The DOI matches its Crossref record; 71 of the 71 references it cites were found in a registry or an index.
Hypoxia-inducible factor-1 alpha-dependent induction of FoxP3 drives regulatory T-cell abundance and function during inflammatory hypoxia of the mucosa
Open accessAbstract
Recent studies have demonstrated dramatic shifts in metabolic supply-and-demand ratios during inflammation, a process resulting in localized tissue hypoxia within inflammatory lesions (“inflammatory hypoxia”). As part of the adaptive immune response, T cells are recruited to sites of inflammatory hypoxia. Given the profound effects of hypoxia on gene regulation, we hypothesized that T-cell differentiation is controlled by hypoxia. To pursue this hypothesis, we analyzed the transcriptional consequences of ambient hypoxia (1% oxygen) on a broad panel of T-cell differentiation factors. Surprisingly, these studies revealed selective, robust induction of FoxP3, a key transcriptional regulator for regulatory T cells (Tregs). Studies of promoter binding or loss- and gain-of-function implicated hypoxia-inducible factor (HIF)-1α in inducing FoxP3. Similarly, hypoxia enhanced Treg abundance in vitro and in vivo. Finally, Treg-intrinsic HIF-1α was required for optimal Treg function and Hif1a –deficient Tregs failed to control T-cell–mediated colitis. These studies demonstrate that hypoxia is an intrinsic molecular cue that promotes FoxP3 expression, in turn eliciting potent anti-inflammatory mechanisms to limit tissue damage in conditions of reduced oxygen availability.
Overview
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Verification
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
The source backs part of the claim, not all of it — or backs it for a different population, condition or comparison.
In the citing paper
“For instance, tumor hypoxia and/or HIFs can attract myeloid-derived suppressor cells (Corzo et al., 2010), regulatory T-cells (Clambey et al., 2012), and tumor-associated macrophages (Doedens et al., 2010;Imtiyaz et al., 2010) with immunosuppressive functions.”
From Therapeutic targeting of hypoxia and hypoxia-inducible factors in cancer (2016) · cites this paper as Clambey et al., 2012
Experimental — accuracy not yet measured
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Citations
Cites
Bettelli, E., Carrier, Y., Gao, W., Korn, T., Strom, T. B., Oukka, M., Weiner, H. L., & Kuchroo, V. K. (2006) · Nature · doi:10.1038/nature04753 · Cited by 6,992
Ischemia and reperfusion—from mechanism to translation
Eltzschig, H. K., & Eckle, T. D. L. G. (2011) · Nature Medicine · doi:10.1038/nm.2507 · Cited by 3,468
Self-citationDeaglio, S., Dwyer, K. M., Gao, W., Friedman, D. J., Usheva, A., Erat, A., Chen, J., Enjyoji, K., Linden, J. M., Oukka, M., et al. (2007) · The Journal of Experimental Medicine · doi:10.1084/jem.20062512 · Cited by 2,613
Eltzschig, H. K., & Carmeliet, P. (2011) · New England Journal of Medicine · doi:10.1056/nejmra0910283 · Cited by 2,061
Self-citationTGF-β-induced Foxp3 inhibits TH17 cell differentiation by antagonizing RORγt function
Zhou, L., Lopes, J. E., Chong, M. M. W., Ivanov, I. I., Min, R., Victora, G. D., Shen, Y., Du, J., Rubtsov, Y. P., Rudensky, A. Y., et al. (2008) · Nature · doi:10.1038/nature06878 · Cited by 1,928
Shi, L. Z., Wang, R., Huang, G., Vogel, P., Neale, G., Green, D. R., & Chi, H. (2011) · Journal of Experimental Medicine · doi:10.1084/jem.20110278 · Cited by 1,803
Control of TH17/Treg Balance by Hypoxia-Inducible Factor 1
Dang, E. V., Barbi, J., Yang, H.-Y., Jinasena, D., Yu, H., Zheng, Y., Bordman, Z., Fu, J., Kim, Y., Yen, H.-R., et al. (2011) · Cell · doi:10.1016/j.cell.2011.07.033 · Cited by 1,595
Regulatory T Cell-Derived Interleukin-10 Limits Inflammation at Environmental Interfaces
Rubtsov, Y. P., Rasmussen, J. P., Chi, E. Y., Fontenot, J., Castelli, L., Ye, X., Treuting, P., Siewe, L., Roers, A., Henderson, W. R., et al. (2008) · Immunity · doi:10.1016/j.immuni.2008.02.017 · Cited by 1,586
Foxp3+ follicular regulatory T cells control the germinal center response
Linterman, M. A., Pierson, W., Lee, S. K., Kallies, A., Kawamoto, S., Rayner, T. F., Srivastava, M., Divekar, D. P., Beaton, L., Hogan, J. J., et al. (2011) · Nature Medicine · doi:10.1038/nm.2425 · Cited by 1,292
Koch, M. A., Tucker-Heard, G., Perdue, N. R., Killebrew, J. R., Urdahl, K. B., & Campbell, D. J. (2009) · Nature Immunology · doi:10.1038/ni.1731 · Cited by 1,258
Research works printed but not linked: 3
- 10.1056/NEJMra0910283 · DOI · Paper page
- 10.1084/jem.20110278 · DOI · Paper page
- 10.1016/j.cell.2011.07.033 · DOI · Paper page
Cited by
Sorted by citations
Items 501–561 of 561
Molecular Targets for Cancer Immunotherapy: Focusing on (Immune and Tumor) Cell-Derived Metabolites
Quintans, R. D. T., de Freitas, Â. A., de Souza, M. M., Dias-Lopes, G., & Silva, R. C. M. C. (2026) · Applied Sciences · doi:10.3390/app16052461 · Cited by 1
Lai, Y., Qin, R., & 刘寨东 (2026) · Oncology Reviews · doi:10.3389/or.2026.1863533 · Cited by 1
“In the presence of TGF-β , HIF-1 can directly bind to the Foxp3 promoter, inducing Treg formation (77).”
Zhu, H., Wang, R., & Zhou, M. (2026) · Biomaterials Science · doi:10.1039/d6bm00677a · Cited by 1
Regulatory T Cells and Th17 Cells in Cancer Microenvironment
Kim, C. H. (2014) · Springer eBooks · doi:10.1007/978-3-662-44006-3_6 · Cited by 1
Sodium salicylate reduced mRNA abundance of hypoxia-associated genes in MAC-T cells
Ylioja, C. M., Swartz, T. H., Mamedova, L. K., & Bradford, B. J. (2021) · JDS Communications · doi:10.3168/jdsc.2020-0037 · Cited by 1
“Numerous studies have demonstrated a protective role for HIF-1 in the gut epithelium (Karhausen et al., 2004; Rosenberger et al., 2009; Clambey et al., 2012), likely to restore tissue homeostasis.”
BackgroundTumor Microenvironment Complexity: A Pathological Milieu that Innately Modulates Cancer Progression
Balahura, L.-R., Lazăr, A. D., Dinescu, S., & Costache, M. (2022) · Springer eBooks · doi:10.1007/978-3-030-80962-1_89-1 · Cited by 2
Tissue expression of the SARS-CoV-2 cell receptor gene ACE2 in children
Huang, J., Guo, Z., Duan, J., Zou, Y., Chen, K., Huang, H., Zhang, S., & Zhou, Y. (2023) · Journal of Tropical Pediatrics · doi:10.1093/tropej/fmad027 · Cited by 1
T-Lymphocyte metabolic features and techniques to modulate them
Vlasova, V. V., & Владимирович, Ш. К. (2023) · Biochemistry (Moscow) · doi:10.31857/s0320972523110167 · Cited by 1
Tumor-Induced Metabolism and T Cells Located in Tumor Environment
Iranparast, S., Tayebi, S., Ahmadpour, F., & Yousefi, B. (2020) · Current Cancer Drug Targets · doi:10.2174/1568009620666200720010647 · Cited by 1
Role of NLRP3 in colitis and colitis associated colorectal cancer
Perera, A. P. (2019) · UTAS Research Repository · doi:10.25959/100.00034330 · Cited by 1
Zhao, S., Zhou, L., Dicker, D. T., Lev, A., Zhang, S., & El‐Deiry, W. S. (2020) · bioRxiv (Cold Spring Harbor Laboratory) · doi:10.1101/2020.10.20.347633 · Cited by 1
Zhang, Y., Zhang, X., Tian, B., Ding, X., Ye, C., & Guo, C. (2021) · bioRxiv (Cold Spring Harbor Laboratory) · doi:10.1101/2021.08.30.458202 · Cited by 1
“[35] Clambey ET, McNamee EN, Westrich JA, Glover LE, Campbell EL, Jedlicka P, de Zoeten EF, Cambier JC,”
BackgroundHypoxia: A Formidable Saboteur of the Anti-tumor Response
Hasmim, M., Messai, Y., Terry, S., Janji, B., Noman, M. Z., & Chouaı̈b, S. (2015) · Resistance to targeted anti-cancer therapeutics · doi:10.1007/978-3-319-17807-3_6
Hasmim, M. (2014) · Journal of Molecular and Genetic Medicine · doi:10.4172/1747-0862.1000e104
“In particular, under hypoxic stress and in the presence of TGF-β, CD4+ T cells upregulate Foxp3 through direct binding of HIF-1 to Foxp3 promoter region, inducing Treg formation [21].”
BackgroundNKG2D Signaling and Cd8+ T Cells Survival in the Hypoxic Tumor Microenvironment
Neuburg, S. (2015) · Loyola eCommons (Loyola University of Chicago)
Rebellón-Sánchez, D. E., Morales, T. J. P., Alba, J. S. M., Guerrero, J. S. C., & Goméz, B. M. B. (2014) · Redalyc (Universidad Autónoma del Estado de México)
Long, C. M. (2016) · The Research Repository @ WVU (West Virginia University) · doi:10.33915/etd.6108
“TCR expression of Vβ gene repertoires was investigated in a cohort of diisocyanate asthmatics in an effort to investigate the hypothesis that diisocyanate asthma-susceptible workers process antigen differently than nonsymptomatic workers due to differences in TCR Vβ gene repertoires (74, 75).”
BackgroundTumor Blood Vessel-Associated Antigens as Targets for Cancer Immunotherapy
Fabian, K. P. (2017) · D-Scholarship@Pitt (University of Pittsburgh)
Regulation of T cell activation by hypoxia
Madasu, M. M. (2014) · doi:10.17760/d20004842
The Role of Hypoxia in the Tumor Microenvironment: Implications for Ovarian Cancer Therapy
Rankin, E. B., & Soriano, M. I. (2016)
Blockade of Hypoxia: The Impact on Tumor Growth in an Experimental Tumor Model
Kheshtchin, N., Arab, S., & Hadjati, J. (2018) · Immunoregulation · doi:10.32598/immunoregulation.1.3.153
“Moreover, hypoxia promotes Foxp3 expression and regulatory T-cell function through direct transcriptional activation of Foxp3 mRNA by HIF-1α [13].”
BackgroundLundqvist, C. (2019) · Gothenburg University Publications Electronic Archive (Gothenburg University)
Membranprotein-Komposition von Kardiofibroblasten in Normoxie und Hypoxie
Böttger, J. (2019) · eDiss (Georg-August-Universität Göttingen) · doi:10.53846/goediss-7661
Esen, N., Rakhi, S., Malleis James, P., & Dore‐Duffy, P. (2019) · International Journal of Neurodegenerative Disorders · doi:10.23937/2643-4539/1710011
The Role of Perivascular Adipose Tissue in Arterial Function in Health and Disease
Agabiti-Rosei, C., Barp, C. G., Saxton, S. N., & Heagerty, A. M. (2020) · Updates in hypertension and cardiovascular protection · doi:10.1007/978-3-030-47801-8_15
Buss, L. A. (2020) · Otago University Research Archive (University of Otago)
Amini, M. A. (2019) · TSpace (University of Toronto)
Ajouaou, Y., Azouz, A., Taquin, A., Denanglaire, S., Hussein, H., Krayem, M., Andris, F., Moser, M., Goriely, S., & Léo, O. (2022) · eLife · doi:10.7554/elife.70555.sa2
Limitations of Adaptive Immune System in Solid Tumours
Liang, R. (2022) · International Conference on Biotechnology, Life Science and Medical Engineering (BLSME) · doi:10.23977/blsme.2022006
“Nevertheless, such propose is not possible as there are studies suggested T cells can maintain the ATP level as the same even under hypoxia [36-38].”
BackgroundLutter, L. (2022) · Utrecht University Repository (Utrecht University) · doi:10.33540/1160
Crosstalk between the lung microenvironment and CNS autoimmunity
Canals, R. C. (2023) · eDiss (Georg-August-Universität Göttingen) · doi:10.53846/goediss-9873
Investigating the Intrinsic Role of Programmed Death-Ligand 1 in Human Cancers.
Hudson, K. (2023) · Sheffield Hallam University · doi:10.7190/shu-thesis-00520
Fu, Z., Jackson-Patel, V., Farrand, K. J., Guise, C. P., Silva, S., Dabb, A. R., Lin, X., Liu, E., Ashoorzadeh, A., Smaill, J. B., et al. (2025) · bioRxiv (Cold Spring Harbor Laboratory) · doi:10.1101/2025.02.24.635378
Tumor Microenvironment Complexity: A Pathological Milieu That Innately Modulates Cancer Progression
Balahura, L.-R., Lazăr, A. D., Dinescu, S., & Costache, M. (2025) · Springer eBooks · doi:10.1007/978-3-032-00761-2_89
Huang, A., Sun, Z., Hong, H., Yang, Y., Chen, J., Gao, Z., & Gu, J. (2024) · Figshare · doi:10.6084/m9.figshare.26737023
Huang, A., Sun, Z., Hong, H., Yang, Y., Chen, J., Gao, Z., & Gu, J. (2024) · Figshare · doi:10.6084/m9.figshare.26737026
Crossroads between autoimmunity and cancer: underlying mechanisms and clinical implications
Gjyrezi, A., Skarlis, C., Mavragani, C. P., & Giannakakou, P. (2025) · Physiological Reviews · doi:10.1152/physrev.00012.2025 · Cited by 1
Fu, Y., & Xiao, L. (2026) · Frontiers in Medicine · doi:10.3389/fmed.2026.1703966
“In addition, HIF-1 α promotes the expression of immune checkpoint molecules such as CTLA-4 and PD-1 on the surface of Tregs, enhancing their inhibitory effect on effector T cells (27).”
Kuliczkowska-Płaksej, J., Szymczak, D., Halupczok-Żyła, J., Strzelec, M., Podsiadły, A., Słoka, N. K., Bolanowski, M., Stachowska, B., Zdrojowy-Wełna, A., & Jawiarczyk-Przybyłowska, A. (2026) · International Journal of Molecular Sciences · doi:10.3390/ijms27073108
Targeting the metabolic environment to modulate T cell effector function
Matias, M. I. (2019) · theses.fr (ABES) · doi:10.70675/0582ddaaze61dz4707z9cb1zdb8fe1d82653
Implication de la GTPase RagA dans l’activation et la polarisation de la réponse lymphocytaire T
Attia, M. (2017) · theses.fr (ABES) · doi:10.70675/54b64a32zdbe2z447dzaab4z42858c3a25e6
Impact du ciblage du domaine de liaison de HIF-1α avec HIF-1β sur le paysage immunitaire du mélanome
Lequeux, A. (2020) · theses.fr (ABES) · doi:10.70675/a29d12dbz79c1z4d37za978z2e2319131c82
Ferré, A. E. (2021) · theses.fr (ABES) · doi:10.70675/bd3a46adzb3cfz4dfaza13dz05e92e57bbf8
Regulation of the T cell response in Multiple Sclerosis
Benallegue, N. (2021) · theses.fr (ABES) · doi:10.70675/1139fcb3z40a7z4b84zbd80z1d8a0860fb29
Xia, J., Niu, Z., Zhang, S., Gao, C., Zhang, S., Pang, Y., & Hou, L. (2026) · International Immunopharmacology · doi:10.1016/j.intimp.2026.117049
Fatty Acid Metabolism Rewires Glioblastoma Progression and Treg-Mediated Immune Resistance
Chowdhury, N. I., Ewida, H. A., Ahmed, M. S., & Villalba, H. (2026) · Cancers · doi:10.3390/cancers18162573
“Early T cell metabolism studies show that HIF-1 α can enhance Foxp3 expression and promote Treg differentiation under hypoxic conditions [67].”
Su, P., Zhang, Y., Yu, T., 王元宇, 牟一平, & Jin, W. (2026) · International Immunopharmacology · doi:10.1016/j.intimp.2026.117338
Luo, C., Li, T., Tak, J., DeBerge, M., Tsai, K., & Eltzschig, H. K. (2026) · Nature Reviews Cardiology · doi:10.1038/s41569-026-01339-y
Self-citationBacterial consortium construction for inhibition of Salmonella in chickens
Harris, D., Looft, T. P., & Mellata, M. (2026) · Frontiers in Microbiology · doi:10.3389/fmicb.2026.1895137
Zheng, D., Zhang, L., Li, H., Wang, D., Jiao, C., Li, X., & Fu, S. (2026) · Frontiers in Immunology · doi:10.3389/fimmu.2026.1882303
Jia, C., Li, S., Chen, M., Yang, W., Song, Y., Wang, A., & Liu, B. (2026) · Frontiers in Immunology · doi:10.3389/fimmu.2026.1963773
Sambucci, M., Fenoglio, D., Ferrera, F., Camporesi, L., Lagazio, A., Borsellino, G., Battistini, L., & Filaci, G. (2026) · European Journal of Immunology · doi:10.1002/eji.70288
Site-specific metabolic and hypoxia-associated profiles in metastatic melanoma
Conway, J. W., Paver, E. C., Beckwith, J., Yaseen, Z., Gide, T. N., Quek, C., Bai, X., Rawson, R. V., Lo, S., Vergara, I. A., et al. (2026) · Journal for ImmunoTherapy of Cancer · doi:10.1136/jitc-2026-015623
Xu, S., Han, Q., Wang, F., Zhang, Y., Feng, H., Liu, K., Luo, F. X., Yuan, F., Zhao, X., Yu, X., et al. (2026) · Advanced Science · doi:10.1002/advs.78339
Fu, Z., Jackson-Patel, V., Farrand, K. J., Guise, C. P., Silva, S., Dabb, A., Lin, X., Liu, E., Ashoorzadeh, A., Smaill, J. B., et al. (2026) · Journal for ImmunoTherapy of Cancer · doi:10.1136/jitc-2025-013057
The role of ARNT in liver and myeloid cell function
Scott, C. H. (2013) · The Sydney eScholarship Repository (The University of Sydney)
The effects of environmental oxygen on CD4+ T lymphocyte activation and responses
Clay, E. (2015) · University of Birmingham Institutional Research Archive (University of Birmingham)
Metadata
- Authors
- Clambey, E. T., McNamee, E. N., Westrich, J. A., Glover, L. E., Campbell, E. L., Jedlicka, P., de Zoeten, E. F., Cambier, J. C., Stenmark, K. R., Colgan, S. P., & Eltzschig, H. K.
- Affiliations
- Mucosal Inflammation Program,
- Department of Anesthesiology, Departments of bMedicine,
- Pathology, and
- Pediatrics and Genetics (US)
- Integrated Department of Immunology, and
- ORCID
- Venue
- Proceedings of the National Academy of Sciences
- Publisher
- National Academy of Sciences
- Published
- 2012-09-17
- Volume
- 109
- Issue
- 41
- Pages
- E2784-93
- ISSN
- 0027-8424 (ISSN-L)
- 1091-6490
- PMC
- PMC3478644
- OpenAlex
- W1986925527
- Cited by
- 560
- References
- 71
- Citations by year
- 2026: 28 · 2025: 31 · 2024: 35 · 2023: 43 · 2022: 60 · 2021: 49 · 2020: 62 · 2019: 44 · 2018: 39 · 2017: 35 · 2016: 38 · 2015: 35 · 2014: 34 · 2013: 25 · 2012: 2
- FWCI
- 13.43
- Type
- journal article
- Language
- en
- Open access
- green
- europepmc.org
- Locations
- Proceedings of the National Academy of Sciences (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Maynooth University ePrints and eTheses Archive (Maynooth University) (acceptedVersion)
- Funders
- National Heart, Lung, and Blood Institute (R01HL60569, R01HL060569, R01HL098294, R01HL092188, R01‑HL0921)
- National Institute of Diabetes and Digestive and Kidney Diseases (R0-1 DK50189, R01DK050189, R37DK050189, R01DK083385, R01DK095491)
- Topics
- Life Sciences › Immunology and Microbiology › Immunology › T-cell and B-cell Immunology
- Life Sciences › Immunology and Microbiology › Immunology › Psoriasis: Treatment and Pathogenesis
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cancer Research › Cancer, Hypoxia, and Metabolism
- Keywords
- hypoxia-inducible factor-1α, Foxp3, regulatory T cells, mucosal inflammation, T cell differentiation, transcriptional regulation, T cell-mediated colitis, anti-inflammatory mechanism, oxygen availability
- MeSH terms
- Animals, Hypoxia, Cells, Cultured, Colitis, Female, Flow Cytometry, Gene Expression Regulation, Humans, Inflammation, Interleukin-1, Intestinal Mucosa, Male, Mice, Inbred C57BL, Mice, Transgenic, Cell Hypoxia, Transforming Growth Factor beta, Mice, Knockout, Jurkat Cells, Reverse Transcriptase Polymerase Chain Reaction, RNA Interference, Cell Proliferation, T-Lymphocytes, Regulatory, Mice, Hypoxia-Inducible Factor 1, alpha Subunit, Forkhead Transcription Factors
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review