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Published ahead of print on March 23, 2004, doi:10.1165/rcmb.2003-0296OC

Am. J. Respir. Cell Mol. Biol., Volume 31, Number 2, August 2004, 209-215

A more recent version of this article appeared on August 1, 2004
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Submitted on August 11, 2003
Revised on March 17, 2004

The PAI-1 Gene As a Direct Target of Endothelial PAS-domain Protein-1 in Adenocarcinoma A549 cells

Mahito Sato1, Toru Tanaka2, Koji Maemura3, Tsuyoshi Uchiyama2, Hiroko Sato2, Toshitaka Maeno2, Tatsuo Suga2, Tatsuya Iso2, Yoshio Ohyama2, Masashi Arai2, Junichi Tamura4, Hironosuke Sakamoto4, Ryozo Nagai3, and Masahiko Kurabayashi2*

1 Second Department of Internal Medicine, Gunma University School of Medicine, Maebashi, Japan; Department of General Medicine, Gunma University School of Medicine, Maebashi, Japan, 2 Second Department of Internal Medicine, Gunma University School of Medicine, Maebashi, Japan, 3 Department of Cardiovascular Medicine, University of Tokyo Graduate School of Medicine, Tokyo, Japan, 4 Department of General Medicine, Gunma University School of Medicine, Maebashi, Japan

* To whom correspondence should be addressed. E-mail: mkuraba{at}med.gunma-u.ac.jp.

EPAS1 (Endothelial PAS domain protein-1) regulates transcription of the genes encoding erythropoietin, vascular endothelial growth factor, which are important for maintaining oxygen homeostasis. We have previously shown that PAI-1 (plasminogen activator inhibitor-1) gene expression is induced by hypoxia. In this study, we sought to determine whether PAI-1 gene expression is directly regulated by EPAS1 in cancer cells because activities of proteases and their inhibitors are tightly regulated for tumor invasion. Hypoxia increased the PAI-1 mRNA levels in A549 cells, human adenocarcinoma cells. Overexpression of EPAS1 significantly increased the PAI-1 mRNA and protein levels. Transient transfection assays revealed that EPAS1 increased PAI-1 gene transcription through a sequence containing 5'-CACGTACA-3' located at -194 (we refer to it as site HREPAI-1) and GT-box located at -78. Electrophoretic gel mobility shift assays revealed that HREPAI-1 serves as a binding site for EPAS1, and Sp1 constitutively binds to GT-box. In conclusion, PAI-1 expression is induced by EPAS1 through HREPAI-1 and through an Sp1-binding site. These results indicate that the PAI-1 gene is a direct target of EPAS1 and suggest the role of EPAS1 and Sp1 in the hypoxic response of cancer cells.




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