Hypoxia strongly up-regulates
tissue factor and promotes plasma clotting by
glioblastoma multiforme, but transcriptional mechanisms remain undefined. Here, we investigated the potential roles of early growth response gene-1 (Egr-1), Sp1,
nuclear factor-kappaB (
NF-kappaB),
activator protein-1 (AP-1), and
hypoxia-inducible factor-1 (HIF-1) in the hypoxic regulation of
tissue factor by
glioblastoma multiforme cells in vitro.
Hypoxia (1% O2) strongly induced Egr-1
mRNA within 1 hour and led to nuclear localization of Egr-1
protein. Using
luciferase reporter plasmids in
glioma cells, we found that
hypoxia dramatically increased
luciferase activity in cells with constructs containing Egr-1-binding sites but not in cells with constructs containing AP-1- or
NF-kappaB-binding sites. Electrophoretic mobility shift assays revealed
hypoxia-induced Egr-1, but not Sp1, binding to
oligonucleotides containing the Egr-1/Sp1 motif of
tissue factor gene promoter. Using an expression vector containing the minimal
tissue factor promoter (-111 to +14 bp) and
small interfering RNA (
siRNA) directed at Egr-1 and Sp1 mRNAs, we found that Egr-1 was required for maximal hypoxic induction of promoter activity. Forced overexpression of Egr-1 but not Sp1 by
cDNA transfection caused up-regulation of
tissue factor in
glioma cells under normoxia (21% O2), whereas
siRNA directed at Egr-1 strongly attenuated
hypoxia-induced
tissue factor expression. To examine the effects of HIF-1alpha on
tissue factor expression, we used
glioma cells stably transfected with a HIF-1alpha
siRNA expression vector and found that HIF-1alpha
mRNA silencing did not affect
tissue factor expression under
hypoxia. We conclude that hypoxic up-regulation of
tissue factor in
glioblastoma multiforme cells depends largely on Egr-1 and is independent of HIF-1.