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Prepublished online as a Blood First Edition Paper on September 12, 2002; DOI 10.1182/blood-2002-06-1693.
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Blood, 1 February 2003, Vol. 101, No. 3, pp. 907-914
HEMOSTASIS, THROMBOSIS, AND VASCULAR BIOLOGY
Hypoxia-inducible factor-1 and hypoxia response elements mediate
the induction of plasminogen activator inhibitor-1 gene expression by
insulin in primary rat hepatocytes
Thomas Kietzmann,
Anatoly Samoylenko,
Ulrike Roth, and
Kurt Jungermann
From the Institut für Biochemie und Molekulare
Zellbiologie, Göttingen, Germany.
The expression of the plasminogen activator inhibitor-1
(PAI-1) gene is enhanced by insulin both in vivo
and in various cell types. Because insulin exerts a number of its
biologic activities via the phosphatidylinositol 3-kinase and protein
kinase B (PI3K/PKB) signaling pathway, it was the aim of the present
study to investigate the role of the PI3K/PKB pathway in the expression
of the PAI-1 gene and to identify the insulin responsive
promoter sequences. It was shown that the induction of PAI-1 mRNA and
protein expression by insulin and mild hypoxia could be repressed by
the PI3K inhibitor wortmannin. Overexpression of a constitutively
active PKB led to induction of PAI-1 mRNA expression and of luciferase
(Luc) activity from a gene construct containing 766 bp of the rat PAI-1 promoter. Mutation of the hypoxia response elements (HRE-1 and HRE-2)
in rat PAI-1 promoter, which could bind hypoxia inducible factor-1
(HIF-1), abolished the induction of PAI-1 by insulin and PKB.
Insulin and the constitutive active PKB also induced Luc expression in
cells transfected with the pGl3EPO-HRE Luc construct, containing 3 copies of the HRE from the erythropoietin gene in front of the SV40
promoter. Furthermore, insulin and the active PKB enhanced all 3 HIF
-subunit protein levels and HIF-1 DNA-binding activity, as shown by
electrophoretic mobility shift assays (EMSAs). Thus, the
insulin-dependent activation of the PAI-1 gene expression can be mediated via the PI3K/PKB pathway and the transcription factor
HIF-1 binding to the HREs in the PAI-1 gene promoter.

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