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Blood, 15 December 2004, Vol. 104, No. 13, pp. 3993-4001.
Prepublished online as a Blood First Edition Paper on August 24, 2004; DOI 10.1182/blood-2004-03-1017.
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Submitted March 17, 2004
Accepted August 10, 2004
Induction of plasminogen activator inhibitor I gene expression by intracellular calcium via hypoxia-inducible factor-1
Qing Liu, Ulrike Moller, Daniela Flugel, and Thomas Kietzmann*
Institut fur Biochemie und Molekulare Zellbiologie, Gottingen, Germany
Institut fur Biochemie und Molekulare Zellbiologie, Gottingen, Germany; Department of Chemistry/Biochemistry, University of Kaiserslautern, Kaiserslautern, Germany
* Corresponding author; email: tkietzm{at}gwdg.de.
The plasminogen activator inhibitor-1 (PAI-1) expression can be enhanced by hypoxia and other stimuli leading to the mobilization of intracellular calcium. Thus, it was the aim of the present study to investigate the role of calcium in the hypoxia-dependent PAI-1 expression. It was shown that the Ca2+-ionophore A23187 and the cell permeable Ca2+-chelator BAPTA-AM induced PAI-1 mRNA and protein expression under normoxia and hypoxia in HepG2 cells. Transfection experiments with wild-type and hypoxia response element (HRE) mutated PAI- promoter constructs revealed that the HRE binding hypoxia-inducible factor-1 (HIF-1) mediated the response to A23187 and BAPTA-AM. While A23187 induced a striking and stable induction of HIF-1 , BAPTA-AM only mediated a fast and transient increase. By using actinomycin D and cycloheximide we showed that A23187 iduced HIF-1 mRNA expression whereas BAPTA-AM acted posttranscriptionally. Although A23187 activated ERK, JNK and p38 MAPK as well as protein kinase B it appeared that the enhancement of HIF-1 by A23187 was only mediated via the ERK pathway. By contrast, BAPTA-AM exerted its effects via inhibition of HIF-prolyl hydroxylase activity and VHL interaction. Thus, calcium appeared to have a critical role in the regulation of the HIF-system and subsequent activation of the PAI-1 gene expression.

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