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Blood, 1 April 2008, Vol. 111, No. 7, pp. 3343-3354.
Prepublished online as a Blood First Edition Paper on January 16, 2008; DOI 10.1182/blood-2007-10-115758.


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Submitted October 2, 2007
Accepted January 11, 2008

HIF-1{alpha} regulates epithelial inflammation by cell autonomous NF{kappa}B activation and paracrine stromal remodeling

Marzia Scortegagna, Christophe Cataisson, Rebecca J. Martin, Daniel J. Hicklin, Robert D. Schreiber, Stuart H. Yuspa, and Jeffrey M. Arbeit*

Department of Surgery, Division of Urology, Washington University School of Medicine, St. Louis, MO, United States
Laboratory of Cellular Carcinogenesis and Tumor Promotion, Center for Cancer Research, National Cancer Institute, Bethesda, MD, United States
ImClone Systems Incorporated, New York, NY, United States
Center for Immunology, Department of Pathology and Immunology, Washington University School of Medicine, St. Louis, MO, United States
Siteman Cancer Center, Washington University School of Medicine, St. Louis, MO, United States

* Corresponding author; email: arbeitj{at}msnotes.wustl.edu.

Hypoxia Inducible factor-1 (HIF-1) is a master regulatory transcription factor controlling multiple cell autonomous and non-cell autonomous processes such as metabolism, angiogenesis, matrix invasion, and cancer metastasis. Here we used a new line of transgenic mice with constitutive gain of HIF-1 function in basal keratinocytes and demonstrated a signaling pathway from HIF-1 to NF{kappa}B activation to enhanced epithelial chemokine and cytokine elaboration. This pathway was responsible for a phenotypically silent accumulation of stromal inflammatory cells, and a marked inflammatory hypersensitivity to a single TPA challenge. HIF-1 induced NF{kappa}B activation was composed of two elements, I{kappa}B hyperphosphorylation, and phosphorylation of Ser276 on p65, enhancing p65 nuclear localization and transcriptional activity, respectively. NF{kappa}B transcriptional targets macrophage inflammatory protein-2 (MIP-2/CXCL2/3), keratinocyte chemokine (KC/CXCL1), and TNF{alpha} constitutively upregulated and further increased following TPA challenge both in cultured keratinocytes and in transgenic mice. Whole animal KC, MIP-2, or TNF{alpha} immunodepletion each abrogated TPA-induced inflammation, while blockade of either VEGF or PlGF signaling did not affect transgenic inflammatory hyperresponsiveness. Thus, epithelial HIF-1 gain of function remodels the local environment by cell autonomous NF{kappa}B-mediated chemokine and cytokine secretion, which may be another mechanism by which HIF-1 facilitates either inflammatory diseases or malignant progression.


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