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Proline-hydroxylated hypoxia-inducible factor 1α (HIF-1α) upregulation in human tumours.

Abstract
The stabilisation of HIF-α is central to the transcriptional response of animals to hypoxia, regulating the expression of hundreds of genes including those involved in angiogenesis, metabolism and metastasis. HIF-α is degraded under normoxic conditions by proline hydroxylation, which allows for recognition and ubiquitination by the von-Hippel-Lindau (VHL) E3 ligase complex. The aim of our study was to investigate the posttranslational modification of HIF-1α in tumours, to assess whether there are additional mechanisms besides reduced hydroxylation leading to stability. To this end we optimised antibodies against the proline-hydroxylated forms of HIF-1α for use in formalin fixed paraffin embedded (FFPE) immunohistochemistry to assess effects in tumour cells in vivo. We found that HIF-1α proline-hydroxylated at both VHL binding sites (Pro402 and Pro564), was present in hypoxic regions of a wide range of tumours, tumour xenografts and in moderately hypoxic cells in vitro. Staining for hydroxylated HIF-1α can identify a subset of breast cancer patients with poorer prognosis and may be a better marker than total HIF-1α levels. The expression of unhydroxylated HIF-1α positively correlates with VHL in breast cancer suggesting that VHL may be rate-limiting for HIF degradation. Our conclusions are that the degradation of proline-hydroxylated HIF-1α may be rate-limited in tumours and therefore provides new insights into mechanisms of HIF upregulation. Persistence of proline-hydroxylated HIF-1α in perinecrotic areas suggests there is adequate oxygen to support prolyl hydroxylase domain (PHD) activity and proline-hydroxylated HIF-1α may be the predominant form associated with the poorer prognosis that higher levels of HIF-1α confer.
AuthorsCameron E Snell, Helen Turley, Alan McIntyre, Demin Li, Massimo Masiero, Christopher J Schofield, Kevin C Gatter, Adrian L Harris, Francesco Pezzella
JournalPloS one (PLoS One) Vol. 9 Issue 2 Pg. e88955 ( 2014) ISSN: 1932-6203 [Electronic] United States
PMID24563687 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
Chemical References
  • HIF1A protein, human
  • Hypoxia-Inducible Factor 1, alpha Subunit
  • Proline
  • Procollagen-Proline Dioxygenase
Topics
  • Animals
  • Binding Sites
  • Breast Neoplasms (pathology)
  • Cell Line, Tumor
  • Female
  • Gene Expression Regulation, Neoplastic
  • Humans
  • Hydroxylation
  • Hypoxia-Inducible Factor 1, alpha Subunit (metabolism)
  • Kaplan-Meier Estimate
  • MCF-7 Cells
  • Mice
  • Mice, Inbred BALB C
  • Neoplasm Transplantation
  • Neoplasms (metabolism)
  • Procollagen-Proline Dioxygenase (metabolism)
  • Prognosis
  • Proline (metabolism)
  • Up-Regulation

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