Leukocyte adhesion during hypoxia is mediated by HIF-1-dependent induction of β 2 integrin gene expression
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Inflammatory responses are associated with significant changes in tissue metabolism. In particular, metabolic shifts during inflammation can result in significant tissue hypoxia, with resultant induction of hypoxia-responsive genes. Given this association, we hypothesized that leukocyte functional responses are influenced by hypoxia. Initial experiments revealed that exposure of the promonocytic cell line U937 to hypoxia resulted in increased adhesion to activated endothelia. Such increases were transcription-dependent and were blocked by antibodies directed against β 2 , but not β 1 , integrins. Analysis of β 2 integrin mRNA and protein in U937 cells revealed a 5- to 6-fold increase with hypoxia. Extension of this analysis to hypoxic human whole blood revealed prominent induction of β 2 integrin mRNA and protein ex vivo . Furthermore, murine β 2 integrin mRNA was found to be significantly induced during hypoxia in vivo . Subsequent studies identified a binding site for hypoxia-inducible factor 1 (HIF-1) in the CD18 gene. This gene encodes the subunit common to all four known types of β 2 integrin heterodimer. HIF-1 binding was demonstrated in vivo , and mutational analysis of the HIF-1 site within the CD18 promoter resulted in a loss of hypoxia inducibility. Taken together, these results demonstrate that hypoxia induces leukocyte β 2 integrin expression and function by transcriptional mechanisms dependent upon HIF-1.
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HIF-1α transcriptionally controls the β2 integrin (CD18), important in all myeloid cell adhesion and transmigration.
“Finally, compelling evidence have revealed that HIF-1α transcriptionally controls the critical integrin important in all myeloid cell adhesion and transmigration, namely the β2 integrin (CD18)34,35.”
From Hypoxia: an alarm signal during intestinal inflammation (2010) · cites this paper as [34]
Cites
A new mathematical model for relative quantification in real-time RT-PCR
Pfaffl, M. W. (2001) · Nucleic Acids Research · doi:10.1093/nar/29.9.e45 · Cited by 34,610 · see citing works
Jaakkola, P., Mole, D. R., Tian, Y.-M., Wilson, M. I., Gielbert, J., Gaskell, S. J., Kriegsheim, A. V., Hebestreit, H. F., Mukherji, M., Schofield, C. J., et al. (2001) · Science · doi:10.1126/science.1059796 · Cited by 5,535 · see citing works
The tumour suppressor protein VHL targets hypoxia-inducible factors for oxygen-dependent proteolysis
Maxwell, P. H., Wiesener, M. S., Chang, G.-W., Clifford, S. C., Vaux, E. C., Cockman, M. E., Wykoff, C. C., Pugh, C. W., Maher, E. R., & Ratcliffe, P. J. (1999) · Nature · doi:10.1038/20459 · Cited by 5,180 · see citing works
Epstein, A. C. R., Gleadle, J. M., McNeill, L. A., Hewitson, K. S., O'Rourke, J., Mole, D. R., Mukherji, M., Metzen, E., Wilson, M. I., Dhanda, A., et al. (2001) · Cell · doi:10.1016/s0092-8674(01)00507-4 · Cited by 3,333 · see citing works
Role of HIF-1α in hypoxia-mediated apoptosis, cell proliferation and tumour angiogenesis
Carmeliet, P., Dor, Y., Herbert, J.-M., Fukumura, D., Brusselmans, K., Dewerchin, M., Neeman, M., Bono, F., Abramovitch, R., Maxwell, P., et al. (1998) · Nature · doi:10.1038/28867 · Cited by 2,502 · see citing works
Huang, L. E., Gu, J., Schau, M., & Bunn, H. F. (1998) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.95.14.7987 · Cited by 2,113 · see citing works
HIF-1α is essential for myeloid cell-mediated inflammation
Cramer, T., Yamanishi, Y., Clausen, B. E., Förster, I., Pawlinski, R., Mackman, N., Haase, V. H., Jaenisch, R., Corr, M., Nizet, V., et al. (2003) · Cell · doi:10.1016/s0092-8674(03)00154-5 · Cited by 2,046 · see citing works
Asparagine Hydroxylation of the HIF Transactivation Domain: A Hypoxic Switch
Lando, D., Peet, D. J., Whelan, D. A., Gorman, J. J., & Whitelaw, M. L. (2002) · Science · doi:10.1126/science.1068592 · Cited by 1,558 · see citing works
Structure and function of the leukocyte adhesion molecules CD11/CD18
Arnaout, M. A. (1990) · Blood · doi:10.1182/blood.v75.5.1037.bloodjournal7551037 · Cited by 1,034 · see citing works
Semenza, G. L. (2001) · Cell · doi:10.1016/s0092-8674(01)00518-9 · Cited by 935 · see citing works
Tanimoto, K., Makino, Y., Pereira, T., & Poellinger, L. (2000) · The EMBO Journal · doi:10.1093/emboj/19.16.4298 · Cited by 928 · see citing works
HIF-1 and human disease: one highly involved factor
Semenza, G. L. (2000) · Genes & Development · doi:10.1101/gad.14.16.1983 · Cited by 909 · see citing works
(2002) · PubMed · Cited by 840 · see citing works
Structural basis for the recognition of hydroxyproline in HIF-1α by pVHL
Hon, W.-C., Wilson, M. I., Harlos, K., Claridge, T. D. W., Schofield, C. J., Pugh, C. W., Maxwell, P. H., Ratcliffe, P. J., Stuart, D. I., & Jones, E. Y. (2002) · Nature · doi:10.1038/nature00767 · Cited by 751 · see citing works
Synnestvedt, K., Furuta, G. T., Comerford, K. M., Louis, N. A., Karhausen, J., Eltzschig, H. K., Hansen, K. R., Thompson, L. F., & Colgan, S. P. (2002) · Journal of Clinical Investigation · doi:10.1172/jci15337 · Cited by 679 · see citing works
Self-citationSynnestvedt, K., Furuta, G. T., Comerford, K. M., Louis, N., Karhausen, J., Eltzschig, H. K., Hansen, K. R., Thompson, L. F., & Colgan, S. P. (2002) · Journal of Clinical Investigation · doi:10.1172/jci0215337 · Cited by 660 · see citing works
Self-citationHypoxia, Clonal Selection, and the Role of HIF-1 in Tumor Progression
Semenza, G. L. (2000) · Critical Reviews in Biochemistry and Molecular Biology · doi:10.1080/10409230091169186 · Cited by 651 · see citing works
The role of neutrophils in myocardial ischemia–reperfusion injury
Jordan, J. E. (1999) · Cardiovascular Research · doi:10.1016/s0008-6363(99)00187-x · Cited by 647 · see citing works
Structure and Function of Leukocyte Integrins
Larson, R. A., & Springer, T. A. (1990) · Immunological Reviews · doi:10.1111/j.1600-065x.1990.tb00565.x · Cited by 602 · see citing works
Pathophysiology of ischaemia reperfusion injury: Central role of the neutrophil
Welbourn, C. R. B., Goldman, G., Paterson, I. S., Valeri, C. R., Shepro, D., & Hechtman, H. B. (1991) · Journal of British Surgery · doi:10.1002/bjs.1800780607 · Cited by 501 · see citing works
Furuta, G. T., Turner, J. R., Taylor, C. T., Hershberg, R. M., Comerford, K., Narravula, S., Podolsky, D. K., & Colgan, S. P. (2001) · The Journal of Experimental Medicine · doi:10.1084/jem.193.9.1027 · Cited by 449 · see citing works
Self-citationPenttinen, R. P. K., Kobayashi, S., & BORNSTEIN, P. K. (1988) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.85.4.1105 · Cited by 408 · see citing works
Macrophage responses to hypoxia: relevance to disease mechanisms
Lewis, J. S., Lee, J. A., Underwood, J. C. E., Harris, A. L., & Lewis, C. E. (1999) · Journal of Leukocyte Biology · doi:10.1002/jlb.66.6.889 · Cited by 383 · see citing works
Lawrance, I. C. (2001) · Human Molecular Genetics · doi:10.1093/hmg/10.5.445 · Cited by 380 · see citing works
Avidity regulation of integrins: the driving force in leukocyte adhesion
van Kooyk, Y., & Figdor, C. G. (2000) · Current Opinion in Cell Biology · doi:10.1016/s0955-0674(00)00129-0 · Cited by 340 · see citing works
Arnaout, M. A. (1990) · Immunological Reviews · doi:10.1111/j.1600-065x.1990.tb00564.x · Cited by 304 · see citing works
The proto-oncogene PU.1 regulates expression of the myeloid-specific CD11b promoter
Pahl, H. L., Scheibe, R. J., Zhang, D. E., Chen, H. M., Galson, D. L., Maki, R. A., & Tenen, D. G. (1993) · Journal of Biological Chemistry · doi:10.1016/s0021-9258(18)53496-7 · Cited by 301 · see citing works
Kimura, H., Weisz, A., Ogura, T., Hitomi, Y., Kurashima, Y., Hashimoto, K., D’Acquisto, F., Makuuchi, M., & Esumi, H. (2001) · Journal of Biological Chemistry · doi:10.1074/jbc.m008398200 · Cited by 259 · see citing works
Hypoxia, HIF-1, and the Pathophysiologi of Common Human Diseases
Semenza, G. L., Agani, F., Feldser, D., Lyer, N., Kotch, L., Laughner, E., & Yu, 1. (2006) · Advances in Experimental Medicine and Biology · doi:10.1007/0-306-46825-5_12 · Cited by 241 · see citing works
Lennon, P., Taylor, C. T., Stahl, G. L., & Colgan, S. P. (1998) · The Journal of Experimental Medicine · doi:10.1084/jem.188.8.1433 · Cited by 228 · see citing works
Self-citationChen, H. M., Pahl, H. L., Scheibe, R. J., Zhang, D. E., & Tenen, D. G. (1993) · Journal of Biological Chemistry · doi:10.1016/s0021-9258(18)53086-6 · Cited by 199 · see citing works
Bunting, M., Harris, E. S., McIntyre, T. M., Prescott, S. M., & Zimmerman, G. A. (2002) · Current Opinion in Hematology · doi:10.1097/00062752-200201000-00006 · Cited by 193 · see citing works
Bivic, A. L., Real, F. X., & Rodriguez-Boulan, E. J. (1989) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.86.23.9313 · Cited by 191 · see citing works
Neutrophil-derived Glutamate Regulates Vascular Endothelial Barrier Function
Collard, C. D., Park, K. A., Montalto, M., Alapati, S., Buras, J. A., Stahl, G. L., & Colgan, S. P. (2002) · Journal of Biological Chemistry · doi:10.1074/jbc.m110557200 · Cited by 171 · see citing works
Self-citationSemenza, G. L. (1994) · Hematology/Oncology Clinics of North America · doi:10.1016/s0889-8588(18)30134-5 · Cited by 133 · see citing works
Leukocyte transendothelial migration: A junctional affair
Luscinskas, F. W., Ma, S., Nusrat, A., Parkos, C. A., & Shaw, S. K. (2002) · Seminars in Immunology · doi:10.1006/smim.2001.0347 · Cited by 126 · see citing works
Regional manifestations and control of the immune system
Saadi, S., Wrenshall, L. E., & Platt, J. L. (2002) · The FASEB Journal · doi:10.1096/fj.01-0690hyp · Cited by 119 · see citing works
Cramer, T., & Johnson, R. S. (2003) · Cell Cycle · doi:10.4161/cc.2.3.402 · Cited by 107 · see citing works
Hypoxia enhances induction of endothelial ICAM-1: role for metabolic acidosis and proteasomes
Zünd, G., Uezono, S., Stahl, G. L., Dzus, A. L., McGowan, F. X. J., Hickey, P. R., & Colgan, S. P. (1997) · American Journal of Physiology-Cell Physiology · doi:10.1152/ajpcell.1997.273.5.c1571 · Cited by 104 · see citing works
Self-citationCD18 (beta 2 leukocyte integrin) promoter requires PU.1 transcription factor for myeloid activity.
Rosmarin, A. G., Caprio, D. G., Levy, R., & Simkevich, C. P. (1995) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.92.3.801 · Cited by 94 · see citing works
The Human β2 Integrin CD18 promoter consists of Two Inverted Ets cis Elements
Böttinger, E. P., Shelley, C. S., Farokhzad, O. C., & Arnaout, M. A. (1994) · Molecular and Cellular Biology · doi:10.1128/mcb.14.4.2604 · Cited by 89 · see citing works
Self-citationEdens, H. A., Levi, B. P., Jaye, D. L., Walsh, S. V., Reaves, T. A., Turner, J. R., Nusrat, A., & Parkos, C. A. (2002) · The Journal of Immunology · doi:10.4049/jimmunol.169.1.476 · Cited by 88 · see citing works
Haddad, J. J. (2002) · Critical Care · doi:10.1186/cc1840 · Cited by 78 · see citing works
Quantitation of Intracellular Mac-1 (CD11b/CD18) Pools in Human Neutrophils
Jones, D. H., Anderson, D. C., Burr, B. L., Rudioff, H. E., Smith, C. W., Krater, S., & Schmalstieg, F. C. (1988) · Journal of Leukocyte Biology · doi:10.1002/jlb.44.6.535 · Cited by 74 · see citing works
The promoter of the CD11b gene directs myeloid-specific and developmentally regulated expression.
Shelley, C., & Arnaout, M. A. (1991) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.88.23.10525 · Cited by 61 · see citing works
Self-citationKokura, S., Yoshida, N., & Yoshikawa, T. (2002) · Free Radical Biology and Medicine · doi:10.1016/s0891-5849(02)00852-3 · Cited by 57 · see citing works
Shelley, C. S., Farokhzad, O. C., & Arnaout, M. A. (1993) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.90.11.5364 · Cited by 53 · see citing works
Self-citationMachelon, V., Mercier‐Nomé, F., Grosse, B., & Lieberherr, M. (1996) · Journal of Cellular Biochemistry · doi:10.1002/(sici)1097-4644(19960616)61:4 · Cited by 52 · see citing works
Leukocyte responses to hypoxic/ischemic conditions.
Scannell, G. (1996) · PubMed · Cited by 51 · see citing works
Shelley, C. S., Teodoridis, J. M., Park, H., Farokhzad, O. C., Böttinger, E. P., & Arnaout, M. A. (2002) · The Journal of Immunology · doi:10.4049/jimmunol.168.8.3887 · Cited by 48 · see citing works
Self-citationBruyninckx, W. J., Comerford, K. M., Lawrence, D. W., et al. (2001) · Blood · doi:10.1182/blood.v97.10.3251 · Cited by 48 · see citing works
Nicolaou, F., Teodoridis, J. M., Park, H., Georgakis, A., Farokhzad, O. C., Böttinger, E. P., Silva, N. D., Rousselot, P. H., Chomienne, C., Ferenczi, K., et al. (2003) · Blood · doi:10.1182/blood-2002-01-0324 · Cited by 48 · see citing works
Self-citationBush, T. S., Coeur, M. S., Resendes, K. K., & Rosmarin, A. G. (2002) · Blood · doi:10.1182/blood.v101.1.311 · Cited by 47 · see citing works
Therapeutic Targets for Hypoxia-Elicited Pathways
Taylor, C. T., & Colgan, S. P. (1999) · Pharmaceutical Research · doi:10.1023/a:1011936016833 · Cited by 44 · see citing works
Self-citationHypoxia-Induced Alterations of Neutrophil Membrane Receptors
Scannell, G., Waxman, K., Vaziri, N. D., Zhang, J., Kaupke, C. J., Jalali, M., & Hect, C. (1995) · Journal of Surgical Research · doi:10.1006/jsre.1995.1145 · Cited by 32 · see citing works
Implications of hypoxia on mucosal barrier function.
Karhausen, J., Ibla, J. C., & Colgan, S. P. (2003) · PubMed · Cited by 25 · see citing works
Self-citationFarokhzad, O. C., Shelley, C., & Arnaout, M. A. (1996) · The Journal of Immunology · doi:10.4049/jimmunol.157.12.5597 · Cited by 23 · see citing works
Self-citationKishimoto, T., & Springer, T. A. (2015) · Current problems in dermatology · doi:10.1159/000416845 · Cited by 20 · see citing works
Seeding of Vascular Grafts with an Immortalized Human Dermal Microvascular Endothelial Cell Line
Robinson, K. A., Candal, F. J., Scott, N. A., et al. (1995) · Angiology · doi:10.1177/000331979504600203 · Cited by 19 · see citing works
The Human β2 Integrin CD18 promoter consists of Two Inverted Ets cis Elements
Böttinger, E. P., Shelley, C. S., Farokhzad, O. C., & Arnaout, M. A. (1994) · Molecular and Cellular Biology · doi:10.1128/mcb.14.4.2604-2615.1994 · Cited by 11 · see citing works
Self-citation
Flagged first, then by citations
Cited by
Sorted by citations
Integration of Oxygen Signaling at the Consensus HRE
Wenger, R. H., Stiehl, D. P., & Camenisch, G. (2005) · Science's STKE · doi:10.1126/stke.3062005re12 · Cited by 1,032 · see citing works
Interdependence of hypoxic and innate immune responses
Nizet, V., & Johnson, R. S. (2009) · Nature Reviews Immunology · doi:10.1038/nri2607 · Cited by 708 · see citing works
The updated biology of hypoxia-inducible factor
Greer, S. N., Metcalf, J. L., Wang, Y., & Ohh, M. (2012) · The EMBO Journal · doi:10.1038/emboj.2012.125 · Cited by 545 · see citing works
Oxygen-dependent regulation of mitochondrial respiration by hypoxia-inducible factor 1
Semenza, G. L. (2007) · Biochemical Journal · doi:10.1042/bj20070389 · Cited by 541 · see citing works
Regulation of immune cells by local-tissue oxygen tension: HIF1α and adenosine receptors
Sitkovsky, M., & Lukashev, D. (2005) · Nature Reviews Immunology · doi:10.1038/nri1685 · Cited by 518 · see citing works
Fine, L. G., & Norman, J. T. (2008) · Kidney International · doi:10.1038/ki.2008.350 · Cited by 515 · see citing works
Henegar, C., Tordjman, J., Achard, V., Lacasa, D., Cremer, I., Guerre-Millo, M., Poitou, C., Basdevant, A., Stich, V., Viguerie, N., et al. (2008) · Genome Biology · doi:10.1186/gb-2008-9-1-r14 · Cited by 471 · see citing works
Hypoxia: an alarm signal during intestinal inflammation
Colgan, S. P., & Taylor, C. T. (2010) · Nature Reviews Gastroenterology & Hepatology · doi:10.1038/nrgastro.2010.39 · Cited by 461 · see citing works
Self-citationMacrophage Responses to Hypoxia
Lewis, C., & Murdoch, C. (2005) · The American Journal of Pathology · doi:10.1016/s0002-9440(10)62038-x · Cited by 413 · see citing works
Immunity, Hypoxia, and Metabolism–the Ménage à Trois of Cancer: Implications for Immunotherapy
Riera-Domingo, C., Audigé, A., Granja, S., Cheng, W.-C., Ho, P.-C., Baltazar, F., Stockmann, C., & Mazzone, M. (2020) · Physiological Reviews · doi:10.1152/physrev.00018.2019 · Cited by 310 · see citing works
Hypoxia inducible factor (HIF) function in innate immunity and infection
Zinkernagel, A. S., Johnson, R. S., & Nizet, V. (2007) · Journal of Molecular Medicine · doi:10.1007/s00109-007-0282-2 · Cited by 265 · see citing works
Selective induction of mucin‐3 by hypoxia in intestinal epithelia
Louis, N. A., Hamilton, K. E., Canny, G., Shekels, L. L., Ho, S. B., & Colgan, S. P. (2006) · Journal of Cellular Biochemistry · doi:10.1002/jcb.20947 · Cited by 144 · see citing works
Self-citationKowalski, C. H., Beattie, S. R., Fuller, K. K., McGurk, E. A., Tang, Y.-W., Hohl, T. M., Obar, J. J., & Cramer, R. A. (2016) · mBio · doi:10.1128/mbio.01515-16 · Cited by 123 · see citing works
Vinores, S. A., Xiao, W., Aslam, S., Shen, J., Oshima, Y., Nambu, H., Liu, H., Carmeliet, P., & Campochiaro, P. A. (2006) · Journal of Cellular Physiology · doi:10.1002/jcp.20525 · Cited by 99 · see citing works
Shepardson, K. M., Jhingran, A., Caffrey, A., Obar, J. J., Suratt, B. T., Berwin, B. L., Hohl, T. M., & Cramer, R. A. (2014) · PLoS Pathogens · doi:10.1371/journal.ppat.1004378 · Cited by 79 · see citing works
Kong, T., Scully, M., Shelley, C. S., & Colgan, S. P. (2007) · The Journal of Immunology · doi:10.4049/jimmunol.179.3.1934 · Cited by 34 · see citing works
Self-citation
- Authors
- Kong, T., Eltzschig, H. K., Karhausen, J., Colgan, S. P., & Shelley, C. S.
- Affiliations
- Brigham and Women's Hospital (US)
- Center for Experimental Therapeutics and Reperfusion Injury, Brigham and Women's Hospital, Harvard Medical School, Boston, MA 02115; Department of Anesthesiology and Intensive Care Medicine, University Hospital, Tübingen, D-72076, Germany; and Renal Unit, Department of Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, MA 02129
- Corresponding author
- Colgan, Sean P.
- Venue
- Proceedings of the National Academy of Sciences
- Publisher
- National Academy of Sciences
- Published
- 2004-07-02
- Volume
- 101
- Issue
- 28
- Pages
- 10440-10445
- ISSN
- 0027-8424 (ISSN-L)
- 1091-6490
- PMC
- PMC478589
- OpenAlex
- W2096468570
- Cited by
- 242
- References
- 60
- Citations by year
- 2026: 2 · 2025: 5 · 2024: 7 · 2023: 7 · 2022: 12 · 2021: 11 · 2020: 4 · 2019: 5 · 2018: 7 · 2017: 9 · 2016: 13 · 2015: 8 · 2014: 11 · 2013: 10 · 2012: 9
- FWCI
- 9.40
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Proceedings of the National Academy of Sciences (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- American Heart Association
- National Institutes of Health (DK-50305, DK-50189)
- National Heart, Lung, and Blood Institute (R01HL060569, HL-60569)
- National Institute of Diabetes and Digestive and Kidney Diseases (R01DK050189, DK-50305, R37DK050189, R29DK050189, P01DK050305, DK-50189)
- Topics
- Health Sciences › Medicine › Immunology and Allergy › Cell Adhesion Molecules Research
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cancer Research › Cancer, Hypoxia, and Metabolism
- Life Sciences › Immunology and Microbiology › Immunology › Inflammation biomarkers and pathways
- Keywords
- leukocyte adhesion, hypoxia, HIF-1, beta2 integrins, CD18, integrin expression, transcriptional regulation, inflammation, tissue hypoxia, U937 cells, whole blood, promoter binding sites
- MeSH terms
- Hypoxia, Base Sequence, Cell Adhesion, DNA-Binding Proteins, Endothelium, Vascular, Humans, Leukocytes, Membrane Proteins, Molecular Sequence Data, Nuclear Proteins, Promoter Regions, Genetic, RNA, Messenger, Transcription Factors, Transcriptional Activation, Gene Expression, CD18 Antigens, U937 Cells, Hypoxia-Inducible Factor 1, Hypoxia-Inducible Factor 1, alpha Subunit
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