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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">kjpp</journal-id>
<journal-title-group>
<journal-title>The Korean Journal of Physiology &#x0026; Pharmacology</journal-title>
<abbrev-journal-title>Korean J Physiol Pharmacol</abbrev-journal-title>
</journal-title-group>
<issn pub-type="ppub">1226-4512</issn>
<issn pub-type="epub">2093-3827</issn>
<publisher>
<publisher-name>Korean J Physiol Pharmacol</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.4196/kjpp.2010.14.5.331</article-id>
<article-id pub-id-type="publisher-id">kjpp-14-331</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Original Article</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>CaMKII Inhibitor KN-62 Blunts Tumor Response to Hypoxia by Inhibiting HIF-1<italic>&#x03B1;</italic> in Hepatoma Cells</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name name-style="western" xml:lang="en"><surname>Lee</surname><given-names>Kyoung-Hwa</given-names></name>
<xref ref-type="aff" rid="aff01-kjpp-14-331"/>
<xref ref-type="corresp" rid="c1-kjpp-14-331"/>
</contrib>
<aff id="aff01-kjpp-14-331">Department of Physiology, Ischemic/Hypoxic Disease Institute, Seoul National University College of Medicine, Seoul 110-799, <country>Korea</country></aff>
</contrib-group>
<author-notes>
<corresp id="c1-kjpp-14-331">Corresponding to: Kyoung-Hwa Lee, Department of Physiology, Ischemic/Hypoxic Disease Institute, Seoul National University College of Medicine, 28, Yongon-dong, Chongno-gu, Seoul 110-799, Korea. (Tel) 82-2-3668-7632, (Fax) 82-2-745-7996, (E-mail) <email>lee12042@snu.ac.kr</email></corresp>
</author-notes>
<pub-date pub-type="ppub"><month>02</month><year>2010</year></pub-date>
<pub-date pub-type="epub"><day>18</day><month>02</month><year>2010</year></pub-date>
<volume>14</volume>
<issue>5</issue>
<fpage>331</fpage>
<lpage>336</lpage>
<history>
<date date-type="received"><day>27</day><month>09</month><year>2010</year></date>
<date date-type="rev-recd"><day>08</day><month>10</month><year>2010</year></date>
<date date-type="accepted"><day>18</day><month>10</month><year>2010</year></date>
</history>
<permissions>
<copyright-statement>Copyright &#x00A9; 2010 Korean J Physiol Pharmacol</copyright-statement>
<copyright-year>2010</copyright-year>
<license><license-p>This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by-nc/3.0">http://creativecommons.org/licenses/by-nc/3.0</ext-link>) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p></license>
</permissions>
<abstract xml:lang="en">
<title>Abstract</title>
<p>In rapidly growing tumors, hypoxia commonly develops due to the imbalance between O<sub>2</sub> consumption and supply. Hypoxia Inducible Factor (HIF)-1<italic>&#x03B1;</italic> is a transcription factor responsible for tumor growth and angiogenesis in the hypoxic microenvironment; thus, its inhibition is regarded as a promising strategy for cancer therapy. Given that CamKII or PARP inhibitors are emerging anticancer agents, we investigated if they have the potential to be developed as new HIF-1<italic>&#x03B1;</italic>-targeting drugs. When treating various cancer cells with the inhibitors, we found that a CamKII inhibitor, KN-62, effectively suppressed HIF-1<italic>&#x03B1;</italic> specifically in hepatoma cells. To examine the effect of KN-62 on HIF-1<italic>&#x03B1;</italic>-driven gene expression, we analyzed the EPO-enhancer reporter activity and mRNA levels of HIF-1<italic>&#x03B1;</italic> downstream genes, such as EPO, LOX and CA9. Both the reporter activity and the mRNA expression were repressed by KN-62. We also found that KN-62 suppressed HIF-1<italic>&#x03B1;</italic> by impairing synthesis of HIF-1<italic>&#x03B1;</italic> protein. Based on these results, we propose that KN-62 is a candidate as a HIF-1<italic>&#x03B1;</italic>-targeting anticancer agent.</p>
</abstract>
<kwd-group xml:lang="en">
<kwd>CaMKII</kwd>
<kwd>HIF1-<italic>&#x03B1;</italic></kwd>
<kwd>Hepatocellular carcinoma</kwd>
<kwd>Hypoxia</kwd>
<kwd>KN-62</kwd>
</kwd-group>
</article-meta>
</front>
<back>
<ref-list xml:lang="en">
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<sec sec-type="display-objects">
<title>Figures and Tables</title>
<fig id="f1-kjpp-14-331" position="float">
<label>Fig. 1.</label>
<caption xml:lang="en"><p>HIF-1<italic>&#x03B1;</italic> protein level is regulated by CamKII inhibitor KN-62 in Hepatoma cell lines. (A) Hep3B and HepG2 cells were pre-treated with 0, 1, 2, or 5 <italic>&#x03BC;</italic>M KN-62 and incubated with 1&#x0025; O2 hypoxia for 8 hr. Western blot analysis was done with anti-HIF-1<italic>&#x03B1;</italic> and anti-<italic>&#x03B2;</italic>-Tubulin antibodies. (B) Western blot analysis of HIF-1<italic>&#x03B1;</italic> and <italic>&#x03B2;</italic>-Tubulin in Hep3B cell line before (N) and after (H) 8 hr incubation in 1&#x0025; O<sub>2</sub> in the presence of 2 <italic>&#x03BC;</italic>M and 5 <italic>&#x03BC;</italic>M KN-62, 100 <italic>&#x03BC;</italic>M and 500 <italic>&#x03BC;</italic>M 3-AB, or 10 <italic>&#x03BC;</italic>M and 30 <italic>&#x03BC;</italic>M DPQ. (C) MCF7 and SK-N-MC cells were incubated in 1&#x0025; O<sub>2</sub> for 8 hr in the presence of 0, 5, 10, or 15 <italic>&#x03BC;</italic>M KN-62 and western blot analysis was performed with anti-HIF-1<italic>&#x03B1;</italic> and anti-<italic>&#x03B2;</italic>-Tubulin antibodies.</p></caption>
<graphic xlink:href="kjpp-14-331f1.tif"/>
</fig>
<fig id="f2-kjpp-14-331" position="float">
<label>Fig. 2.</label>
<caption xml:lang="en"><p>KN-62 repressed HIF-1<italic>&#x03B1;</italic> activity in Hep3B cell line. Hep3B cells were transiently transfected with an Epo-Luc construct. The cells were treated with increasing concentrations of KN-62 (A), 3AB (B) and DPQ (C) in 21&#x0025; (Normoxia) or 1&#x0025; (Hypoxia) O<sub>2</sub> for 16 h. Luciferase activity is shown as the fold change from the value with 21&#x0025; O<sub>2</sub> and no drug. <sup>&#x2217;</sup>Denotes p&#x003C;0.01 between indicated groups. n.s., not significant.</p></caption>
<graphic xlink:href="kjpp-14-331f2.tif"/>
</fig>
<fig id="f3-kjpp-14-331" position="float">
<label>Fig. 3.</label>
<caption xml:lang="en"><p>The mRNA level of HIF-1<italic>&#x03B1;</italic> downstream gene was decreased in the presence of KN-62 under hypoxia. Quantitative real-time measurement of Epo (A), LOX (B) and CA9 (C) mRNA level was done using total RNA from Hep3B cells treated with 16-hr hypoxia with or without KN-62. 18S signal was used for normalization of signals and values were shown as relative value to normoxia sample. <sup>&#x2217;</sup>Denotes p&#x003C;0.05 between indicated groups.</p></caption>
<graphic xlink:href="kjpp-14-331f3.tif"/>
</fig>
<fig id="f4-kjpp-14-331" position="float">
<label>Fig. 4.</label>
<caption xml:lang="en"><p>The protein level of HIF-1<italic>&#x03B1;</italic> was regulated by synthesis rate. (A) Top: Hep3B cells were treated with 1&#x0025; O<sub>2</sub> for 8 hr with or without KN-62 and re-oxygenated for the indicated time. Western blot signals of HIF-1<italic>&#x03B1;</italic> and <italic>&#x03B2;</italic>-tubulin are detected. Bottom: The HIF-1<italic>&#x03B1;</italic> protein band densities were quantified using the ImageJ program and plotted as a function of time. (B) Top: Western blot signals of HIF-1<italic>&#x03B1;</italic> and <italic>&#x03B2;</italic>-tubulin are detected with Hep3B cell extract treated with MG132 with or without KN-62 for the indicated time. Bottom: The protein band densities were quantified using ImageJ and plotted as a function of time.</p></caption>
<graphic xlink:href="kjpp-14-331f4.tif"/>
</fig>
<fig id="f5-kjpp-14-331" position="float">
<label>Fig. 5.</label>
<caption xml:lang="en"><p>HIF-1<italic>&#x03B1;</italic> protein translation was decreased by KN-62 treatment via inhibition of Akt signaling. (A) The reporter activity of Tk/HIF-1<italic>&#x03B1;</italic>-5&#x2032;-UTR Luciferase in Hep3B cells treated with Normoxia, Hypoxia or Hypoxia with KN-62 was analyzed. Values are shown as the relative value to normoxia sample. (B) The reporter activity of CMV/GFP-5&#x0027;UTR-Luciferase in Hep3B cells treated with Normoxia, Hypoxia or Hypoxia with KN-62 was analyzed. Values are shown as relative value to normoxia sample. (C) KN-62 inhibits phosphorylation of AKT. After 8-hr incubation under hypoxic conditions with 0, 1, 2, 5, or 10 <italic>&#x03BC;</italic>M KN-62, Hep3B cells were lysed and subjected to Western blotting with anti-phospho S473 Akt antibody, anti-total Akt antibody and anti-<italic>&#x03B2;</italic> tubulin antibody. <sup>&#x2217;</sup>Denotes p&#x003C;0.05 between indicated groups.</p></caption>
<graphic xlink:href="kjpp-14-331f5.tif"/>
</fig>
</sec>
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</article>