PMID- 18692603 OWN - NLM STAT- MEDLINE DCOM- 20090415 LR - 20220311 IS - 1569-9048 (Print) IS - 1878-1519 (Electronic) IS - 1569-9048 (Linking) VI - 164 IP - 1-2 DP - 2008 Dec 10 TI - Transcriptional responses to intermittent hypoxia. PG - 277-81 LID - 10.1016/j.resp.2008.07.006 [doi] AB - Recurrent apneas are characterized by transient repetitive cessations of breathing (two breaths duration or longer) resulting in periodic decreases in arterial blood PO2 or chronic intermittent hypoxia (IH). Patients with recurrent apneas and experimental animals exposed to chronic IH exhibit cardio-respiratory morbidities. The purpose of this article is to highlight the current information on the transcriptional mechanisms associated with chronic IH. Studies on rodents and cell cultures have shown that IH activates a variety of transcription factors including the hypoxia-inducible factor-1 (HIF-1), c-fos (immediate early gene), nuclear factor of activated T-cells (NFAT), and nuclear factor kB (NF-kB). The signaling pathways associated with transcriptional activation associated with IH differ from continuous hypoxia (CH). Compared to same duration and intensity of CH, IH is more potent in activating HIF-1 and c-fos and also results in long-lasting accumulation of HIF-1alpha and c-fos mRNA, a phenomenon that was not seen with CH. IH-evoked transcriptional activation by HIF-1, c-fos as well as the resulting activator protein-1 (AP-1) requires reactive oxygen species (ROS)-mediated signaling and involves complex feed forward interactions between HIF-1 and ROS. Chronic IH-evoked cardio-respiratory responses are absent in Hif-1alpha+/- mice, and hypertension elicited by chronic IH is absent in mice lacking NFAT3c. These studies indicate that cardiorespiratory responses to chronic IH depend on complex interactions between various transcription factors resulting in alterations in several down stream genes and their protein products. FAU - Nanduri, Jayasri AU - Nanduri J AD - The Center for Systems Biology, Department of Medicine, University of Chicago, MC 5068, 5841 South Maryland Avenue, Chicago, IL 60637, USA. FAU - Yuan, Guoxiang AU - Yuan G FAU - Kumar, Ganesh K AU - Kumar GK FAU - Semenza, Gregg L AU - Semenza GL FAU - Prabhakar, Nanduri R AU - Prabhakar NR LA - eng GR - R01 HL076537/HL/NHLBI NIH HHS/United States GR - R01 HL086493/HL/NHLBI NIH HHS/United States GR - P01HL-90554/HL/NHLBI NIH HHS/United States GR - P01 HL090554/HL/NHLBI NIH HHS/United States GR - R01HL-76537/HL/NHLBI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Review PL - Netherlands TA - Respir Physiol Neurobiol JT - Respiratory physiology & neurobiology JID - 101140022 RN - 0 (Reactive Oxygen Species) RN - 0 (Transcription Factors) SB - IM MH - Animals MH - Humans MH - Hypoxia/genetics/*physiopathology MH - Reactive Oxygen Species/metabolism MH - Signal Transduction/physiology MH - Transcription Factors/genetics/*metabolism MH - Transcription, Genetic/*physiology PMC - PMC3390913 MID - NIHMS78666 EDAT- 2008/08/12 09:00 MHDA- 2009/04/16 09:00 PMCR- 2012/07/06 CRDT- 2008/08/12 09:00 PHST- 2008/04/02 00:00 [received] PHST- 2008/07/07 00:00 [revised] PHST- 2008/07/15 00:00 [accepted] PHST- 2008/08/12 09:00 [pubmed] PHST- 2009/04/16 09:00 [medline] PHST- 2008/08/12 09:00 [entrez] PHST- 2012/07/06 00:00 [pmc-release] AID - S1569-9048(08)00194-8 [pii] AID - 10.1016/j.resp.2008.07.006 [doi] PST - ppublish SO - Respir Physiol Neurobiol. 2008 Dec 10;164(1-2):277-81. doi: 10.1016/j.resp.2008.07.006.