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Inhibitorofnuclearfactor-kappaBalpha derepresses
hypoxia-inducible factor-1duringmoderatehypoxia by
sequestering factorinhibitinghypoxia-inducible factor
from hypoxia-induciblefactor 1a
Dong Hoon Shin
1,
*, Shan Hua Li
1,
*, Seung-Won Yang
1
, Byung Lan Lee
2
, Myung Kyu Lee
3
and
Jong-Wan Park
1
1 Department of Pharmacology Ischemic ⁄ Hypoxic Disease Institute, Seoul National University College of Medicine, Korea
2 Department of Anatomy, Ischemic ⁄ Hypoxic Disease Institute, Seoul National University College of Medicine, Korea
3 Omics and Integration Research Center, KRIBB, Yuseong, Daejeon, Korea
Hypoxia-inducible factor (HIF)-1 plays a crucial role
in tumor promotion by switching on many genes that
are required to overcome oxygen and nutrient defi-
ciency. HIF-1 is composed of HIF-1a and HIF-1b
(HIF-1b is also called ARNT) [1]. HIF-1a enables
mRNA synthesis through its own transactivation
domains (TADs), whereas ARNT assists the stabiliza-
tion and binding between HIF-1a and DNA [2]. Under
aerobic conditions, HIF-1a is hydroxylated by
dioxygenase members [the HIF-prolyl-hydroxylases
Keywords
factor inhibitinghypoxia-inducible factor
(FIH); hypoxia-induciblefactor-1 (HIF-1);
IjBa; nuclearfactor-kappaB (NF-jB); protein
interaction
Correspondence
J W. Park, Department of Pharmacology,
Seoul National University College of
Medicine, Seoul, Korea
Fax: +82 2 7457996
Tel: +82 2 7408289
E-mail: parkjw@snu.ac.kr
*These authors contributed equally to this
work
(Received 11 January 2009, revised 17
March 2009, accepted 21 April 2009)
doi:10.1111/j.1742-4658.2009.07069.x
Hypoxia and inflammation often develop concurrently in numerous
diseases, and both hypoxia-induciblefactor (HIF)-1a and nuclear factor-
kappaB (NF-jB) are key transcription factors of stress response genes.
An NF-jB inhibitor, inhibitorof NF-jBa (IjBa), was found to interact
with factorinhibiting HIF (FIH) and to be hydroxylated by FIH. How-
ever, FIH did not functionally regulate IjBa, and the consequence of the
FIH–IjBa interaction thus remains uncertain. In the present study, we
tested the possibility that IjBa regulates FIH. FIH–IjBa binding was
confirmed by yeast two-hybrid and coimmunoprecipitation analyses.
Functionally, IjBa expression further enhanced the transcriptional activity
of HIF-1a under hypoxic conditions. Furthermore, IjBa knockdown
repressed HIF-1a activity. Mechanistically, IjBa derepressed HIF-1a
activity byinhibiting the FIH-mediated Asn803 hydroxylation of HIF-1a.
It was also found that IjBa activated HIF-1a bysequestering FIH from
HIF-1a. However, the effect of IjBa on HIF-1a activity was only
observed in atmospheres containing 1% or more of oxygen. After tumor
necrosis factor-a treatment, IjBa downregulation, Asn803 hydroxylation
and HIF-1a inactivation all occurred up to 8 h, but subsided later. On
the basis of these results, we propose that IjBa plays a positive regula-
tory role during HIF-1-mediated gene expression. Therefore, IjBa, owing
to its interactions with NF-jB and HIF-1a
, may play a pivotal role in
the crosstalk between the molecular events that underlie inflammatory
and hypoxic responses.
Abbreviations
ARD, ankyrin repeat domain; CAD, C-terminal transactivation domain; EPO, erythropoietin; FIH, factorinhibitinghypoxia-inducible factor;
GFP, green fluorescent protein; HA, hemagglutinin; HIF, hypoxia-inducible factor; IjBa, inhibitorofnuclearfactor-kappaB alpha; NF-jB,
nuclear factor-kappaB; PHD, prolyl-hydroxylase; SD, standard deviation; sHIF-1a, stable hypoxia-inducible factor-1a; siRNA, short interfering
RNA; TAD, transactivation domain; TNF-a, tumor necrosis factor-a; b-gal, b-galactosidase.
3470 FEBS Journal 276 (2009) 3470–3480 ª 2009 The Authors Journal compilation ª 2009 FEBS
(PHD1–3)], ubiquitinated by von Hippel–Lindau pro-
tein-containing E3-ubiquitin ligase complex, and conse-
quently degraded by 26S proteasomes [3]. In addition,
the transcriptional activity of HIF-1a is oxygen-depen-
dently regulated by another dioxygenase member, fac-
tor inhibiting HIF (FIH) [4]. HIF-1a harbors two
TADs, an N-terminal TAD (amino acids 531–575) and
a C-terminal TAD (CAD, amino acids 786–826) [5].
Furthermore, CAD predominantly affects gene expres-
sion in an oxygen tension-dependent manner. How-
ever, when Asn803 of CAD is hydroxylated by FIH,
CAD cannot recruit p300⁄ CBP coactivator, and thus
loses its transcriptional activity [4]. Furthermore, as
both proline and asparagine hydroxylases require
molecular oxygen to function, HIF-1a becomes stabi-
lized and activated under oxygen-deficient conditions.
FIH was first shown to interact with HIF-1a by
yeast two-hybrid screening [6]. However, FIH has also
been found to bind and hydroxylate asparagines in
several proteins other than HIF-1a. For instance,
immunoprecipitation and MS analyses revealed that
SOCS Box protein 4 (ASB4) and Notch-1 ⁄ 2 were tar-
geted and hydroxylated by FIH [7,8]. Ankyrin repeat
domains (ARDs) in these proteins have been found to
be FIH-binding sites. Moreover, Asn246 of ASB4 and
Asn1945 ⁄ 2012 of Notch-1 have been identified as the
amino acids hydroxylated by FIH. In terms of the bio-
logical significance of FIH interaction, the FIH-medi-
ated asparagine hydroxylation promoted vascular
differentiation under aerobic conditions by activating
ASB4 or accelerated myogenic differentiation by inhib-
iting Notch [7,8]. However, the role of FIH in Notch
signaling (FIH fi Notch) is controversial, because
there was another report demonstrating that FIH had
no significant effect on Notch activity [9]. Interestingly,
in both reports, it was also examined whether Notch-1
affects FIH activity (Notch fi FIH), which is the
reverse of the former mechanism. It was found that
the intracellular domain of Notch-1 blocked the FIH-
mediated HIF-1 repression bysequestering FIH
through its ARD. Taken together, these findings sug-
gest that FIH mediates cross-coupling between the
Notch and HIF-1 signaling pathways.
The FIH interaction with inhibitorofnuclear fac-
tor-kappaB alpha (IjBa) or p105 [the precursor of p50
nuclear factor-kappaB (NF-jB)] was discovered before
its interactions with ASB4 and Notch-1. By using yeast
two-hybrid screening, Ratcliffe et al. identified two
ARD-containing proteins, p105 and uveal autoantigen
with coiled-coil domains and ankyrin repeats. They
also found that ARD-containing IjBa was targeted by
FIH and hydroxylated at Asn210 ⁄ 244 [10]. However,
as FIH expression and knockdown both failed to
affect IjBa binding to NF-jB or NF-jB activity, the
biological significance of the FIH–IjBa interaction
was not identified. In the present study, we investi-
gated the consequence of the FIH–IjBa interaction in
the opposite direction, namely, IjBa fi FIH. As
FIH controls HIF-1a CAD activity, we focused on the
roles of IjBa in HIF-1 activation and hypoxic gene
regulation.
Results
IjBa associates with FIH
To search for FIH-interacting proteins, we screened a
HeLa cDNA library by using the yeast two-hybrid
method, using full-length FIH as bait. Of 22 positive
clones representing four different cDNAs, IjBa cDNA
alone was shown to be fused to Gal4–TAD in the right
frame, whereas Notch cDNAs were not fished out
(Fig. S1). Hemagglutinin (HA)–FIH and Flag–IjBa
were immunoprecipitated from HEK293 cells coex-
pressing HA–FIH and Flag–IjBa, and Flag–IjB a and
HA–FIH were then copurified in the precipitates
(Fig. S2A). To determine whether FIH and IjBa asso-
ciate endogenously, FIH or IjBa was immunoprecipi-
tated in untransfected HEK293 cells. It was found that
endogenous FIH and IjBa were coimmunoprecipitated
by either anti-FIH or anti-IjBa serum (Fig. S2B). In
agreement with what has been reported previously [10],
binding of FIH to IjBa was confirmed in our experi-
mental setting.
FIH does not affect IjBa expression or NF-jB
activity
We first examined whether or not FIH regulates IjBa
expression by binding IjBa. However, IjBa levels
were not changed by FIH overexpression or knock-
down (Fig. 1A). Furthermore, when IjBa was over-
expressed or knocked down, FIH levels were
unchanged (Fig. 1B). Next, we checked the possibility
that FIH regulates NF-jB activity by interacting with
IjBa. However, both basal and stimulated activities of
NF-jB were unaffected by FIH expression or knock-
down (Fig. 1C). On the basis of these results, we
suggest that FIH does not affect the expression or the
NF-jB-inhibitory function of IjBa.
Ij
Ba positively regulates HIF-1 activity by
antagonizing FIH
As the FIH–IjBa interaction did not affect NF-jB
activity, we checked the possibility that this interaction
D. H. Shin et al. HIF-1 activation by IjBa
FEBS Journal 276 (2009) 3470–3480 ª 2009 The Authors Journal compilation ª 2009 FEBS 3471
affects HIF-1 activity, which is known to be regulated
by FIH. HIF-1 activities were evaluated using a lucif-
erase reporter plasmid containing the HIF-1-targeting
erythropoietin (EPO)-enhancer segment. Reporter
activity was found to increase under 5% O
2
hypoxia,
and this activity was markedly enhanced by IjBa
expression (Fig. 2A). Furthermore, the effect of IjBa
on HIF-1 activity was found to be attenuated by FIH
expression in a gene dose-dependent manner. In addi-
tion, when endogenous IjBa was knocked down, the
hypoxic activation of HIF-1 was significantly inhibited,
but this was rescued by FIH inhibition (Fig. 2A). To
verify the HIF-1 dependencies of the effect of IjBa or
FIH on the reporter activity, we analyzed the activity
of a reporter containing EPO-enhancer segment lack-
ing the HIF-1-binding site, and confirmed that IjBa
and FIH did not affect the reporter lacking the HIF-
targeted segment (Fig. 2B). As FIH is known to
repress the activity of HIF-1a CAD by hydroxylating
Asn803, we examined whether CAD activity is regu-
lated by the FIH–IjBa interaction using the Gal4–
CAD ⁄ Gal4–Luc reporter system. Figure 2C shows that
IjBa noticeably increased the hypoxic activation of
wild-type CAD, but that it failed to increase the activ-
ity of the CAD N803A mutant. IjBa is likely to acti-
vate HIF-1a CAD in an Asn803-dependent manner.
As Asn803 of CAD plays a critical role in the interac-
tion between HIF-1a and p300 ⁄ CBP coactivator, we
examined whether IjBa regulates HIF-1a and p300
binding. As expected, p300 was found to associate with
HIF-1a under hypoxic conditions, whereas this binding
did not occur under normoxic conditions. Moreover,
HIF-1a and p300 binding was enhanced by IjBa
expression and inhibited by IjBa knockdown
(Fig. 2D). This result indicates that IjBa positively
regulates the p300 recruitment by HIF-1a.
HIF-1 derepression by IjBa occurs in 1–5% O
2
but
not under more severe hypoxia
Because molecular oxygen is an essential substrate of
PHDs and FIH, the activities of PHDs and FIH
should be restricted under oxygen-deficient conditions,
although FIH has a much higher affinity for oxygen
than PHDs, and thus can retain its activity under
moderate hypoxia [11]. Furthermore, although HIF-1a
is stabilized in moderately hypoxic conditions, it is not
fully activated, owing to hydroxylation by FIH, which
suggests that the IjBa-dependent regulation of HIF-1a
activity, which depends on FIH, might occur only
under moderate hypoxia, when sufficient oxygen is still
available for FIH. To confirm the oxygen dependency
of the activity of IjBa, we incubated HEK293 cells in
1% or 0.5% oxygen. In the EPO-enhancer reporter
system, HIF-1 activity was modulated by IjBa expres-
sion or knockdown in 1% oxygen (Fig. 3A, left panel),
as was observed in 5% oxygen. However, IjBa did
not regulate HIF-1 activity at an oxygen level of 0.5%
(Fig. 3A, right panel). To rule out the possibility that
the effect of IjBa on HIF-1 activity is related to the
oxygen-dependent regulation of HIF-1a, we analyzed
the transcriptional activity of stable HIF-1a (sHIF-1a),
which is stably expressed oxygen-independently, owing
A
C
B
Fig. 1. FIH does not affect IjBa expression and NF-jB activity. (A)
FIH does not affect IjBa expression. HEK293 cells were transfect-
ed with the HA–FIH plasmid (0.2 or 0.4 lg) or FIH siRNA (40 or
80 n
M). The empty vector (Mock) and green fluorescent protein
(GFP) siRNA (80 n
M) were transfected as transfection and siRNA
controls, respectively. After being stabilized for 48 h, the cells were
prepared for the analysis of cellular levels of IjBa and FIH by
immunoblotting. b-Tubulin levels were analyzed as loading controls.
(B) IjBa does not affect FIH expression. HEK293 cells were trans-
fected with the Flag–IjBa plasmid (0.2 or 0.4 lg) or IjBa siRNA
(40 or 80 n
M). After being stabilized for 48 h, the cells were pre-
pared for the analysis of cellular levels of FIH and IjBa by immuno-
blotting. (C) NF-jB activity was not regulated by FIH. NF-jB
reporter plasmid (0.02 lg) and b-gal plasmid (0.1 lg) were cotrans-
fected with FIH plasmid (0.2 lg) or siRNA (40 n
M). Flag–IjBa plas-
mid was transfected to test the NF-jB-specific expression of the
reporter luciferase. To stimulate NF-jB, cells were also stimulated
with 10 ngÆmL
)1
TNF-a or 2 ngÆmL
)1
interleukin-1b (IL-1b) for 8 h
before harvesting. Luciferase activities were measured using a
Biocounter LB960 luminometer, and transfection efficiencies were
normalized by b-gal activity. Each bar represents the mean ± SD
(n = 4); NS, not statistically significant.
HIF-1 activation by IjBa D. H. Shin et al.
3472 FEBS Journal 276 (2009) 3470–3480 ª 2009 The Authors Journal compilation ª 2009 FEBS
to the deletion of both PHD-targeted and ARD1-tar-
geted motifs. Expression of sHIF-1a stimulated EPO-
enhancer activity even under normoxia, and further
enhanced the reporter activity under hypoxia. More
importantly, the sHIF-1a activity was also positively
regulated by IjBa in 1% oxygen but not in 0.5% oxy-
gen (Fig. S3). Also in the Gal4 reporter system, the
HIF-1a CAD activity was modulated by IjBa expres-
sion or knockdown in 1% oxygen but not in 0.5%
oxygen (Fig. 3B). These results suggest that IjBa
AB
C
D
Fig. 2. IjBa enhances the hypoxic activity of HIF-1 by antagonizing FIH. (A) IjBa is required for the hypoxic activation of HIF-1. EPO-enhan-
cer–luciferase plasmid (0.1 lg) and b-gal plasmid (0.1 lg) were cotransfected with Flag–IjBa plasmid (0.2 lg), HA–FIH plasmid (0.2 lg), IjBa
siRNA (40 n
M, si-IjBa), or FIH siRNA (40 nM, si-FIH). After being stabilized for 48 h, cells were incubated under normoxia or hypoxia for
16 h, and then harvested for the analysis of luciferase activity. (B) IjBa enhances the EPO reporter activity HIF-1-dependently. Mutated
reporter plasmid (0.1 lg) lacking the HIF-1 target sequence and b-gal plasmid (0.1 lg) were cotransfected with Flag–IjBa plasmid (0.2 lg) or
HA–FIH plasmid (0.2 lg). After 16 h of normoxic or hypoxic incubation, luciferase activity was measured. (C) IjBa stimulates the transcrip-
tional activity of HIF-1a CAD in an Asn803-dependent manner. Wild-type or N803A Gal4–CAD (amino acids 776–826) plasmids (0.1 lg) and
Gal4–luciferase reporter plasmid (0.1 lg) were cotransfected with b-gal plasmid (0.1 lg) or ⁄ and Flag–IjBa plasmid (0.2 lg) into HEK293
cells. After 16 h of normoxic or hypoxic incubation, luciferase activity was measured. Each bar represents the mean ± SD from four indepen-
dent experiments. *P < 0.05, NS, no significance. (D) IjBa positively regulates the interaction between HIF-1a and p300. The HIF-1a–p300
interaction was examined using a coimmunoprecipitation assay. HEK293 cells were cotransfected with HA-tagged stable HIF-1a plasmid
(HA–sHIF-1a,1lg) and p300 plasmid (1 lg), Flag–IjBa plasmid, and ⁄ or IjBa siRNA (80 n
M). Cells were incubated under normoxic or hypoxic
conditions for 8 h, and then homogenized. p300 was immunoprecipitated with anti-p300 serum (a-p300) and protein G ⁄ A beads (IP), and
coprecipitated HA–sHIF-1a was identified by immunoblotting (IB). Input levels were measured by immunoblotting using specific antibodies.
D. H. Shin et al. HIF-1 activation by IjBa
FEBS Journal 276 (2009) 3470–3480 ª 2009 The Authors Journal compilation ª 2009 FEBS 3473
functionally stimulates the transcriptional activity of
HIF-1a at moderate levels ofhypoxia (1–5% O
2
) but
not at a more severe level (0.5% O
2
).
IjBa inhibits FIH-mediated Asn803 hydroxylation
under moderate hypoxia
As shown in Fig. 2C, Asn803 was found to be required
for CAD activation by IjBa, which suggests that FIH-
dependent Asn803 hydroxylation is related to the
activity of IjBa. To test this possibility, we analyzed
Asn803 hydroxylation in CAD using a specific anti-
body against hydroxylated Asn803 in HEK293 cells.
Under normoxic conditions, Asn803 hydroxylation
could be detected, although HIF-1a was negligibly
expressed. In 1% oxygen, HIF-1a was robustly
expressed and Asn803 was partially hydroxylated.
IjBa overexpression noticeably inhibited the Asn803
hydroxylation, which was rescued by FIH coexpression
(Fig. 4A, left panel). When IjBa was knocked down,
Asn803 hydroxylation was enhanced, and this was
attenuated by FIH knockdown (Fig. 4A, right panel).
On the other hand, in 0.5% oxygen, Asn803 was negli-
gibly hydroxylated, and IjBa or FIH overexpres-
sion ⁄ knockdown failed to affect Asn803 hydroxylation
(Fig. 4B). Next, we checked the expression of three
HIF-1-targeted genes, namely, those encoding vascular
endothelial growth factor-A, aldolase-A, and lactate
A
B
Fig. 3. The IjBa-mediated activation of
HIF-1 occurs in moderate hypoxia. (A) IjBa
stimulation of HIF-1 activity occurs only in
1% oxygen. EPO-enhancer–luciferase
plasmid (0.1 lg) and b-gal plasmid (0.1 lg)
were cotransfected into HEK293 cells with
Flag–IjBa plasmid (0.2 lg), IjBa siR-
NA(80 n
M, si-IjBa), or GFP siRNA (80 nM,
si-GFP). (B) IjBa stimulates HIF-1a CAD
activity only in 1% oxygen. Wild-type Gal4–
CAD plasmid (0.1 lg), Gal4–luciferase
reporter plasmid (0.1 lg) and b-gal plasmid
(0.1 lg) were cotransfected into HEK293
cells with Flag–IjBa plasmid (0.2 lg), IjBa
siRNA (80 n
M, si-IjBa), or GFP siRNA
(80 n
M, si-GFP). After cells were incubated
in 1% or 0.5% oxygen for 16 h, luciferase
activities (mean ± SD, n = 4) were analyzed.
*P < 0.05, NS, no significance.
HIF-1 activation by IjBa D. H. Shin et al.
3474 FEBS Journal 276 (2009) 3470–3480 ª 2009 The Authors Journal compilation ª 2009 FEBS
dehydrogenase-A. In 1% oxygen, the hypoxic expres-
sion of these genes was regulated positively by IjBa
but negatively by FIH (Fig. 4C). However, the expres-
sion of these genes was unaffected by IjBa or FIH in
0.5% oxygen (Fig. 4D). These results suggest that
IjBa inhibits FIH-dependent Asn803 hydroxylation
under moderate hypoxia, but not under severe
hypoxia.
IjBa competes with HIF-1a in FIH binding
To understand the interplay between HIF-1a, FIH,
and IjBa, we coexpressed these proteins in HEK293
cells and examined protein interactions by performing
immunoprecipitation and immunoblotting assays.
Figure 5A shows the effect of IjBa on the interaction
between HIF-1a and FIH. FIH and HIF-1a proteins
were coimmunoprecipitated, but this was noticeably
reduced by IjBa expression, which suggests that IjBa
interferes with FIH binding to HIF-1 a. Next, we
checked whether IjBa–FIH binding is disrupted by
HIF-1a. It was found that HIF-1a inhibited
IjBa–FIH binding (Fig. 5B). As FIH binding affinities
for HIF-1a and IjBa are likely to be similar, it
appears that HIF-1a and IjBa compete for FIH
binding.
AB
CD
Fig. 4. IjBa stimulates HIF-1-dependent gene expression byinhibiting Asn803 hydroxylation. (A, B). IjBa inhibits FIH-mediated Asn803
hydroxylation. HEK293 cells were transfected with Flag–IjBa plasmid (0.2 lg), HA–FIH plasmid (0.2 lg), IjBa siRNA (80 n
M, si-IjBa), and ⁄ or
FIH siRNA (80 n
M, si-FIH). pcDNA (0.2 lg) and GFP siRNA (80 nM, si-GFP) were used as transfection controls. After cells had been incu-
bated in 1% or 0.5% oxygen for 16 h, protein levels were analyzed by immunoblotting. Asn803-hydroxylated HIF-1a was detected using an
antibody against hydroxylated asparagine (N803-OH). (C, D) HEK293 cells were transfected as described above and then incubated in 1% or
0.5% oxygen for 16 h. Vascular endothelial growth factor (VEGF), aldolase, lactate dehydrogenase (LDH) and b-actin mRNA levels were
analyzed by semiquantitative RT-PCR and autoradiography.
D. H. Shin et al. HIF-1 activation by IjBa
FEBS Journal 276 (2009) 3470–3480 ª 2009 The Authors Journal compilation ª 2009 FEBS 3475
HIF-1a CAD becomes inactivated shortly after
tumor necrosis factor-a (TNF-a) stimulation
What is the biological significance of the IjBa-medi-
ated HIF-1 activation? If FIH-mediated HIF-1a inac-
tivation is antagonized by IjBa, the HIF-1a CAD
activity might be regulated IjBa-dependently during
inflammation. As IjBa is dynamically regulated dur-
ing inflammation, the CAD activity needs to be exam-
ined in the time course of inflammation. Therefore,
we analyzed CAD activity and Asn803 hydroxylation
4, 8 and 16 h after TNF-a stimulation. CAD activity
was increased byhypoxia in a time-dependent man-
ner, and was generally inhibited by TNF-a treatment.
The inhibitory effect of TNF-a on hypoxic CAD
activity was more significant after 4 h (42.1% inhibi-
tion) or 8 h (30.5% inhibition) of incubation than
after 16 h of incubation (6.9% inhibition) (Fig. 6A,
upper panel). Also, CAD activity was inhibited by
TNF-a even under normoxic conditions. Under the
same conditions, IjBa expression was found to be
noticeably downregulated 4 and 8 h after TNF-a
stimulation, but to be somewhat restored after 16 h
of incubation (Fig. 6A, lower panel). However,
Asn803 hydroxylation of Gal4–CAD was stimulated
4 h after TNF-a treatment and was abolished in a
time-dependent manner. Asn803 hydroxylation
appears to be inversely correlated with IjBa expres-
sion. On the basis of these results, the HIF-1-medi-
ated hypoxic responses are likely to be repressed at
the early phase of inflammation, and this may be
attributed to IjBa downregulation and subsequent
activation of FIH.
Discussion
In the present study, we tested the possibility that the
interaction between FIH (HIF-1 inhibitor) and IjBa
(NF-jB inhibitor) participates in crosstalk between the
HIF-1 and NF-jB signaling pathways. FIH–IjBa
binding was confirmed by yeast two-hybrid assays and
coimmunoprecipitation analyses. Functionally, IjBa
was found to regulate the transcriptional activity of
HIF-1 positively, whereas FIH did not affect NF-jB
activity. Mechanistically, IjBa derepressed HIF-1a
CAD activity byinhibiting the FIH-mediated Asn803
hydroxylation of CAD. It was also found that IjBa
inhibited FIH by competing with FIH for HIF-1a
binding. Furthermore, IjBa affected HIF-1a activity
only in moderately hypoxic conditions, under which
FIH remains functional. When cells were treated with
TNF-a,IjBa downregulation, Asn803 hydroxylation
and HIF-1a inactivation all occurred up to 8 h, but
subsided after 16 h. On the basis of these results, we
propose that IjBa plays a pivotal role in the crosstalk
between the HIF-1 and NF-jB signaling pathways.
This hypothesis is summarized in Fig. 6B.
Hypoxia and inflammation often codevelop in
immunological, ischemic and cancerous diseases.
Inflammation stimulates oxygen consumption, which
AB
Fig. 5. IjBa and HIF-1a compete with each other in FIH binding. (A) IjBa inhibits the FIH–HIF-1a interaction. HEK293 cells were cotransfect-
ed with HA–HIF-1a plasmid (0.7 lg), HA–FIH plasmid (0.3 lg), and ⁄ or Flag–IjBa plasmid (0.2 or 0.4 lg). HIF-1a or FIH protein was precipi-
tated using their specific antibodies, and then FIH or HIF-1a coprecipitation was identified by immunoblotting. (B) HIF-1a inhibits the
IjBa–FIH interaction. HEK293 cells were cotransfected with Flag–IjBa plasmid (0.3 lg), HA–FIH plasmid (0.3 lg), and ⁄ or HA–HIF-1a plasmid
(0.2 or 0.4 lg). FIH or IjBa protein was precipitated using specific antibodies, and then IjBa or FIH coprecipitation was identified by
immunoblotting.
HIF-1 activation by IjBa D. H. Shin et al.
3476 FEBS Journal 276 (2009) 3470–3480 ª 2009 The Authors Journal compilation ª 2009 FEBS
results from increased energy metabolism of resident
cells and from respiratory bursting of infiltrating
phagocytes. These events lead to the establishment of
a hypoxic microenvironment around inflamed tissue
[12]. Conversely, hypoxia stimulates inflammation,
because immune cells gather around hypoxia-injured
tissues [13]. Given that HIF-1a and NF-jB are key
factors of the hypoxic and inflammatory responses,
respectively, the possibility of crosstalk between two
factors is of growing interest.
Many lines of evidence support the notion that sub-
stantial crosstalk occurs between the HIF-1a and
NF-jB pathways under pathological circumstances
associated with hypoxia and inflammation [14]. For
example, HIF-1 has been reported to be activated
under nonhypoxic conditions by a number of proin-
flammatory cytokines, such as TNF-a, interleukins,
lipopolysaccharide, and reactive oxygen ⁄ nitrogen
species [15]. In terms of mechanisms underlying HIF-
1a induction by inflammatory stimuli, Frede et al. [16]
previously demonstrated that NF-jB mediated the
transcription of the HIF1A gene during lipopolysac-
charide stimulation of human monocytes. Recently,
the role of NF-jB in HIF-1a mRNA expression was
further investigated, using the HIF-1a promoter–
luciferase reporter and electrophoretic mobility-shift
analyses [17]. Rius et al. [18] also showed, in macro-
phages of IkB kinase-b knockout mice, that NF-jB
plays a critical role in transactivation of the HIF1A
gene and that basal activity of NF-jB is required for
hypoxic induction of HIF-1a. In addition to its posi-
tive role in HIF-1 regulation, NF-jB can negatively
control HIF-1a expression by inducing an HIF-1a-
silencing micro-RNA, miR-155 [19]. Although HIF-1a
is under the control of NF-jB, HIF-1a is also required
for NF-kB activation. Walmsley et al. [20] demon-
strated that NF-jB induction in response to hypoxia
was significantly attenuated in neutrophils of HIF-1a
knockout mice and that NF-jB signaling activated by
HIF-1a contributed to neutrophil survival in hypoxia.
In addition, HIF-1a overexpression in keratinocytes
was found to activate NF-jB in the mouse skin and to
augment the skin inflammation in response to 12-O-
tetradecanoylphorbol-13-acetate. Mechanistically, it
was suggested that HIF-1a is involved in IjB
a degra-
dation and NF-jB activation by extracellular signal-
related kinase-mediated phosphorylation [21]. Given
these reports, HIF-1a is likely to regulate NF-jB-med-
iated inflammatory responses positively. However, we
did not observe the reciprocal regulation between HIF-
1a and NF-jB. Even when IjBa was overexpressed or
knocked down, HIF-1a protein levels were not signifi-
cantly changed (Figs 4 and 5A). Also, HIF-1a overex-
pression did not affect IjBa expression (Fig. 5B). We
here transiently expressed or silenced HIF-1a or IjBa
and performed all experiments within 2 days after
transfection. A distinct change in HIF-1a or IjBa
expression may require a longer incubation time than
2 days.
In the present study, we found that an NF-jB inhi-
bitor, IjBa, activated HIF-1a bysequestering an
HIF-1a inhibitor, FIH. During inflammation, IjBa is
phosphorylated at Ser32 and Ser36 by IkB kinase
complex and then degraded by proteasomes [22]. Our
results suggest that IjBa degradation may reinforce
A
B
Fig. 6. HIF-1a is functionally inhibited by inflammatory stimulation.
(A) HIF-1a CAD is inactivated shortly after TNF-a stimulation. Wild-
type Gal4–CAD plasmid (0.1 lg), Gal4–luciferase reporter plasmid
(0.05 lg) and b-gal plasmid (0.1 lg) were cotransfected into
HEK293 cells. Cells were treated with 10 ngÆmL
)1
TNF- and incu-
bated under normoxic or hypoxic conditions for 4, 8, or 16 h. Each
bar represents the mean ± SD (n = 4), and the percentage inhibi-
tion by TNF-a is marked above the corresponding bars. (B) Sum-
mary of IjBa roles in inflammatory and hypoxic responses. As IjBa
inhibits NF-jB and FIH through direct interaction, it inhibits inflam-
matory responses but stimulates hypoxic responses.
D. H. Shin et al. HIF-1 activation by IjBa
FEBS Journal 276 (2009) 3470–3480 ª 2009 The Authors Journal compilation ª 2009 FEBS 3477
the FIH-mediated repression of HIF-1a, which would
negatively affect cellular adaptation to hypoxia. Indeed,
we found that IjBa was noticeably downregulated 4
and 8 h after TNF-a stimulation (Fig. 6A). However,
its expression recovered after 16 h of incubation, which
suggests that IjBa is resynthesized by NF-jB activated
by TNF-a [22]. Likewise, both HIF-1a CAD inactiva-
tion by TNF-a and Asn803 hydroxylation showed a
similar time course (Fig. 6A). Therefore, HIF-1a inacti-
vation by IjBa suppression seems to occur transiently
during the early stage of inflammation, and HIF-1a
activity may subsequently resume, owing to IjBa
resynthesis.
ARD, which consists of 30–34 amino acids, is one of
the most common motifs in nature, and functions exclu-
sively to mediate protein–protein interactions [23].
Three thousand six hundred and eight proteins have
been identified as containing ARD sequences in the non-
redundant smart protein database [24], but only Notch
and IjBa have been found to regulate HIF-1a by inter-
acting with FIH. However, the high affinity of FIH for
ARD suggests that other ARD-containing proteins also
affect HIF-1-mediated hypoxic responses by interacting
with FIH. Furthermore, given the diverse functions of
ARD-containing proteins, such as transcriptional regu-
lation, cell cycle regulation, differentiation, cytoskeletal
organization, and stress response [23], it is possible that
the ARD–FIH interaction could lead to various hypoxic
responses other than inflammation.
Here, we suggest that IjBa derepresses HIF-1a activ-
ity byinhibiting FIH. If this is the case, this action of
IjBa can only occur when FIH is functional, and this
functionality requires molecular oxygen. To determine
the minimal oxygen tension required for FIH activity,
we analyzed cellular levels of Asn803-hydroxylated
HIF-1a in 1% or 0.5% oxygen (Fig. 5). In 1% oxygen,
HIF-1a was found to be stabilized but to be still
hydroxylated at Asn803. Moreover, ectopically
expressed FIH increased the amount of Asn803
hydroxylation. These results suggest that FIH remains
functional in 1% oxygen. However, in 0.5% oxygen,
Asn803 hydroxylation was found to be almost com-
pletely inhibited, and under this condition, FIH overex-
pression failed to increase Asn803 hydroxylation levels,
which suggests that FIH is inactivated in 0.5% oxygen.
Furthermore, the oxygen-dependent action of IjBa was
also confirmed by our reporter and mRNA analyses.
Does IjBa, then, regulate HIF-1a in hypoxic and
inflammatory tissues? Given that the oxygen tension in
tissues rarely falls below 1% (7.6 mmHg), even in hyp-
oxic or inflammatory diseases [25], we believe that IjBa
may positively regulate HIF-1a byinhibiting FIH in
most hypoxia-related diseases.
We conclude that IjBa is likely to function as a
positive regulator of HIF-1a under moderately hypoxic
conditions, and this action of IjBa appears to be
attributable to its ability to sequester FIH from HIF-1a.
However, little is known of the significance of the IjBa–
FIH interaction during the progress of diseases
associated with hypoxia and inflammation. On the basis
of our results, we suggest that IjBa plays a pivotal role
in shifting the cell response from NF-jB-mediated
inflammation to HIF-1-mediated hypoxic adaptation.
Experimental procedures
Reagents and antibodies
Culture media and fetal bovine serum were purchased from
Invitrogen (Carlsbad, CA, USA). Anti-HIF-1a serum was
raised in rabbits against glutathione S-transferase-tagged
human HIF-1a (amino acids 418–698), and a monoclonal
antibody against hydroxylated Asn803 of HIF-1a was
raised in mice immunized with a peptide containing a
hydroxylated asparagine residue, as previously described
[26,27]. Anti-IjBa and anti-FIH sera were purchased from
SantaCruz Biotech (Santa Cruz, CA, USA). Other chemi-
cals were purchased from Sigma-Aldrich (St Louis, MO,
USA).
Cell culture and hypoxic incubation
The HEK293 cell line was obtained from the American
Type Culture Collection (ATCC; Manassas, VA, USA),
and cultured in DMEM, supplemented with 10% heat-inac-
tivated fetal bovine serum in a humidified 5% CO
2
incuba-
tor. For hypoxic incubation, cells were incubated in a
hypoxic chamber (5% CO
2
and 5% ⁄ 1% ⁄ 0.5% O
2
).
Preparation of short interfering RNAs (siRNAs)
and plasmids
To knock down IjBa and FIH, siRNA duplexes were
designed on the basis of cDNA sequences provided by the
NCBI (NM_020529 for IjBa, and NM_017902 for FIH),
and synthesized by Samchully Pharm. (Seoul, Korea). The
sequences for IjBa siRNA duplex are 5¢-GAGUACGA
GCAGAUGGUCA-3¢ and 5¢-UGACCAUCUGCUCGUA
CUC-3¢, and those of FIH siRNA duplex are 5¢-GAAUC
CCAGUUGCGCAGUUAUAGCU-3¢ and 5¢-AGCUAUA
ACUGCGCAACUGGGAUUC-3¢. cDNAs of IjBa, FIH
and HIF-1a were cloned by RT-PCR using Pfu DNA poly-
merase and inserted into pcDNA–Flag or pcDNA–HA
plasmid by blunt-end ligation. The plasmid for sHIF-1a
mutant was made by deleting three degradation motifs
(amino acids 397–405, 513–553, and 554–595), using a
HIF-1 activation by IjBa D. H. Shin et al.
3478 FEBS Journal 276 (2009) 3470–3480 ª 2009 The Authors Journal compilation ª 2009 FEBS
PCR-based mutagenesis kit (Stratagene, Cedar Creek, TX,
USA), as previously described [28].
Reporter assays
Luciferase reporter genes containing EPO enhancer,
hypoxia-response element-mutated EPO enhancer or Gal4-
binding promoter were constructed as previously described
[29]. An NF-jB reporter plasmid, which contains 5· NF-
jB response elements fused to luciferase, was purchased
from Stratagene (La Jolla, CA, USA). HEK293 cells were
cotransfected with 1 lg each of reporter gene and plasmid
cytomegalovirus–b-gal and ⁄ or plasmid of HIF-1 or Gal4–
CAD, using the calcium phosphate method. pcDNA was
added to ensure that the final DNA concentrations in both
the control and experimental groups were similar. After
being stabilized for 24 h, the cells were incubated under
normoxic or hypoxic conditions, and then lysed to deter-
mine luciferase and b-galactosidase (b-gal) activities. Lucif-
erase activity was analyzed using a Lumat LB960
luminometer (Berthold Technologies, Bad Wildbad,
Germany), and a b-gal assay was performed to normalize
transfection efficiency.
Immunoprecipitation and immunoblotting assay
HEK293 cell lysates were incubated with specific antibodies
or nonimmunized serum at 4 °C for 4 h. The immune com-
plexes were further incubated with protein G–Sepharose
beads (GE Healthcare Bio-science, Piscataway, NJ. USA)
at 4 °C for 4 h. After washing of the beads, immunocom-
plexes were eluted with an SDS buffer containing 200 mm
Tris ⁄ HCl (pH 6.8), 40% glycerol, and 10% b-mercaptoeth-
anol. For immunoblotting assays, cells were lysed with an
SDS buffer, separated on SDS ⁄ polyacrylamide gels, and
transferred to an Immobilon-P membrane (Millipore, Bed-
ford, MA, USA). Membranes were blocked with 5% nonfat
milk in NaCl ⁄ Tris containing 0.1% Tween-20 at room tem-
perature for 30 min, and then incubated overnight at 4 °C
with a primary antibody. b-Tubulin was used as a loading
control.
Semiquantitative RT-PCR
Total RNAs were isolated from HEK293 cells by Trizol
reagent (Invitrogen). RNA was quantified by measuring
absorbance at 260 nm. RNAs (1 lg) were reverse tran-
scribed at 48 °C, and the resulting cDNAs were amplified
over 18–23 PCR cycles in 20 lL of reaction mixture con-
taining 0.185 MBq [
32
P]dCTP[aP] and 250 nm each primer
set. The PCR products were electrophoresed on a 4% poly-
acrylamide gel, and dried gels were autoradiographed. The
nucleotide sequences of primer pairs have been described
previously [26].
Statistical analysis
All data [means and standard deviations (SDs)] were ana-
lyzed using excel 2003 software (Microsoft, Redmond,
WA, USA). Two-sided, Student’s t-tests were used for two-
group comparisons, and P < 0.05 was considered to be
significant.
Acknowledgements
This work was supported by a Korea Research
Foundation Grant (2008-E00054) and by a Bone
Metabolism Research Center Grant (R11-2008-023-
02001-0) provided by the Korea Science and Engi-
neering Foundation. We thank E. Huang (University
of Utah) for kindly providing us with gene
constructs.
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