Mechanisms of Hypoxic Regulation of Plasminogen Activator Inhibitor-1 Gene Expression in Keloid Fibroblasts  Qunzhou Zhang, Yidi Wu, David K. Ann, Diana.

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Mechanisms of Hypoxic Regulation of Plasminogen Activator Inhibitor-1 Gene Expression in Keloid Fibroblasts  Qunzhou Zhang, Yidi Wu, David K. Ann, Diana V. Messadi, Tai-Lan Tuan, A. Paul Kelly, Charles N. Bertolami, Anh D. Le  Journal of Investigative Dermatology  Volume 121, Issue 5, Pages 1005-1012 (November 2003) DOI: 10.1046/j.1523-1747.2003.12564.x Copyright © 2003 The Society for Investigative Dermatology, Inc Terms and Conditions

Figure 1 Keloid tissues and fibroblasts express higher levels of PAI-1 and HIF-1α than normal skins. (A) Western blot analyses of PAI-1 and HIF-1α proteins present in tissue homogenates obtained from three representative sets of keloid lesions (K1, K2, K3) and associated clinically normal peripheral skins (N1, N2, N3); N1 and K1 were obtained from the same patient and likewise for N2, K2 or N3, K3. (B) Northern blot analyses of PAI-1 mRNAs using dermal fibroblasts isolated from the corresponding keloid tissues and associated normal skin borders. Journal of Investigative Dermatology 2003 121, 1005-1012DOI: (10.1046/j.1523-1747.2003.12564.x) Copyright © 2003 The Society for Investigative Dermatology, Inc Terms and Conditions

Figure 2 Effect of hypoxia on PAI-1 mRNA stability in primary cultured dermal fibroblasts. Northern blot analyses of PAI-1 mRNA half-life of normal skin fibroblasts (B,F) or keloid fibroblasts (A,E) exposed to normoxia (20% O2), intracellular hypoxia (DFO, 130 μmol/L) or environmental hypoxia (2% O2) for 24 h. (C,D,G,H) Densitometric analyses of the 3.2-kb PAI-1 mRNAs with the PAI-1 mRNA/β-actin ratio at time point 0 h arbitrarily set as 1.0. Journal of Investigative Dermatology 2003 121, 1005-1012DOI: (10.1046/j.1523-1747.2003.12564.x) Copyright © 2003 The Society for Investigative Dermatology, Inc Terms and Conditions

Figure 3 Effect of cycloheximide on DFO-induction of PAI-1 mRNA expression in cultured keloid fibroblasts. (A) Northern blot analysis of PAI-1 mRNA following treatment with DFO or CHX. Lane 1, control; lane 2, incubation with CHX (10 μg/mL) for 26 h; lane 3, treatment with DFO (130 μmol/L) for 24 h; and lane 4, following pretreatment with CHX for 2 h, cells were further incubated with DFO for 24 h. (B) Densitometric analysis of the 3.2-kb PAI-1 mRNAs. Journal of Investigative Dermatology 2003 121, 1005-1012DOI: (10.1046/j.1523-1747.2003.12564.x) Copyright © 2003 The Society for Investigative Dermatology, Inc Terms and Conditions

Figure 4 Effect of cycloheximide and actinomycin D on hypoxia upregulation of PAI-1 mRNA expressions in cultured keloid fibroblasts. (A) Northern blot analyses of PAI-1 mRNA following different treatments. Lane 1, control; lane 2, exposure to hypoxia (2% O2) for 24 h (hyp); lane 3, incubation with actinomycin D alone (act. D; 5 μg/mL) for 26 h; lane 4, following pretreatment with actinomycin D for 2 h, cells were exposed to hypoxia for 24 h; lane 5, incubation with CHX (10 μg/mL) alone for 26 h; lane 6, following pretreatment with CHX for 2 h, cells were exposed to hypoxia for another 24 h. (B) Densitometric analysis of the 3.2-kb PAI-1 mRNAs. Journal of Investigative Dermatology 2003 121, 1005-1012DOI: (10.1046/j.1523-1747.2003.12564.x) Copyright © 2003 The Society for Investigative Dermatology, Inc Terms and Conditions

Figure 5 Hypoxia-induced activation of PAI-1 promoter is dependent on de novo protein synthesis. Semiconfluent cultures of keloid fibroblasts were transiently transfected with the pGL3PAI-800Luc construct and exposed to different treatment conditions-including environmental hypoxia (hyp; 2% O2), DFO (130 μmol/L), or CHX (10 μg/mL). The relative activities of the luciferase reporter genes were assayed. Each column represents the mean±SEM (n=3) for three separate experiments. Journal of Investigative Dermatology 2003 121, 1005-1012DOI: (10.1046/j.1523-1747.2003.12564.x) Copyright © 2003 The Society for Investigative Dermatology, Inc Terms and Conditions

Figure 6 Blocking of HIF-1α mRNA expression by antisense oligonucleotides. (A) Keloid fibroblasts were transfected with HIF-1α sense (S) and antisense oligonucleotides (AS), exposed to normoxia or hypoxia for 48 h, and total RNAs were extracted for determination of HIF-1α and α-actin expression by RT-PCR. (B) Ratio of HIF-1α to α-actin band densities of PCR products. The result is representative of three independent experiments. Journal of Investigative Dermatology 2003 121, 1005-1012DOI: (10.1046/j.1523-1747.2003.12564.x) Copyright © 2003 The Society for Investigative Dermatology, Inc Terms and Conditions

Figure 7 Effect of HIF-1α depletion on PAI-1 gene expression in keloid fibroblasts. (A) The HIF-1α sense (S) and antisense (AS) transfected cells were exposed to normoxia or hypoxia for 48 h and total RNAs were extracted for determination of PAI-1 and α-actin expression by RT-PCR. (B) Ratio of PAI-1 band densities to α-actin of PCR products. The result is representative of three independent experiments. Journal of Investigative Dermatology 2003 121, 1005-1012DOI: (10.1046/j.1523-1747.2003.12564.x) Copyright © 2003 The Society for Investigative Dermatology, Inc Terms and Conditions