Functional Requirement of the Hypoxia-responsive Element in the Activation of the Inducible Nitric Oxide Synthase Promoter by the Iron Chelator Desferrioxamine
Open accessAbstract
We have previously reported that a 19-base pair element of the 5'-flanking region of the inducible nitric oxide synthase (iNOS) gene containing a sequence homology to a hypoxia-responsive enhancer (iNOS-HRE) mediates picolinic acid (PA)- or hypoxia-induced activation of the iNOS promoter in interferon-gamma (IFN-gamma)-treated murine macrophages. The iron chelator desferrioxamine (DFX) induces the activity of the human erythropoietin enhancer in Hep3B cells. We have investigated the influence of DFX on the activation of the iNOS promoter and iNOS gene expression in ANA-1 macrophages. We have found that DFX induced DNA-binding activity to the hypoxia-inducible factor 1 (HIF-1) consensus sequence of the iNOS promoter and activated the iNOS-HRE in murine macrophages. These activities of DFX were associated with a synergistic induction of iNOS mRNA expression and iNOS transcription in IFN-gamma-treated ANA-1 macrophages. Functional analysis of the 5'-flanking region of the iNOS gene demonstrated that IFN-gamma plus DFX activated the full-length iNOS promoter and that the iNOS-HRE was required for DFX-induced iNOS transcriptional activity. We also investigated the role of iron metabolism in the DFX- or PA-dependent induction of HIF-1 activity and iNOS expression. We demonstrate that addition of iron sulfate completely abolished DFX or PA induction of HIF-1 binding and iNOS-HRE activation and abrogated IFN-gamma plus either DFX- or PA-induced iNOS expression. These data establish that DFX is a co-stimulus for the transcriptional activation of the iNOS gene in IFN-gamma-treated macrophages, and they provide evidence that the iNOS-HRE is required for the DFX-dependent activation of the iNOS promoter. Furthermore, our results indicate that the iNOS-HRE is a regulatory element of the iNOS promoter responsive to iron chelation.
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Iron chelators antagonize a direct inhibitory effect of iron toward the expression of iNOS.
“Thereby iron chelators antagonize a direct inhibitory effect of iron toward the expression of iNOS (Weiss et al., 1994; Melillo et al., 1997; Dlaska and Weiss, 1999).”
From Iron at the interface of immunity and infection (2014) · cites this paper as Melillo et al., 1997
High intracellular iron levels inhibit the transcription of TNF or other IFN-γ inducible pathways such as induction of NOS2, degradation of tryptophan or formation of neopterin in human monocytes.
“In addition, high intracellular iron levels inhibit the transcription of TNF (Byrd, 1997) or other IFN-γ inducible pathways such as induction of NOS2, degradation of tryptophan or formation of neopterin in human monocytes (Melillo et al., 1997;Weiss et al., 1992Weiss et al., , 1994)).”
From Iron in infection and immunity (2020) · cites this paper as Melillo et al., 1997
Iron exerts inhibitory effects toward IFN-γ-mediated immune pathways such as formation of TNF-α, IL-6, IL-12, MHC class II, IDO or NOS2.
“Mechanistically, the latter observation can be referred to the fact that iron exerts inhibitory effects toward IFN-γ-mediated immune pathways such as the formation of TNF-α, IL-6, IL-12 MHC class II, of IDO or NOS2 (185, 187–189), whereas iron excess stimulates the formation of the macrophage de-activating cytokine IL-10 (190).”
From Macrophage defense mechanisms against intracellular bacteria (2015) · cites this paper as [189]
Negative effects of iron on NOS2 transcription can be referred to reduced binding affinity of transcription factors NF-IL6 and HIF-1 to the NOS2 promoter.
“The negative effects of iron on NOS2 transcription, which can be referred to a reduced binding affinity of the transcription factors NF-IL6 (C/EBP-β) and hypoxia inducible factor 1 (HIF-1) to the NOS2 promoter (167, 189, 191), is part of a regulatory feedback loop, by which NO modulates the IRE-binding function of IRPs, thereby affecting ferritin translation and intracellular iron availability and”
From Macrophage defense mechanisms against intracellular bacteria (2015) · cites this paper as [189]
Macrophage functions driven by IFN-γ are impaired when macrophages are exposed to surplus iron largely because iron directly inhibits the binding activities of NF-IL6 and HIF-1α.
“Specifically, macrophage functions driven by IFN-γ are impaired when macrophages are exposed to surplus iron [138, 162, 176] largely because iron directly inhibits the binding activities of the transcription factors nuclear factor interleukin-6 (NF-IL6) and hypoxia-inducible factor (HIF)-1α [55, 153] [176].”
From “Pumping iron”—how macrophages handle iron at the systemic, microenvironmental, and cellular levels (2017) · cites this paper as [153]
Intracellular iron accumulation in macrophages represses IFNγ receptor signaling, most likely explaining why reducing intracellular iron content promotes IFNγ-driven resistance pathways involving MHC class II, iNOS/NOS2, TNF, IL-6, or IL-12 expression.
“Intracellular Fe accumulation in Mø represses IFNc receptor signaling, most likely explaining why reducing intracellular Fe content promotes IFNc-driven resistance pathways involving the induction of histocompatibility (MHC) class II, iNOS/NOS2 TNF, IL-6, or IL-12 expression [164][165][166][167].”
From The Iron age of host–microbe interactions (2015) · cites this paper as [165]
Reduction in intracellular iron concentrations promotes production of pro-inflammatory molecules such as TNF-α, IL-6, iNOS, or CCL-20 by activated macrophages.
“Reduction in intracellular iron concentrations has been shown to promote the production of pro-inflammatory molecules such as TNF-α, IL-6, iNOS (nos2) or CCL-20 by activated macrophages (Weiss et al., 1994; Melillo et al., 1997; Ludwiczek et al., 2003; Oexle et al., 2003; Varesio et al., 2010), and these pathways are of importance for the control of intracellular pathogens like Salmonella (Andrews”
From Heme oxygenase 1 controls early innate immune response of macrophages to<i>Salmonella</i>Typhimurium infection: Heme oxygenase 1 expression affects Salmonella<i>infection</i> (2016) · cites this paper as Melillo et al., 1997
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InfluentialIron at the interface of immunity and infection
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“…the non-coding regions of critical iron metabolism genes (Drapier et al., 1993; Weiss et al., 1993; Pantopoulos et al., 1996), and finally, that (iii) cellular iron content controls NO expression by regulating iNOS transcription (Weiss et al., 1994; Melillo et al., 1997; Dlaska and Weiss, 1999).”
BackgroundIron metabolism in the anemia of chronic disease
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ResultIron trafficking and metabolism in macrophages: contribution to the polarized phenotype.
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MethodSelf-citationInhibition of Hypoxia-inducible Factor 1 Activation by Carbon Monoxide and Nitric Oxide
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BackgroundRegulation of Angiogenesis by Hypoxia and Hypoxia‐Inducible Factors
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Review: Hypoxia-Inducible Factor-1 (HIF-1): A Novel Transcription Factor in Immune Reactions
Hellwig‐Bürgel, T., Stiehl, D. P., Wagner, A. E., Metzen, E., & JELKMANN, W. E. B. (2005) · Journal of Interferon & Cytokine Research · doi:10.1089/jir.2005.25.297 · Cited by 255 · see citing works
Reactive Oxygen Species and Regulation of Gene Expression
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The Iron age of host–microbe interactions
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“The mechanisms underlying this effect have not been entirely elucidated, but involve the transcription factors hypoxia-inducible factor 1a (HIF1a) nuclear factor for IL-6 expression (NF-IL6) and STAT and likewise phosphokinase-controlled pathways [164–167].”
Expression and function of inducible nitric oxide synthase in neurons
Heneka, M. T., & Feinstein, D. L. (2001) · Journal of Neuroimmunology · doi:10.1016/s0165-5728(01)00246-6 · Cited by 226 · see citing works
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“CO and NO, produced by induction of HO-1 and NOS, respectively, exert downstream effects on enzyme systems known to regulate inflammation (e.g., soluble guanylate cyclase, MAPK signaling pathways) (1).”
BackgroundThe macrophage – a novel system to deliver gene therapy to pathological hypoxia
Griffiths, L. G., Binley, K. E., Iqball, S., Kan, O., Maxwell, P. H., Ratcliffe, P. J., Lewis, C. E., Harris, A. L., Kingsman, S. M., & Naylor, S. (2000) · Gene Therapy · doi:10.1038/sj.gt.3301058 · Cited by 206 · see citing works
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“Iron affects the expression of inducible or type 2 NO synthase 2 (iNOS or NOS2) by negatively modulating the binding affinity of the iron-sensitive transcription regulators hypoxia-inducible factor (HIF) and nuclear factor (NF)-IL6 to their respective consensus sequences within the Nos2 promoter (Weiss et al., 1994; M…”
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“Remarkably, desferrioxamine (DFO), an iron chelator, is known to induce accumulation of HIF-a proteins in a dose-dependent manner, showing that iron-limiting levels again modulate PHD enzymatic activity (Wang and Semenza, 1993; Semenza et al., 1994; Melillo et al., 1997).”
Background“Pumping iron”—how macrophages handle iron at the systemic, microenvironmental, and cellular levels
Nairz, M., Theurl, I., Swirski, F. K., & Weiss, G. (2017) · Pflügers Archiv - European Journal of Physiology · doi:10.1007/s00424-017-1944-8 · Cited by 178 · see citing works
“Specifically, macrophage functions driven by IFN-γ are impaired when macrophages are exposed to surplus iron [138, 162, 176] largely because iron directly inhibits the binding activities of the transcription factors nuclear factor interleukin-6 (NF-IL6) and hypoxia-inducible factor (HIF)1α [55, 153] [176].”
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“On the other hand, iron chelation increases, and iron inhibits, expression of another important anti-microbial molecule, inducible nitric oxide synthase (iNOS), effects that are likely to be mediated by iron-dependent changes in transcription of the iNOS gene (Dlaska and Weiss 1999; Melillo et al. 1997; Weiss et al. 1…”
Endothelial Cell HIF-1α and HIF-2α Differentially Regulate Metastatic Success
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Oxygen-Dependent and -Independent Regulation of HIF-1alpha
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“Hypoxia stimulates nitric oxide (NO) production through the induction of inducible NOS, the transcription of which is enhanced by HIF-1 (37, 38).”
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“A series of genes and proteins that may increase the survival of tumor cells under hypoxia conditions, including vascular endothelial growth factor (VEGF), insulin-like growth factor, inducible nitric oxide synthase, platelet-derived endothelial growth factor, glucose transporter 1, lactate dehydrogenase, erythropoiet…”
Low hepcidin accounts for the proinflammatory status associated with iron deficiency
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“Although not truly identical to the hypoxia stimulus, such iron chelators are commonly used in the study of hypoxia response pathways (Melillo et al., 1997).”
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“Much is known about the regulation of complex IV activity in hypoxic cells, with hypoxia itself restricting O2 supply to the complex and HIFdependent upregulation of inducible nitric oxide synthase (iNOS) generating nitric oxide (NO) [41].”
Iron and innate antimicrobial immunity-depriving the pathogen, defending the host
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Regulation of Iron Regulatory Protein 1 during Hypoxia and Hypoxia/Reoxygenation
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“PA binds iron and interferes with iron uptake (31, 41), and iron chelation may contribute to PA activities (41, 42).”
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“Additionally, HIF-1α is differentially expressed in M1- and M2-polarized macrophages [59] and is a transcriptional activator of iNOS (M1 gene) expression [60, 61].”
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“Intracellular iron plays a role in regulating gene expression at both translational and transcriptional levels (13, 16, 22, 30, 36, 41, 44, 45, 52).”
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“Second, we analyzed whether HIF1 binds to the known HRE in the Nos2 promoter [44].”
BackgroundPathways for the regulation of interferon-γ-inducible genes by iron in human monocytic cells
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“This could be referred to as direct effects of the metal toward the binding activity of the transcription factors, as shown for NF-IL-6 or hypoxia-inducible factor with the iNOS promoter [6, 21, 28], or a result of catalyzation of hydroxyl radical formation by iron with subsequent changes in transcription factor bindi…”
Illsley, N. P., Caniggia, I., & Zamudio, S. (2010) · The International Journal of Developmental Biology · doi:10.1387/ijdb.082798ni · Cited by 107 · see citing works
“…mechanism (Coulet et al., 2003; Gao et al., 2005; Hellwig-Burgel et al., 2005; Land and Rae, 2005; Lu et al., 2006; Matrone et al., 2004; Melillo et al., 1997; Min et al., 2006; Semenza et al., 1997), thus increasing the production of NO at the same time that oxygen concentration is…”
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Macrophage iron homeostasis and polarization in the context of cancer
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Transcriptome of Hypoxic Immature Dendritic Cells: Modulation of Chemokine/Receptor Expression
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“erythropoietin (22), or it may require the collaboration of other transcription factors, as in the case of inducible nitric oxide synthase (20, 21, 50).”
BackgroundSelf-citationRole of Ceruloplasmin in Macrophage Iron Efflux during Hypoxia
Sarkar, J., Seshadri, V., Tripoulas, N. A., Ketterer, M. E., & Fox, P. L. (2003) · Journal of Biological Chemistry · doi:10.1074/jbc.m304926200 · Cited by 101 · see citing works
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“SI value was calculated by dividing IC50 of cancer cell line with IC50 value of normal cell line.”
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Microtubule Disruption Utilizes an NFκB-dependent Pathway to Stabilize HIF-1α Protein
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“It is conceivable that upregulation of Glut-1, Glut-4, and iNOS is mediated by HIF because they are known HIF-1 target genes (19, 25, 32).”
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Hypoxia Selectively Inhibits Monocyte Chemoattractant Protein-1 Production by Macrophages
Bosco, M. C., Puppo, M., Pastorino, S., Mi, Z., Melillo, G., Massazza, S., Rapisarda, A., & Varesio, L. (2004) · The Journal of Immunology · doi:10.4049/jimmunol.172.3.1681 · Cited by 93 · see citing works
“For iNOS detection, the cDNA probe specific for mouse M -inducible NOS was used (28).”
BackgroundMethodInfluentialSelf-citation‘Ride on the ferrous wheel’ – The cycle of iron in macrophages in health and disease
Nairz, M., Schroll, A., Demetz, E., Tancevski, I., Theurl, I., & Weiss, G. (2015) · Immunobiology · doi:10.1016/j.imbio.2014.09.010 · Cited by 89 · see citing works
Role of nucleolin in posttranscriptional control of MMP-9 expression
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“Consequently, iron-chelators as desferrioxamine (DFO) or 2,2-Dipyridyl are used to mimic hypoxia in the study of hypoxia response pathways [22–24].”
BackgroundThe impact of metal availability on immune function during infection
Monteith, A. J., & Skaar, E. P. (2021) · Trends in Endocrinology & Metabolism · doi:10.1016/j.tem.2021.08.004 · Cited by 83 · see citing works
An Inducible Nitric-oxide Synthase (NOS)-associated Protein Inhibits NOS Dimerization and Activity
Ratovitski, E. A., Bao, C., Quick, R. A., McMillan, A., Kozlovsky, C., & Lowenstein, C. J. (1999) · Journal of Biological Chemistry · doi:10.1074/jbc.274.42.30250 · Cited by 86 · see citing works
p53 Activation by Nitric Oxide Involves Down-regulation of Mdm2
Wang, X., Michael, D., de MURCIA, G., & Oren, M. (2002) · Journal of Biological Chemistry · doi:10.1074/jbc.m112068200 · Cited by 84 · see citing works
Matrone, C., Pignataro, G., Molinaro, P., Irace, C., Scorziello, A., Renzo, G. F. D., & Annunziato, L. (2004) · Journal of Neurochemistry · doi:10.1111/j.1471-4159.2004.02483.x · Cited by 81 · see citing works
“…in the areas under consideration, after pMCAO is reminiscent of HIF-1-induced iNOS activation under hypoxic and non- hypoxic conditions in cardiac myocytes (Jung et al. 2000), pulmonary artery endothelial cells (Palmer et al. 1998) and in the macrophage cell line ANA-1 (Melillo et al. 1997).”
BackgroundMethodInfluentialUnderstanding How Minerals Contribute to Optimal Immune Function
Ştefanache, A., Lungu, I. I., Butnariu, I.-A., Călin, G., Guțu, C., Marcu, C., Grierosu, C., Goroftei, E. R. B., Duceac, L.-D., Dabija, M. G., et al. (2023) · Journal of Immunology Research · doi:10.1155/2023/3355733 · Cited by 91 · see citing works
“Similar to this, iron chelation with DFO stimulates HIF-1, which increases the transactivation of the Nos2 gene [135].”
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Effects of Tetrahydrobiopterin on Endothelial Dysfunction in Rats with Ischemic Acute Renal Failure
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“described (33) with the exception that, following UTP incorporation, the nuclei”
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Hypoxia-inducible factor plays a gut-injurious role in intestinal ischemia reperfusion injury
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“Since iNOS is a downstream target of HIF-1 (33, 34, 38) that has been implicated as a critical inflammatory and injurious mediator of I/R-induced gut barrier failure (17, 50, 54), we asked whether HIF-1 modulated iNOS expression during intestinal I/R injury.”
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“(35), in neuroblastoma cells, resulting in the suppression of HIF-driven VEGF transcription and to decreased VEGF production.”
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Molecular cloning and characterization of the rat inducible nitric oxide synthase (iNOS) gene
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“…to promote the production of pro-inflammatory molecules such as TNF-α, IL-6, iNOS (nos2) or CCL-20 by activated macrophages (Weiss et al., 1994; Melillo et al., 1997; Ludwiczek et al., 2003; Oexle et al., 2003; Varesio et al., 2010), and these pathways are of importance for the control of…”
TXNIP Deficiency Exacerbates Endotoxic Shock via the Induction of Excessive Nitric Oxide Synthesis
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Hypoxia-inducible factor 1, a master transcription factor of cellular hypoxic gene expression
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“Moreover, transcription of the iNOS gene in murine macrophages is increased through an HRE in the iNOS promoter [63,64].”
Background
- Authors
- Melillo, G., Taylor, L. S., Brooks, A., Musso, T., Cox, G. W., & Varesio, L.
- Affiliations
- National Institutes of Health (US)
- Corresponding author
- Melillo, Giovanni
- Venue
- Journal of Biological Chemistry
- Publisher
- Elsevier BV
- Published
- 1997-05
- Volume
- 272
- Issue
- 18
- Pages
- 12236-12243
- ISSN
- 0021-9258 (ISSN-L)
- OpenAlex
- W2011537701
- Cited by
- 201
- References
- 50
- Citations by year
- 2025: 5 · 2023: 2 · 2022: 6 · 2021: 3 · 2020: 8 · 2019: 1 · 2018: 3 · 2017: 2 · 2016: 4 · 2015: 6 · 2014: 7 · 2013: 9 · 2012: 7
- FWCI
- 6.92
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Journal of Biological Chemistry (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Physiology › Nitric Oxide and Endothelin Effects
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cancer Research › Cancer, Hypoxia, and Metabolism
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cell Biology › Hemoglobin structure and function
- Keywords
- inducible nitric oxide synthase, hypoxia response element, deferoxamine, iron chelation, HIF-1, iNOS promoter, interferon-gamma, macrophages, iron metabolism, transcriptional activation, picolinic acid, iron sulfate
- MeSH terms
- Animals, Base Sequence, Cell Line, Cell Nucleus, Deferoxamine, Enzyme Induction, Ferrous Compounds, Humans, Interferon-gamma, Macrophages, Mice, Inbred C57BL, Promoter Regions, Genetic, Recombinant Fusion Proteins, Regulatory Sequences, Nucleic Acid, Transcription, Genetic, Transfection, Cell Hypoxia, Gene Expression Regulation, Enzymologic, Consensus Sequence, Nitric Oxide Synthase, Mice
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