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Blood, Vol. 92 No. 7 (October 1), 1998: pp. 2260-2268

Induction of Endothelial PAS Domain Protein-1 by Hypoxia: Characterization and Comparison With Hypoxia-Inducible Factor-1alpha

By M.S. Wiesener, H. Turley, W.E. Allen, C. Willam, K.-U. Eckardt, K.L. Talks, S.M. Wood, K.C. Gatter, A.L. Harris, C.W. Pugh, P.J. Ratcliffe, and P.H. Maxwell

From the Institute of Molecular Medicine and the Department of Cellular Science, John Radcliffe Hospital, Oxford, UK; and Klinikum der Charité, Humboldt Universtät, Berlin, Germany.


    ABSTRACT
Abstract
Introduction
Methods
Results
Discussion
References

Hypoxia results in adaptive changes in the transcription of a range of genes including erythropoietin. An important mediator is hypoxia-inducible factor-1 (HIF-1), a DNA binding complex shown to contain at least two basic helix-loop-helix PAS-domain (bHLH-PAS) proteins, HIF-1alpha and aryl hydrocarbon nuclear receptor translocator (ARNT). In response to hypoxia, HIF-1alpha is activated and accumulates rapidly in the cell. Endothelial PAS domain protein 1 (EPAS-1) is a recently identified bHLH-PAS protein with 48% identity to HIF-1alpha , raising the question of its role in responses to hypoxia. We developed specific antibodies and studied expression and regulation of EPAS-1 mRNA and protein across a range of human cell lines. EPAS-1 was widely expressed, and strongly induced by hypoxia at the level of protein but not mRNA. Comparison of the effect of a range of activating and inhibitory stimuli showed striking similarities in the EPAS-1 and HIF-1alpha responses. Although major differences were observed in the abundance of EPAS-1 and HIF-1alpha in different cell types, differences in the inducible response were subtle with EPAS-1 protein being slightly more evident in normoxic and mildly hypoxic cells. Functional studies in a mutant cell line (Ka13) expressing neither HIF-1alpha nor EPAS-1 confirmed that both proteins interact with hypoxically responsive targets, but suggest target specificity with greater EPAS-1 transactivation (relative to HIF-1alpha transactivation) of the VEGF promoter than the LDH-A promoter.

    INTRODUCTION
Abstract
Introduction
Methods
Results
Discussion
References

OXYGEN AVAILABILITY is increasingly recognized as a major modulator of gene expression.1 Studies of the hematopoietic growth factor erythropoietin have led to the definition of a widely operative system of gene regulation by oxygen2 that is dependent on activation of a transcriptional complex termed hypoxia inducible factor-1 (HIF-1).3 Affinity purification of HIF-1 from Hela cell nuclear extract led to the definition of the DNA binding complex as a heterodimer of two basic-helix-loop-helix PAS domain (bHLH-PAS) proteins, HIF-1alpha and a previously identified molecule termed the aryl hydrocarbon nuclear receptor translocator (ARNT).4 HIF-1 plays an important role not only in the regulation of erythropoietin but also in the hypoxia-inducible expression of many other genes with diverse functions in relation to the biology of oxygen. These include glucose transporters, glycolytic enzymes, vascular growth factors, and nitric oxide synthases.5 Studies of HIF-1 regulation have indicated that one of the major activation mechanisms involves rapid nuclear accumulation of the alpha  subunit.4,6 Thus, when cells are exposed to an atmosphere of 1% hypoxia striking nuclear accumulation of HIF-1alpha occurs over a period of minutes to hours, whereas ARNT is present constitutively and increased only modestly (or not at all) with hypoxic stimulation.6 Current evidence indicates that in normoxic cells HIF-1alpha is targeted for rapid degradation by the proteasome through the operation of specific domains in the molecule,6-9 and that accumulation in hypoxia involves a reduction in this degradation.

Recent cloning experiments have greatly expanded the number of recognized bHLH-PAS proteins,10 raising an important question as to the possible involvement of other members of this family in the response to hypoxia. Among these a molecule first termed endothelial PAS protein-1 (EPAS-1) shows the closest sequence homology to HIF-1alpha (48% identity).11 This molecule was also independently identified and reported as HIF-like factor (HLF),12 member of PAS super-family 2 (MOP2),13 and HIF-related factor (HRF).14 Although these reports have shown that EPAS-1, like HIF-1alpha , can dimerize with ARNT and activate transcription from similar DNA recognition sites, the regulatory characteristics of the EPAS-1 molecule are not yet clearly defined. In this report we have used specific antibodies to define and compare the distribution and regulation of EPAS-1 and HIF-1alpha in a wide range of tissue culture cells. We report that both molecules are expressed widely, although at greatly differing levels within this panel of cells. Both molecules show high-level induction by hypoxia at the level of protein but not mRNA. Their responses to a variety of pharmacological agents were also similar, strongly suggesting that they respond to a similar or identical sensing and signal transduction system.

    MATERIALS AND METHODS
Abstract
Introduction
Methods
Results
Discussion
References

Cell culture.   Cell lines were cultured as recommended by the European Collection of Cell Cultures. The CHO-K1 derivative Ka13 and the endothelial line HMEC-1 have been described previously.15,16 Cells were plated onto 75-cm2 or 175-cm2 flasks 24 hours before experiments such that they were approaching confluence. Culture medium was replaced at the start of each experiment, and when short hypoxic exposures (<2 hours) were studied this medium was pre-equilibrated in the hypoxic incubator. Hypoxic exposure was in a NAPCO 7001 incubator (Precision Scientific, Chicago, IL) with 1% oxygen, 6% CO2, balance nitrogen. Exposure to experimental conditions was for 4 hours unless indicated otherwise. The effect of graded hypoxia was examined in cells cultured on Petriperm dishes (Heraeus, South Plainfield, NJ) in a set of five purpose-built gas-tight chambers, with continous monitoring of oxygen tension in each chamber. Culture media and chemicals were from Sigma (Poole, UK). Diphenylene iodonium chloride was from Calbiochem (Cambridge, MA).

RNA analysis.   Total RNA was extracted using RNAzol B (Biogenesis, Poole, UK). Ribonuclease protection assays were performed essentially as described previously,2 with parallel hybridization using 40 µg for HIF-1alpha , 40 µg for EPAS-1, and 1 µg for U6 small nuclear RNA. 32P-labeled riboprobes were generated using SP6 or T7 RNA polymerase. The templates used yielded protected fragments as follows: 221 bp for EPAS-1 (nucleotides 2542 to 2762, accession no. U81984), 255 bp for HIF-1alpha (nucleotides 764 to 1018, U22431), and 106 bp for U6 (nucleotides 1 to 107, X01366). After resolution on 8% polyacrylamide gels, quantification was performed using a PhosphorImager (Molecular Dynamics, Sunnyvale, CA). Signals for HIF-1alpha mRNA and EPAS-1 mRNA were normalized to a value of 100 for EPAS-1 in Hep3B cells, allowing for the different number of labeled nucleotides in the two protected fragments.

Bacterial protein expression and immunization.   An Nco 1 restriction fragment encoding amino acids 535 to 631 of human EPAS-1 was cloned in frame into pGEX-4t-1 (Pharmacia Biotech, St Albans, UK) with a modified polylinker. Expression of glutathione-S-transferase (GST) fusion protein was induced by exposure of transformed Escherichia coli DH5alpha cells to 0.1 mmol/L isopropyl b-D-thiogalactopyranoside. After bacterial lysis, protein was affinity purified with glutathione Sepharose 4B (Pharmacia). To generate polyclonal antisera to EPAS-1, two rabbits were immunized with 200 µg protein in Complete Freund's Adjuvant (Difco, Detroit, MI), followed by six immunizations at 14-day intervals with 100 µg protein in Incomplete Freund's Adjuvant. To generate monoclonal antibodies (MoAbs), Balb/c mice were immunized with 50 µg protein in Complete Freund's Adjuvant followed by three further immunizations of 50 µg protein in phosphate-buffered saline (PBS) at 10-day intervals. Fusion of mouse splenocytes with myeloma cells was performed using standard techniques 4 days after the last immunization. Hybridoma supernatants were screened by enzyme-linked immunosorbent assay (ELISA) against the GST fusion protein and GST alone, and immunolabelling of COS-1 cells transfected with the human EPAS-1 expression plasmid, phEP1.11 Five MoAbs that reacted with EPAS-1 were obtained.

Protein extraction and immunoblot analysis.   For whole-cell extracts, adherent cells were washed with ice-cold PBS and removed by scraping. Cell pellets were homogenized in extraction buffer (7 mol/L urea/10% glycerol/10 mmol/L Tris-HCl pH 6.8/1% sodium dodecyl sulfate [SDS]/5 mmol/L dithiothreitol [DTT]/0.5 mmol/L phenylmethyl sulfonyl fluoride [PMSF] with 1 mg/L aprotinin, pepstatin, and leupeptin) using an IKA Ultra-Turrax T8 homogenizer (Janke & Kunkel, Staufen, Germany) for 5 seconds at full speed. Extracts were quantified using the BioRad DC protein assay (BioRad, Hemel Hempstead, UK). For differential nuclear and cytoplasmic extraction a modifed Dignam protocol was used.3 For immunoblotting, proteins were resolved in SDS/6% polyacrylamide gels and transferred to Immobilon P (Millipore, Bedford, MA) overnight in 10 mmol/L Tris/100 mmol/L glycine/10%methanol/0.05% SDS. Membranes were blocked with PBS/5% fat-free dried milk/0.1% Tween 20. For HIF-1alpha detection, MoAb 28b was used at 4 µg/mL. This antibody was from a fusion following immunization with a GST fusion protein including amino acids 329 to 530 of human HIF-1alpha . For EPAS-1, 190b supernatant was diluted 1:4. For detection of the Gal4 DNA binding domain in fusion proteins, RK5C1 (Santa Cruz Biotechnology, Santa Cruz, CA) was used at 0.1 µg/mL. Detection was with horseradish peroxidase (HRP)-conjugated goat anti-mouse Igs (DAKO, Ely, UK) at 1:2,000 and enhanced chemiluminescence (SuperSignal Ultra; Pierce & Warriner, Chester, UK). After analysis, membranes were stained with Ponceau S to verify equal protein loading and transfer. For studies of antibody specificity and relative sensitivity, protein extracts containing a high level of EPAS-1 or HIF1alpha fused to a portion of the yeast transcription factor Gal4 were obtained by electroporating COS-1 cells with 10 µg pGN/EPAS19-870 or pGN/HIF1alpha 28-826. These constructs were based on pcDNA3 (Invitrogen, Carlsbad, CA) and contained an SV40 origin of replication, the cytomegalovirus (CMV) promoter, and a bovine growth hormone poly A signal resulting in expression of in-frame fusions of sequence encoding amino acids 1-147 of Gal4 and polymerase chain reaction (PCR) products encoding the specified amino acids of EPAS-1 or HIF-1alpha .

Transient transfections and reporter gene assays.   For functional studies of EPAS-1 and HIF-1alpha , CHO Ka13 cells were cotransfected with 0.25 µg of expression plasmids for HIF-1alpha (pcDNA3/Neo/HIF-1alpha 15) or EPAS-1 (phEP-111) or pcDNA3 without insert, 3 µg reporter plasmid, and 2 µg pCMVbeta Gal15 (as a control for transfection efficiency).All reporter plasmids were based on pGL3 (Promega, Southampton, UK) but included different promoters as follows. p(24x6)TKLuc contained 6 copies of a 24-bp oligonucleotide (P24) from the mouse phosphoglycerate kinase-1 5' enhancer,17 placed 10 bp 5' to the TATA box of the herpes simplex thymidine kinase promoter. pLDH-ALuc contained 233 bp from the mouse LDH-A promoter, extending from -186 to +47 relative to the transcriptional start site. pVEGFLuc contained a 1,786-bp BamH1 fragment from the human VEGF promoter, extending from -1288 to +480. Transfections were performed using DEAE/Dextran in 5-cm dishes with cells at 70% confluence. After transfection, dishes were incubated overnight at 37°C in complete medium, and the following day cells were trypsinized and divided into two 3.5-cm wells on separate plates for parallel 18-hour incubation in normoxia and hypoxia. Luciferase activities in cell lysates were determined using a commercially available luciferase assay system (Promega) and a TD-20e luminometer (Turner Designs, Sunnyvale, CA). Relative beta -galactosidase activity in lysates was measured using o-nitrophenyl-beta -D-galactopyranoside (0.67 mg/mL) as substrate in a 0.1 mol/L phosphate buffer (pH 7.0) containing 10 mmol/L KCl, 1 mmol/L MgSO4, and 30 mmol/L beta -mercaptoethanol for 45 to 90 minutes. The OD420 was determined after stopping the reaction by the addition of 1 mol/L sodium carbonate.

Immunohistochemistry.   Cells were grown on lysine-coated glass slides (Polysine; BDH, Poole, UK). After washing in ice-cold PBS, cells were fixed in methanol at -20°C for 10 minutes and air dried. Slides were incubated with 28b or 190b hybridoma supernatant, followed by HRP-conjugated swine anti-rabbit Igs (DAKO). Detection was with 3'3'diaminobenzidine.

    RESULTS
Abstract
Introduction
Methods
Results
Discussion
References

Distribution of EPAS-1 and HIF-1alpha mRNAs in tissue culture cells.   As a first step in this analysis, total RNA from cell lines derived from diverse human tissues was examined for EPAS-1 gene expression using RNAse protection (Fig 1 and Table 1). EPAS-1 mRNA was detected not only in endothelial cells, but also in fibroblast and epithelial cell lines. The abundance of EPAS-1 mRNA varied over a wide range (>100-fold) between cell lines, with cell lines with the highest levels of EPAS-1 mRNA being HMEC-1 (an endothelial capillary cell line) and MRC5 (fetal lung fibroblast). In contrast, a line of Epstein-Barr virus-transformed lymphocytes (RPMI 1788) showed the lowest level of expression among the cell lines examined, with signal near the limit of detection by RNAse protection assay. The level of EPAS-1 mRNA was determined both under normoxic conditions and after 4 hours of exposure to 1% oxygen, and was not altered by hypoxia in any cell line (Fig 1). Interestingly, two sublines of HeLa cells showed nearly a threefold difference in the level of EPAS-1 mRNA. HeLa(A) was a certified line obtained from the European Collection of Animal Cultures. PCR genotyping of both sublines using six highly polymorphic markers confirmed that the second subline, HeLa(B), were indeed HeLa cells.


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Fig 1. Expression of EPAS-1 and HIF-1alpha in six human cell lines. Cells were cultured in parallel for 4 hours in normoxia (upper three panels) and 1% hypoxia (lower panel). Ribonuclease protection analysis of total RNA was performed for EPAS-1 and HIF-1alpha (40 µg each), and U6 small nuclear RNA (1 µg).

 
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Table 1. Quantitative Data for EPAS-1 mRNA and HIF-1alpha mRNA Expression in a Range of Cell Lines

To compare EPAS-1 and HIF-1alpha expression we also determined the level of HIF-1alpha mRNA in each cell line. The level of HIF-1alpha mRNA expression was less variable than that of EPAS-1 mRNA, ranging approximately 20-fold from the lowest expressing lines (293 cells and Hep3B cells) to the highest expressing lines (MRC5 and HT1080). HIF-1alpha mRNA was less abundant than EPAS-1 mRNA in 6 of the 11 cell lines examined (Table 1). We also examined the levels of HIF-1alpha mRNA after 4 hours of hypoxic exposure and again did not observe modulation in any cell line (data not shown).

Characterization of antibodies reactive against EPAS-1 and HIF-1alpha .   To permit analysis of EPAS-1 regulation at the protein level, and allow comparison with HIF-1alpha , antibodies were raised against recombinant immunogens (see Materials and Methods). To detect any cross-reactivity and determine the approximate sensitivity of these reagents in immunoblotting procedures, COS-1 cells were transfected with plasmids expressing chimeric genes in which near full-length cDNAs for EPAS-1 or HIF-1alpha were linked to an N-terminal Gal4 DNA binding domain. A total of five MoAbs and two polyclonal antisera raised against amino acids 535-631 of human EPAS-1 were tested. All seven gave a strong signal against the Gal4/EPAS-1 fusion protein, but not the Gal4/HIF-1alpha fusion (data not shown). One MoAb (MoAb 190b) was selected for the majority of further experiments described (Fig 2). For detection of HIF-1alpha , MoAb 28b, raised against an immunogen containing amino acids 329-530 of human HIF-1alpha , was tested similarly. This antibody reacted with the Gal4/HIF-1alpha fusion protein but not Gal4/EPAS-1 in the transfected COS-1 cells (Fig 2). Using an MoAb to Gal4 protein, the quantity of extract from each COS-1 cell transfection was adjusted so that equal amounts of HIF-1alpha and EPAS-1 fusion proteins were loaded for detection by either MoAb 28b or MoAb 190b. Under these conditions detection of HIF-1alpha with MoAb 28b gave approximately fourfold less signal than detection of EPAS-1 with MoAb 190b (Fig 2). Detection of the relevant Gal4 fusion proteins was substantially less sensitive with the MoAb to Gal4 than with either MoAb 28b or MoAb 190b.


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Fig 2. Antibody specificity and relative sensitivity of MoAb 190b (EPAS-1) and MoAb 28b (HIF-1alpha ). Immunoblots of whole cell extracts from COS-1 cells transfected with either pGN/EPAS19-870 or pGN/HIF-1alpha 28-826, resulting in expression of fusion proteins with the N-terminal Gal4 DNA binding domain. Aliquots of the EPAS-1/GAL and HIF-1alpha /GAL extracts were analyzed in parallel using antibodies to Gal4 (RK5C1), EPAS-1 (190b), and HIF-1alpha (28b). After initial analysis with the Gal4 MoAb (not shown), the amount of each extract loaded was adjusted to give approximately equal signal with this antibody (left) indicating similar amounts of EPAS-1 and HIF-1alpha fusion proteins. The antibodies to EPAS-1 (middle) and HIF-1alpha (right) specifically recognized the appropriate fusion protein. Film exposure times are shown below each panel, indicating differences in the sensitivity of detection. The positions of MW markers are shown on the left.


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Fig 3. Expression of normoxic and hypoxic EPAS-1 and HIF-1alpha protein in six human cell lines. Cells were cultured in parallel in normoxia (N) or 1% oxygen (H) for 4 hours. Whole-cell extracts (50 µg) were analyzed for EPAS-1 (MoAb 190b, top) and HIF-1alpha (MoAb 28b, bottom). Exposure time was 30 seconds for EPAS-1 and 120 seconds for HIF-1alpha , so that sensitivity of detection for the two proteins is approximately equal. The HeLa(B) hypoxic extract was independently shown to contain approximately equal amounts of EPAS-1 and HIF-1alpha by direct comparison with transfected COS-1 cell extracts.

EPAS-1 and HIF-1alpha protein levels in normoxic and hypoxic tissue culture cells.   Previous studies of nuclear and whole cell extracts have shown striking increases in HIF-1alpha protein levels after hypoxic stimulation.4,6 To determine if EPAS-1 protein levels are induced by hypoxia and to compare the responses with those of HIF-1alpha across the range of cell types, whole-cell extracts were prepared following parallel normoxic and hypoxic incubation for 4 hours. EPAS-1 and HIF-1alpha were detected by immunoblotting using MoAbs 190b and 28b, respectively. EPAS-1 was detected as a single species with a somewhat lower mobility (apparent molecular weight [MW] 115 kD) than that predicted from the deduced amino acid sequence. In a number of cells, including endothelial, fibroblast-like, and epithelial lines, EPAS-1 protein was detectable in extracts of normoxic cells. In all these cell lines striking induction by hypoxia was observed (Fig. 3). Overall, there was a broad correlation between the level of mRNA expression and the hypoxic level of EPAS-1 protein. Thus, the highest levels of EPAS-1 protein in response to hypoxia were seen in HMEC-1, HepG2, and Hep3B cells. MRC5 cells, which showed the highest levels of EPAS-1 mRNA, showed an intermediate level of EPAS-1 protein, whereas EPAS-1 protein was not detected in RPMI 1788, consistent with the very low level of EPAS-1 mRNA in these cells. Essentially identical results were obtained using the other MoAbs and polyclonal antisera raised against EPAS-1 (data not shown).

The same extracts were analyzed in parallel for HIF-1alpha with MoAb 28b. As reported previously,4,18 HIF-1alpha was detected as several species which migrated more slowly than the predicted MW and was induced by hypoxia in all cell lines examined (Fig. 3). Overall, there was a poor correlation between immunodetectable HIF-1alpha in hypoxic cell extracts and the level of the mRNA. In particular, hypoxic HMEC-1 and MRC5 contained relatively low levels of HIF-1alpha protein, although these cells expressed the gene at a relatively high level as assessed by mRNA analysis. The relative amounts of EPAS-1 and HIF-1alpha were compared by reference to Gal4 fusion proteins. Hypoxic HMEC-1, Hep3B, and MRC5 cells were found to contain more EPAS-1 than HIF-1alpha . In hypoxic HeLa(B) and HepG2 cells the amount of HIF-1alpha and EPAS-1 is similar, whereas HIF-1alpha was more abundant than EPAS-1 in HT29, 293, and RPMI 1788 cells.

To characterize the regulation of EPAS-1 in more detail, we compared the induction of EPAS-1 and HIF-1alpha by hypoxia in HeLa(B) cells. These cells were selected because they showed a relatively high level of both proteins in response to 4 hours' exposure to 1% oxygen. It has previously been reported that accumulation of HIF-1alpha after hypoxic exposure is almost exclusively nuclear.4 Immunoblots of differential extracts of hypoxic HeLa(B) cells showed accumulation of both proteins in the nuclear fraction (data not shown), and immunolabeling of HeLa(B) and HMEC-1 cells grown on glass slides showed nuclear staining of EPAS-1 after hypoxic exposure, with little detectable cytoplasmic staining (Fig 4). Interestingly, as illustrated in hypoxic HMEC-1, the intensity of labeling for EPAS-1 varied from cell to cell; we have also observed this when labeling for HIF-1alpha .


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Fig 4. Immunolabeling for EPAS-1 with MoAb 190b. Cells were exposed to normoxia (left panels) or 1% oxygen (right panels). Upper panels show HeLa(B) and lower panels HMEC-1. Nuclear labeling of variable intensity is seen in the hypoxic cells. Original magnification × 1,000. 

The time course of both HIF-1alpha and EPAS-1 accumulation was rapid, with a response being detected within 30 minutes of exposure to 1% oxygen (Fig 5A). Levels of both EPAS-1 and HIF-1alpha increased over the first 2 to 4 hours of exposure (Fig 5A and B), but were somewhat lower with prolonged hypoxia (Fig 5B). After return of hypoxic cultures to normoxic incubation (without changing the culture medium), the levels of both EPAS-1 and HIF-1alpha decreased very rapidly and were similar to the uninduced level after 30 minutes. Interestingly, following this, a transient reduction in the level of each protein below the normoxic level was consistently observed, suggesting a suppressive effect of reoxygenation (Fig 5C). Figure 5D and E shows the effect of cell density and graded hypoxia on expression of the two proteins. Responses were again similar. The normoxic expression levels were in each case reduced when cells were cultured at low density (25% of confluence) compared with standard density (at or approaching confluence). To test the responses to graded hypoxia, HeLa(B) cells were grown on Petriperm dishes to minimize oxygen gradients between the hypoxic atmosphere and the monolayer. Parallel exposure of near-confluent cells to a range of oxygen tensions induced both proteins, with significant increases in HIF-1alpha and EPAS-1 at 5% oxygen compared to normoxia, and further increases at 3% and 1% oxygen (Fig 5E). Interestingly, exposure to 5% oxygen appeared to result in a slightly greater increase in EPAS-1 compared to HIF-1alpha .


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Fig 5. Characterization of induction of EPAS-1 and HIF-1alpha by hypoxia. Immunoblots of HeLa(B) cell whole-cell extracts (100 µg) with MoAb 190b (upper panels) and MoAb 28b (lower panels). (A) Cells were exposed to 1% oxygen for 30 to 180 minutes. (B) Cells were exposed to normoxia or 1% oxygen for 2 to 48 hours. (C) Cells were incubated in normoxia (N) or 1% oxygen (H) for 16 hours and harvested at different times following return to normoxia (Reoxygenation). (D) Cells were seeded at different densities and cultured under normoxic conditions. (E) Cells on gas-permeable dishes were exposed to different oxygen concentrations or 100 µmol/L DFO for 6 hours.

Pharmacological modulation of EPAS-1 and HIF-1alpha levels.   Important insights into the mechanism of oxygen sensing and/or signal transduction underlying HIF-1 activation have been gained from pharmacological interventions which perturb the response as measured either by HIF-1 or target gene activation. To compare further the regulation of EPAS-1 with HIF-1alpha , we measured the response of each protein to several of these interventions.

Cobaltous ions and iron chelators mimic hypoxia in activation of target genes such as erythropoietin and induce HIF-1alpha at the protein level.4,19,20 When Hela(B) cells were exposed to cobalt chloride (100 µmol/L) or desferrioxamine (100 µmol/L) a marked increase in EPAS-1 was observed, in parallel with a similar change in the level of HIF-1alpha (Fig 6A). Interestingly, in certain cell types there were differences betweeen EPAS-1 and HIF-1alpha in the level of induction achieved by 1% oxygen when compared with these stimuli. For instance, in Hep3B cells EPAS-1 was induced similarly by 1% hypoxia, cobalt chloride, or desferrioxamine (DFO), whereas HIF-1alpha was induced less effectively by hypoxia than the other stimuli (Fig 6A). In contrast to the effect of these stimuli, exposure to cyanide does not mimic the effect of hypoxia on HIF-1-responsive genes21 and was ineffective in stimulating either EPAS-1 or HIF-1alpha in the current experiments. In fact, a reduction in the level of both EPAS-1 and HIF-1alpha were observed when Hela(B) cells were exposed to 1 mmol/L potassium cyanide at either 21% or 1% oxygen (Fig 6B). When cells were exposed to cyanide for 4 hours, washed with fresh medium, and then exposed to hypoxia, the level of HIF-1alpha and EPAS-1 was similar to hypoxic cells that had not been exposed to cyanide (Fig 6B). This shows that the effect of this dose of cyanide is reversible, and is not simply caused by cell death.


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Fig 6. Modulation of EPAS-1 and HIF-1alpha levels by different chemical agents. Immunoblots of whole-cell extracts (100 µg) with MoAb 190b (upper panels) and MoAb 28b (lower panels). (A) HeLa(B) and Hep3B cells were cultured in normoxia (N), 1% oxygen (H), 100 µmol/L DFO, or 100 µmol/L cobaltous chloride (CoCl2). (B) HeLa(B) cells were exposed to normoxia (N) or 1% oxygen (H) in the presence (+) or absence (-) of 1 mmol/L potassium cyanide (KCN). To ascertain that the effect of KCN was not caused by cell death, cells in the right-hand lane [+] were exposed to 1 mmol/L KCN for 4 hours, washed twice, and exposed to 1% oxygen for 4 hours in fresh medium. (C) HeLa(B) cells were exposed to the selective proteasomal inhibitor N-CBZ-Leu-Leu-Norvalinal (CBZ-LLL). (D) HeLa(B) cells were exposed to the antioxidant N-(2-mercaptopropionyl)-glycine (NMPG).

Recently two other types of agent have been shown to stimulate HIF-1alpha expression. Enhanced HIF-1alpha immunoactivity and DNA binding activity has been observed in cells treated with peptide aldehyde inhibitors of the proteasome such as N-acetyl-leucinyl-leucinyl-norleucinal (Calpain inhibitor 1) and in cells treated with reducing agents such as N-(2-mercaptopropionyl)-glycine (NMPG).7,9 Although the effect of Calpain inhibitor 1 or the more selective proteasomal inhibitor N-carbobenzoxyl-L-leucinyl-L-leucinyl-L-norvalinal (CBZ-LLL) on HIF-1alpha abundance was rather variable, in each experiment the effect on HIF-1alpha and EPAS-1 was very similar (Fig 6C). Figure 6D shows that exposure to NMPG resulted in a similar increase in EPAS-1 and HIF-1alpha protein levels.

Characteristic reductions in HIF-1alpha or target gene expression in cells exposed to particular chemicals have also been used to explore the mechanism of oxygen sensing. Thus, hydrogen peroxide reduces the induction of HIF-1 target genes by hypoxia22 and destabilizes HIF-1alpha .6 In HeLa(B) cells we observed very similar responses of both HIF-1alpha and EPAS-1 to hydrogen peroxide. Although 100 µmol/L hydrogen peroxide had little effect (data not shown), cells exposed to 250 µmol/L and 1 mmol/L hydrogen peroxide showed marked reductions in both EPAS-1 and HIF-1alpha levels both in normoxia, and after exposure to hypoxia, cobalt chloride, and DFO (Fig 7A). Suppression of protein levels by exposure to hydrogen peroxide was somewhat greater in cells stimulated by cobalt or DFO when compared with cells stimulated by hypoxia, although in each case the response was again similar for both HIF-1alpha and EPAS-1.


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Fig 7. Effect of hydrogen peroxide and diphenylene iodonium on levels of EPAS-1 and HIF-1alpha . Immunoblots of whole-cell extracts (100 µg) from HeLa(B) cells with MoAb 190b (upper panels) and MoAb 28b (lower panels). (A) Cells were incubated in normoxia (N), 1% oxygen (H), 100 µmol/L DFO or 100 µmol/L cobalt chloride (CoCl2). The presence (+) or absence (-) of 1 mmol/L hydrogen peroxide (H2O2) is indicated. (B) A similar experiment examining the effect of 5 µmol/L DPI.

In previous studies we have shown that diphenylene iodonium (DPI), an inhibitor of flavoprotein oxidodreductases, will abolish the induction of HIF-1 target genes by hypoxia.23 Interestingly, we found that doses of DPI which produced almost complete inhibition of the response to hypoxia had little effect on the response of the same genes to cobaltous ions or iron chelation. Therefore, we examined the effects of DPI on HIF-1alpha and EPAS-1 protein levels. DPI abolished the induction of both HIF-1alpha and EPAS-1 by hypoxia but, in contrast, had little effect on the induction of either molecule by cobaltous ions or DFO (Fig 7B).

Transactivation of hypoxia-responsive promoters by HIF-1alpha and EPAS-1.   The above results show that despite wide variation in expression, HIF-1alpha and EPAS-1 show rather similar inducible responses. We next compared their ability to transactivate different hypoxia inducible promoters using a mutant CHO cell line (Ka13) which expresses neither HIF-1alpha nor EPAS-1 at detectable levels.15 In keeping with previous work, the activity of transiently transfected p(24x6)TKLuc, containing a multimerized hypoxia response element (HRE) adjacent to a minimal thymidine kinase promoter, was close to absent in the mutant Ka13 cells, and markedly enhanced by cotransfection of either EPAS-1 or HIF-1alpha expression plasmids (Fig 8). In contrast, two promoters without known hypoxia-inducible activity (the weak minimal TK promoter and the powerful CMV enhancer/promoter) showed preserved activity in mutant Ka13 cells and no response to cotransfection of EPAS-1 or HIF-1alpha (data not shown). We next tested activity on two hypoxia-inducible native promoters (from the LDH-A and VEGF genes). Interestingly, the LDH-A promoter had almost no activity in the mutant Ka13 cells, indicating that HRE function was critical. Cotransfection of either EPAS-1 or HIF-1alpha markedly stimulated activity. Responses were similar to those observed with the multimerized HRE, with EPAS-1 expression showing rather higher activity than HIF-1alpha , particularly in normoxic cells. In contrast, the VEGF promoter had substantial activity in mutant Ka13 cells. This activity was again considerably enhanced by cotransfection of either EPAS-1 or HIF-1alpha . However, the relative activities of the two molecules were quite different on this promoter. The ratio of EPAS-1 to HIF-1alpha activity with the VEGF promoter was considerably greater than that observed with either the LDH-A promoter or the simple multimerized HRE.


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Fig 8. Transactivation by EPAS-1 and HIF-1alpha in Ka13 cells. Histogram showing the relative luciferase expression from transient cotransfections of CHO Ka13 cells with reporter plasmids containing a multiple HRE (p24x6TKLuc), the LDH-A promoter (pLDH-ALuc), or the VEGF promoter (pVEGFLuc) and an expression plasmid for either HIF-1alpha , EPAS-1, or an empty vector control. Values shown represent averaged data from seven experiments, with normalization to the normoxic value for LDH-A (1 arbitrary unit).

    DISCUSSION
Abstract
Introduction
Methods
Results
Discussion
References

The identification of EPAS-1, a bHLH-PAS protein with a high degree of homology to HIF-1alpha , has raised the possibility that this might also be involved in adaptive responses to changes in oxygen tension. The initial reports showed that in the presence of ARNT the protein can form an HRE-binding complex, and that EPAS-1 can alter transcription driven by DNA sequences known to respond to hypoxia.11-13,15 To date, expression has only been studied at the mRNA level with several groups reporting analysis of whole-organ homogenates and in situ hybridization.11-14 These studies emphasized endothelial expression in developing rodent embryos, although other cell types including pulmonary epithelium and renal mesangial cells were also shown to express EPAS-1 mRNA.

Because the functional activation of the related bHLH-PAS family member HIF-1alpha involves major changes in the amount of protein,4 which in most studies occur independently of any changes in mRNA levels,6,24 we developed MoAbs allowing specific detection of EPAS-1 protein. We examined expression in a range of cell types both at the RNA level by RNAse protection, and at the protein level by immunoblotting. EPAS-1 mRNA was detected in all 11 human cell lines examined, of which 10 were not endothelial. When cells were exposed to 1% oxygen, a major increase in EPAS-1 protein but not EPAS-1 mRNA was observed. The accumulation of EPAS-1 in hypoxia clearly supports a role in inducible responses to changes in oxygen tension, and raises the question as to the extent to which EPAS-1 and HIF-1alpha responses are similar and how they differ.

Therefore, we assayed these two proteins in parallel in extracts of HeLa(B) cells exposed to a range of experimental conditions known to activate HIF-1alpha . Overall, we observed very similar responses. Both proteins showed a similar time course of accumulation after hypoxic exposure, and a rapid decrease in protein level on return to 20% oxygen. For both molecules, accumulation also occurred following exposure of normoxic cells to cobaltous ions, desferrioxamine, the antioxidant NMPG, and peptide aldehyde inhibitors of the proteasome. Cyanide did not mimic these responses and decreased the levels of both proteins. Exposure of cells to hydrogen peroxide and to the flavoprotein inhibitor DPI reduced the levels of both proteins. Thus, across a range of experimental conditions previously shown to influence levels of HIF-1alpha , we observed concordance between the HIF-1alpha and EPAS-1 responses. Not only do both molecules respond to hypoxia, but it appears that the same, or strikingly similar, oxygen-sensing and signal transduction mechanisms (probably involving redox modulation of proteasomal destruction) regulate the abundance of both transcription factors.

In addition to providing comparative data on regulation of HIF-1alpha and EPAS-1, these experiments also offer some new insights into the underlying regulatory mechanisms. EPAS-1 protein (and to a lesser extent HIF-1alpha ) could be readily detected in normoxic cells. Such levels could be suppressed by inhibitors such as hydrogen peroxide, and following re-oxygenation they were transiently depressed below the levels in cultures held in normoxia. Because re-oxygenation is frequently associated with enhanced oxygen radical production, this could be in keeping with the hypothesis that the oxygen sensitive signal is related to the cellular level of these species.22 In studying the inhibitors of the response we also compared their action on hypoxia-induced protein accumulation with their action on responses to cobaltous ions and desferrioxamine. As we observed previously for the action of DPI on HIF-1 target gene expression,23 the action was stimulus specific, with induction by cobaltous ions and desferrioxamine being relatively resistant to DPI inhibition. Such an action might be explained if DPI were to enhance the generation of radicals whose effects on the signal pathway were blocked by iron chelation---for instance, by interference with Fenton chemistry. Interestingly, although such an argument has been advanced for interactions between inhibition of erythropoietin expression by hydrogen peroxide and stimulation by desferrioxamine,25 we did not find that activation of EPAS-1 or HIF-1alpha by desferrioxamine was resistant to hydrogen peroxide. Rather, we found the reverse, with hydrogen peroxide being more inhibitory to cells treated with desferrioxamine.

Also of note was the effect of cell density on both EPAS-1 and HIF-1alpha expression. Cell cultures at higher density consistently expressed higher levels of both proteins---an effect which might explain previous observations that certain HIF-1 target genes are expressed at higher levels as cells approach confluence, and that HRE activity (as assessed by transiently transfected reporter gene expression) is greater when transfected cells are grown at higher densities.2

Despite the similarities in HIF-1alpha and EPAS-1 responses, differences were observed. First, there were large differences in expression levels between cell lines. Although an endothelial cell line did express high levels of EPAS-1, no clear pattern was discernible, with related cell lines expressing quite different levels of one or other protein. Second, with the proviso that immunoblotting can give only approximate quantitation of protein levels, there appeared to be subtle differences in the inducible response. Overall, in cells that expressed both proteins the normoxic expression of EPAS-1 was somewhat more pronounced than that of HIF-1alpha (particularly the more hypoxically inducible high MW species). When comparing HIF-1alpha and EPAS-1 induction in HeLa(B) cells, it appeared that EPAS-1 may be induced by slightly less severe hypoxia (Fig 5E). Although the thresholds for target gene activation by HIF-1alpha and EPAS-1 might differ, these data would be consistent with EPAS-1 being a more important modulator under normoxic and less severely hypoxic conditions.

Other differences were observed in the transactivation studies. To compare the activity of each gene on different target sequences, we used a cell line deficient in both EPAS-1 and HIF-1alpha (Ka13), thus avoiding the potential complexity of interactions between the two molecules. Consistent with previous reports,11-13,15 both EPAS-1 and HIF-1alpha transactivated a multimerized minimal HRE, with EPAS-1 showing more activity in normoxic cells and less induction by hypoxia than HIF-1alpha . Comparison of the relative activities of the two molecules on the LDH-A and VEGF promoters indicated further differences in target gene specificity. Although both transcription factors activated both promoters, EPAS-1 was relatively more active on the VEGF promoter. Despite near-identical bHLH domains for EPAS-1 and HIF-1alpha , similar target gene selectivity has been reported by others with EPAS-1 but not HIF-1alpha activating the Tie-2 enhancer/promoter.11 Consistent with the endothelium-restricted expression of Tie-2 we found these sequences to be inactive and unresponsive to either EPAS-1 or HIF-1alpha in Chinese hamster ovary (CHO) cells (data not shown), suggesting that cooperative interactions with other cell-specific proteins are necessary for target-specific transactivation. Interestingly, domain exchange experiments among Drosophila bHLH-PAS proteins have indicated a role for the PAS domain in such interactions.26

In conclusion, EPAS-1 is a second hypoxia-inducible transcription factor which shares extensive similarities in its mode of regulation with HIF-1alpha and the suggestion that this widely expressed protein be termed HIF-2alpha seems appropriate.27 Definition of regulatory domains in EPAS-1 and sequence comparison of these with HIF-1alpha should be useful in defining features that interact with the signal transduction mechanism. It is likely that differences in the cell-specific expression, induction, and target gene specificities of these two systems will be important in our understanding of the diversity of adaptive responses to oxygen availability.

    FOOTNOTES

   Submitted July 9, 1998; accepted July 22, 1998.
   Supported by research grants from the Wellcome Trust, the Medical Research Council (UK), the Imperial Cancer Research Fund, the British Council/German Academic Exchange Service, and the Deutsche Forschungsgemeinschaft.
   Address reprint requests to P.H. Maxwell, DPhil, Wellcome Trust Centre for Human Genetics, Windmill Rd, Oxford OX3 7BN, UK.
   The publication costs of this article were defrayed in part by page charge payment. This article must therefore be hereby marked "advertisement" is accordance with 18 U.S.C. section 1734 solely to indicate this fact.

    ACKNOWLEDGMENT

The authors thank S. McKnight for pEP-1, E. Raybould for p(24x6)TKLuc, N. Bacon for the EPAS-1 riboprobe, and R. Bicknell for HMEC-1.

    REFERENCES
Abstract
Introduction
Methods
Results
Discussion
References

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© 1998 by the American Society of Hematology.
 
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R. K. Bruick
Oxygen sensing in the hypoxic response pathway: regulation of the hypoxia-inducible transcription factor
Genes & Dev., November 1, 2003; 17(21): 2614 - 2623.
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P. Maxwell
HIF-1: An Oxygen Response System with Special Relevance to the Kidney
J. Am. Soc. Nephrol., November 1, 2003; 14(11): 2712 - 2722.
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H. M. Sowter, R. Raval, J. Moore, P. J. Ratcliffe, and A. L. Harris
Predominant Role of Hypoxia-Inducible Transcription Factor (Hif)-1{alpha} versus Hif-2{alpha} in Regulation of the Transcriptional Response to Hypoxia
Cancer Res., October 1, 2003; 63(19): 6130 - 6134.
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B. Jiang and C. R. Mendelson
USF1 and USF2 Mediate Inhibition of Human Trophoblast Differentiation and CYP19 Gene Expression by Mash-2 and Hypoxia
Mol. Cell. Biol., September 1, 2003; 23(17): 6117 - 6128.
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S. T. Palayoor, P. J. Tofilon, and C. N. Coleman
Ibuprofen-mediated Reduction of Hypoxia-inducible Factors HIF-1{alpha} and HIF-2{alpha} in Prostate Cancer Cells
Clin. Cancer Res., August 1, 2003; 9(8): 3150 - 3157.
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S.-k. Park, A. M. Dadak, V. H. Haase, L. Fontana, A. J. Giaccia, and R. S. Johnson
Hypoxia-Induced Gene Expression Occurs Solely through the Action of Hypoxia-Inducible Factor 1{alpha} (HIF-1{alpha}): Role of Cytoplasmic Trapping of HIF-2{alpha}
Mol. Cell. Biol., July 15, 2003; 23(14): 4959 - 4971.
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M. Haque, D. A. Davis, V. Wang, I. Widmer, and R. Yarchoan
Kaposi's Sarcoma-Associated Herpesvirus (Human Herpesvirus 8) Contains Hypoxia Response Elements: Relevance to Lytic Induction by Hypoxia
J. Virol., June 15, 2003; 77(12): 6761 - 6768.
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R. Del Toro, K. L. Levitsky, J. Lopez-Barneo, and M. D. Chiara
Induction of T-type Calcium Channel Gene Expression by Chronic Hypoxia
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Z.-Z. Yang, A. Y. Zhang, F.-X. Yi, P.-L. Li, and A.-P. Zou
Redox regulation of HIF-1alpha levels and HO-1 expression in renal medullary interstitial cells
Am J Physiol Renal Physiol, June 1, 2003; 284(6): F1207 - F1215.
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S. Khatua, K. M. Peterson, K. M. Brown, C. Lawlor, M. R. Santi, B. LaFleur, D. Dressman, D. A. Stephan, and T. J. MacDonald
Overexpression of the EGFR/FKBP12/HIF-2{alpha} Pathway Identified in Childhood Astrocytomas by Angiogenesis Gene Profiling
Cancer Res., April 15, 2003; 63(8): 1865 - 1870.
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T. N. Seagroves, D. Hadsell, J. McManaman, C. Palmer, D. Liao, W. McNulty, B. Welm, K.-U. Wagner, M. Neville, and R. S. Johnson
HIF1{alpha} is a critical regulator of secretory differentiation and activation, but not vascular expansion, in the mouse mammary gland
Development, April 15, 2003; 130(8): 1713 - 1724.
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P. B. Freeburg, B. Robert, P. L. St. John, and D. R. Abrahamson
Podocyte Expression of Hypoxia-Inducible Factor (HIF)-1 and HIF-2 during Glomerular Development
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Gastric Epithelial Reactive Oxygen Species Prevent Normoxic Degradation of Hypoxia-inducible Factor-1{alpha} in Gastric Cancer Cells
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M. Bernaudin, Y. Tang, M. Reilly, E. Petit, and F. R. Sharp
Brain Genomic Response following Hypoxia and Re-oxygenation in the Neonatal Rat. IDENTIFICATION OF GENES THAT MIGHT CONTRIBUTE TO HYPOXIA-INDUCED ISCHEMIC TOLERANCE
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Angiogenesis and Vascular Architecture in Pheochromocytomas : Distinctive Traits in Malignant Tumors
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S. Jesmin, I. Sakuma, Y. Hattori, and A. Kitabatake
In Vivo Estrogen Manipulations on Coronary Capillary Network and Angiogenic Molecule Expression in Middle-Aged Female Rats
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Cellular adaptation to hypoxia: O2-sensing protein hydroxylases, hypoxia-inducible transcription factors, and O2-regulated gene expression
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Coexpression of Hypoxia-inducible Factors 1{alpha} and 2{alpha}, Carbonic Anhydrase IX, and Vascular Endothelial Growth Factor in Nasopharyngeal Carcinoma and Relationship to Survival
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Regulation of Gene Expression by the Hypoxia-Inducible Factors
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Identification of Cyclin D1 and Other Novel Targets for the von Hippel-Lindau Tumor Suppressor Gene by Expression Array Analysis and Investigation of Cyclin D1 Genotype as a Modifier in von Hippel-Lindau Disease
Cancer Res., July 1, 2002; 62(13): 3803 - 3811.
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Expression of Hypoxia-Inducible Factor-1{alpha} and -2{alpha} in Hypoxic and Ischemic Rat Kidneys
J. Am. Soc. Nephrol., July 1, 2002; 13(7): 1721 - 1732.
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L. G. Fine and J. T. Norman
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J. Am. Soc. Nephrol., July 1, 2002; 13(7): 1974 - 1976.
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Y. Liang, X.-Y. Li, E. J. Rebar, P. Li, Y. Zhou, B. Chen, A. P. Wolffe, and C. C. Case
Activation of Vascular Endothelial Growth Factor A Transcription in Tumorigenic Glioblastoma Cell Lines by an Enhancer with Cell Type-specific DNase I Accessibility
J. Biol. Chem., May 24, 2002; 277(22): 20087 - 20094.
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BloodHome page
M. S. Wiesener, M. Seyfarth, C. Warnecke, J. S. Jurgensen, C. Rosenberger, N. V. Morgan, E. R. Maher, U. Frei, and K.-U. Eckardt
Paraneoplastic erythrocytosis associated with an inactivating point mutation of the von Hippel-Lindau gene in a renal cell carcinoma
Blood, May 15, 2002; 99(10): 3562 - 3565.
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Hypoxia-inducible Factors HIF-1{alpha} and HIF-2{alpha} in Head and Neck Cancer: Relationship to Tumor Biology and Treatment Outcome in Surgically Resected Patients
Cancer Res., May 1, 2002; 62(9): 2493 - 2497.
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Expression of Hypoxia-inducible Factors in Human Renal Cancer: Relationship to Angiogenesis and to the von Hippel-Lindau Gene Mutation
Cancer Res., May 1, 2002; 62(10): 2957 - 2961.
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Relation of Hypoxia-inducible Factor-2{alpha} (HIF-2{alpha}) Expression in Tumor-infiltrative Macrophages to Tumor Angiogenesis and the Oxidative Thymidine Phosphorylase Pathway in Human Breast Cancer
Cancer Res., March 1, 2002; 62(5): 1326 - 1329.
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Hypoxia-induced, Perinecrotic Expression of Endothelial Per-ARNT-Sim Domain Protein-1/Hypoxia-inducible Factor-2{alpha} Correlates with Tumor Progression, Vascularization, and Focal Macrophage Infiltration in Bladder Cancer
Clin. Cancer Res., February 1, 2002; 8(2): 471 - 480.
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A. Alfranca, M. D. Gutierrez, A. Vara, J. Aragones, F. Vidal, and M. O. Landazuri
c-Jun and Hypoxia-Inducible Factor 1 Functionally Cooperate in Hypoxia-Induced Gene Transcription
Mol. Cell. Biol., January 1, 2002; 22(1): 12 - 22.
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M. Sato, T. Tanaka, T. Maeno, Y. Sando, T. Suga, Y. Maeno, H. Sato, R. Nagai, and M. Kurabayashi
Inducible Expression of Endothelial PAS Domain Protein-1 by Hypoxia in Human Lung Adenocarcinoma A549 Cells . Role of Src Family Kinases-dependent Pathway
Am. J. Respir. Cell Mol. Biol., January 1, 2002; 26(1): 127 - 134.
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Selection of Mutant CHO Cells with Constitutive Activation of the HIF System and Inactivation of the von Hippel-Lindau Tumor Suppressor
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HIF-1 is expressed in normoxic tissue and displays an organ-specific regulation under systemic hypoxia
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Synergistic Cooperation between Hypoxia and Transforming Growth Factor-beta Pathways on Human Vascular Endothelial Growth Factor Gene Expression
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Hypoxia-inducible Factor-2alpha (HIF-2alpha ) Is Involved in the Apoptotic Response to Hypoglycemia but Not to Hypoxia
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M. Crowther, N. J. Brown, E. T. Bishop, and C. E. Lewis
Microenvironmental influence on macrophage regulation of angiogenesis in wounds and malignant tumors
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Effects of ras and von Hippel-Lindau (VHL) Gene Mutations on Hypoxia-inducible Factor (HIF)-1{alpha}, HIF-2{alpha}, and Vascular Endothelial Growth Factor Expression and Their Regulation by the Phosphatidylinositol 3'-Kinase/Akt Signaling Pathway
Cancer Res., October 1, 2001; 61(19): 7349 - 7355.
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Genes Dev.Home page
R. K. Bruick and S. L. McKnight
Building better vasculature
Genes & Dev., October 1, 2001; 15(19): 2497 - 2502.
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BloodHome page
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Regulation of hypoxia-inducible factor is preserved in the absence of a functioning mitochondrial respiratory chain
Blood, July 15, 2001; 98(2): 296 - 302.
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M. S. Wiesener, P. M. Munchenhagen, I. Berger, N. V. Morgan, J. Roigas, A. Schwiertz, J. S. Jurgensen, G. Gruber, P. H. Maxwell, S. A. Loning, et al.
Constitutive Activation of Hypoxia-inducible Genes Related to Overexpression of Hypoxia-inducible Factor-1{{alpha}} in Clear Cell Renal Carcinomas
Cancer Res., July 1, 2001; 61(13): 5215 - 5222.
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Physiological and Genomic Consequences of Intermittent Hypoxia: Selected Contribution: Osteocytes upregulate HIF-1{alpha} in response to acute disuse and oxygen deprivation
J Appl Physiol, June 1, 2001; 90(6): 2514 - 2519.
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EndocrinologyHome page
A. Krones, K. Jungermann, and T. Kietzmann
Cross-Talk between the Signals Hypoxia and Glucose at the Glucose Response Element of the L-Type Pyruvate Kinase Gene
Endocrinology, June 1, 2001; 142(6): 2707 - 2718.
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Contrasting effects on HIF-1{{alpha}} regulation by disease-causing pVHL mutations correlate with patterns of tumourigenesis in von Hippel-Lindau disease
Hum. Mol. Genet., May 1, 2001; 10(10): 1029 - 1038.
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Relation of Vascular Endothelial Growth Factor Production to Expression and Regulation of Hypoxia-inducible Factor-1{{alpha}} and Hypoxia-inducible Factor-2{{alpha}} in Human Bladder Tumors and Cell Lines
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M. I. Koukourakis, A. Giatromanolaki, J. Skarlatos, L. Corti, S. Blandamura, M. Piazza, K. C. Gatter, and A. L. Harris
Hypoxia Inducible Factor (HIF-1a and HIF-2a) Expression in Early Esophageal Cancer and Response to Photodynamic Therapy and Radiotherapy
Cancer Res., March 1, 2001; 61(5): 1830 - 1832.
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Expression of the Hypoxia-Inducible and Tumor-Associated Carbonic Anhydrases in Ductal Carcinoma in Situ of the Breast
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Biol. Reprod.Home page
A. Rajakumar, K. A. Whitelock, L. A. Weissfeld, A. R. Daftary, N. Markovic, and K. P. Conrad
Selective Overexpression of the Hypoxia-Inducible Transcription Factor, HIF-2{{alpha}}, in Placentas from Women with Preeclampsia
Biol Reprod, February 1, 2001; 64(2): 499 - 506.
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C. C. Wykoff, N. J. P. Beasley, P. H. Watson, K. J. Turner, J. Pastorek, A. Sibtain, G. D. Wilson, H. Turley, K. L. Talks, P. H. Maxwell, et al.
Hypoxia-inducible Expression of Tumor-associated Carbonic Anhydrases
Cancer Res., December 1, 2000; 60(24): 7075 - 7083.
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C. Blancher, J. W. Moore, K. L. Talks, S. Houlbrook, and A. L. Harris
Relationship of Hypoxia-inducible Factor (HIF)-1{{alpha}} and HIF-2{{alpha}} Expression to Vascular Endothelial Growth Factor Induction and Hypoxia Survival in Human Breast Cancer Cell Lines
Cancer Res., December 1, 2000; 60(24): 7106 - 7113.
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B. Jiang, A. Kamat, and C. R. Mendelson
Hypoxia Prevents Induction of Aromatase Expression in Human Trophoblast Cells in Culture: Potential Inhibitory Role of the Hypoxia-Inducible Transcription Factor Mash-2 (Mammalian Achaete-Scute Homologous Protein-2)
Mol. Endocrinol., October 1, 2000; 14(10): 1661 - 1673.
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C. Willam, P. Koehne, J. S. Jurgensen, M. Grafe, K. D. Wagner, S. Bachmann, U. Frei, and K.-U. Eckardt
Tie2 Receptor Expression Is Stimulated by Hypoxia and Proinflammatory Cytokines in Human Endothelial Cells
Circ. Res., September 1, 2000; 87(5): 370 - 377.
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BloodHome page
R. M. Wanner, P. Spielmann, D. M. Stroka, G. Camenisch, I. Camenisch, A. Scheid, D. R. Houck, C. Bauer, M. Gassmann, and R. H. Wenger
Epolones induce erythropoietin expression via hypoxia-inducible factor-1alpha activation
Blood, August 15, 2000; 96(4): 1558 - 1565.
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X. Ren, K. L. Dorrington, P. H. Maxwell, and P. A. Robbins
Effects of desferrioxamine on serum erythropoietin and ventilatory sensitivity to hypoxia in humans
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PhysiologyHome page
T. Kietzmann, J. Fandrey, and H. Acker
Oxygen Radicals as Messengers in Oxygen-Dependent Gene Expression
Physiology, August 1, 2000; 15(4): 202 - 208.
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K. L. Talks, H. Turley, K. C. Gatter, P. H. Maxwell, C. W. Pugh, P. J. Ratcliffe, and A. L. Harris
The Expression and Distribution of the Hypoxia-Inducible Factors HIF-1{alpha} and HIF-2{alpha} in Normal Human Tissues, Cancers, and Tumor-Associated Macrophages
Am. J. Pathol., August 1, 2000; 157(2): 411 - 421.
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A. Rajakumar and K. P. Conrad
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Biol Reprod, August 1, 2000; 63(2): 559 - 569.
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J. Peng, L. Zhang, L. Drysdale, and G.-H. Fong
The transcription factor EPAS-1/hypoxia-inducible factor 2alpha plays an important role in vascular remodeling
PNAS, June 30, 2000; (2000) 140087397.
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Hypoxia-Inducible Angiopoietin-2 Expression Is Mimicked by Iodonium Compounds and Occurs in the Rat Brain and Skin in Response to Systemic Hypoxia and Tissue Ischemia
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The OncologistHome page
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von Hippel-Lindau Syndrome: Target for Anti-Vascular Endothelial Growth Factor (VEGF) Receptor Therapy
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Hypoxia-Induced Vascular Endothelial Growth Factor Expression Precedes Neovascularization after Cerebral Ischemia
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A Redox Mechanism Controls Differential DNA Binding Activities of Hypoxia-inducible Factor (HIF) 1alpha and the HIF-like Factor
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Hypoxia Upregulates Activity and Expression of the Glucose Transporter GLUT1 in Alveolar Epithelial Cells
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Generation of a Dominant-negative Mutant of Endothelial PAS Domain Protein 1 by Deletion of a Potent C-terminal Transactivation Domain
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D. M. Adelman, E. Maltepe, and M. C. Simon
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