Several reports have indicated that
hypoxia, GLI, and
connective tissue growth factor (CTGF) contribute to
pulmonary fibrosis in
idiopathic pulmonary fibrosis. We investigated the participation of
mitogen-activated protein kinase kinase (
MEK) kinase 1 (MEKK1)/MEK1/ERK1/GLI-1/2 and
activator protein-1 (AP-1) signaling in
hypoxia-induced CTGF expression in human lung fibroblasts.
Hypoxia time-dependently increased CTGF expression, which was attenuated by the
small interfering RNA (
siRNA) of GLI-1 (GLI-1 siRNA) and GLI-2 (GLI-2 siRNA) in both human lung fibroblast cell line (WI-38) and primary human lung fibroblasts (NHLFs). Moreover, GLI-1
siRNA and GLI-2
siRNA attenuated
hypoxia-induced CTGF-
luciferase activity, and the treatment of cells with
hypoxia induced GLI-1 and GLI-2 translocation. Furthermore,
hypoxia-induced CTGF expression was reduced by an
MEK inhibitor (
PD98059), MEK1
siRNA, ERK inhibitor (
U0126), ERK1
siRNA, and MEKK1
siRNA. Both
PD98059 and
U0126 significantly attenuated
hypoxia-induced CTGF-
luciferase activity.
Hypoxia time-dependently increased MEKK1, ERK, and
p38 MAPK phosphorylation. Moreover,
SB203580 (a
p38 MAPK inhibitor) also apparently inhibited
hypoxia-induced CTGF expression. The treatment of cells with
hypoxia induced ERK, GLI-1, or GLI-2 complex formation.
Hypoxia-induced GLI-1 and GLI-2 translocation into the nucleus was significantly attenuated by
U0126. In addition,
hypoxia-induced ERK Tyr204 phosphorylation was impeded by MEKK1
siRNA. Moreover,
hypoxia-induced CTGF-
luciferase activity was attenuated by cells transfected with
AP-1 site mutation in a CTGF construct. Exposure to
hypoxia caused a time-dependent phosphorylation of c-Jun, but not of c-Fos.
Chromatin immunoprecipitation (ChIP) revealed that
hypoxia induced the recruitment of c-Jun, GLI-1, and GLI-2 to the
AP-1 promoter region of CTGF.
Hypoxia-treated cells exhibited an increase in α-smooth muscle actin (α-SMA) and
collagen production, which was blocked by GLI-1
siRNA and GLI-2
siRNA. Overall, these data implied that the MEKK1/MEK1/ERK1/GLI-1/GLI-2, and
AP-1 pathways mediated
hypoxia-induced CTGF expression in human lung fibroblasts. Furthermore, GLI-1 and GLI-2 found to be involved in
hypoxia-induced α-SMA and
collagen expression.