Lactate-dependent chaperone-mediated autophagy induces oscillatory HIF-1α activity promoting proliferation of hypoxic cells

Cell Syst. 2022 Dec 21;13(12):1048-1064.e7. doi: 10.1016/j.cels.2022.11.003. Epub 2022 Dec 2.

Abstract

Response to hypoxia is a highly regulated process, but little is known about single-cell responses to hypoxic conditions. Using fluorescent reporters of hypoxia response factor-1α (HIF-1α) activity in various cancer cell lines and patient-derived cancer cells, we show that hypoxic responses in individual cancer cells can be highly dynamic and variable. These responses fall into three classes, including oscillatory activity. We identify a molecular mechanism that can account for all three response classes, implicating reactive-oxygen-species-dependent chaperone-mediated autophagy of HIF-1α in a subset of cells. Furthermore, we show that oscillatory response is modulated by the abundance of extracellular lactate in a quorum-sensing-like mechanism. We show that oscillatory HIF-1α activity rescues hypoxia-mediated inhibition of cell division and causes broad suppression of genes downregulated in cancers and activation of genes upregulated in many cancers, suggesting a mechanism for aggressive growth in a subset of hypoxic tumor cells.

Keywords: HIF; ROS; Warburg and reverse Warburg effect; cancer microenvironment; chaperone-mediated autophagy; hypoxia; hypoxic oscillations; lactate; quorum sensing; reactive oxygen species.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Cell Line, Tumor
  • Cell Proliferation
  • Chaperone-Mediated Autophagy*
  • Humans
  • Hypoxia / metabolism
  • Lactic Acid* / metabolism

Substances

  • Lactic Acid