironment
title_full_unstemmed Research progress of HIF-1a on immunotherapy outcomes in immune vascular microenvironment
title_short Research progress of HIF-1a on immunotherapy outcomes in immune vascular microenvironment
title_sort research progress of hif 1a on immunotherapy outcomes in immune vascular microenvironment
topic HIF-1 α
VEGF
immune vascular microenvironment
immunotherapy resistance
personalized cancer therapy
machine learning HIF-1a
url https://www.frontiersin.org/articles/10.3389/fimmu.2025.1549276/full
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AT haowen researchprogressofhif1aonimmunotherapyoutcomesinimmunevascularmicroenvironment
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