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Am J Physiol Heart Circ Physiol (January 6, 2006). doi:10.1152/ajpheart.01077.2005
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Submitted on October 12, 2005
Accepted on December 22, 2005

Hypoxia and hypoxia-inducible factor-1{alpha} promote growth factor-induced proliferation of human vascular smooth muscle cells

Kelly Schultz1, Barry L Fanburg2, and Debbie Beasley1*

1 Molecular Cardiology Research Institute, Tufts-New England Medical Center, Boston, MA, USA
2 Pulmonary, Critical Care, and Sleep Division, Tufts-New England Medical Center, Boston, MA, USA

* To whom correspondence should be addressed. E-mail: dbeasley{at}tufts-nemc.org.

Hypoxia is thought to be a stimulus for the excessive proliferation of vascular smooth muscle cells (VSMC) that contributes to pulmonary hypertension, but the mechanisms involved are unknown. Here, we tested whether hypoxia-inducible factor 1-{alpha} (HIF-1{alpha}), a master regulator of the transcriptional response to hypoxia, is involved in the enhanced mitogen-induced proliferative responses of hypoxic VSMC. Exposure to moderate hypoxia (5% O2) enhanced the proliferative responses of human pulmonary artery SMC (HPASMC) to mitogens including platelet-derived growth factor (PDGF), fibroblast growth factor 2 (FGF-2) and epidermal growth factor (EGF), compared with those in normoxia (20% O2). Moderate hypoxia elicited increased cellular HIF-1{alpha} levels, shown by Western analysis, and also enhanced PDGF-, FGF-2- and EGF-induced expression of HIF-1{alpha}. Knockdown of HIF-1{alpha} or HIF-1{beta} levels in HPASMC with specific small interfering RNAs (siRNAs) inhibited FGF-2-stimulated proliferation of HPASMC incubated in either 5% or 20% O2, but failed to inhibit the co-mitogenic effect of hypoxia. Knockdown of HIF-1{alpha} similarly inhibited PDGF-stimulated proliferation, whereas HIF-2{alpha} knockdown had no effect on HPASMC proliferation. Knockdown of HIF-1{alpha} expression also inhibited growth factor-induced expression of cyclin A. We conclude that HIF-1{alpha} promotes proliferative responses of human VSMC to FGF-2, PDGF, and EGF, by mechanisms that may involve HIF-1-dependent expression of cyclin A, but HIF is apparently not crucial to the enhancement of FGF-2-, PDGF- and EGF-induced proliferation of VSMC that occurs during hypoxia.




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