The cellular response to O2 (oxygen) is a central process in
animal cells and figures prominently in the pathophysiology of several
diseases, including cancer, cardiovascular disease, and stroke. This process is
coordinated by the HIF (Hypoxia-Inducible Factor) and its regulator, the pVHL
(Von Hippel-Lindau tumor suppressor protein). HIF1 is a basic helix-loop-helix
transcription factor that transactivates genes encoding proteins that
participate in homeostatic responses to hypoxia. It induces expression of
proteins controlling glucose metabolism, cell proliferation, and
vascularization. Several genes involved in cellular differentiation are
directly or indirectly regulated by hypoxia. These include Epo
(Erythropoietin), LDHA (Lactate Dehydrogenase-A), ET1 (Endothelin-1),
transferrin, transferrin receptor, VEGF (Vascular Endothelial Growth Factor),
Flk1, FLT1 (Fms-Related Tyrosine Kinase-1), PDGF-Beta (Platelet-Derived Growth
Factor-Beta), bFGF (basic Fibroblast Growth Factor), and others genes affecting
glycolysis (Ref.1).
HIF1 consists of a heterodimer of two basic helix-loop-helix
PAS (Per-ARNT-Sim) proteins, HIF1-Alpha, and HIF1-Beta. HIF1-Alpha accumulates
under hypoxic conditions whereas HIF1-Beta is constitutively expressed.
HIF1-Alpha is an important mediator of the hypoxic response of tumor cells and
controls the up-regulation of a number of factors important for solid tumor
expansion including the angiogenic factor VEGF. HIF1-Beta is the ARNT (Aryl
hydrocarbon Receptor Nuclear Translocator), an essential component of the
xenobiotic response (Ref.2).
In the presence of O2, HIF is targeted for destruction by an
E3 ubiquitin ligase containing the pVHL. Human pVHL binds to a short
HIF-derived peptide when a conserved proline residue at the core of this
peptide is hydroxylated. The human genome contains EGL9 (Egg Laying Nine-9)
homologues that are named EGLN1, EGLN2, and EGLN3 (also called PHD2, PHD1, and
PHD3 (Prolyl Hydroxylase Domain–Containing Proteins) respectively). Prolyl
hydroxylase post-translationally modifies HIF1-Alpha, allowing it to interact
with the VHL complex. Prolyl hydroxylase contains an iron moiety, so iron
chelation inhibits this activity. All three proteins of Prolyl hydroxylase can
hydroxylate HIF1-Alpha at one of two proline sites within the ODD (Pro-402 and
Pro-564). Analogous prolyl residues are present in HIF2-Alpha and HIF3-Alpha.
In the presence of oxygen, the EGLN proteins are active and hydroxylate the ODD
domain of HIF1-Alpha, which allows pVHL to bind and polyubiquitinate HIF
(Ref.3). VHL is part of a larger complex that includes Elongin-B, Elongin-C,
Cul2, RBX1 (Ring-Box 1) and a ubiquitin-conjugating enzyme (E2). This complex,
together with a ubiquitin-activating enzyme (E1), mediates the Ub
(Ubiquitylation) of HIF1-Alpha. The Ub modification targets HIF1-Alpha for
degradation, which can be blocked by proteasome inhibitors. Under hypoxic
conditions the HIF1-Alpha subunits are not recognized by pVHL, and they
consequently accumulate and dimerize with HIF1-Beta and translocates to the
nucleus, where they interacts with cofactors such as CBP (CREB Binding
Protein)/p300 and the Pol II (DNA polymerase II) complex to bind to HREs
(Hypoxia-Responsive Element) and activate transcription of target genes.
HIF1-Alpha-activated genes include VEGF, which promotes angiogenesis; GLUT1
(Glucose Transporter-1), which activates glucose transport; LDHA (Lactate
Dehydrogenase), which is involved in the glycolytic pathway; and Epo, which
induces erythropoiesis. HIF1-Alpha also activates transcription of NOS (Nitric
Oxide Synthase), which promotes angiogenesis and vasodilation. ARNT2 and MOP3
(Member of Pas superfamily-3) are other proteins that have been shown to
heterodimerize with HIF1-Alpha (Ref.4). HIF1-Alpha can also be regulated by
ERK2, which phosphorylate HIF1-Alpha. HIF1-Alpha also associates with the
molecular chaperone HSP90 (Heat Shock Protein-90). HSP90 antagonists also
inhibited HIF1-Alpha transcriptional activity and dramatically reduced both
hypoxia-induced accumulation of VEGF mRNA and hypoxia-dependent angiogenic
activity. Recently, a factor inhibiting HIF1-Alpha activation, FIH (Factor
Inhibiting HIF1-Alpha), has been described, representing a further level of HIF
regulation.
Hypoxia also induces p53 protein accumulation. p53 directly
interacts with HIF1-Alpha and limits hypoxia-induced expression of HIF1-Alpha
by promoting MDM2-mediated ubiquitination and proteasomal degradation under
hypoxic conditions. Furthermore, the degradation of HIF1-Alpha by p53 in a
hypoxic condition is inhibited by direct interaction with the JAB1 (Jun
Activation domain Binding protein-1) and the ODD domain by blocking the
interaction with p53. HIF1-Alpha also associates with HNF4alpha2 (Hepatocyte
Nuclear Factor-4-Alpha 2), which activates the Epo gene in concert with
HIF1-Alpha in response to hypoxic conditions. Hypoxia contributes significantly
to the pathophysiology of major categories of human disease, including
myocardial and cerebral ischemia, cancer, pulmonary hypertension, congenital heart
disease and chronic obstructive pulmonary diseases (Ref.5).
References:
1. Jiang BH, Zheng JZ, Leung SW, Roe R, Semenza GL.
Transactivation and inhibitory domains of
hypoxia-inducible factor 1alpha. Modulation of transcriptional activity by
oxygen tension.
J. Biol. Chem. 1997 Aug 1;272(31):19253-60.
PubMed ID: 9235919
2. John F. O'Rourke, Ya-Min Tian, Peter J. Ratcliffe, and
Christopher W. Pugh
Oxygen-regulated and transactivating domains in
endothelial PAS protein 1: comparison with hypoxia-inducible factor-1alpha.
J. Biol. Chem. 1999 Jan 22;274(4):2060-71.
PubMed ID: 9890965
3. Masson N, Willam C, Maxwell PH, Pugh CW, Ratcliffe PJ
Independent function of two destruction domains in
hypoxia-inducible factor-alpha chains activated by prolyl hydroxylation.
EMBO J. 2001 Sep 17;20(18):5197-206.
PubMed ID: 11566883
4. Damert A, Ikeda E, Risau W.
Activator-protein-1 binding potentiates the
hypoxia-induciblefactor-1-mediated hypoxia-induced transcriptional activation
of vascular-endothelial growth factor expression in C6 glioma cells.
Biochem. J. 1997 Oct 15;327 ( Pt 2):419-23.
PubMed ID: 9359410
5. Semenza GL.
Hypoxia-inducible factor 1: oxygen homeostasis and
disease pathophysiology.
Trends Mol. Med. 2001 Aug;7(8):345-50
PubMed ID: 11516994
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