PMID- 12370277 OWN - NLM STAT- MEDLINE DCOM- 20021104 LR - 20220309 IS - 0021-9738 (Print) IS - 1558-8238 (Electronic) IS - 0021-9738 (Linking) VI - 110 IP - 7 DP - 2002 Oct TI - Ecto-5'-nucleotidase (CD73) regulation by hypoxia-inducible factor-1 mediates permeability changes in intestinal epithelia. PG - 993-1002 AB - Under conditions of limited oxygen availability (hypoxia), multiple cell types release adenine nucleotides in the form of ATP, ADP, and AMP. Extracellular AMP is metabolized to adenosine by surface-expressed ecto-5'-nucleotidase (CD73) and subsequently activates surface adenosine receptors regulating endothelial and epithelial barrier function. Therefore, we hypothesized that hypoxia transcriptionally regulates CD73 expression. Microarray RNA analysis revealed an increase in CD73 and ecto-apyrase CD39 in hypoxic epithelial cells. Metabolic studies of CD39/CD73 function in intact epithelia revealed that hypoxia enhances CD39/CD73 function as much as 6 +/- 0.5-fold over normoxia. Examination of the CD73 gene promoter identified at least one binding site for hypoxia-inducible factor-1 (HIF-1) and inhibition of HIF-1alpha expression by antisense oligonucleotides resulted in significant inhibition of hypoxia-inducible CD73 expression. Studies using luciferase reporter constructs revealed a significant increase in activity in cells subjected to hypoxia, which was lost in truncated constructs lacking the HIF-1 site. Mutagenesis of the HIF-1alpha binding site resulted in a nearly complete loss of hypoxia-inducibility. In vivo studies in a murine hypoxia model revealed that hypoxia-induced CD73 may serve to protect the epithelial barrier, since the CD73 inhibitor alpha,beta-methylene ADP promotes increased intestinal permeability. These results identify an HIF-1-dependent regulatory pathway for CD73 and indicate the likelihood that CD39/CD73 protects the epithelial barrier during hypoxia. FAU - Synnestvedt, Kristin AU - Synnestvedt K AD - Center for Experimental Therapeutics and Reperfusion Injury, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts 02115, USA. FAU - Furuta, Glenn T AU - Furuta GT FAU - Comerford, Katrina M AU - Comerford KM FAU - Louis, Nancy AU - Louis N FAU - Karhausen, Jorn AU - Karhausen J FAU - Eltzschig, Holger K AU - Eltzschig HK FAU - Hansen, Karl R AU - Hansen KR FAU - Thompson, Linda F AU - Thompson LF FAU - Colgan, Sean P AU - Colgan SP LA - eng GR - HL-60569/HL/NHLBI NIH HHS/United States GR - R01 AI018220/AI/NIAID NIH HHS/United States GR - R01 HL060569/HL/NHLBI NIH HHS/United States GR - R01 DK050189/DK/NIDDK NIH HHS/United States GR - P01 DE013499/DE/NIDCR NIH HHS/United States GR - DK-50189/DK/NIDDK NIH HHS/United States GR - R29 DK050189/DK/NIDDK NIH HHS/United States GR - DE-13499/DE/NIDCR NIH HHS/United States GR - R37 DK050189/DK/NIDDK NIH HHS/United States PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, P.H.S. PL - United States TA - J Clin Invest JT - The Journal of clinical investigation JID - 7802877 RN - 0 (Antigens, CD) RN - 0 (Cyclic AMP Response Element-Binding Protein) RN - 0 (DNA-Binding Proteins) RN - 0 (HIF1A protein, human) RN - 0 (Hypoxia-Inducible Factor 1) RN - 0 (Hypoxia-Inducible Factor 1, alpha Subunit) RN - 0 (Nuclear Proteins) RN - 0 (RNA, Messenger) RN - 0 (Transcription Factors) RN - EC 3.1.3.5 (5'-Nucleotidase) RN - EC 3.6.1.- (Adenosine Triphosphatases) RN - EC 3.6.1.5 (Apyrase) RN - EC 3.6.1.5 (CD39 antigen) SB - IM MH - 5'-Nucleotidase/biosynthesis/*genetics MH - Adenosine Triphosphatases/biosynthesis MH - Antigens, CD/biosynthesis MH - Apyrase MH - Cell Hypoxia MH - Cells, Cultured MH - Cyclic AMP Response Element-Binding Protein/physiology MH - DNA-Binding Proteins/*physiology MH - Gene Expression Regulation MH - Humans MH - Hypoxia-Inducible Factor 1 MH - Hypoxia-Inducible Factor 1, alpha Subunit MH - Intestinal Mucosa/*metabolism MH - Nuclear Proteins/*physiology MH - Permeability MH - Promoter Regions, Genetic MH - RNA, Messenger/analysis MH - *Transcription Factors PMC - PMC151145 EDAT- 2002/10/09 04:00 MHDA- 2002/11/26 04:00 PMCR- 2002/10/01 CRDT- 2002/10/09 04:00 PHST- 2002/10/09 04:00 [pubmed] PHST- 2002/11/26 04:00 [medline] PHST- 2002/10/09 04:00 [entrez] PHST- 2002/10/01 00:00 [pmc-release] AID - 15337 [pii] AID - 10.1172/JCI15337 [doi] PST - ppublish SO - J Clin Invest. 2002 Oct;110(7):993-1002. doi: 10.1172/JCI15337.