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Blood, 15 March 2002, Vol. 99, No. 6, pp. 2077-2083
HEMOSTASIS, THROMBOSIS, AND VASCULAR BIOLOGY
Identification of a tightly regulated hypoxia-response element in
the promoter of human plasminogen activator inhibitor-1
Trine Fink,
Arunas Kazlauskas,
Lorenz Poellinger,
Peter Ebbesen, and
Vladimir Zachar
From the Danish Cancer Society, Department of Virus and
Cancer, Aarhus, Denmark; the Department of Cell and Molecular Biology,
Medical Nobel Institute, Karolinska Institutet, Stockholm, Sweden; and
the University of Aalborg, Denmark.
Plasminogen activator inhibitor-1 (PAI-1) plays a key role in
control of coagulation and tissue remodeling and has been shown to be
regulated by a number of cell stimuli, among those hypoxia. In this
study we characterize the hypoxia-mediated induction of PAI-1 in human
hepatoma cell line HepG2. We found that PAI-1 is tightly regulated in a
narrow oxygen gradient. After incubation at oxygen concentrations of
1% to 2%, a 60-fold increase in PAI-1 messenger RNA levels was
observed, whereas mild hypoxic conditions of more than 3.5% did not
appear to induce transcription. Moreover, increased levels of PAI-1
protein were observed after incubation at low oxygen tensions. Through
sequence analysis, several putative hypoxia-response elements (HREs
1-5) were identified in the human PAI-I promoter. Reporter gene assays
showed that the HRE-2 ( 194 to 187) was necessary and sufficient for
the hypoxia-mediated response. By electrophoretic mobility assay we
observed hypoxia-dependent binding of a protein complex to the HRE-2
motif. Further analysis demonstrated that HRE-2 was specifically
recognized by the hypoxia-inducible transcription factor
1 -arylhydrocarbon nuclear translocator complex. Taken together, our
data demonstrate that hypoxia-induced transcription is mediated through
HIF-1 interaction with the HRE-2 site of the human PAI-1 promoter.

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