Target intelligence / Profile preview

Hypoxia-inducible factor 1-alpha (HIF-1α) and Hypoxia-inducible factor 2-alpha (HIF-2α) (HIF-1α; HIF-2α)

Target
HIF-1α; HIF-2α
Molecular classification
Transcription factor, Basic helix-loop-helix (bHLH) protein, Per-Arnt-Sim (PAS) family
01

Overview

Hypoxia-inducible factor 1-alpha and 2-alpha are closely related subunits of transcription factors that play central roles in cellular adaptation to low oxygen, or hypoxic, environments. Both proteins heterodimerize with HIF-1β (ARNT), forming complexes that bind specific DNA sequences known as hypoxia response elements (HREs) and activate the transcription of numerous genes involved in processes such as erythropoiesis, angiogenesis, metabolic adaptation to hypoxia, and cell survival. HIF-1α primarily regulates genes involved in glycolysis and acute response to hypoxia, while HIF-2α controls genes associated with erythropoiesis, angiogenesis, and longer-term oxygen sensing. Their dysregulation is implicated in tumor growth and progression, particularly in cancers with altered oxygen sensing such as clear cell renal cell carcinoma, where HIF-2α, in particular, is a recognized therapeutic target. Many small-molecule inhibitors are in clinical or preclinical development, and HIFs are used as biomarkers for hypoxic tumor microenvironments, disease aggressiveness, and response to therapy

Other names
HIF-1 alphaHIF1AHIF-2 alphaEPAS1Endothelial PAS domain-containing protein 1HIF-alphaHIF-αHypoxia-inducible factor alpha subunits
02

Mechanism of action

Inhibition of HIF-α dimerization with HIF-1β (ARNT) Promoting protein degradation of HIF-α Inhibiting transcriptional activity or DNA binding Inhibiting synthesis or accumulation of HIF-α subunits Competing for hypoxia-response element (HRE) DNA binding

03

Biological functions

Response to hypoxia / oxygen sensingGene transcription regulation under hypoxic conditionsAngiogenesisMetabolic adaptation (e.g., glycolysis)ErythropoiesisCell proliferationCell survivalCell differentiationApoptosis
04

Disease associations

Cancer (e.g., renal cell carcinoma, various solid tumors)Ischemic diseaseAnemiaInflammationOsteoporosis and bone remodeling disorders
05

Safety considerations

Off-target effects on normal tissue hypoxia adaptation (e.g., erythropoiesis, angiogenesis)AnemiaHypertensionImpairment of wound healingPotential for tumor adaptation and therapeutic resistance
06

Interacting drugs

Belzutifan (HIF-2α inhibitor)

4 more in the full profile.

07

Biomarkers

HIF-1α or HIF-2α protein levels in tumor tissueTranscriptional targets (e.g., erythropoietin, VEGF expression)Downstream gene signatures (e.g., glycolytic enzymes)

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