Target intelligence / Profile preview

Hypoxia-inducible factor 1-alpha inhibitor (HIF1AN)

Target
HIF1AN
Molecular classification
Enzyme, Hydroxylase, 2-oxoglutarate-dependent dioxygenase, Oxidoreductase, Iron-dependent dioxygenase
01

Overview

Hypoxia-inducible factor 1-alpha inhibitor (HIF1AN), also known as Factor Inhibiting HIF-1 (FIH-1), is a member of the 2-oxoglutarate-dependent dioxygenase family that acts as a critical oxygen sensor in human cells [1, 5]. Under normoxic conditions, HIF1AN catalyzes the asparaginyl hydroxylation of the HIF-1alpha subunit, which sterically hinders its interaction with the transcriptional co-activators p300 and CBP, thereby silencing the hypoxic gene expression program [4, 18]. In addition to its primary role in regulating the hypoxia response, HIF1AN also hydroxylates several ankyrin repeat domain-containing proteins, including Notch-1 and I-kappa-B alpha, influencing pathways related to cell differentiation and inflammation [5, 7]. In the context of disease, HIF1AN is often viewed as a tumor suppressor because its activity restrains the pro-angiogenic and pro-survival effects of HIF-1; however, its dysregulation is linked to various malignancies and erythrocytosis [1, 7]. Therapeutic interest in HIF1AN focuses on the development of selective inhibitors to stabilize HIF-1 activity for the treatment of anemia and ischemic conditions, where enhancing tissue oxygenation is beneficial [2, 17]. Conversely, increasing HIF1AN activity or mimetic-based repression of HIF-1 is a strategy explored for anticancer therapy [9, 11]. Current pharmacological agents targeting the HIF pathway are often non-selective or favor the prolyl hydroxylase (PHD) family, making the discovery of FIH-specific modulators a significant challenge in drug development [6, 13].

Other names
Factor inhibiting HIF-1FIH-1FIH1Hypoxia-inducible factor asparaginyl hydroxylaseHypoxia-inducible factor 1 alpha subunit inhibitor
02

Mechanism of action

HIF1AN (FIH-1) catalyzes the asparaginyl hydroxylation of the HIF-1alpha protein at the Asn-803 residue using oxygen and 2-oxoglutarate as co-substrates [2, 4]. This modification prevents the recruitment of the p300/CBP co-activator complex to the C-terminal activation domain (CTAD) of HIF-1alpha, thereby suppressing the transcription of hypoxia-responsive genes [18, 19]. Inhibition of HIF1AN allows the assembly of the active transcriptional complex, promoting the expression of adaptive genes such as VEGF and EPO [6, 9].

03

Biological functions

Regulation of hypoxia responseProtein hydroxylationTranscription regulationNegative regulation of HIF-1 activityOxygen sensingRegulation of Notch signalingMyoblast differentiation
04

Disease associations

CancerAnemiaIschemic heart diseaseStrokeFamilial erythrocytosisInflammation
05

Safety considerations

Potential for tumor promotion via stabilization of HIF-1 activityOff-target inhibition of other 2-oxoglutarate-dependent dioxygenases (e.g., histone demethylases)Interference with developmental Notch signaling pathwaysSystemic metabolic shifts due to altered glucose and glycogen regulationLack of selectivity compared to prolyl hydroxylase domain (PHD) enzymes
06

Interacting drugs

Dimethyloxalylglycine

4 more in the full profile.

07

Biomarkers

HIF-1alpha protein levelsVascular endothelial growth factor (VEGF) levelsErythropoietin (EPO) levelsGlucose transporter 1 (GLUT1) expressionCarbonic anhydrase 9 (CA9) levelsAsparagine-803 hydroxylation status of HIF-1alpha

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