Hypoxia Upregulates Estrogen Receptor ? in Pulmonary Artery Endothelial Cells in a HIF-1?-Dependent Manner.
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ABSTRACT: 17?-Estradiol (E2) attenuates hypoxia-induced pulmonary hypertension (HPH) through estrogen receptor (ER)-dependent effects, including inhibition of hypoxia-induced endothelial cell proliferation; however, the mechanisms responsible for this remain unknown. We hypothesized that the protective effects of E2 in HPH are mediated through hypoxia-inducible factor 1? (HIF-1?)-dependent increases in ER? expression. Sprague-Dawley rats and ER? or ER? knockout mice were exposed to hypobaric hypoxia for 2-3 weeks. The effects of hypoxia were also studied in primary rat or human pulmonary artery endothelial cells (PAECs). Hypoxia increased expression of ER?, but not ER?, in lungs from HPH rats as well as in rat and human PAECs. ER? mRNA time dependently increased in PAECs exposed to hypoxia. Normoxic HIF-1?/HIF-2? stabilization increased PAEC ER?, whereas HIF-1? knockdown decreased ER? abundance in hypoxic PAECs. In turn, ER? knockdown in hypoxic PAECs increased HIF-2? expression, suggesting a hypoxia-sensitive feedback mechanism. ER? knockdown in hypoxic PAECs also decreased expression of the HIF inhibitor prolyl hydroxylase 2 (PHD2), whereas ER? activation increased PHD2 and decreased both HIF-1? and HIF-2?, suggesting that ER? regulates the PHD2/HIF-1?/HIF-2? axis during hypoxia. Whereas hypoxic wild-type or ER? knockout mice treated with E2 demonstrated less pulmonary vascular remodeling and decreased HIF-1? after hypoxia compared with untreated hypoxic mice, ER? knockout mice exhibited increased HIF-2? and an attenuated response to E2 during hypoxia. Taken together, our results demonstrate a novel and potentially therapeutically targetable mechanism whereby hypoxia, via HIF-1?, increases ER? expression and the E2-ER? axis targets PHD2, HIF-1?, and HIF-2? to attenuate HPH development.
SUBMITTER: Frump AL
PROVIDER: S-EPMC6039879 | biostudies-literature | 2018 Jul
REPOSITORIES: biostudies-literature
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