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Prepublished online as a Blood First Edition Paper on August 29, 2002; DOI 10.1182/blood-2002-03-0773.
RED CELLS
From the Institute of Veterinary Physiology, University
of Zurich, Switzerland; Carl-Ludwig-Institute of
Physiology, University of Leipzig, Germany; and Department
of Biochemistry and Molecular Biology, College of Medicine, University
of South Florida, Tampa.
The erythroid-specific isoform of 5-aminolevulinate synthase
(ALAS2) catalyzes the rate-limiting step in heme biosynthesis. The
hypoxia-inducible factor-1 (HIF-1) transcriptionally up-regulates erythropoietin, transferrin, and transferrin receptor, leading to
increased erythropoiesis and hematopoietic iron supply. To test the
hypothesis that ALAS2 expression might be regulated by a similar
mechanism, we exposed murine erythroleukemia cells to hypoxia (1%
O2) and found an up to 3-fold up-regulation of ALAS2 mRNA
levels and an increase in cellular heme content. A fragment of the
ALAS2 promoter ranging from The first and regulatory step of heme biosynthesis
in animals is catalyzed by 5-aminolevulinate synthase
(ALAS).1 In addition to the ubiquitously expressed
housekeeping isozyme (ALAS1), the erythroid-specific ALAS isozyme
(X-chromosome-encoded ALAS2) provides the large quantity of heme
required by erythroid cells for hemoglobin production.2,3
ALAS2 is expressed exclusively in erythroid cells, and ALAS2 gene
defects result in impaired heme biosynthesis, as observed in X-linked
sideroblastic anemia.4,5 Enhanced synthesis of hemoglobin
during erythropoiesis requires a coordinated production of heme
molecules, globin chains, iron delivery, and iron uptake. Expression of
proteins responsible for hemoglobin synthesis is therefore
interconnected by several regulatory mechanisms, including
erythroid-specific transcription factors, cellular heme concentration,
and iron status through iron-responsive elements (IREs) located in
untranslated mRNA regions.6,7
Hypoxia up-regulates the expression of proteins involved in
iron metabolism, including transferrin,8 transferrin
receptor,9 and ceruloplasmin.10 The 5'
regulatory regions of these genes contain functional hypoxia-response
elements (HREs), mediating transcriptional activation by the
hypoxia-inducible factor-1 (HIF-1). HIF-1 is a heterodimeric
transcription factor containing an oxygen-labile Cell culture
Protein analysis and cellular heme content
DNA-binding assays Preparation of nuclear extracts from HeLa cells and electrophoretic mobility shift assays (EMSAs) were carried out as described.16 A double-stranded oligonucleotide (TCTCCACGTGGACTTGCC) containing the predicted ALAS2 HBS was used as a probe. Oligonucleotides containing a mutated HBS (TCTCCAAAAGGACTTGCC) or an erythropoietin 3' enhancer-derived HBS16 served as negative and positive controls, respectively.mRNA analysis Total RNA isolation, probe preparation, and Northern blotting procedures were performed as described.8 Hybridization probes were based on the murine ALAS2 sequence.18Site-directed mutagenesis A pGL2-derived firefly luciferase reporter construct encompassing the 718 to +1 region of the mouse ALAS2
promoter12 was used as a template for site-directed
mutagenesis of the HBS at position 323/ 318. The polymerase chain
reaction (PCR) procedure was performed as
described,12 with the use of the following primers:
ALAS-KpnI (5'-ATATGGTACCCTAGAATCCAATCCATTAC-3'); ALAS-mutant reverse (5'-GCAAGTCCAAAAGGAGAGGACC-3'); ALAS-mutant
forward (5'-GGTCCTCTCCTTTTGGACTTGC-3'); and reverse
ALAS-HindIII
(5'-ATATAAGCTTAGTGCTGTGGGCTGGGCTG-3'). The PCR product
was inserted into KpnI-HindIII-digested pGL2, resulting in pTH15. As a control, subcloning of a PCR product amplified
with the primers ALAS-KpnI and RALAS-HindIII,
which contained the wild-type HBS, resulted in pTH10. Mutations were confirmed by DNA sequencing.
Reporter gene assays Luciferase constructs described above, as well as positive and negative control constructs,16 were transiently transfected into HeLa cells and analyzed for oxygen-dependent regulation as described before.13
Hypoxic induction of ALAS2 promoter activity Hypoxic exposure as well as treatment with the iron chelators CPX14 and DFX15 led to stabilization of HIF-1 in MEL cells differentiated by adding DMSO 24 hours before
hypoxic exposure (Figure 1A). To analyze
whether ALAS2 mRNA steady-state levels were inducible by hypoxia like
other genes involved in erythropoiesis, MEL cells were cultured under
hypoxic (1% O2) or normoxic conditions for 24 and 48 hours, respectively. As shown in Figure 1B, DMSO treatment led to a
strong up-regulation of ALAS2 mRNA expression. Interestingly, hypoxic
exposure of differentiated cells induced the mRNA levels of ALAS2 and
glucose transporter-1 (Glut-1), a known HIF-1 target
gene,19 up to 3-fold, indicating that expression of both genes is influenced by oxygen-regulated pathways. Since ALAS2
protein catalyzes the rate-limiting step in heme synthesis, relative
heme content was indirectly estimated following normoxic or hypoxic
exposure by measuring its pseudoperoxidase activity. As shown in Figure
1C, the heme content was significantly (P < .05; n = 3;
Student t test) increased after 48 hours of hypoxic exposure, demonstrating that hypoxic up-regulation of ALAS2 mRNA results in physiologic heme production during erythroid
differentiation.
Previous analysis of the 5'-flanking region ( Hypoxic up-regulation of ALAS2 is HIF-1 independent Iron chelators are known to functionally stabilize HIF-1 .14,15 However, in contrast to HeLa cells
transfected with a control plasmid containing erythropoietin-derived
HBSs, no significant increase in ALAS2 promoter activity was observed
following DFX and CPX treatment (Figure
2A). In line with this result, Northern blot analysis revealed that DFX leads to an up-regulation of the HIF-1
target gene Glut-1, but not of ALAS2 (Figure 2B).
In EMSAs, an erythropoietin-derived HBS16 resulted in an
HIF-1 DNA-binding complex that could be supershifted with the use of a
specific anti-HIF-1 Taken together, our data demonstrate that ALAS2 transcription is hypoxically induced in an HIF-1-independent manner, leading to an increase in heme content. HIF-1-independent hypoxia-inducible pathways have previously been reported for other genes, including IAP-2 and tumor necrosis factor (TNF) receptor type 2.22,23 As iron depletion is known to inhibit ALAS2 translation,24 hypoxic induction of ALAS2 transcription has probably evolved to be HIF-1 independent, as the HIF-1 pathway is activated by iron depletion.
We are grateful to C. Bauer for helpful discussions.
Submitted March 12, 2002; accepted July 31, 2002.
Prepublished online as Blood First Edition Paper, August 29, 2002; DOI 10.1182/blood-2002-03-0773.
Supported by the Swiss National Science Foundation (M.G.) and the National Institutes of Health (G.C.F.).
The publication costs of this article were defrayed in part by page charge payment. Therefore, and solely to indicate this fact, this article is hereby marked "advertisement" in accordance with 18 U.S.C. section 1734.
Reprints: Max Gassmann, Institute of Veterinary Physiology, University of Zurich, Winterthurerstrasse 260, CH-8057 Zurich, Switzerland; e-mail: maxg{at}access.unizh.ch.
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© 2003 by The American Society of Hematology.
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