Evidence map›Paper›PMID 34999917›Full record

ArticleCancer immunology, immunotherapy : CII2022

Hypoxia-inducible factor-1 alpha expression is induced by IL-2 via the PI3K/mTOR pathway in hypoxic NK cells and supports effector functions in NKL cells and ex vivo expanded NK cells.

Emily Cluff, Carina C Magdaleno, Emyly Fernandez, Trenton House, Srividya Swaminathan, Archana Varadaraj, Narendiran Rajasekaran

Open access · hybridAbstract read
In one paragraph

Article in Cancer immunology, immunotherapy : CII, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
2.6field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 32 citations in OpenAlex.

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  9. Tumor hypoxia shapes natural killer cell anticancer activities.Journal of molecular medicine (Berlin, Germany) · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Emily CluffDepartment of Chemistry and Biochemistry, Northern Arizona University, 700 S Osbourne Drive, Flagstaff, AZ, 86004, USA.
Carina C MagdalenoDepartment of Chemistry and Biochemistry, Northern Arizona University, 700 S Osbourne Drive, Flagstaff, AZ, 86004, USA.
Emyly FernandezDepartment of Chemistry and Biochemistry, Northern Arizona University, 700 S Osbourne Drive, Flagstaff, AZ, 86004, USA.
Trenton HouseDepartment of Chemistry and Biochemistry, Northern Arizona University, 700 S Osbourne Drive, Flagstaff, AZ, 86004, USA.
Srividya SwaminathanDepartment of Systems Biology, Beckman Research Institute of City of Hope, Duarte, CA, 91010, USA.
Archana VaradarajDepartment of Chemistry and Biochemistry, Northern Arizona University, 700 S Osbourne Drive, Flagstaff, AZ, 86004, USA.
Narendiran RajasekaranDepartment of Chemistry and Biochemistry, Northern Arizona University, 700 S Osbourne Drive, Flagstaff, AZ, 86004, USA. naren.raj@nau.edu.ORCID http://orcid.org/0000-0002-0740-0272
Northern Arizona University · USCity of Hope · US

Funding

SSCIMA: Integrating Analysis of Socio-economic Sub-population Dynamics to Improve Spatial Models of Infectious DiseaseU54MD012388 · NIMHD · NORTHERN ARIZONA UNIVERSITY · PI Julie A. Baldwin · 2017 to 2026
$49.7M
Training/Career Development and Education Core and PlansU54CA143925 · NCI · NORTHERN ARIZONA UNIVERSITY · PI Jason A Wilder · 2009 to 2026
$27.5M
NCI NIH HHS U54 CA143925NCI NIH HHS U54CA143925NIH HHS U54MD012388NIMHD NIH HHS U54 MD012388
6 · The paper itself

Abstract

Natural killer (NK) cells are cytotoxic innate lymphocytes that are specialized to kill tumor cells. NK cells are responsive to the primary cytokine IL-2 in the tumor microenvironment (TME), to activate its effector functions against tumors. Despite their inherent ability to kill tumor cells, dysfunctional NK cells observed within advanced solid tumors are associated with poor patient survival. Hypoxia in the TME is a major contributor to immune evasion in solid tumors that could contribute to impaired NK cell function. HIF-1α is a nodal regulator of hypoxia in driving the adaptive cellular responses to changes in oxygen concentrations. Whether HIF-1α is expressed in hypoxic NK cells in the context of IL-2 and whether its expression regulates NK cell effector function are unclear. Here, we report that freshly isolated NK cells from human peripheral blood in hypoxia could not stabilize HIF-1α protein coincident with impaired anti-tumor cytotoxicity. However, ex vivo expansion of these cells restored HIF-1α levels in hypoxia to promote antitumor cytotoxic functions. Similarly, the human NK cell line NKL expressed HIF-1α upon IL-2 stimulation in hypoxia and exhibited improved anti-tumor cytotoxicity and IFN-γ secretion. We found that ex vivo expanded human NK cells and NKL cells required the concerted activation of PI3K/mTOR pathway initiated by IL-2 signaling in combination with hypoxia for HIF-1α stabilization. These findings highlight that HIF-1α stabilization in hypoxia maximizes NK cell effector function and raises the prospect of NK cells as ideal therapeutic candidates for solid tumors.

Indexed as

Hypoxia-Inducible Factor 1, alpha SubunitInterleukin-2Killer Cells, NaturalNeoplasmsCell HypoxiaCell Line, TumorHumansPhosphatidylinositol 3-KinasesSignal TransductionTOR Serine-Threonine KinasesHIF1A protein, humanHypoxia-Inducible Factor 1, alpha SubunitInterleukin-2MTOR protein, humanPhosphatidylinositol 3-KinasesTOR Serine-Threonine KinasesHIF-1αHypoxiaIL-2Natural killer cells

Identifiers

PMID34999917
PMCPMC9294031
OpenAlexW4205446865

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.