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DRUG:

PX-478

i
Other names: PX-478, PX478, PX 478
Associations
Company:
Pfizer
Drug class:
HIF-1α inhibitor
Associations
1m
PX-478 induces apoptosis in acute myeloid leukemia under hypoxia by inhibiting the PI3K/AKT/mTOR pathway through downregulation of GBE1. (PubMed, Biochem Pharmacol)
Re-expression of GBE1 in shGBE1 cells alleviated apoptosis and reduced PX-478- induced apoptosis and pathway downregulation. In conclusion, our findings provide convincing evidence that PX-478 induces apoptosis by inhibiting the PI3K/AKT/mTOR pathway through downregulation of GBE1 in AML cells.
Journal • IO biomarker
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BCL2 (B-cell CLL/lymphoma 2) • HIF1A (Hypoxia inducible factor 1, alpha subunit)
|
PX-478
3ms
Fetal hypoxia exposure induced Hif1a activation and autophagy in adult ovary granulosa cells. (PubMed, Biol Reprod)
We then treated GCs isolated from exposed mice with PX-478, a specific pharmacological inhibitor of Hif-1a, and found that autophagy and apoptosis were effectively alleviated. Finally, by using a human ovarian granulosa-like tumor cell line (KGN) to simulate hypoxia in vitro, we showed that Hif1a regulated autophagic cell death in GCs through the Pi3k/Akt pathway. Together, these findings suggest that fetal hypoxia exposure induced persistent Hif1a expression, which impaired mitochondrial function and led to autophagic cell death in the GCs of the adult ovary.
Journal
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HIF1A (Hypoxia inducible factor 1, alpha subunit)
|
HIF1A expression
|
PX-478
4ms
Targeting PLOD2 suppresses invasion and metastatic potential in radiorecurrent prostate cancer. (PubMed, BJC Rep)
Prostate cancer cell lines were treated with siRNA, or the drug PX-478 prior to in vitro invasion, migration, or in vivo chick embryo (CAM) extravasation assay...Finally, the long non-coding RNA LNCSRLR acts as a promoter of invasion downstream of PLOD2. Together, our results demonstrate for the first time the role of PLOD2 in radiorecurrent prostate cancer invasiveness, and point towards its potential as a therapeutic target to reduce metastasis and improve survival outcomes in prostate cancer patients.
Journal • Metastases
|
HIF1A (Hypoxia inducible factor 1, alpha subunit) • PLOD2 (procollagen-lysine,2-oxoglutarate 5-dioxygenase 2)
|
PX-478
4ms
The 'ABC' of split-nanoluciferase HIF heterodimerization bioassays: Applications, benefits & considerations. (PubMed, Biochem Pharmacol)
This study shows that the application of similar or diverse assay protocols allows to detect various influences on HIF heterodimerization as a key signaling event in the oxygen sensing pathway: increased HIF heterodimerization (roxadustat, MG-132), decreased HIF heterodimerization (PX-478, ibuprofen) and direct (HIF isoform-selective) heterodimerization inhibiting effects (PT-2385). Specific and general considerations include cell-based, technical and disease/drug-related aspects (e.g., non-specific effects, color interference). In summary, the versatility of these bioassays offers benefits in widespread applications regarding drug discovery and pharmacological characterization of various therapeutics, applying either the same or optimized experimental protocols.
Journal
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HIF1A (Hypoxia inducible factor 1, alpha subunit)
|
MK-3795 • MG132 • Evrenzo (roxadustat) • PX-478
4ms
Exosomal circ-0100519 promotes breast cancer progression via inducing M2 macrophage polarisation by USP7/NRF2 axis. (PubMed, Clin Transl Med)
Our study revealed that exosomal circ-0100519 is a potential biomarker for BC diagnosis and prognosis, and the HIF-1α inhibitor PX-478 may provide a therapeutic target for BC.
Journal
|
HIF1A (Hypoxia inducible factor 1, alpha subunit) • USP7 (Ubiquitin Specific Peptidase 7)
|
PX-478
6ms
UBE2S promotes glycolysis in hepatocellular carcinoma by enhancing E3 enzyme-independent polyubiquitination of VHL. (PubMed, Clin Mol Hepatol)
In particular, the combination of cephalomannine, a small molecule compound that inhibits the expression of UBE2S, and PX-478, an inhibitor of HIF-1α, significantly improved the anti-tumor efficacy. UBE2S is identified as a key biomarker in HCC among the thousands of ubiquitin-related genes and promotes glycolysis by E3 enzyme-independent ubiquitination, thus serving as a therapeutic target for the treatment of HCC.
Journal
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HIF1A (Hypoxia inducible factor 1, alpha subunit) • E2F2 (E2F Transcription Factor 2)
|
PX-478
6ms
Tumor promoting effect of PDLIM2 downregulation involves mitochondrial ROS, oncometabolite accumulations and HIF-1α activation. (PubMed, J Exp Clin Cancer Res)
These findings shed light on the complex action of PDLIM2 on mitochondria and HIF-1α activities in lung cancer, emphasizing the role of HIF-1α in the tumor-promoting effect of PDLIM2 downregulation. Additionally, they provide new insights into a strategy for precise targeted treatment by suggesting that HIF-1α inhibitors may serve as therapy for lung cancer patients with PDLIM2 downregulation.
Journal
|
HIF1A (Hypoxia inducible factor 1, alpha subunit)
|
PX-478
8ms
Mitochondrial dysfunction induced by HIF-1α under hypoxia contributes to the development of gastric mucosal lesions. (PubMed, Clin Transl Med)
Under hypoxic conditions, HIF-1α enhances mitochondrial dysfunction via Drp1-dependent mitochondrial fission and influences the metabolic profile by altering glycolysis to increase mtROS production, which can trigger NLRP3 inflammasome activation and mucosal microenvironment alterations to contribute to the development of benign and malignant gastric mucosal lesions.
Journal
|
LDHA (Lactate dehydrogenase A) • HIF1A (Hypoxia inducible factor 1, alpha subunit) • NLRP3 (NLR Family Pyrin Domain Containing 3) • DNM3 (Dynamin 3) • IGF2BP3 (Insulin Like Growth Factor 2 MRNA Binding Protein 3) • METTL3 (Methyltransferase Like 3)
|
NLRP3 mutation
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PX-478
10ms
PX-478, an HIF-1α inhibitor, impairs mesoCAR T cell antitumor function in cervical cancer. (PubMed, Front Oncol)
However, we recognize the imperative for further molecular investigations aimed at unraveling the intricate downstream targets associated with HIF-1α and its influence on antitumor immunity, particularly within the context of hypoxic tumors. These insights serve as a foundation for the careful development of combination therapies tailored to counter immunosuppressive pathways within hypoxic environments and fine-tune CAR T cell performance in the intricate tumor microenvironment.
Journal • CAR T-Cell Therapy
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HIF1A (Hypoxia inducible factor 1, alpha subunit)
|
HIF1A expression
|
PX-478
11ms
Combination of the cuproptosis inducer disulfiram and anti‑PD‑L1 abolishes NSCLC resistance by ATP7B to regulate the HIF‑1 signaling pathway. (PubMed, Int J Mol Med)
The viability of cisplatin (DPP)‑treated A549 cells was increased following DSF treatment. PX478 promoted expression levels of FDX1 and SLC31A1, while it suppressed expression levels of ATP7B, PD‑L1, and HIF‑1A in DSF‑treated A549 cells. In conclusion, the combined treatment of A549 cells with anti‑PD‑L1 and DSF enhanced the effect of cuproptosis on the inhibition of NSCLC cell viability.
Journal
|
HIF1A (Hypoxia inducible factor 1, alpha subunit) • SDHB (Succinate Dehydrogenase Complex Iron Sulfur Subunit B) • FDX1 (Ferredoxin 1) • SLC31A1 (Solute Carrier Family 31 Member 1)
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PD-L1 expression • HIF1A expression
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cisplatin • PX-478
1year
Formaldehyde promotes tumor-associated macrophage polarizations and functions through induction of HIF-1α-mediated glycolysis. (PubMed, Toxicol Lett)
In addition, FA-induced glycolysis in TAMs was reversed by a specific HIF-1α inhibitor PX-478 at 5μM, and suppression of glycolytic metabolism with a glucose analog 2-DG at 1mM also alleviated FA-potentiated TAM functions, which indicated that FA induced TAM polarizations through the upregulation of HIF-1α-mediated glycolysis. These results illustrated a potential carcinogenic mechanism of FA through metabolic disturbance of tumor immunity, which could be utilized to develop preventative or therapeutic agents for FA-induced carcinogenesis and immune disorders.
Journal
|
HIF1A (Hypoxia inducible factor 1, alpha subunit)
|
PX-478
over1year
Intermittent hypoxia inhibits anti-tumor immune response via regulating PD-L1 expression in lung cancer cells and tumor-associated macrophages. (PubMed, Int Immunopharmacol)
Finally, we found a combination of PX-478 and anti-PD-L1 exerted an encouraging tumor inhibition effect compared to single treatment. Combination therapies based on HIF-1α and PD-L1 blockade might serve as a promising strategy to treat lung cancer patients with OSA.
Journal • PD(L)-1 Biomarker • IO biomarker
|
PD-L1 (Programmed death ligand 1) • HIF1A (Hypoxia inducible factor 1, alpha subunit)
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PD-L1 expression • HIF1A expression
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PX-478
over1year
CMA mediates resistance in breast cancer models. (PubMed, Cancer Cell Int)
Here, we demonstrated that CMA activity exerts a fundamental role in the responsiveness to different treatments, and LAMP-2A can be proposed as a reliable prognostic biomarker in breast cancer. In this context, HIF-1α, a potential target of CMA, can also be assessed as a valuable therapeutic target in BC in view of identifying new, more efficient and less toxic therapeutic drug combinations. Moreover, the possibility to combine Doxo with other drugs acting on different but coherent molecular targets could help overcome resistance and open the way to a decrease in the dose of the single drugs.
Preclinical • Journal
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HIF1A (Hypoxia inducible factor 1, alpha subunit)
|
temozolomide • doxorubicin hydrochloride • PX-478
2years
Hypoxia Enhances Glioma Resistance to Sulfasalazine-Induced Ferroptosis by Upregulating SLC7A11 via PI3K/AKT/HIF-1α Axis. (PubMed, Oxid Med Cell Longev)
The AKT inhibitor MK-2206 and HIF-1α inhibitor PX-478 significantly reversed this effect. In conclusion, hypoxia enhanced glioma resistance to SAS-induced ferroptosis by upregulating SLC7A11 via activating the PI3K/AKT/HIF-1α axis. Combination therapy with PX-478 and SAS may be a potential strategy against glioma.
Journal
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HIF1A (Hypoxia inducible factor 1, alpha subunit) • SLC7A11 (Solute Carrier Family 7 Member 11)
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HIF1A expression • SLC7A11 expression
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MK-2206 • PX-478
over2years
Hypoxia induces docetaxel resistance in triple-negative breast cancer via the HIF-1α/miR-494/Survivin signaling pathway. (PubMed, Neoplasia)
Cytotoxic chemotherapy is the major strategy to prevent and reduce triple-negative breast cancer (TNBC) progression and metastasis. Finally, in a xenograft model, both miR-494 overexpression and the HIF-1α inhibitor PX-478 increased the sensitivity of TNBC to DTX by suppressing the HIF-1α/miR-494/Survivin signaling pathway in vivo. In conclusion, treatments targeting the HIF-1α/miR-494/Survivin signaling pathway potentially reverse hypoxia-induced drug resistance in TNBC.
Journal
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HIF1A (Hypoxia inducible factor 1, alpha subunit) • BIRC5 (Baculoviral IAP repeat containing 5) • MIR494 (MicroRNA 494)
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HIF1A overexpression • BIRC5 expression • HIF1A expression • miR-494 overexpression
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docetaxel • PX-478
over2years
The histone deacetylase SIRT6 promotes glycolysis through the HIF-1α/HK2 signaling axis and induces erlotinib resistance in non-small cell lung cancer. (PubMed, Apoptosis)
In addition, the HIF-1α blocker PX478-2HCL attenuated the glycolysis and erlotinib resistance induced by SIRT6. More importantly, we confirmed the antitumor effect of SIRT6 inhibition combined with erlotinib in NSCLC-bearing mice. Our findings indicate that the cancer metabolic pathway regulated by SIRT6 may be a new target for attenuating NSCLC erlotinib resistance and has potential as a biomarker or therapeutic target to improve outcomes in NSCLC patients.
Journal • Epigenetic controller
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EGFR (Epidermal growth factor receptor) • HIF1A (Hypoxia inducible factor 1, alpha subunit) • SIRT6 (Sirtuin 6)
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EGFR mutation
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erlotinib • PX-478
over2years
Research on the mechanism of hypoxia promoting the migration of lung adenocarcinoma A549 cells (PubMed, Zhongguo Ying Yong Sheng Li Xue Za Zhi)
A549 cells were treated with hypoxia combined with hypoxia inducible factor-1α (HIF-1α) inhibitor PX-478 (25 μmol); Hypoxia combined with linoleic acid (LA) (20 μmol) treated A549 cells with ACC1 knockdown, and A549 cells with SREBP-1 knockdown were treated by hypoxia...Application of LA under hypoxia condition rescued ACC1-knockdown induced inhibitory effect on hypoxia-promoted A549 cell migration (P<0.05). Hypoxia promotes migration of lung adenocarcinoma A549 cells by regulating fatty acid metabolism through HIF-1α/SREBP-1/ACC1 pathway.
Journal
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HIF1A (Hypoxia inducible factor 1, alpha subunit) • CDH1 (Cadherin 1) • VIM (Vimentin) • ACACA (Acetyl-CoA Carboxylase Alpha)
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HIF1A expression
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PX-478
over2years
Iron Deficiency Increases Phosphorylation of SP1 to Upregulate SPNS2 Expression in Hepatocellular Carcinoma. (PubMed, Biol Trace Elem Res)
The protein level of HIF1α was increased by iron deficiency, while SP1 was not changed at the protein level but the phosphorylation level was increased. The inhibitor of HIF1α, PX478, and the inhibitor of SP1, Mithramycin A, reversed the increased mRNA and protein expressions of SPNS2 by iron deficiency, with a more significant effect by Mithramycin A. These results provided a comprehensive view of changes in transcriptional activities by iron deficiency and identified that SP1 was the main regulator of iron deficiency-inducing SPNS2 expression in hepatoma cells.
Journal
|
HIF1A (Hypoxia inducible factor 1, alpha subunit)
|
PX-478
over2years
Antitumor effect of the selective hypoxia-inducible factor-1 inhibitors echinomycin and PX-478 on uterine fibroids. (PubMed, F S Sci)
The selective HIF-1 inhibitors echinomycin and PX-478 show antitumor effects against uterine fibroids both in vitro and in vivo. These findings support the potential use of HIF-1 inhibitors for the treatment of uterine fibroids.
Journal
|
HIF1A (Hypoxia inducible factor 1, alpha subunit) • CASP3 (Caspase 3)
|
PX-478 • echinomycin
over2years
HIF-1α inhibition promotes the efficacy of immune checkpoint blockade in the treatment of non-small cell lung cancer. (PubMed, Cancer Lett)
In vitro, PX-478, an HIF-1α inhibitor, promoted tumor cell apoptosis induced by T cells when combined with ICIs...In summary, we identified that HIF-1α inhibition could synergize with anti-PD-1 to impair tumor growth in vitro and in vivo. Our data suggest that HIF-1α inhibitors represent a promising treatment to enhance anti-tumor immunity and provide preclinical rationale to evaluate the combination of ICIs with HIF-1α inhibition clinically in NSCLC.
Journal • Checkpoint inhibition • PD(L)-1 Biomarker • IO biomarker
|
CD8 (cluster of differentiation 8) • HIF1A (Hypoxia inducible factor 1, alpha subunit) • GZMB (Granzyme B)
|
HIF1A overexpression • HIF1A expression
|
PX-478
3years
Single-Cell Decoding of Minimal Residual Disease in Pediatric B Cell Acute Lymphoblastic Leukemia (ASH 2021)
We obtained experimental support by validating the efficacy of the HIF-1 a inhibitor PX478 combined with chemotherapy drugs in two B-ALL cell lines and two primary B-ALL cells...We propose that hypoxia signaling pathway activation might serve as valuable MRD therapeutic target. While this study provided great insights into the transcriptomic characteristics of MRD cells, practically, our analytical approach could readily be applied to other hematological malignancies and solid cancers.
Clinical • Minimal residual disease
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CD19 (CD19 Molecule) • HIF1A (Hypoxia inducible factor 1, alpha subunit) • CD34 (CD34 molecule) • CDKN1A (Cyclin-dependent kinase inhibitor 1A)
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PX-478
over3years
A clinically acceptable strategy for sensitizing anti-PD-1 treatment by hypoxia relief. (PubMed, J Control Release)
In contrast, whether administered locally or systemically, Hb@lipo revealed high animal tolerance, and was much safer than commercial HIF-1α inhibitor (PX-478), displaying prospects as a promising oxygen carrier for clinical practice...Among them, Hb@lipo stood out, and its combined use with PD-1 antibody exhibit a distinct synergistic suppression effect on tumors with more M1 macrophages presented in the microenvironment. Our work provided a good reference for improving the efficacy of PD-1 antibody by alleviating tumor hypoxia.
Clinical • Journal
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HIF1A (Hypoxia inducible factor 1, alpha subunit)
|
PX-478
over3years
Inhibition of hypoxia-inducible factor-1α alleviates acinar cell necrosis in a mouse model of acute pancreatitis. (PubMed, Biochem Biophys Res Commun)
Correspondingly, we further confirmed the effectiveness of PX478 in vitro and found that inhibiting Hif1α could mitigated the necrosis of pancreatic acinar cells via reducing the RIP3 and p-MLKL expression and the ROS production. In conclusion, inhibiting Hif1α could protect against acinar cells necrosis in AP, which may provide a new target for the prevention and treatment of AP clinically.
Preclinical • Journal
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HIF1A (Hypoxia inducible factor 1, alpha subunit) • RIPK3 (Receptor Interacting Serine/Threonine Kinase 3)
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HIF1A expression
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PX-478
over3years
Analysis of the correlation of the expression level of hypoxia-inducible factor-1α with the glycosylation of oral squamous cell carcinoma. (PubMed, Am J Transl Res)
The expression of HIF-1α and O-glycosylation-related proteins increases in OSCC, and the expression level increases proportionally with tumor volume. Expression of HIF-1α and O-GlcNAc and OGT was positively correlated. HIF-1α inhibition by PX-478 led to decreased expression levels of O-GlcNAc and OGT but the increased expression level of OGA. PX-478 can affect Tca8113 glycosylation by reducing the expression level of OGT.
Journal
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HIF1A (Hypoxia inducible factor 1, alpha subunit) • OGA (O-GlcNAcase) • OGT (O-linked N-acetylglucosamine (GlcNAc) transferase)
|
HIF1A expression
|
PX-478
over3years
Dichloroacetate and PX-478 exhibit strong synergistic effects in a various number of cancer cell lines. (PubMed, BMC Cancer)
Here, we found that these tumor metabolism-targeting compounds exhibited a potent synergism across all tested cancer cell lines. Thus, we highly recommend the combination of these two compounds for progression to in vivo translational and clinical trials.
Preclinical • Journal
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HIF1A (Hypoxia inducible factor 1, alpha subunit)
|
PX-478
over3years
[VIRTUAL] The relationship between expression of PD-L1 and HIF-1α in glioma cells under hypoxia. (ASCO 2021)
Glioma in situ model were used to explore whether HIF-1α inhibitor (PX-478) can enhance anti-PD-L1 therapy responses... Multiple findings demonstrated that positive relationship between HIF-1α and PD-L1 existed in glioma cells under hypoxia condition . These observations also provide invaluable information that hypoxia contributes to a key phase of glioma cells evading adaptive immunity, thereby promoting malignant progression and poorer clinical outcomes . Given these, it would be a potential strategy to target HIF-1α in combination with the blockage of PD-1/PD-L1 pathway for anti-cancer in the future.
PD(L)-1 Biomarker • IO biomarker
|
PD-L1 (Programmed death ligand 1) • CD8 (cluster of differentiation 8) • HIF1A (Hypoxia inducible factor 1, alpha subunit)
|
PD-L1 expression • HIF1A expression
|
PX-478
over3years
Journal
|
HIF1A (Hypoxia inducible factor 1, alpha subunit) • TFE3 (Transcription Factor Binding To IGHM Enhancer 3)
|
HIF1A expression • TFE3 translocation • TFE3 fusion
|
PX-478
almost4years
Mex3a promotes oncogenesis through the RAP1/MAPK signaling pathway in colorectal cancer and is inhibited by hsa-miR-6887-3p. (PubMed, Cancer Commun (Lond))
Our study demonstrated that the hsa-miR-6887-3p/Mex3a/RAP1GAP signaling axis was a key regulator of CRC and Mex3a has the potential to be a new diagnostic marker and treatment target for CRC.
Journal
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HIF1A (Hypoxia inducible factor 1, alpha subunit)
|
U0126 • PX-478
4years
Influence of miR-199a on rats with non-small cell lung cancer via regulating the HIF-1α/VEGF signaling pathway. (PubMed, Eur Rev Med Pharmacol Sci)
MiR-199a prevents the proliferation of NSCLC cells via the targeted down-regulation of the HIF-1α/VEGF signaling pathway.
Preclinical • Journal
|
HIF1A (Hypoxia inducible factor 1, alpha subunit)
|
HIF1A expression
|
PX-478
over4years
Synergisms of genome and metabolism stabilizing antitumor therapy (GMSAT) in human breast and colon cancer cell lines: a novel approach to screen for synergism. (PubMed, BMC Cancer)
The presented three-step concept proved to be cost- and time-efficient with respect to the resulting data. The newly found combinations show promising results in MCF-7, HT-29 and MDA-MB231 cancer cells.
Journal
|
LDHA (Lactate dehydrogenase A) • MDM2 (E3 ubiquitin protein ligase) • HIF1A (Hypoxia inducible factor 1, alpha subunit)
|
Nutlin-3 • PX-478
over4years
HIF-1α Mediates Tumor-nerve Interactions through the Up-regulation of GM-CSF in Pancreatic Ductal Adenocarcinoma. (PubMed, Cancer Lett)
Moreover, HIF-1α inhibition with PX478 drastically reduced the expression level of GM-CSF and decreased the PNI in a PDAC xenograft mouse model. Overall, our results demonstrated that the HIF-1α/GM-CSF pathway is involved in the tumor-nerve interactions and promotes the occurrence of PNI. The blockade of this signal might help to inhibit PDAC progression.
Journal
|
HIF1A (Hypoxia inducible factor 1, alpha subunit) • CSF2 (Colony stimulating factor 2)
|
HIF1A expression
|
PX-478