PHDs overactivation during chronic hypoxia “desensitizes” HIFα and protects cells from necrosis

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Abstract
Cell adaptation to changes in oxygen (O2) availability is controlled by two subfamilies of O2-dependent enzymes: the hypoxia inducible factor (HIF)–prolyl and asparaginyl hydroxylases [prolyl hydroxylases domain (PHDs) and factor inhibiting HIF (FIH)]. These oxygen sensors regulate the activity of the HIF, a transcriptional complex central in O2homeostasis. In well oxygenated cells, PHDs hydroxylate the HIFα subunits, thereby targeting them for proteasomal degradation. In contrast, acute hypoxia inhibits PHDs, leading to HIFα stabilisation. However, here we show that chronic hypoxia induces HIF1/2α“desensitization”in celluloand in mice. At the basis of this general adaptative mechanism, we demonstrate that chronic hypoxia not only increases the pool of PHDs but also overactivates the three PHD isoforms. This overactivation appears to be mediated by an increase in intracellular O2availability consequent to the inhibition of mitochondrial respiration. By usingin celluloandin vivosiRNA, we found that the PHDs are the key enzymes triggering HIFα desensitization, a feedback mechanism required to protect cells against necrotic cell death and thus to adapt them across a chronic hypoxia. Hence, PHDs serve as dual enzymes, for which inactivation and later overactivation is necessary for cell survival in acute or chronic hypoxia, respectively.

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