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REVIEW article

Front. Cell Dev. Biol.

Sec. Cancer Cell Biology

Volume 13 - 2025 | doi: 10.3389/fcell.2025.1611889

This article is part of the Research TopicEpigenetic Regulation in Cancer: Mechanisms, Implications, and Therapeutic InterventionsView all articles

Crosstalk between hypoxia-inducible factor (HIF) and lncRNAs in digestive tumors: from molecular mechanisms to clinical translation

Provisionally accepted
Lifeng  GanLifeng GanWei  LiWei Li琪  陈琪 陈乐  程乐 程Fangtao  ZhangFangtao ZhangHaidong  ZhongHaidong ZhongYiran  LuYiran LuBiao  QianBiao Qian*Liying  ZhengLiying Zheng*
  • Gannan Medical University, Ganzhou, China

The final, formatted version of the article will be published soon.

Hypoxia is a characteristic feature of the tumor microenvironment that significantly influences cancer progression and treatment responses. Hypoxia-inducible factor (HIF), a key regulator of hypoxic adaptation, has been demonstrated to modulate hypoxic gene expression profiles and signaling networks, thereby serving as a potential therapeutic target. Long-stranded non-coding RNAs (lncRNAs), defined as non-coding RNAs exceeding 200 nucleotides in length, regulate various cellular processes by modulating gene expression at transcriptional, post-transcriptional, and epigenetic levels. Evidence suggests that lncRNAs can be regulated by HIF at the transcriptional level. Conversely, HIF itself can be modulated by numerous lncRNAs, with alterations in these lncRNAs being associated with tumorigenesis, resulting in a reciprocal regulatory network. Recently, the critical role of lncRNAs in hypoxia-driven cancer progression has been elucidated in digestive tumors, including colorectal, pancreatic, gastric, and hepatocellular carcinomas. An increasing number of studies have revealed the complex interplay between lncRNAs and HIF in regulating various processes such as proliferation, metastasis, apoptosis, and drug resistance. In this paper, we aim to provide a comprehensive summary of recent advances regarding the roles of hypoxia and lncRNAs in digestive system tumors and to illustrate the mechanisms through which lncRNAs interact with hypoxia in tumor cells. This will enhance our understanding of the regulatory roles of lncRNAs in modulating the microenvironment of digestive system tumors, thereby facilitating the development of novel anticancer drugs.

Keywords: hypoxia, HIF, lncRNA, Digestive system tumors, liver cancer, colorectal cancer, gastric cancer, Pancreatic Cancer

Received: 18 Apr 2025; Accepted: 25 Jul 2025.

Copyright: © 2025 Gan, Li, 陈, 程, Zhang, Zhong, Lu, Qian and Zheng. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence:
Biao Qian, Gannan Medical University, Ganzhou, China
Liying Zheng, Gannan Medical University, Ganzhou, China

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