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Originally published In Press as doi:10.1074/jbc.M112270200 on June 28, 2002

J. Biol. Chem., Vol. 277, Issue 36, 32791-32798, September 6, 2002
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Hypoxia and Nitric Oxide Treatment Confer Tolerance to Glucose Starvation in a 5'-AMP-activated Protein Kinase-dependent Manner*

Hiroyasu EsumiDagger §, Kunihiko IzuishiDagger , Kazuyoshi KatoDagger , Koichi HashimotoDagger , Yukiko KurashimaDagger , Atsuhiro Kishimoto, Tsutomu OguraDagger , and Takayuki Ozawa

From the Dagger  Investigative Treatment Division, National Cancer Center Research Institute East 6-5-1, Kashiwanoha, Kashiwa, Chiba 277-8577 and the  Department of Biochemistry, Nagoya University School of Medicine Tsurumai-chou, Showa-ku, Nagoya 466-8550, Japan

Hypoxia is a critical event for higher organisms, and cells and tissues react by increasing the oxygen supply by vasodilatation, angiogenesis, and erythropoiesis and maintaining cellular energy by increasing glycolysis and inhibiting anabolic pathways. Stimulation of glycolysis has been regarded as the main response that increases energy production during hypoxia; however, there is an obvious conflict during ischemia, because both the oxygen and glucose supply are insufficient. In this study, we found that exposure of HepG2 cells and normal fibroblasts to hypoxia induces cellular tolerance to glucose starvation. The tolerance induced by hypoxia is dependent on several amino acids, indicating a switch from glucose to amino acids as the energy source. When antisense RNA expression vector for 5'-AMP-activated protein kinase or protein kinase B/Akt was transfected into HepG2 cells, the induction of tolerance to glucose was greatly inhibited, indicating that the tolerance was dependent on 5'-AMP-activated protein kinase and protein kinase B/Akt. Similar tolerance was induced by nitric oxide exposure. The tolerance induced was observed in various cells and may represent a previously unknown physiological response related to hypoxia-preconditioning and tumor progression:austerity.


* This work was supported in part by a grant for the Second Term Comprehensive Strategy for Cancer Control from the Ministry of Health and Welfare and a grant-in-aid for Cancer Research from the Ministry of Education, Science, Sports, and Culture, Japan.The costs of publication of this article were defrayed in part by the payment of page charges. The article must therefore be hereby marked "advertisement" in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.

§ To whom correspondence should be addressed: National Cancer Center Research Institute East, 6-5-1, Kashiwanoha, Kashiwa, Chiba 277-8577 Japan. Fax: 81-471-34-6859; E-mail: hesumi@east.ncc.go.jp.


Copyright © 2002 by The American Society for Biochemistry and Molecular Biology, Inc.
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