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Originally published In Press as doi:10.1074/jbc.M204733200 on June 6, 2002

J. Biol. Chem., Vol. 277, Issue 33, 29936-29944, August 16, 2002
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Hsp90 Regulates a von Hippel Lindau-independent Hypoxia-inducible Factor-1alpha -degradative Pathway*

Jennifer S. Isaacs, Yun-Jin Jung, Edward G. Mimnaugh, Alfredo Martinez, Frank Cuttitta, and Leonard M. NeckersDagger

From the Cell and Cancer Biology Branch, Center for Cancer Research, NCI, National Institutes of Health, Rockville, Maryland 20850

Received for publication, May 14, 2002, and in revised form, June 3, 2002

    ABSTRACT
TOP
ABSTRACT
INTRODUCTION
EXPERIMENTAL PROCEDURES
RESULTS
DISCUSSION
REFERENCES

HIF-1alpha is a normally labile proangiogenic transcription factor that is stabilized and activated in hypoxia. Although the von Hippel Lindau (VHL) gene product, the ubiquitin ligase responsible for regulating HIF-1alpha protein levels, efficiently targets HIF-1alpha for rapid proteasome-dependent degradation under normoxia, HIF-1alpha is resistant to the destabilizing effects of VHL under hypoxia. HIF-1alpha also associates with the molecular chaperone Hsp90. To examine the role of Hsp90 in HIF-1alpha function, we used renal carcinoma cell (RCC) lines that lack functional VHL and express stable HIF-1alpha protein under normoxia. Geldanamycin (GA), an Hsp90 antagonist, promoted efficient ubiquitination and proteasome-mediated degradation of HIF-1alpha in RCC in both normoxia and hypoxia. Furthermore, HIF-1alpha point mutations that block VHL association did not protect HIF-1alpha from GA-induced destabilization. Hsp90 antagonists also inhibited HIF-1alpha transcriptional activity and dramatically reduced both hypoxia-induced accumulation of VEGF mRNA and hypoxia-dependent angiogenic activity. These findings demonstrate that disruption of Hsp90 function 1) promotes HIF-1alpha degradation via a novel, oxygen-independent E3 ubiquitin ligase and 2) diminishes HIF-1alpha transcriptional activity. Existence of an Hsp90-dependent pathway for elimination of HIF-1alpha predicts that Hsp90 antagonists may be hypoxic cell sensitizers and possess antiangiogenic activity in vivo, thus extending the utility of these drugs as therapeutic anticancer agents.

    INTRODUCTION
TOP
ABSTRACT
INTRODUCTION
EXPERIMENTAL PROCEDURES
RESULTS
DISCUSSION
REFERENCES

Hypoxia-inducible factor-1alpha (HIF-1alpha )1 is a component of a transcriptional complex that is extremely labile under normoxia but is stabilized and activated under hypoxia (1). Because HIF-1alpha regulates a variety of processes such as angiogenesis and glucose metabolism, it is acknowledged to be a critically important tumor cell survival factor that is required for tumorigenesis in many cancer models and is expressed in a majority of metastases and late stage tumors. The rapid degradation of HIF-1alpha in normoxic cells is mediated by the tumor suppressor VHL, which, together with a multimeric protein complex, serves as its E3 ubiquitin protein ligase (2-5). Under hypoxic conditions, the stabilization and activation of HIF-1alpha is due to an inability of VHL to associate with and ubiquitinate HIF-1alpha . It was recently shown that hypoxic conditions impair the ability of a class of enzymes termed prolyl hydroxylases to modify two separate consensus proline motifs present on HIF-1alpha (6-10). These modifications are required for VHL to associate with and ubiquitinate HIF-1alpha , thereby targeting the protein for proteasome-dependent degradation.

HIF-1alpha is constitutively stabilized in normoxic tumors and in cell lines that are VHL null or that express a nonfunctional mutant form of VHL. This occurs in over 50% of sporadic RCCs and clear cell RCCs (11), the most common malignant neoplasm of the kidney, and one of the few human tumors known to depend upon VHL inactivation. The importance of VHL function is further demonstrated in VHL disease, a human cancer syndrome caused by hereditary loss of VHL gene function, resulting in constitutive up-regulation of hypoxically induced genes, and characterized by highly vascular tumors of the central nervous system, in addition to RCCs (12). The crucial role of HIF-1alpha in tumor progression is underscored by its expression in a significant proportion of breast, colon, prostate, and a variety of other cancers (13-16). The ability of HIF-1alpha to promote both tumor cell survival and angiogenesis (17-20) strongly suggests that HIF-1alpha overexpression is important for tumor vascularization and metabolic adaptation to hypoxia (21-23), both essential events for malignant tumor progression. This hypothesis is strengthened by the observations that HIF-1alpha expression correlates with tumor grade and vascularity (24), and that VHL-inactivated tumors are highly vascular and overproduce angiogenic factors such as VEGF (25-27). VEGF, one of the most potent angiogenic cytokines, is transcriptionally regulated in large part by HIF-1alpha (28), suggesting that the ability to down-regulate HIF-1alpha expression would have a positive impact on cancer control.

Geldanamycin (GA) is a naturally occurring anasamycin antibiotic that possesses antitumor properties (29, 30) by virtue of its ability to associate and interfere with Hsp90 function (31). Hsp90 associates with client proteins in a nucleotide-dependent manner, and GA interferes with this association by occupying the nucleotide binding site of Hsp90 (32-34). Hsp90 substrates are numerous and include multiple transcription factors (aryl hydrocarbon receptor, glucocorticoid receptor, Myo D, p53) (35-38) and an array of signaling kinases (Akt, ErbB2, Raf-1, v-Src) (39-42). Hsp90 plays an essential role in facilitating the proper conformation, localization, and function of these client proteins (43-47), and GA-mediated Hsp90 dissociation from client proteins results in their ubiquitination and subsequent degradation by the proteasome (48-50). Although it is known that HIF-1alpha associates with Hsp90 (51), a role for this association has remained elusive. Here, we demonstrate that disruption of HIF-1alpha /Hsp90 association promotes the ubiquitination and proteasome-mediated degradation of HIF-1alpha in a manner that is both oxygen- and VHL-independent, thereby delineating a novel pathway that regulates HIF-1alpha protein stability and function.

    EXPERIMENTAL PROCEDURES
TOP
ABSTRACT
INTRODUCTION
EXPERIMENTAL PROCEDURES
RESULTS
DISCUSSION
REFERENCES

Cell Culture and Treatments-- RCC lines: Caki-1 cells were obtained from ATCC; UMRC2 were provided by Dr. M. I. Lerman (NCI, National Institutes of Health, Frederick, MD); UMRC6 were obtained from Dr. B. Zbar (NCI, Frederick, MD); and 786-O were provided by Dr. R. Klausner (NCI, Bethesda, MD). The designations herein of C2 and C6 refer to UMRC2 and UMRC6. All cell lines were cultured in Dulbecco's modified Eagle's medium/F-12 supplemented with 10% fetal bovine serum plus 1× nonessential amino acids and penicillin/streptomycin. Cells were treated, as indicated, with the following agents: 50 µM N-acetyl-Leu-Leu-norleucinal (ALLnL, Sigma Chemical Co.), 2 µM geldanamycin (GA), and 2 µM 17-allylamino-17-desmethoxygeldanamycin (17-AAG) (both obtained from NCI), 40 µg/ml cycloheximide (CHX, Sigma), 5 µM PS-341 (Millennium Pharmaceuticals), and 100 µM cobalt chloride (Sigma).

Hypoxic Treatment-- Cells were placed in a 37 °C pre-equilibrated Bactron II sealed chamber (Sheldon Labs), and premixed gas (94% N2, 5% CO2, 1% O2), was infused to create a hypoxic environment. The oxygen content inside the chamber was constantly monitored by a previously calibrated oxygen sensor (Animas Corp., Frazer, PA). Cells were manipulated and lysed inside the chamber, and all buffers were pre-equilibrated to 1% O2.

Subcellular Fractionation-- Cells were washed with phosphate-buffered saline and overlaid for 10 min with low salt buffer (10 mM HEPES, 10 mM KCl, 0.1 mM EDTA) containing protease inhibitors. The cells were then scraped into microcentrifuge tubes, and 10% Nonidet P-40 was added (final concentration 0.5%). The tubes were vigorously vortexed for 10 s and spun at 3000 rpm for 1 min, and nuclear pellets were washed with low salt buffer prior to lysis in high salt lysis buffer (20 mM HEPES, 400 mM NaCl, 1 mM EDTA).

DNA Manipulation and Transfection-- A CMV-driven HA-tagged HIF-1alpha construct was originally obtained from Dr. D. Livingston (Dana-Farber Cancer Institute, Boston, MA). Using primers containing sites for BamHI (5') and NotI (3'), this insert was PCR-amplified, subcloned into PCDNA3.1 (Invitrogen), and confirmed by sequencing. This latter construct was used for all wt HIF-1alpha transfections and as a template for subsequent mutations. To make site-specific mutations, complementary primers containing desired point mutations were constructed, and PCR amplification was performed in accordance with Promega's XL site-directed mutagenesis kit. For transfection, cells were seeded at 60% confluency 24 h prior to transfection, and 3 µg of plasmid DNA was used per 10-cm dish. Transfections were carried out using FuGENE (Roche Molecular Biochemicals), according to the manufacturer's specifications.

Immunoblot Analysis-- Following cell lysis and clarification by centrifugation, equal amounts of protein were loaded onto 7.5% PAGE gels (Bio-Rad). The following antibodies were used: murine HIF-1alpha , 1:300 (Transduction labs); murine HA, 1:2000 (Covance); rat Hsp90, 1:2000 (Stressgen); murine topoisomerase II, 1:500 (Sigma); and rabbit polyclonal ubiquitin, 1:1000 (Sigma). For protein visualization, horseradish peroxidase-linked secondary antibodies were used with the ECL protein detection system (Pierce). For HA immunoprecipitations, lysates were incubated with HA-conjugated Sepharose beads (Covance) and for HIF-1alpha immunoprecipitations, lysates were incubated with HIF-1alpha antibody, followed by addition of protein G-Sepharose beads (Invitrogen). To detect HIF-1alpha /Hsp90 association, a low detergent (0.1% Nonidet P-40) lysis buffer was used and 20 mM Na2MoO4 was added to stabilize protein interactions. Beads were washed four times with lysis buffer, boiled in Laemmli buffer, and processed as described.

Pulse-Chase Analysis-- Logarithmically growing UMRC2 cells were starved 30 min in methionine and cysteine-free media (Invitrogen) and 150 µCi/ml methionine/cysteine (Tran35S-label, ICN) was added for 1 h. After the labeling period, cells were washed with nonradioactive complete medium and incubated in this medium for the indicated times. The cells were then lysed and precleared with protein G beads, and HIF-1alpha was immunoprecipitated from 1 mg of soluble lysed protein overnight. For GA-treated samples, 2 µM GA was added to the starve medium, retained throughout the labeling period, and included in the chase medium. Densitometric analysis was performed, and the values (expressed as a fraction of the unchased control) were plotted semi-logarithmically.

Luciferase Assay-- Cells were cotransfected with 0.4 µg of iNOS-luciferase plasmid DNA (kindly provided by Dr. G Melillo, NCI, Frederick, MD), containing three HIF-1alpha -responsive elements (HREs), and 4 ng of Renilla luciferase plasmid DNA, which served as an internal control. Luciferase activities were measured and normalized to the Renilla activity. The data represent the means of three separate experiments.

RNA Analysis-- Cells were grown to ~70% confluency and subjected to the appropriate treatments, and RNA was purified according to the manufacturer's specifications (Qiagen RNeasy mini kit). Aliquots of 15 µg of RNA were lyophilized and resuspended in formaldehyde loading dye (Ambion). The gels were run and transferred by capillary diffusion onto a nylon membrane. RNA was cross-linked to the membrane with ultraviolet light, prehybridized 6 h with ready-made buffer (Ambion) to which 0.2 mg/ml sheared salmon sperm was added, and hybridized overnight. The membranes were then washed according to the manufacturer's protocol (Ambion) and exposed to film at -80 °C with intensifying screens. The VEGF165 probe was kindly provided by Dr. Shi-Yuan Cheng (University of Pittsburgh, Pittsburgh, PA) as plasmid DNA. The 0.6-kb insert was removed by digestion with BamHI and EcoRI, gel-purified (Qiaex II extraction kit, Qiagen), and radiolabeled with [32P]dCTP using the Decaprime kit (Ambion), and 2 × 106 cpm/ml was used in hybridization reactions.

Angiogenesis Assay-- Caki-1 cells were seeded in 10-cm plates (3 × 106 cells/plate) and, 24 h later, cells were washed with phosphate-buffered saline and re-supplied with serum-free medium. The plates were then placed under normoxic or hypoxic conditions for 12 h, and 0.5 µM GA was added to the treated plate at the time of hypoxia induction. Following the 12-h incubation, conditioned medium was removed and centrifuged twice in succession through Centricon filters (YM3, Millipore) to remove any traces of GA. The molecular mass cutoff of the filters was 3 kDa; the molecular mass of GA is 0.56 kDa, so the flow-through containing excess GA was discarded and the retentate was collected. Because GA itself may have an inhibitory effect on this assay, we confirmed that this approach efficiently removed GA from conditioned medium by subjecting media preparations containing known concentrations of GA to filtration and measuring the drug remaining in the retentate by high-performance liquid chromatography, as previously described (52). It was determined that the amount of GA remaining after two successive filtration spins was negligible when the starting concentration did not exceed 0.5 µM. The final filter retentate was concentrated 3-fold for use in the angiogenesis assay.

For the angiogenesis assay, a modified aortic ring method (80) was used. Briefly, aortic rings were prepared from 13-day-old chicken embryos. Each aortic ring was placed in the center of a well and overlaid with Matrigel (BD Biosciences, Bedford, MA) and growth factor-free human endothelial-SFM basal growth medium (Invitrogen) to which a 1:1 volume of cellular serum-free conditioned media was added. For a positive control, 10 nM bFGF was added, while basal medium alone was used as a negative control. In addition, filtered conditioned medium from GA-treated cells was added to the positive control to ensure that potential trace amounts of GA were not inhibitory in this assay. The aortic rings were incubated at 37 °C in 5% CO2 for 36 h in the presence of conditioned medium, and microvessels sprouting from the aortic rings were photographed with an inverted microscope. All conditions were performed in duplicate. In each case, the degree of angiogenesis was normalized to the area of the corresponding ring. For relative comparison, the degree of angiogenesis for each condition was normalized to the negative control.

    RESULTS
TOP
ABSTRACT
INTRODUCTION
EXPERIMENTAL PROCEDURES
RESULTS
DISCUSSION
REFERENCES

GA Promotes the Down-regulation of HIF-1alpha under Normoxia and Hypoxia-- GA mediates the dissociation of Hsp90 from client proteins and promotes their rapid degradation by the proteasome. Several reports have demonstrated an interaction between HIF-1alpha and Hsp90 (51, 53), although a definitive biological role for this interaction has remained elusive. We therefore investigated whether Hsp90 might regulate HIF-1alpha protein stability in the absence of VHL. To address this question, we used the RCC lines C2 and C6 (3, 54) that lack a functional VHL protein and therefore express an inherently stable HIF-1alpha protein under normoxia. As shown in Fig. 1A (upper panel), HIF-1alpha protein was highly expressed under normoxia in untreated cells but was down-regulated in a dose-dependent manner in response to GA treatment. It appeared that HIF-1alpha from C2 cells was less sensitive to the effects of GA when compared with the protein from C6 cells, prompting us to extend the duration of drug treatment. As shown in Fig. 1A (middle panel), this prolonged treatment enhanced the sensitivity of HIF-1alpha to GA, so that the effective GA concentration for both cell lines occurred within the 0.1-0.5 µM range. The lowest panel of Fig. 1A shows that GA promoted the down-regulation of HIF-1alpha in a time-dependent manner, with the protein in both cell lines diminishing over 6-8 h. To verify the ability of GA to down-regulate HIF-1alpha levels, 786-O cells deficient for both HIF-1alpha and VHL (3) were transfected with wild-type HIF-1alpha and protein levels were assessed. As shown in Fig. 1B, GA treatment resulted in a rapid decrease in HIF-1alpha protein levels, with over 50% of the protein being eliminated within 1 h of treatment.


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Fig. 1.   GA disrupts HIF-1alpha association with Hsp90 and stimulates its VHL-independent down-regulation.  A, VHL-deficient RCC lines were treated for 8 h with the GA concentration indicated. Middle panel, C2 cells were treated with the indicated doses of GA for 12 h. Lowest panel, RCC cells were treated with 2 µM GA for varying times. The cells were lysed, protein was quantitated, and nuclear fractions were subjected to electrophoresis. B, VHL/HIF-1alpha -deficient 786-O cells were transfected with HIF-1alpha , treated with GA, and harvested after the indicated times. C, wild-type VHL-expressing Caki-1 cells or VHL-deficient C6 cells were treated for 12 h with 2 µM GA or 17-AAG under normoxia or hypoxia (1% O2). For hypoxic treatment, cells were placed under hypoxia for 4 h to allow for HIF-1alpha accumulation prior to GA treatment. The percent decrease in HIF-1alpha protein levels following GA treatment is shown, and topoisomerase II expression was measured as a loading control. D, C2 cells were treated with 2 µM GA for 1.5 h (0.5 h for Caki-1), HIF-1alpha was immunoprecipitated, and resultant blots were probed with anti-Hsp90.

Under hypoxic conditions, the normally labile HIF-1alpha protein is stabilized in VHL-competent cells. It was therefore of interest to determine whether hypoxia could antagonize the effect of GA in cells expressing or lacking functional VHL. Caki-1 is an RCC line that contains wild-type VHL, and in these cells HIF-1alpha is induced by hypoxia (3). Caki-1 cells were treated with GA while under hypoxia, subsequent to hypoxia-induced stabilization of HIF-1alpha . Similarly, VHL-deficient C6 cells were treated with GA under normoxia or hypoxia. As shown in Fig. 1C, treatment of cells with GA or its similarly acting, clinically administered analog 17-AAG (55-57), significantly decreased HIF-1alpha protein levels, regardless of oxygen tension.

To exclude the possibility that the effects of GA on HIF-1alpha were nonspecific, we examined the association of HIF-1alpha with Hsp90 in the presence or absence of drug. In accordance with other reports (40, 58), the GA-mediated down-regulation of HIF-1alpha would be expected to be preceded by dissociation of the HIF-1alpha ·Hsp90 chaperone complex. As shown in Fig. 1D, treatment of either C2 or Caki-1 cells with GA led to a marked decrease in the amount of HIF-1alpha associated with Hsp90, and GA was equally capable of displacing Hsp90 from HIF-1alpha independent of oxygen tension. Importantly, oxygen level had no effect on the ability of HIF-1alpha to associate with Hsp90.

GA Destabilizes HIF-1alpha Protein via the Proteasomal Pathway-- To determine whether GA promoted HIF-1alpha down-regulation at the RNA or protein level, we pretreated RCC lines C2 and C6 with GA, and protein synthesis was subsequently inhibited with CHX. The level of HIF-1alpha protein in cells exposed to the combination treatment was compared with that seen in cells exposed to CHX alone. As shown in Fig. 2A, the stability of existing HIF-1alpha protein in both cell lines was markedly compromised by GA. To more clearly determine the effects of GA on the half-life of HIF-1alpha protein, and to examine the sensitivity of newly synthesized protein to Hsp90 disruption, we metabolically labeled C2 cells with [35S]methionine/cysteine for 1 h in the presence or absence of GA and chased for the indicated times (Fig. 2B). The data obtained confirm the sensitivity of newly synthesized HIF-1alpha protein to GA and demonstrate a greater than 4-fold reduction in HIF-1alpha half-life in the presence of drug.


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Fig. 2.   GA destabilizes HIF-1alpha protein. A, RCC lines were treated with the protein synthesis inhibitor CHX for the indicated times, either alone or 1 h after treatment with GA. The right-hand panels show the effects of GA upon HIF-1alpha steady-state level in the presence of CHX. B, C2 cells were pulse-labeled with [35S]methionine and chased in unlabeled medium for the indicated times. For those cells subjected to drug treatment, GA was added to the pulse and chase medium. HIF-1alpha half-life was determined from the logarithmic values of chased time points compared with unchased controls.

To examine whether the GA-mediated degradation of HIF-1alpha proceeds via the proteasome, we treated RCC lines for 8 h with the general proteasome inhibitor ALLnL, with GA, or with both agents and examined HIF-1alpha levels in nuclear and cytosolic detergent-soluble and insoluble fractions. As shown in Fig. 3A, treatment with ALLnL resulted in an increase of total HIF-1alpha levels in the nuclear soluble fraction, demonstrating that HIF-1alpha is degraded by the proteasome, even in the absence of VHL. No HIF-1alpha protein was detected in the cytosolic soluble fraction (data not shown). Compared with GA treatment, the combination treatment stabilized nuclear soluble HIF-1alpha levels, but to a degree still significantly less than that observed with ALLnL alone. Reports have indicated that treatment of cells with Hsp90 antagonists in combination with proteasome inhibitors results in detergent-insoluble client proteins (58, 59). Therefore, we assessed HIF-1alpha levels in nuclear and cytosolic detergent-insoluble fractions. As shown in Fig. 3A (middle and right panels), in the absence of treatment, minimal HIF-1alpha was detected in either insoluble fraction, and treatment with ALLnL alone resulted in only a small increase in insoluble HIF-1alpha . Although no HIF-1alpha protein was detected in the insoluble fractions subsequent to GA treatment alone, the combination of GA and ALLnL increased HIF-1alpha protein in both nuclear and cytosolic detergent-insoluble fractions. In sum, these data show that GA-mediated degradation of HIF-1alpha occurred by a proteasome-dependent pathway and shares characteristics with the degradation of other Hsp90 client proteins.


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Fig. 3.   GA-induced degradation of HIF-1alpha proceeds via the proteasome. A, RCC lines were either left untreated (lane 1) or treated 8 h with the proteasome inhibitor ALLnL (lane 2), with GA (lane 3), or with a combination of these two agents (lane 4). Equal amounts of nuclear soluble fraction proteins for each cell line, and 20% of the total volume of resuspended nuclear or cytosolic detergent-insoluble fractions, were loaded onto the gel. Exposure times for the cytoplasmic insoluble fractions were ~5 times longer than for the other fractions. B, RCC lines were treated with 2 µM GA for the indicated times, either in the presence or absence of a 30-min exposure to the proteasome inhibitor PS-341 (last 30 min of combination treatments). HIF-1alpha was immunoprecipitated, and resultant blots were probed with an anti-ubiquitin antibody. The right-hand panel in A depicts a shorter exposure of ubiquitinated protein in PS-341-treated versus combination treated cells. C, 786-O cells were transfected with HA-tagged HIF-1alpha and cells were treated with either 2 µM GA (1 h), PS-341 (0.5 h), or with a combination of these agents. Lysates were immunoprecipitated with anti-HIF-1alpha antibody, and resultant blots were probed with HA antibody. D, constructs encoding either wild-type HIF-1alpha or prolyl hydroxylation mutants were transfected into 786-O cells and subjected to a 4-h treatment with GA, and nuclear lysates were examined for HIF-1alpha expression. E, cells were transfected as in D, treated with GA, PS-341, or a combination, HIF-1alpha was immunoprecipitated, and resultant blots were probed with an anti-ubiquitin antibody. The Control lane represents untransfected cells subjected to the combination treatment.

Previous reports have demonstrated that GA-mediated proteasomal degradation of Hsp90 client proteins is preceded by their ubiquitination (48, 58, 60, 61). Therefore, we tested whether HIF-1alpha was similarly ubiquitinated in GA-treated cells prior to its degradation. This was of special interest, because VHL, which serves as the primary ubiquitin ligase for HIF-1alpha (3-5), is nonfunctional in the RCC lines studied. As shown in Fig. 3B, although no HIF-1alpha -ubiquitin conjugates were observed in untreated cells, these species were easily detected in HIF-1alpha immunoprecipitates after 3 h of GA treatment, with maximal ubiquitination occurring by 6 h. To enhance visualization of HIF-1alpha - ubiquitin conjugates, we treated cells for 0.5 h with the specific proteasome inhibitor PS-341 (62), either alone or in combination with GA. The brief exposure to PS-341 was used to avoid formation of detergent-insoluble HIF-1alpha that occurs after prolonged treatment with GA in the presence of proteasome inhibitors (see Fig. 3A). As shown in Fig. 3B, the combination treatment dramatically increased HIF-1alpha -ubiquitin conjugates (detectable by 1 h, data not shown). Although PS-341 alone increased the amount of ubiquitinated HIF-1alpha species, this increase was significantly less (~8-fold) when compared with that elicited by the combination of GA and PS-341. These data suggest that the HIF-1alpha ubiquitination/degradation process set in motion by GA is relatively rapid and rather efficient. Interestingly, although the molecular mass of HIF-1alpha is ~116 kDa, the majority of the ubiquitinated protein in HIF-1alpha immune precipitates migrated with an apparent molecular mass of ~180 kDa, suggesting that most of the ubiquitinated HIF-1alpha protein was polyubiquitinated.

To confirm that this high molecular weight species represented ubiquitinated HIF-1alpha , 786-O cells were transfected with an HA-tagged HIF-1alpha construct and the experiment described in Fig. 3B was repeated. HIF-1alpha was immunoprecipitated, and the protein was visualized with an anti-HA antibody, as shown in Fig. 3C. The time of exposure to GA was shortened because of the ability of GA to rapidly degrade HIF-1alpha protein in this cell line (see Fig. 1B). There was virtually no detectable ubiquitinated HIF-1alpha in control or GA-treated cells and only a slight increase in ubiquitinated species after treatment with PS-341 alone. However, similar to the data in Fig. 3B, a significant increase in ubiquitinated HIF-1alpha species was evident in cells treated with both GA and PS-341, thus confirming that the HIF-1alpha protein identified with a ubiquitin antibody in Fig. 3B represented ubiquitinated HIF-1alpha .

Recently, HIF-1alpha was shown to undergo proline hydroxylation at two sites (Pro-402 and Pro-564), and these modifications are required for VHL association and thus VHL-mediated degradation of HIF-1alpha (6, 8-10). To confirm that GA-induced degradation of HIF-1alpha was independent of proline hydroxylation, we mutated these two residues, either independently or together, and assessed the GA sensitivity of the mutated proteins in VHL-deficient 786-O cells. As shown in Fig. 3D, the mutant proteins were as sensitive to GA as was wild-type HIF-1alpha . To determine whether these mutant proteins could be ubiquitinated, we transfected 786-O cells with wild-type or proline-mutated HIF-1alpha constructs, treated the cells with GA or GA plus PS-341, and probed HIF-1alpha immune precipitates with an antiubiquitin antibody. Both ubiquitinated wild-type and proline-mutated HIF-1alpha species were detected equally well, showing that proline hydroxylation was not a requirement for GA-stimulated ubiquitination (Fig. 3E).

GA Interferes with HIF-1alpha Transcriptional Activity-- The increased transcriptional activity of HIF-1alpha that occurs during hypoxia is associated with a concomitant increase in protein stability but also depends upon hypoxic inhibition of an asparagine hydroxylation modification that facilitates the association of HIF-1alpha with cofactors such as p300 (63, 64). Once activated, HIF-1alpha transactivates its target genes by associating with their hypoxia-responsive elements (HREs) (65, 66). One of the numerous transcriptional targets of HIF-1alpha is VEGF (28), a potent proangiogenic cytokine. Because GA down-regulated HIF-1alpha protein levels, we determined whether GA could also interfere with HIF-1alpha transcriptional activity by treating both normoxic RCC lines and hypoxic VHL-competent Caki-1 cells with GA. As shown in Fig. 4A (upper panel), GA treatment of the RCC lines resulted in a modest decline (33-36%) in VEGF165 mRNA by 6 h, with more than a 70% reduction after 16 h (see table in Fig. 4). Similarly, in Caki-1 cells, a 6-h treatment with GA following a 6-h hypoxic pretreatment resulted in a 57% decline in VEGF mRNA, which progressed to a 71% decline after 16 h.


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Fig. 4.   GA interferes with HIF-1alpha transcriptional activity. A, RCC lines were treated with GA under normoxic conditions and Caki-1 cells were treated with GA following a 6-h hypoxic exposure. Total RNA was isolated, as described, and 15 µg of RNA was separated on a formaldehyde-agarose gel, transferred to membrane, and incubated with a 32P-labeled VEGF165 probe. Exposure times are as follows: C2, 0.5 h; C6, 1.5 h; Caki-1, 1 h. Densitometric analysis of VEGF signal intensity enabled a calculation of the -fold HIF-1alpha induction and percent inhibition by GA, as depicted in the table. The lower panel in A demonstrates the quality and loading of RNA. B, C2 or C2 cells stably transfected with VHL were co-transfected with 5 ng of CMV-Renilla luciferase plasmid (an internal standard) and 0.5 µg of HRE-dependent iNOS luciferase plasmid. For GA-treated cells, drug was added for the indicated times before lysis.

It remained unclear whether GA affected VEGF transcription directly via inhibition of HIF-1alpha transcription or whether VEGF mRNA expression was affected by other means (67). To address this issue, we performed transient transfection assays using a luciferase expression plasmid under control of HREs from the iNOS promoter (68). As shown in Fig. 4B (left panel), HIF-1alpha -dependent luciferase activity in VHL-deficient C2 cells was 3.5-fold higher than in C2 cells stably transfected with VHL, thus confirming the HIF-1alpha dependence of this reporter. In a second experiment, cells were treated with GA 4 h after transfection, and drug treatment was continued for an additional 4 or 6 h. As shown in Fig. 4B (right panel), GA treatment for 4 h resulted in a modest reduction in HIF-1alpha -dependent luciferase activity, with over a 50% reduction after 6 h.

VEGF is one of the most potent angiogenic cytokines released by hypoxic tumors (69, 70). Because we observed a GA-mediated inhibition of HIF-1alpha activity and a corresponding decrease in VEGF transcription, we wished to determine whether GA could mitigate hypoxia-induced angiogenesis. To test this possibility, we collected conditioned medium from VHL-competent Caki-1 cells subjected either to normoxia, 12 h of hypoxia, or 12 h of hypoxia in the presence of GA. GA was removed from the conditioned media by size exclusion filtration, and the drug-free filter retentates were then used in a chick aortic ring angiogenesis assay, as shown in Fig. 5. The top three panels show various controls. Basic FGF (Fig. 5B) was ~2.5-fold more angiogenic than the negative control (Fig. 5A). Medium from Caki-1 cells treated with GA did not inhibit FGF-induced angiogenesis (Fig. 5C), demonstrating that inhibition of angiogenesis by media from GA-treated cells was not due to traces of drug remaining in the medium. Panels D-F depict the angiogenic activity of medium from Caki-1 cells. Medium conditioned by hypoxic Caki-1 cells (Fig. 5E) was ~3-fold more angiogenic when compared with medium from normoxic cells (Fig. 5D). Supporting and extending our previous results, the angiogenic potential of medium conditioned by hypoxic Caki-1 cells treated with GA (Fig. 5F) was comparable to the negative control (Fig. 5, A and D).


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Fig. 5.   GA antagonizes hypoxia-induced angiogenesis. Serum-free conditioned medium was added to chick aortic rings for 36 h, as described. As a negative control (A), serum-free medium was used. B, a positive control with 10 nM bFGF added to the control medium as in panel A. C, 10 nM bFGF added to the filtered medium from GA-treated Caki-1 cells (F). D-F illustrate the angiogenic potential of filtered conditioned medium obtained from Caki-1 cells in normoxia and hypoxia: D, medium obtained from cells under normoxia; E, medium obtained from hypoxic cells (12 h); F, medium obtained from hypoxic cells in the presence of 0.5 µM GA.


    DISCUSSION
TOP
ABSTRACT
INTRODUCTION
EXPERIMENTAL PROCEDURES
RESULTS
DISCUSSION
REFERENCES

In this study, we have identified the Hsp90 molecular chaperone as a novel VHL- and oxygen-independent regulator of HIF-1alpha protein stability. This was demonstrated by the ability of the Hsp90 inhibitors GA and 17-AAG to promote the loss of HIF-1alpha protein from C2 and C6, two VHL-deficient RCC lines containing constitutively elevated HIF-1alpha levels in normoxia. Transfected HIF-1alpha was also markedly destabilized by GA in 786-O cells, which lack both VHL and HIF-1alpha genes. GA and 17-AAG were equally effective at reducing HIF-1alpha levels in hypoxia and in normoxia and in the presence or absence of endogenous VHL. Although co-precipitation of Hsp90 with HIF-1alpha was independent of oxygen tension, this interaction was rapidly disrupted by GA, prior to loss of HIF-1alpha protein. As is the case for other Hsp90 client proteins (40), when Hsp90 was inhibited by GA, both pre-existing and newly synthesized HIF-1alpha protein pools became unstable, although the rate of HIF-1alpha synthesis remained essentially unchanged. Importantly, the HIF-1alpha degradation that was stimulated by the Hsp90 inhibitors GA and 17-AAG remained proteasome-mediated. As has been reported with other Hsp90-soluble client proteins (58, 59), the combination of proteasome inhibition and Hsp90 inhibition resulted in the accumulation of HIF-1alpha protein in the detergent-insoluble pellet fraction, where under normal circumstances it was undetectable. The fact that the preponderance of HIF-1alpha was recovered from the nuclear pellet fraction suggests either that GA-induced HIF-1alpha degradation occurred primarily in the nuclear compartment or that proteasome inhibition interfered with the nuclear export of HIF-1alpha protein.

GA-mediated dissociation of HIF-1alpha from Hsp90 markedly enhances HIF-1alpha ubiquitination in VHL-deficient cells, thereby demonstrating an essential function for Hsp90 in maintaining HIF-1alpha stability. Although a reduction in steady-state levels of HIF-1alpha protein required exposure to GA for several hours, a significant amount of HIF-1alpha ubiquitination can be seen after as little as 1 h of exposure to the drug (data not shown). As a final proof that GA-induced HIF-1alpha degradation does not proceed via the VHL pathway, we demonstrate that mutation of prolines 402 and 564 in HIF-1alpha , which render the protein fully resistant to VHL-mediated ubiquitination and degradation (8-10), fails to protect HIF-1alpha from GA. These data point to a novel, oxygen-independent E3 ubiquitin ligase, distinct from VHL, that is recruited to HIF-1alpha upon dissociation of the HIF-1alpha ·Hsp90 complex. Although the mdm2 ubiquitin ligase may serve as an E3 for HIF-1alpha under certain conditions (68), and GA-induced degradation of mutated p53 requires mdm2 (69), this E3 is unlikely to be the ubiquitin ligase that mediates GA-induced HIF-1alpha degradation, because dominant negative mdm2 failed to protect HIF-1alpha protein from the destabilizing effects of GA in RCC cells (data not shown). Furthermore, the Hsp90/Hsp70-binding ubiquitin ligase CHIP (carboxyl terminus of Hsc70-interacting protein), which may mediate the GA-stimulated degradation of some Hsp90 client proteins (71, 72), also failed to destabilize HIF-1alpha when the two proteins were co-transfected into either COS7 or 786-O cells (data not shown). We are currently screening several additional candidate E3 enzymes in an effort to identify the oxygen-independent ubiquitin ligase responsible for GA-induced ubiquitination of HIF-1alpha .

Although the association of HIF-1alpha with Hsp90 has been previously documented (51, 73), a physiologically important role for Hsp90 in HIF-1alpha function has remained elusive. We have now demonstrated that Hsp90 plays a pivotal role as a master regulator of HIF-1alpha protein stability. In contrast to a previous report (53), we found that Hsp90 retains the ability to associate with HIF-1alpha under both normoxic and hypoxic conditions. It is possible that the use of chemical mimetics of hypoxia by these investigators, instead of reduced oxygen levels, may explain this discrepancy. Indeed, a recent report demonstrating that hypoxic accumulation of HIF-1alpha protein is antagonized by GA (74) supports the notion that Hsp90 associates with HIF-1alpha under both normoxic and hypoxic conditions. However, we propose that, rather than preventing its up-regulation, GA promotes the degradation of HIF-1alpha under hypoxia.

One of the most clinically relevant aspects of this study is the finding that Hsp90 antagonists interfere in a hypoxia-independent manner with HIF-1alpha transcription, as measured both by reporter assay and by analysis of VEGF mRNA levels. Although two recent reports have suggested that Hsp90 antagonism inhibits expression of VEGF (75, 76), the contribution of the chaperone in these studies is unclear due to the presence of functional VHL in the cells that were used. Although it remains to be determined whether GA-mediated down-regulation of VEGF mRNA is due solely to interference with HIF-1alpha transcriptional activity, the kinetics of these two events suggest such a relationship.

Because 17-AAG is currently in clinical trial, these results are of particular interest, in that they indicate that this drug may have antiangiogenic activity in cancer patients. This prediction is supported by our data demonstrating that conditioned medium from hypoxic cells exhibits potent angiogenic activity, whereas medium from hypoxic cells exposed to GA does not. Although this inhibitory activity may not be due solely to effects on VEGF synthesis and secretion, to our knowledge this is the first report demonstrating an inhibitory role for GA in hypoxia-induced angiogenesis. The hypoxic state of a tumor correlates with increased malignancy, metastatic potential, poor prognosis, and resistance to radiotherapy and chemotherapy (77, 78). Our findings demonstrate that GA-induced, Hsp90-dependent elimination of HIF-1alpha occurs under normoxic and hypoxic conditions and is independent of VHL, thus identifying a novel means of treating tumors overexpressing HIF-1alpha protein.

    ACKNOWLEDGEMENTS

We thank E. Agnew for high-performance liquid chromatography analyses and W. Xu, V. Leaner, and G. Melillo for helpful discussions.

    Addendum

A study describing similar destabilizing effects of geldanamycin on HIF-1alpha protein in prostate cancer cell lines was published (79) at the time of submission of this report.

    FOOTNOTES

* 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.

Dagger To whom correspondence should be addressed: Cell and Cancer Biology Branch, Center for Cancer Research, NCI, National Institutes of Health, 9610 Medical Center Dr., Ste. 300, Rockville, MD 20850. Tel.: 301-402-3128 (ext. 318); Fax: 301-402-4422; E-mail: len@helix.nih.gov.

Published, JBC Papers in Press, June 6, 2002, DOI 10.1074/jbc.M204733200

    ABBREVIATIONS

The abbreviations used are: HIF-1alpha , hypoxia-inducible factor-1 alpha; Hsp90, heat shock protein 90; VHL, von Hippel Lindau; VEGF, vascular endothelial growth factor; GA, geldanamycin; RCC, renal carcinoma cell; CHX, cycloheximide; HA, hemagglutinin; ALLnL, N-acetyl-Leu-Leu-norleucinal; bFGF, basic fibroblast growth factor; 17-AAG, 17-allylamino-17-desmethoxygeldanamycin; CMV, cytomegalovirus; nt, nucleotide(s); HRE, HIF-1alpha -responsive element; E3, ubiquitin-protein isopeptide ligase; mdm2, murine double minute 2; iNOS, inducible nitric oxide synthase; CHIP, carboxyl terminus of Hsc70-interacting protein.

    REFERENCES
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Hypoxia-Associated Factor, a Novel E3-Ubiquitin Ligase, Binds and Ubiquitinates Hypoxia-Inducible Factor 1{alpha}, Leading to Its Oxygen-Independent Degradation
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NVP-AUY922: A Novel Heat Shock Protein 90 Inhibitor Active against Xenograft Tumor Growth, Angiogenesis, and Metastasis
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Inhibition of Hsp90 Down-regulates Mutant Epidermal Growth Factor Receptor (EGFR) Expression and Sensitizes EGFR Mutant Tumors to Paclitaxel
Cancer Res., January 15, 2008; 68(2): 589 - 596.
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Mol. Cancer Ther., January 1, 2008; 7(1): 90 - 100.
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HIF-1 Inhibitors: Novel Opportunities for Cancer Therapy
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Targeted Therapy for the Loss of the Tumor Suppressor Gene von Hippel-Lindau through Synthetic Lethality
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Calcineurin Promotes Hypoxia-inducible Factor 1{alpha} Expression by Dephosphorylating RACK1 and Blocking RACK1 Dimerization
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IRE1 Signaling Is Essential for Ischemia-Induced Vascular Endothelial Growth Factor-A Expression and Contributes to Angiogenesis and Tumor Growth In vivo
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Perinecrotic Hypoxia Contributes to Ischemia/Reperfusion-Accelerated Outgrowth of Colorectal Micrometastases
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Chrysin inhibits expression of hypoxia-inducible factor-1{alpha} through reducing hypoxia-inducible factor-1{alpha} stability and inhibiting its protein synthesis
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Activation of the stress protein response prevents the development of pulmonary edema by inhibiting VEGF cell signaling in a model of lung ischemia-reperfusion injury in rats
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J Natl Cancer Inst, September 7, 2005; 97(17): 1272 - 1286.
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Hypoxia-inducible factor-dependent histone deacetylase activity determines stem cell fate in the placenta
Development, August 1, 2005; 132(15): 3393 - 3403.
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Cathepsin B Regulates the Intrinsic Angiogenic Threshold of Endothelial Cells
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Targeting Multiple Signaling Pathways as a Strategy for Managing Prostate Cancer: Multifocal Signal Modulation Therapy
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Antiangiogenic Properties of 17-(Dimethylaminoethylamino)-17-Demethoxygeldanamycin: An Orally Bioavailable Heat Shock Protein 90 Modulator
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DNA Damage Is a Prerequisite for p53-Mediated Proteasomal Degradation of HIF-1{alpha} in Hypoxic Cells and Downregulation of the Hypoxia Marker Carbonic Anhydrase IX
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Geldanamycin and 17-Allylamino-17-demethoxygeldanamycin Potentiate the in Vitro and in Vivo Radiation Response of Cervical Tumor Cells via the Heat Shock Protein 90-Mediated Intracellular Signaling and Cytotoxicity
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Molecular Cancer TherapeuticsHome page
S. J. Welsh, R. R. Williams, A. Birmingham, D. J. Newman, D. L. Kirkpatrick, and G. Powis
The Thioredoxin Redox Inhibitors 1-Methylpropyl 2-Imidazolyl Disulfide and Pleurotin Inhibit Hypoxia-induced Factor 1{alpha} and Vascular Endothelial Growth Factor Formation
Mol. Cancer Ther., March 1, 2003; 2(3): 235 - 243.
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J. Biol. Chem.Home page
Y.-J. Jung, J. S. Isaacs, S. Lee, J. Trepel, and L. Neckers
Microtubule Disruption Utilizes an NFkappa B-dependent Pathway to Stabilize HIF-1alpha Protein
J. Biol. Chem., February 21, 2003; 278(9): 7445 - 7452.
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J. Biol. Chem.Home page
L. E. Huang, E. A. Pete, M. Schau, J. Milligan, and J. Gu
Leu-574 of HIF-1alpha Is Essential for the von Hippel-Lindau (VHL)-mediated Degradation Pathway
J. Biol. Chem., October 25, 2002; 277(44): 41750 - 41755.
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J. Biol. Chem.Home page
D. A. Chan, P. D. Sutphin, N. C. Denko, and A. J. Giaccia
Role of Prolyl Hydroxylation in Oncogenically Stabilized Hypoxia-inducible Factor-1alpha
J. Biol. Chem., October 11, 2002; 277(42): 40112 - 40117.
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Proc. Natl. Acad. Sci. USAHome page
W. Xu, M. Marcu, X. Yuan, E. Mimnaugh, C. Patterson, and L. Neckers
Chaperone-dependent E3 ubiquitin ligase CHIP mediates a degradative pathway for c-ErbB2/Neu
PNAS, October 1, 2002; 99(20): 12847 - 12852.
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Am. J. Pathol.Home page
M. D. Basson
Gut Mucosal Healing : Is the Science Relevant?
Am. J. Pathol., October 1, 2002; 161(4): 1101 - 1105.
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Cold Spring Harb Symp Quant BiolHome page
J.M. ARBEIT
Quiescent Hypervascularity Mediated by Gain of HIF-1{alpha} Function
Cold Spring Harb Symp Quant Biol, January 1, 2002; 67(0): 133 - 142.
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