Identification of small molecule compounds that inhibit the HIF-1 signaling pathway

Background Hypoxia-inducible factor-1 (HIF-1) is the major hypoxia-regulated transcription factor that regulates cellular responses to low oxygen environments. HIF-1 is composed of two subunits: hypoxia-inducible HIF-1α and constitutively-expressed HIF-1β. During hypoxic conditions, HIF-1α heterodimerizes with HIF-1β and translocates to the nucleus where the HIF-1 complex binds to the hypoxia-response element (HRE) and activates expression of target genes implicated in cell growth and survival. HIF-1α protein expression is elevated in many solid tumors, including those of the cervix and brain, where cells that are the greatest distance from blood vessels, and therefore the most hypoxic, express the highest levels of HIF-1α. Therapeutic blockade of the HIF-1 signaling pathway in cancer cells therefore provides an attractive strategy for development of anticancer drugs. To identify small molecule inhibitors of the HIF-1 pathway, we have developed a cell-based reporter gene assay and screened a large compound library by using a quantitative high-throughput screening (qHTS) approach. Results The assay is based upon a β-lactamase reporter under the control of a HRE. We have screened approximate 73,000 compounds by qHTS, with each compound tested over a range of seven to fifteen concentrations. After qHTS we have rapidly identified three novel structural series of HIF-1 pathway Inhibitors. Selected compounds in these series were also confirmed as inhibitors in a HRE β-lactamase reporter gene assay induced by low oxygen and in a VEGF secretion assay. Three of the four selected compounds tested showed significant inhibition of hypoxia-induced HIF-1α accumulation by western blot analysis. Conclusion The use of β-lactamase reporter gene assays, in combination with qHTS, enabled the rapid identification and prioritization of inhibitors specific to the hypoxia induced signaling pathway.


Background
The maintenance of oxygen homeostasis is essential for the human body. Hypoxia, defined as a reduction in the normal level of tissue oxygen tension, is associated with cancer, inflammation and ischemia [1]. The transcriptional factor hypoxia-inducible factor 1 (HIF-1) is critical in responding to hypoxic environments by inducing survival and anti-apoptotic genes. HIF-1 is composed of two subunits: hypoxia-responsive HIF-1α and constitutivelyexpressed HIF-1β (also known as ARNT, aryl hydrocarbon receptor nuclear translocator) [2]. Under normal oxygen tension, HIF-1α is rapidly degraded by the ubiquitin-proteasome pathway [3,4], but under hypoxic conditions, HIF-1α is stabilized by the attenuation of prolyl hydroxylase activity [5,6]. The accumulated HIF-1α heterodimerizes with HIF-1β and translocates into the nucleus. The HIF-1 complex binds to a hypoxia-response element (HRE), composed of a core 5'-ACGTG-3' sequence, in concert with the transcriptional coactivator p300/CBP [7], thereby activating the expression of target genes, such as vascular endothelial growth factor (VEGF) [8], erythropoietin [9], and the glucose transporters GLUT1 and GLUT3 [10,11].
In many solid tumors, intratumor hypoxia up-regulates HIF-1α expression, a response that is correlated with increased angiogenesis, oncogenesis, and poor cancer prognosis [12]. In HIF-1α knockout mice, loss of HIF-1α in embryonic stem cells and endothelial cells dramatically retards solid tumor and blood vessel growth, and a reduced capacity to release angiogenic VEGF during hypoxia [13,14]. Therefore, HIF-1 responsive tumor hypoxia has become the focus of active biomedical investigations and its inhibition is emerging as a potentially valuable and novel approach to cancer therapy. Several small molecule inhibitors of HIF-1α activity are entering clinical development [15][16][17], such as 2ME2 (2-methoxyestradiol), an inhibitor of microtubule polymerization, 17-AAG (17-allylamino-17-demethoxygeldanamycin), a HSP90 inhibitor, topotecan, a topoisomerase I inhibitor, and PX-478 (S-2 amino -3-[4'-N,N,-bis (2-chloroethyl) amino] phenyl propionic acid N-oxide dihydrochloride). These compounds were reported to either inhibit intracellular HIF-1α level or induce HIF-1α degradation [17]. Several compounds have been in clinical trials, but none appear very promising due to lack of target specificity and low clinical efficacy [17].
In order to rapidly identify potent and specific inhibitors of the HIF-1 pathway we developed a cell-based HIF-1 mediated β-lactamase reporter gene assay and used a quantitative high-throughput screening (qHTS) [18,19] approach to test 73,000 compounds. The compounds identified from the screen were further confirmed in several follow-up studies including VEGF secretion assay.
This approach allowed us to rapidly and efficiently identify small molecule inhibitors of the HIF-1 signaling pathway.

Development and validation of a hypoxia responsive blactamase reporter gene assay
We have generated a HRE-bla line in ME 180 cells, human cervical cancer cells, by isolating a clonal cell line that responds to hypoxic conditions by up-regulating β-lactamase expression after fluorescence-activated cell sorting (FACS) of cells in response to treatment with deferoxamine (DFO), a known inducer of HIF-1 [20]. This line expressed β-lactamase in response to DFO and cobalt chloride (CoCl 2 ) ( Figure 1A), both of which displace iron from the prolyl hydroxylases F1H1 and PHD1-3, causing its inhibition, to mimic the induction of hypoxic conditions [21], with EC 50s of 164 μM for DFO and 32 μM for CoCl 2 , respectively. This response was also time dependent with maximal β-lactamase expression after cells were treated with DFO for 17 hrs (data not shown). The HRE βlactamase reporter gene assay (HRE-bla assay) was further miniaturized into 1536-well plate format. In this format, CoCl 2 dose-dependently induced β-lactamase expression with an EC 50 of 54 μM, similar to that measured in 384well plate.
To date, three HIFα isoforms have been described, with the best characterized being HIF-1α and HIF-2α. In cancer, the HIF system is up regulated both by microenvironmental hypoxia and by genetic events that lead to enhanced translation or stability of HIF-1α [17]. While HIF-1α has been shown to mediate hypoxia-induced responses in ME-180 cells [22], we validated the HRE-bla assay using HIF-1α and HIF-2α specific RNAi and examined the effect on HRE-bla activity. Incubation of cells with HIF-1α RNA duplexes blocked hypoxia-induced βlactamase expression, whereas HIF-2α duplexes had little effect ( Figure 1B and 1C). This result suggests that HIF-1α, but not HIF-2α, regulates HIF-mediated gene expression in ME-180 cells.

Identification of small molecule inhibitors of HIF-1 pathway using qHTS
In the primary qHTS, 73,000 compounds were screened at 7-15 concentrations ranging from 0.5 nM to 38 μM in the HRE-bla assay. The inhibitory effect of the compounds was measured in the presence of 60 μM of CoCl 2 in the screen. NSC 607097, a known inhibitor of HIF-1 pathway [23], was used as a positive control to examine the quality of the results from each plate. The NSC 607097 concentration response curves reproduced well in all 500 plates with an average IC 50 of 0.29 ± 0.8 μM (Figure 2A). The average signal to background ratio was 4.1 and Z' factor averaged 0.7 for the entire screening. These data demon-A. HRE-bla ME-180 cells express β-lactamase in response to hypoxia Figure 1 A. HRE-bla ME-180 cells express β-lactamase in response to hypoxia. Cells were incubated with indicated amount of DFO or CoCl 2 for 17 hrs before β-lactamase assay was performed. B. HIF1α, but not HIF2 α, mediates the expression of β-lactamase in response to hypoxia. Cells were incubated with indicated Stealth RNAi™ duplexes for 55 hrs, and then treated with 125 μM CoCl 2 for 17 hrs before β-lactamase assay was performed. C. Western blot analysis for DFOinduced HIFα accumulation and RNAi knockdown. Cells were incubated with indicated Stealth RNAi™ duplexes for 55 hrs, and then treated with 250 μM DFO for 5 hrs before HIF1α western blot was performed as described in Materials and Methods.
A. Intra-plate concentration response titration curves for NSC 607097 in the screening Figure 2 A. Intra-plate concentration response titration curves for NSC 607097 in the screening. Each curve was measured in duplicate in column 1 of each assay plate. B. qHTS concentration response data binned into curve classes 1-3 (Class 1 curves, blue; Class 2 curves, orange; Class 3 curves, green). C. Concentration response curves for compounds in series 39 (Class 1.1 curves, blue; Class 1.2 curves, orange; Class 2.1 curves, green; Class 3 curves, light gray; Class 4 curves, dark gray). C strate that the qHTS platform is robust and suitable for identifying active compounds. Concentration-response data for all the compounds screened binned into curve classes are shown in Figure 2B.
In this primary qHTS (PubChem AID: 915), 350 inhibitors (0.5% of library) with class 1.1, 1.2, and 2.1 curves in the ratio readout (class 1-3 in the 460 nm reading and class 4 in the 530 nm reading) were identified. The distributions of curve class and potency for these compounds were listed in Table 1. A structure-activity relationship (SAR) analysis of these 350 compounds yielded 18 structural series each sharing a common scaffold (see Methods section for details). Ten of these 18 series and 6 singletons were selected for confirmation and follow up studies based on compound potency/efficacy ranges, curve quality and cytotoxicity. The concentration response curves for compounds in series 39 are showed in Figure 2C from the primary screen. Details on the procedure used for series prioritization can be found in the Materials and Methods section.
Among these we further identified compounds from three novel structural series ( Figure 3A) that were the most potent and had the highest quality concentrationresponse curves for secondary testing in additional assays. The thiophen-oxadiazole core, rather than the oxadiazole group alone, seems to be important for compound activity in series 39 and 31. As shown in Figure 3B, of all the 64 compounds containing the thiophen-oxadiazole core, 7 (11%) were active and 54 were inactive; whereas of the 1329 compounds in the library containing only the oxadiazole moiety, only 21 (1.6%) were active. NCGC00044926 was assigned to a different series (series 31 rather than 39), even though it contains the thiophenoxadiazole core as well. This is because NCGC00044926 also contains another scaffold, the methoxybenzothiazolamino group, which is the common scaffold for series 31.

Inhibition of CoCl2 and low oxygen induced HIF-1 signaling
In the confirmation study 40 compounds (Table S1, Additional file 1) from 10 series and 6 singletons were purchased and retested in the HRE-bla assay induced by CoCl 2 . Of the 40 compounds that had been tested in the primary screen, 36 showed the same activity in the confirmation assay giving a confirmation rate of 90%. To confirm that the compounds were specifically active against the HIF-1 mediated signaling pathway, we selected 10 from these 36 confirmed compounds based on potency and structure novelty. These compounds were tested in the same HRE-bla assay induced by low oxygen (≤1%) in a hypoxia chamber. All the compounds inhibited low oxygen-induced HIF-1 mediated signaling except for NCGC00078922. Compounds from series 31 were the most potent in both low oxygen and CoCl 2 -induced HREbla assays ( Table 2). As shown in Figure 4A, NCGC00043898 (series 39), NCGC00044926 (series 31), NCGC00049606 (series 39) and NCGC00056044 (series 71) concentration-dependently inhibited HIF-1 mediated signaling induced by low oxygen. These compounds showed similar activities in a CoCl 2 -induced HRE-bla assay ( Figure 4B). To study the mechanism involved in the inhibition of HIF-1 signaling, NCGC00043898, NCGC00044926, NCGC00049606 and NCGC00056044 were further examined for their effect on HIF-1α accumulation by western blot analysis. As shown in Figure S1 (Additional file 2), NCGC00043898 (series 39), NCGC00049606 (series 39) and NCGC00056044 (series 71) significantly inhibited CoCl 2 induced HIF-1α accumulation at 10 μM and had even more inhibitory effect at 20 μM, whereas NCGC00044926 (series 31) showed little inhibition, which indicates this compound does not inhibit HIF-1α transcriptional activity via the inhibition of HIF-1α accumulation.
In addition, the cytotoxicity of these compounds was investigated in a cell viability assay which measures intracellular ATP content. Only NCGC00056044 significantly decreased intracellular ATP content with an IC50 of 15.8 μM after a 17 hr treatment. None of the other compounds showed significant cytotoxicity. To further investigate the effect of these four compounds on the growth of ME 180 cells under normoxic or hypoxic (induction by CoCl2) conditions, intracellular ATP content was measured after compound treatment for 24 to 72 hr. After a 24 hr treatment, NCGC00056044 showed significant growth inhibition, while the others only showed minimal or no inhibitory effect (Table S2, Additional file 3). After 48-72 hr treatment all the compounds had an inhibitory effect on the growth of ME 180 cells. There was no significant difference of compound IC50 values with or without CoCl2 treatment.

Inhibition of hypoxia induced VEGF secretion
To determine whether these compounds were modulating HIF-1 signaling, we evaluated the effect of theses compounds on VEGF secretion in ME180 cells. Expression of VEGF is induced in cells exposed to hypoxia [8], and VEGF  is one of several well studied HIF-1 target genes [8,24]. Two known hypoxia inducers were used to induce VEGF secretion in the assays, CoCl 2 and iodochorohydrozyquinoline [25]. As shown in Figure 5, NCGC00043898 (series 39), NCGC00044926 (series 31), NCGC00049606 (series 39) and NCGC00056044 (series 71) concentration-dependently inhibited iodochorohydrozyquinoline induced VEGF secretion, with IC 50 s of 23 μM, 15 μM, 25 μM and 10 μM, respectively. These compounds had a similar inhibitory effect on CoCl 2 -induced VEGF secretion (data not shown). However, a few compounds, including NCGC00033933 and NCGC00078922, had no effect on hypoxia induced VEGF secretion even though they showed inhibitory effects in both low oxygen and CoCl 2induced HRE-bla assays, suggesting that these compounds may affect HIF-1 mediated target genes other than VEGF, a result which warrants further investigation.

Selectivity of compounds in HRE signaling pathway
Some of the compounds screened against the HIF-1 pathway were also tested in other signaling pathway assays at the NCGC. We compared the activity, in terms of potency and efficacy, of some of our confirmed active compounds including NCGC00043898, NCGC00044926, NCGC00049606 and NCGC00056044 in the HIF-1 pathway with their activities in other pathways including AP-1 and NFκB signaling. Among these four compounds, NCGC00044926 was inactive in both the AP-1-bla (PubChem AID: 357) and NFκB-bla assays. In the AP-1 pathway screen using a β-lactamase assay, NCGC00049606 and NCGC00056044 (PubChem AID: 357) showed partial efficacy with IC 50 s of 10 μM and 12.5 μM, respectively. The maximum inhibitory efficacies of NCGC00049606 and NCGC00056044 in the AP-1 pathway were 45% and 35%, respectively, whereas the inhibitory efficacies of these two compounds in the HIF-1 pathway were 91% and 80%. In the NFκB reporter gene assay, NCGC00056044 showed low potency (IC 50 , 10.5 μM) even though at full efficacy, while the other three compounds were inactive. Finally, these compounds were negative in an AmpC library profiling assay, indicating that they were not inhibitors of the β-lactamase reporter gene [26]. Taken together these results indicate that all four compounds showed selective inhibitory activity against the HIF-1 mediated signaling pathway, with marginal effect on the AP-1-and NFκB-mediated signaling pathways.

Discussion
In the present study, we have engineered a ME180 cell line with a β-lactamase reporter under the control of a HRE that enables a reagent addition-only and microvolume (7 μL) screening assay for identifying small molecule inhibitors of the canonical HIF-1 signaling pathway. We have identified and confirmed compounds from several novel structural series that are inhibitors of the HIF-1 mediated pathway using a qHTS approach. These compounds showed good potency/efficacy, specificity against this pathway with no or low cytotoxicity, therefore might be good candidates for further testing in other cancer cell lines or animal models. The screening process and follow up studies were summarized as a flow chart in Figure 6.
Assays designed for the identification of modulators of the hypoxia pathway can be developed from individual pathway proteins or cell-based systems. The former biochemical assay allows identification of compounds which, for example, directly bind to the HIF-1 protein [27], but absent the cellular context which may influence in vitro cell activity or regulation. Therefore pathway assays can provide additional opportunities to modulate the target activity, although can require considerable follow-up studies to determine the specific site of action of the compound. However, screening a compound collection against a cell-based HIF-1 assay, such as the β-lactamase reporter gene assay, allows the identification of cell membrane permeable HIF-1 inhibitors that can be rapidly validated in secondary cell assays such as the hypoxiainduced HIF-1α accumulation and VEGF secretion assays used in this study.
The use of β-lactamase as a reporter with the cell-permeable substrate, CCF4, permits the measurement of the hypoxia response in live cells. The ratiometric readout by using this β-lactamase substrate and dual emissions (460 and 530 nm) minimizes the well-to-well and plate-toplate variations caused by subtle differences in cell numbers that can result in the automated dispensing step. The green fluorescence signal (530 nm) is reflective of the cellular uptake of CCF4-AM substrate and can be used as an indication of cell viability. Therefore, it can be used to monitor compound cytotoxicity, independently from the response due to β-lactamase inhibition reflective of the pathway activity. For example, chetomin, a known HIF-1 inhibitor [28] with an IC 50 value of 37.5 nM in this assay, was found to cause cytotoxicity at a concentration >200 nM under the induction of HIF-1 activity via CoCl 2 [29]. The green fluorescence decreased as well as the blue fluorescence (460 nm) for this compound, indicating that chetomin inhibited CoCl 2 induced HIF-1 activity and resulted in cytotoxicity at high concentrations.
As the cell-based HIF-1 assay, conducted in the presence of CoCl 2 , involves the activation of a β-lactamase reporter, it may identify a number of non-specific inhibitors that appear as positive either by competing with intracellular iron or inhibiting mRNA transcription, protein synthesis or β-lactamase activity. We have applied several follow-up assays including functional assays that measure hypoxiainduced HIF-1α accumulation and VEGF secretion, an HRE-bla assay conducted in a hypoxia chamber (≤1% oxygen), which serves as a confirmation assay of the CoCl 2 -induced HRE-bla assay, and an assay that detects compound cytotoxicity by measuring intracellular ATP content. In order to determine the specificity of the HIF-1 inhibitors identified from the primary screen and followup study, we also examined their activity in other signaling pathway assays run at the NCGC. The qHTS approach combined with several follow-up studies allowed us to efficiently identify the compounds capable of inhibiting the HIF-1 signaling pathway. Of the ten structural series and 6 singletons initially identified from qHTS, NCGC00043898, NCGC00044926, NCGC00049606 and NCGC00056044 had their activity confirmed in all follow-up studies, displaying potencies ranging from 0.5-3 μM. These compounds have not been reported previously as inhibitors of the HIF-1 signaling pathway and appeared to be selective toward this pathway as compared to the NFκB and AP-1 signaling pathways. In addition, we have demonstrated that these compounds blocked VEGF secretion, a downstream response to activated HIF-1.
Using the qHTS approach potency and efficacy of each compound can be obtained rapidly from the primary screening data, limiting the amount of follow-up compound acquisition and re-testing required. Confirmation rates are greatly improved in qHTS compared to conventional single concentration screening. For example, in our follow-up studies 36 of 40 compounds re-tested positive, a confirmation rate of 90%. We also confirmed thirteen of the thirteen compounds in the NCI diversity collection identified previously by two independent laboratories [23,30] (Table S3, Additional file 4), although the methods of hypoxia induction were different among all three labs. Of these compounds, NSC-259968 and NSC-259969 showed a potent inhibitory effect on the HIF-1 signaling pathway with IC 50 s of 11.3 and 10.9 nM. Two other compounds that were active are the DNA topoisomerase I inhibitors, NSC-606985 (camptothecin) and NSC-609699 (topotecan) with IC 50 s of 69 nM and 240 nM, respectively. Chau et al [23] excluded NSC-606985 and NSC-609699 as potential inhibitors of HIF-1 signaling due to their unacceptable cytotoxicity. We found that all four compounds not only displayed cytotoxicity as shown by a decrease in the green fluorescence signal (530 nm), but were also nonselective, as they blocked other pathways such as the AP-1 and NF-κ-B pathways as well as the HIF-1 signaling pathway (data not shown). The cytotoxicity of these compounds could not be detected in the HRE-luciferase reporter gene assay where they were identified as active because both cytotoxicity and inhibition of HIF-1 pathway would both result in a decrease in signal, thus the two modes are indistinguishable in this assay format.

Conclusion
In summary, we have identified several novel small molecule inhibitors of the HIF-1 signaling pathway by apply- ing qHTS to a HRE-bla assay and accessing the NIH Molecular Libraries Small Molecule Repository. Activities of selected compounds were confirmed in the follow-up assays. Among these compounds, NCGC00043898, NCGC00044926, NCGC00049606 and NCGC00056044 selectively inhibited both HIF-1 activity and VEGF protein expression. Three of these compounds showed inhibition of hypoxia-induced HIF-1α accumulation. Therefore, the screening approach outlined here has allowed us to identify high quality lead compounds that can serve as probes of the HIF-1 signaling pathway and as potential candidates for future drug development.

Cell lines and culture conditions
CellSensor ® HRE-bla ME-180 cell line, generated in this study, stably expresses a β-lactamase reporter gene under the control of 5 copies of the HRE present in the VEGF gene promoter. CellSensor ® NFκB -bla and AP-1-bla ME-180 cell lines were obtained from Invitrogen (Invitrogen, Carlsbad, CA). CellSensor ® NFκB-bla ME-180 cells and CellSensor ® AP-1 (activator protein 1)-bla ME-180 cells contain a β-lactamase reporter gene under the control of the NFκB response element or the AP-1 binding element, respectively. Cells were cultured in DMEM medium supplemented with 10% dialyzed fetal bovine serum, 2 mM L-glutamine, 0.1 mM non-essential amino acids, 1 mM sodium pyruvate, 25 mM HEPES, 50 U/ml penicillin and 50 μg/ml streptomycin, and 5 μg/ml of blasticidin at 37°C under a humidified atmosphere and 5% CO 2 .

HIF-1 RNAi assay and Western blot analysis
Cells were plated into a 96-well assay plate at 8000 cells/ 100 μL/well in growth medium and after overnight incubation at 37°C, 80 nM Stealth RNAi™ (Invitrogen) duplexes in Lipofactamine™ 2000 (Invitrogen) in OPTI-MEM was added. Cells were incubated for 48 hrs, the medium was replaced with OPTI-MEM plus 0.5% dialyzed FBS, and the indicated amount of CoCl 2 or deferoxamine (DFO) added. After 17 hrs incubation at 37°C, βlactamase activity was measured.
For Western blot analysis, cells were plated in 6-well plate, mock transfected or transfected with indicated Stealth RNAi™ oligos as described above for 55 hrs, and then were left untreated or treated with 200 uM CoCl 2 for 5 hrs. Cells were harvested and incubated with M-PER cell lysis buffer (Thermo Scientific) supplemented with protease inhibitor cocktail (Sigma, St. Louis, MO) and DNAase I (Invitrogen) for 15 min on ice. Samples for SDS-PAGE were prepared by addition of 5× SDS loading buffer and DTT (1 mM) to the cell lysates. Samples were boiled at 90°C for 3 min and then loaded onto a 4-20% Tris-Glycine gel. Resolved proteins were transferred to nitrocellulose membrane using the iBlot semi-dry transfer unit (Invitrogen). The western blotting was then performed using primary anti-HIF-1α antibody (Cell Signaling Technologies, Danvers, MA) and alkaline-phosphatase conjugated secondary goat anti-rabbit antibody (Invitrogen). Reactive bands were detected using a chromogenic substrate reagent (BCIP/NBT) (Invitrogen).

HRE -lactamase reporter assay
HRE-bla ME-180 cells were dissociated with 0.05% trypsin/EDTA, washed in assay medium (OPTI-MEM with 0.5% fetal bovine serum, 0.1 mM nonessential amino acids, 1 mM sodium pyruvate, 10 mM HEPES pH 7.3, 100 U/ml penicillin, and 100 μg/ml streptomycin), and suspended in assay medium. As described in Table 3, cells were dispensed at 2500 cells/5 μL/well in 1536-well black wall/clear bottom plates (Greiner Bio-One North America, Monroe, NC) using a Flying Reagent Dispenser [31] (FRD, Aurora Discovery, Carlsbad, CA). Twenty-three nL of compound was transferred to the assay plate by a pin tool [32] (Kalypsys, San Diego, CA) resulting in a 261-fold dilution. One μL of medium with or without agonist or agonist plus inhibitor was dispensed by a FRD in the following format. Column 1, NSC 607097 [23], a known inhibitor of HIF-1 pathway, concentration-response titration from 0.6 nM to 2 μM, column 2, 120 μM CoCl 2 (EC 100 ), column 3, DMSO only, and columns 1, 4 to 48, 60 μM CoCl 2 . The plates were incubated 17 hours at 37°C. One μL of LiveBLAzer™ B/G FRET substrate (Invitrogen) detection mixture was added, the plates were incubated at room temperature for 2.5 hrs, and fluorescence intensity (405 nm excitation, and 460 and 530 nm emis-Inhibition of hypoxia-induced VEGF secretion Figure 5 Inhibition of hypoxia-induced VEGF secretion. ME-180 cells were pre-treated with NCGC00043898, NCGC00044926, NCGC00049606 and NCGC00056044 at various concentrations for 5 min and then exposed to 15 μM iodochorohydrozyquinoline for 17 hrs. Then VEGF level was determined by human VEGF ELISA kit. Representative values are from a single experiment performed in duplicate. Data are expressed as mean ± SD. sions) was measured by an Envision plate reader (Perkin Elmer, Shelton, CT). Data was expressed as the ratio of 460/530 nm emissions.
In the confirmation study, the selected compounds were first tested in HRE-bla assay induced by 60 μM CoCl 2 . The assay protocol is same as above described except the dose titrations were within one 1536-well plate and compounds were tested at 24 concentrations in duplicate. In the compound follow up, the activity of compounds was further confirmed in HRE-bla assay in the presence of ≤1% oxygen in a hypoxia chamber (Billups-Rothenberg, Inc, CA). The process of compound selection will be described in the following section.

qHTS and SAR analysis
Approximately 73,000 compounds were screened in this qHTS [18,19,33]. Eighty-two percent of these compounds A flowchart of identification of HIF-1 inhibitors Figure 6 A flowchart of identification of HIF-1 inhibitors. * 350 inhibitory compounds were identified from primary screening, in which 18 structure series were generated by using Leadscope fingerprints. ** A set of criteria (Table S4, Additional file 5) were applied to exclude series containing potentially fluorescent compounds and series with low potencies or efficacies, resulting in 10 prioritized series and 6 singletons (Table S1, Additional file 1).  [34]. Pin tool transfer of compounds to assay plates resulted in a 261-fold dilution. The final compound concentration in the 6 μl assay volume ranged from 0.0024 to 38 μM. Primary data analysis was performed as previously described [18]. Briefly, raw plate reads for each titration point were first normalized relative to CoCl 2 control (60 μM, 100%) and DMSO only wells (basal, 0%), and then corrected by applying a pattern correction algorithm using compound-free control plates (DMSO plates) between each library of the compound plate stack.  (Table S4, Additional file 5) were applied to exclude series containing potentially fluorescent compounds and series with low potencies or efficacies, resulting in 10 prioritized series and 6 singletons.

Measurement of VEGF secretion
HRE-bla cells were plated in growth medium at 1 × 10 5 cells/well in a 24-well plate. After incubation for 3-5 hrs at 37°C, the cell culture medium was removed and OPTI-MEM medium with 1% dialyzed FBS was added into the wells. The cells were then treated with compound for 5 min, followed by addition of 15 μM of iodochorohydrozyquinoline or 60 μM CoCl 2 . After 20 hr treatment, the culture media were removed and analyzed for VEGF expression using human VEGF immunoassay kit (R&D Systems, Minneapolis, MN). Briefly, 200 uL of sample or known standard (0-2000 pg/ml) was added to wells of a microplate which was pre-coated with a monoclonal antibody specific VEGF and incubated at room temperature for 2 hrs. After washing away any unbound substances, an anti-VEGF antibody conjugated to horseradish peroxidase was added and the plate incubated for 2 hrs at room temperature. Following three washes, a substrate solution was added and incubated for 20 min, followed by the addition of a stop solution. The optical density of each well was determined using an EnVision plate reader at 450 nm with 570 nm as a reference filter.

NFkB and AP-1 b-lactamase reporter assays
NFκB-bla or AP-1-bla ME-180 cells were dissociated with 0.05% trypsin/EDTA, resuspended in assay medium, and dispensed at 2000-2500 cells/5 μL/well in 1536-well black wall/clear bottom plates (Greiner Bio-One North America) using a FRD. Twenty-three nL of compound was transferred to the assay plate by a pin tool (Kalypsys) resulting in a 261-fold dilution. For NFκB assay, 1 μL of medium with or without 1 ng/ml TNF-α was dispensed by a FRD, and for AP-1 assay 1 μL of medium with or without 1 ng/ml EGF was dispensed by a FRD. After the plates were incubated 5 hrs at 37°C, one μL of LiveBLAzer™ B/G FRET substrate (Invitrogen, CA) detection mixture was added.
The plates incubated at room temperature for 2 hrs, and fluorescence intensity (405 nm excitation, 460 nm and 530 nm emissions) was measured by an Envision plate reader. Data was expressed as the ratio of 460/530 nm emissions.

Cell viability assay
Cell viability was measured using a luciferase-coupled ATP quantitation assay (CellTiter-Glo ® , Promega, Madison, WI). Cells were dispensed at 2500 cells/well in 1536well white/solid bottom assay plates (Greiner Bio-One North America) using a FRD. The cells were incubated at 37°C for 4-6 hrs to allow for cell attachment, followed by addition of compounds via pin tool. After compound addition, plates were incubated for 17-72 hrs at 37°C. At the end of the incubation period, 5 μL of CellTiter-Glo ® reagent was added, plates were incubated at room temperature for 30 min, and luminescence intensity determined using a ViewLux plate reader (PerkinElmer, Shelton, CT).