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. 2021 Jul 7;11:641522. doi: 10.3389/fonc.2021.641522

Figure 2.

Figure 2

The mechanism of anti-HIFs overcoming sorafenib resistance in hepatocellular carcinoma. Continuous sorafenib treatment induce the dysregulation of HIF-1α and HIF-2α expression in hepatocellular carcinoma, promoting the transcription of multiple genes involved in proliferation, CSCs, metastasis, glycolysis, mitophagy, and angiogenesis. Causes hepatocellular carcinoma to develop resistance to sorafenib. Anti-HIFs could overcome this drug resistance. BNIP3, adenovirus E1B 19kDa-interacting protein 3; NIX, BNIP3-like protein X; MDR, multidrug resistance protein; AMPK, AMP-activated protein kinase; GULT-1, glucose transporter 1; HK2, hexokinase 2; LDHA, lactate dehydrogenase A; PDK1, pyruvate dehydrogenase kinase isoform 1; c-Myc, Myc proto-oncogene protein; TGF-α, transforming growth factor α; RIT1, Ras like without CAAX 1.