Vascular endothelial growth factor-A (
VEGF-A) is crucial for angiogenesis, vascular permeability, and
metastasis during
tumor development. We demonstrate here that early growth response-1 (EGR-1), which is induced by the
extracellular signal-regulated kinase (ERK) pathway activation, activates
VEGF-A in
lung cancer cells. Increased EGR-1 expression was found in
adenocarcinoma cells carrying mutant K-RAS or EGFR genes. Hypoxic culture,
siRNA experiment,
luciferase assays,
chromatin immunoprecipitation, electrophoretic mobility shift assays, and quantitative RT-PCR using EGR-1-inducible
lung cancer cells demonstrated that EGR-1 binds to the proximal region of the
VEGF-A promoter, activates
VEGF-A expression, and enhances
hypoxia inducible factor 1alpha (HIF-1alpha)-mediated
VEGF-A expression. The EGR-1 modulator, NAB-2, was rapidly induced by increased levels of EGR-1. Pathology samples of human
lung adenocarcinomas revealed correlations between EGR-1/HIF-1alpha and
VEGF-A expressions and relative elevation of EGR-1 and
VEGF-A expression in mutant K-RAS- or EGFR-carrying
adenocarcinomas. Both EGR-1 and
VEGF-A expression increased as
tumors dedifferentiated, whereas HIF-1alpha expression did not. Although weak correlation was found between EGR-1 and NAB-2 expressions on the whole, NAB-2 expression decreased as
tumors dedifferentiated, and inhibition of
DNA methyltransferase/histone deacetylase increased NAB-2 expression in
lung cancer cells despite no epigenetic alteration in the NAB-2 promoter. These findings suggest that EGR-1 plays important roles on
VEGF-A expression in
lung cancer cells, and epigenetic silencing of
transactivator(s) associated with NAB-2 expression might also contribute to upregulate
VEGF-A expression.