Objective:This study aims to investigate the role of aquaporin 3(AQP3) in the chemoresistance of colorectal carcinoma mediated by hypoxia. Methods:Real-time quantitative PCR and Western blot were performed to detect the expression of AQP3 under hypoxic condition in colorectal carcinoma HCT116 cells and HT29 cells. CCK-8 was used to detect the influence of hypoxia on the sensitivity of HCT116 cells to 5-fluorouracil(5-Fu)under hypoxic condition. CCK-8 and colony formation assay were also used to detect the effect of AQP3 on the sensitivity of HCT116 cells to 5-Fu under hypoxic condition. Results:Under hypoxic condition,the expression levels of AQP3 mRNA and protein were significantly up-regulated in both HCT116 and HT29 cells. After hypoxia inducible factor(HIF-1α)was inhibited,and the expression levels of AQP3 mRNA and protein in HCT116 cells under hypoxic condition were not significantly increased. Under hypoxic condition,the sensitivity of HCT116 cells to 5-Fu was lower than that in normal oxygen condition,which was reversed by inhibiting AQP3. Colony formation assay also demonstrated that the effect of 5-Fu on the proliferation ability of HCT116 cells was smaller under hypoxic condition,which was reversed by inhibiting AQP3. Conclusion:Under hypoxic condition,colorectal carcinoma up-regulated AQP3 expression by HIF-1α,which lead to 5-Fu chemoresistance.