Advances in the study of the impact of the hypoxic plateau environment on tumor initiation, progression, and molecular mechanisms

The hypoxic plateau environment has a broad impact on human physiological function, and its role in tumor initiation and progression has attracted increasing attention in recent years. This review focuses on the effects of the hypoxic plateau environment on tumor biological behavior through the hypo...

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Main Authors: Guo Jing, Shi Jinfen, Li Yufan, Shi Bing
Format: Article
Language:zho
Published: Lanzhou University Press 2025-06-01
Series:生物医学转化
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Online Access:http://swyxzh.ijournals.cn/swyxzh/article/html/20250213?st=article_issue
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author Guo Jing
Shi Jinfen
Li Yufan
Shi Bing
author_facet Guo Jing
Shi Jinfen
Li Yufan
Shi Bing
author_sort Guo Jing
collection DOAJ
description The hypoxic plateau environment has a broad impact on human physiological function, and its role in tumor initiation and progression has attracted increasing attention in recent years. This review focuses on the effects of the hypoxic plateau environment on tumor biological behavior through the hypoxia-inducible factor (HIF) signaling pathway, oxidative stress response, and changes in the immune microenvironment. Studies have shown that continuous hypoxia can stabilize the expression of HIF-1α, thereby regulating downstream target genes and affecting tumor angiogenesis, energy metabolic reprogramming, and resistance to apoptosis. At the same time, the synergistic effect of strong ultraviolet radiation and hypoxia in the plateau environment can increase the production of reactive oxygen species (ROS), leading to DNA damage and genomic instability. In addition, the hypoxic plateau environment can induce increased myeloid-derived suppressor cell (MDSC) infiltration and upregulation of PD-L1 expression, promoting tumor immune escape. This paper also summarizes tumor prevention strategies for the hypoxic plateau environment, including targeted interventions in the HIF pathway, antioxidant therapy, and immunomodulation, aiming to provide a scientific basis for tumor prevention and treatment in plateau regions.
format Article
id doaj-art-da0d6356c40945b2b27f1b7bb4e11ffb
institution Kabale University
issn 2096-8965
language zho
publishDate 2025-06-01
publisher Lanzhou University Press
record_format Article
series 生物医学转化
spelling doaj-art-da0d6356c40945b2b27f1b7bb4e11ffb2025-08-20T03:28:02ZzhoLanzhou University Press生物医学转化2096-89652025-06-0162868910.12287/j.issn.2096-8965.20250212Advances in the study of the impact of the hypoxic plateau environment on tumor initiation, progression, and molecular mechanismsGuo Jing0Shi Jinfen1Li Yufan2Shi Bing37th Medical Center of the General Hospital of the People's Liberation Army, Beijing 100010 , China7th Medical Center of the General Hospital of the People's Liberation Army, Beijing 100010 , China7th Medical Center of the General Hospital of the People's Liberation Army, Beijing 100010 , China7th Medical Center of the General Hospital of the People's Liberation Army, Beijing 100010 , ChinaThe hypoxic plateau environment has a broad impact on human physiological function, and its role in tumor initiation and progression has attracted increasing attention in recent years. This review focuses on the effects of the hypoxic plateau environment on tumor biological behavior through the hypoxia-inducible factor (HIF) signaling pathway, oxidative stress response, and changes in the immune microenvironment. Studies have shown that continuous hypoxia can stabilize the expression of HIF-1α, thereby regulating downstream target genes and affecting tumor angiogenesis, energy metabolic reprogramming, and resistance to apoptosis. At the same time, the synergistic effect of strong ultraviolet radiation and hypoxia in the plateau environment can increase the production of reactive oxygen species (ROS), leading to DNA damage and genomic instability. In addition, the hypoxic plateau environment can induce increased myeloid-derived suppressor cell (MDSC) infiltration and upregulation of PD-L1 expression, promoting tumor immune escape. This paper also summarizes tumor prevention strategies for the hypoxic plateau environment, including targeted interventions in the HIF pathway, antioxidant therapy, and immunomodulation, aiming to provide a scientific basis for tumor prevention and treatment in plateau regions.http://swyxzh.ijournals.cn/swyxzh/article/html/20250213?st=article_issueplateau environmenthypoxiatumor initiationhif signaling pathwayoxidative stresstumor immune microenvironment
spellingShingle Guo Jing
Shi Jinfen
Li Yufan
Shi Bing
Advances in the study of the impact of the hypoxic plateau environment on tumor initiation, progression, and molecular mechanisms
生物医学转化
plateau environment
hypoxia
tumor initiation
hif signaling pathway
oxidative stress
tumor immune microenvironment
title Advances in the study of the impact of the hypoxic plateau environment on tumor initiation, progression, and molecular mechanisms
title_full Advances in the study of the impact of the hypoxic plateau environment on tumor initiation, progression, and molecular mechanisms
title_fullStr Advances in the study of the impact of the hypoxic plateau environment on tumor initiation, progression, and molecular mechanisms
title_full_unstemmed Advances in the study of the impact of the hypoxic plateau environment on tumor initiation, progression, and molecular mechanisms
title_short Advances in the study of the impact of the hypoxic plateau environment on tumor initiation, progression, and molecular mechanisms
title_sort advances in the study of the impact of the hypoxic plateau environment on tumor initiation progression and molecular mechanisms
topic plateau environment
hypoxia
tumor initiation
hif signaling pathway
oxidative stress
tumor immune microenvironment
url http://swyxzh.ijournals.cn/swyxzh/article/html/20250213?st=article_issue
work_keys_str_mv AT guojing advancesinthestudyoftheimpactofthehypoxicplateauenvironmentontumorinitiationprogressionandmolecularmechanisms
AT shijinfen advancesinthestudyoftheimpactofthehypoxicplateauenvironmentontumorinitiationprogressionandmolecularmechanisms
AT liyufan advancesinthestudyoftheimpactofthehypoxicplateauenvironmentontumorinitiationprogressionandmolecularmechanisms
AT shibing advancesinthestudyoftheimpactofthehypoxicplateauenvironmentontumorinitiationprogressionandmolecularmechanisms