Hypoxic tumour cells are recognized to up regulate several metastasis that is promoted by genes. Therefore, the therapeutic inhibition or functional targeting of hypoxiainduced proteins holds promise as a potential strategy to reduce metastases in patients with hypoxic tumours. There are a number of small molecule inhibitors of HIF 1a that have been discovered including topotecan, YC 1, and PX 478.. Small chemical inhibition of transcription facets in vivo is inherently difficult, while therapeutic inhibition of HIF 1a has the potential to reduce the appearance of a range of HIF 1 target genes and the tumour specificity of HIF 1a inhibition isn't clear. Hence, the inhibition of metastasis associated proteins induced by hypoxia might provide more specific results on metastatic tumour cell dissemination, metastatic tumour cell homing to distant organs, and metastatic tumour progress in comparison to HIF 1a inhibition, and several intriguing goals have been identified that hold promise for treating metastatic infection. Carbonic anhydrase 9 is a hypoxia induced cell surface protein involved in the regulation of intracellular pH. Therapeutic inhibition of CAIX has now been proven to decrease metastasis and primary tumour development in pre scientific chest tumour types, partly by decreasing the power of hypoxic tumour cells to conform to the lower extracellular pH within hypoxic parts of primary tumours. A number of small molecule inhibitors of CAIX have already been created, and cell surface proteins such as for example CAIX are desirable because the distribution of CAIX inhibitors is not restricted to transmission of adequate concentrations of inhibitor in to the cell targets. Nevertheless, it's worth noting that supply and diffusion of CAIX inhibitors to hypoxic cells in a poorly vascularized tumour microenvironment is an necessary concern. None the less, the strong link between CAIX expression and tumor cell hypoxia offers support for therapeutically targeting CAIX.