Citation Information :
Winata IG, Megadhana IW, Widiyanti ES, Lawu AA. Role of Oxygenation Factor Hypoxia-inducible Factor-1α (HIF-1α) as Prognostic Indicators in Cervical Cancer. J South Asian Feder Obs Gynae 2023; 15 (4):490-496.
Objective: This literature aims to know the role of HIF-1a as a prognostic indicator of oxygenation in cervical cancer.
Materials and methods: All references used in this literature review were searched in several databases such as PubMed (Medline), Google Scholar, and ScienceDirect.
Results: Hypoxia can cause damage to cell death because the body's cells are very dependent on the oxygen constant supply to function and survive. Hypoxia inducible factor-1α plays an important role in tumor development through the regulation of gene expression (angiogenesis, cell survival, and drug resistance) especially under hypoxemic conditions such as embryogenesis, cardiovascular disease, and carcinogenesis. High HIF-1α expression can cause a decrease in tumor latency, an increase in blood vessel density, tumor volume, and tumor permeability, and promote tumor growth, while a decrease in HIF-1α activity will cause a decrease in growth progression, vascularization, and energy metabolism.
Conclusion: The use of gene expression induced by hypoxia as a biomarker for tumor hypoxia has been investigated especially HIF-1α, which regulates tumor cell metabolism and metastasis in hypoxic states. The HIF-1α protein also contributes to more progressive tumor growth and it is possible that this effect is synergistic with the human papillomavirus (HPV) oncogene. Several studies have stated a strong relationship between HIF-1α protein and cancer.
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