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Molecular and Cellular Biology, July 2004, p. 6076-6083, Vol. 24, No. 13
0270-7306/04/$08.00+0     DOI: 10.1128/MCB.24.13.6076-6083.2004
Copyright © 2004, American Society for Microbiology. All Rights Reserved.

Hypoxia-Inducible Factor 1 Mediates Upregulation of Telomerase (hTERT)

Hirotaka Nishi,1* Toshihide Nakada,1 Satoru Kyo,2 Masaki Inoue,2 Jerry W. Shay,3 and Keiichi Isaka1

Department of Obstetrics and Gynecology, Tokyo Medical University, Shinjuku-ku, Tokyo 160-0023,1 Department of Obstetrics and Gynecology, Kanazawa University School of Medicine, Kanazawa, Ishikawa 920-8641, Japan,2 The University of Texas Southwestern Medical Center at Dallas, Department of Cell Biology, Dallas, Texas 753093

Received 17 November 2003/ Returned for modification 10 December 2003/ Accepted 5 April 2004

Hypoxia occurs during the development of the placenta in the first trimester and correlates with both trophoblast differentiation and the induction of telomerase activity through hTERT expression. We sought to determine the mechanism of regulation of hTERT expression during hypoxia. We show that hypoxia-inducible factor 1{alpha} (HIF-1{alpha}) and hTERT expression in the human placenta decrease with gestational age and that these are overexpressed in preeclamptic placenta, a major complication of pregnancy. Hypoxia not only transactivates the hTERT promoter activity but also enhances endogenous hTERT expression. The hTERT promoter region between –165 and +51 contains two HIF-1 consensus motifs, and in vitro reporter assays show that these are essential for hTERT transactivation by HIF-1. Introduction of an antisense oligonucleotide for HIF-1 diminishes hTERT expression during hypoxia, indicating that upregulation of hTERT by hypoxia is directly mediated through HIF-1. Our results provide persuasive evidence that the regulation of hTERT promoter activity by HIF-1 represents a mechanism for trophoblast growth during hypoxia and suggests that this may be a generalized response to hypoxia in various human disorders including resistance to cancer therapeutics by upregulating telomerase.


* Corresponding author. Mailing address: Department of Obstetrics and Gynecology, Tokyo Medical University, 6-7-1 Nishishinjuku Shinjuku-ku, Tokyo 160-0023, Japan. Phone: 81 3 3342 6111, ext. 5869. Fax: 81 3 3348 5918. E-mail: nishih{at}tokyo-med.ac.jp.


Molecular and Cellular Biology, July 2004, p. 6076-6083, Vol. 24, No. 13
0022-538X/04/$08.00+0     DOI: 10.1128/MCB.24.13.6076-6083.2004
Copyright © 2004, American Society for Microbiology. All Rights Reserved.




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