PMID- 15561954 OWN - NLM STAT- MEDLINE DCOM- 20050414 LR - 20220408 IS - 0012-1797 (Print) IS - 0012-1797 (Linking) VI - 53 IP - 12 DP - 2004 Dec TI - Hyperglycemia regulates hypoxia-inducible factor-1alpha protein stability and function. PG - 3226-32 AB - Hyperglycemia and hypoxia are suggested to play essential pathophysiological roles in the complications of diabetes, which may result from a defective response of the tissues to low oxygen tension. In this study, we show that in primary dermal fibroblasts and endothelial cells, hyperglycemia interferes with the function of hypoxia-inducible factor-1 (HIF-1), a transcription factor that is essential for adaptive responses of the cell to hypoxia. Experiments using proteasomal and prolyl hydroxylases inhibitors indicate that hyperglycemia inhibits hypoxia-induced stabilization of HIF-1alpha protein levels against degradation and suggest that mechanisms in addition to proline hydroxylation may be involved. This effect of hyperglycemia was dose dependent and correlates with a lower transcription activation potency of HIF-1alpha, as assessed by transient hypoxia-inducible reporter gene assay. Regulation of HIF-1alpha function by hyperglycemia could be mimicked by mannitol, suggesting hyperosmolarity as one critical parameter. The interference of hyperglycemia with hypoxia-dependent stabilization of HIF-1alpha protein levels was confirmed in vivo, where only very low levels of HIF-1alpha protein could be detected in diabetic wounds, as compared with chronic venous ulcers. In conclusion, our data demonstrate that hyperglycemia impairs hypoxia-dependent protection of HIF-1alpha against proteasomal degradation and suggest a mechanism by which diabetes interferes with cellular responses to hypoxia. FAU - Catrina, Sergiu-Bogdan AU - Catrina SB AD - Department of Molecular Medicine, Karolinska Institutet, Stockholm, Sweden. sergiu-bogdan.catrina@molmed.ki.se FAU - Okamoto, Kensaku AU - Okamoto K FAU - Pereira, Teresa AU - Pereira T FAU - Brismar, Kerstin AU - Brismar K FAU - Poellinger, Lorenz AU - Poellinger L LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Diabetes JT - Diabetes JID - 0372763 RN - 0 (HIF1A protein, human) RN - 0 (Hypoxia-Inducible Factor 1, alpha Subunit) RN - 0 (Transcription Factors) RN - 3OWL53L36A (Mannitol) RN - IY9XDZ35W2 (Glucose) SB - IM MH - Cell Hypoxia MH - Cells, Cultured MH - Endothelium, Vascular/physiology MH - Fibroblasts/physiology MH - Gene Expression Regulation/drug effects MH - Glucose/*pharmacology MH - Humans MH - Hyperglycemia/*physiopathology MH - Hypoxia-Inducible Factor 1, alpha Subunit MH - Mannitol/pharmacology MH - Microcirculation MH - Skin/blood supply MH - Transcription Factors/genetics/*physiology EDAT- 2004/11/25 09:00 MHDA- 2005/04/15 09:00 CRDT- 2004/11/25 09:00 PHST- 2004/11/25 09:00 [pubmed] PHST- 2005/04/15 09:00 [medline] PHST- 2004/11/25 09:00 [entrez] AID - 53/12/3226 [pii] AID - 10.2337/diabetes.53.12.3226 [doi] PST - ppublish SO - Diabetes. 2004 Dec;53(12):3226-32. doi: 10.2337/diabetes.53.12.3226.