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METOXIA Course

HIF in cell biology and physiology
  Professor Patrick H. Maxwell
        11th October 2012


        This course is funded with the support of the METOXIA project
                          under the FP7 Programme.
Learning objectives
• Consider how oxygen varies in cell culture and in
  vivo
• Understand the molecular basis of the HIF pathway
• Understand the tools available for dissecting the
  role of HIF
• Consider inputs contributing to HIF activation
• Understand outputs resulting from HIF activation

                  This course is funded with the support of the METOXIA project
                                    under the FP7 Programme.
1660: Robert Boyle - effect of air pump




Mammals and candles both need oxygen
Why do we need oxygen?

         RESPIRATION

glucose + 6 O2        6H2O + 6CO2

   DG°’ = -686 kcal      36 ATP

            GLYCOLYSIS

  glucose            2 x lactate

   DG°’ = -47 kcal       2 ATP
Oxygen in vivo
                            Breathing-airways-
Cytochome oxidase           lungs-heart-blood
Heme based enzyme           140-100 mmHg
Km for oxygen < 1 mmHg

                                 Blood vessels,
                                 tissue
                                 100-30 mmHg


                                   Cell-
                                   mitochondrion
                                   30-1 mmHg
Oxygen supply and demand are coordinated
Oxygenation in tissues is very variable




                                 Vaupel, P. et al. Oncologist 2004;9(Suppl 5):4-9
Copyright ©2004 AlphaMed Press
Oxygenation decreases with distance from vessel




                          Oxygen consumption is adaptive
TSAI,©2003 Americanet al. Physiol. Rev. 83: 933-963 2003
 Copyright
           A. G. Physiological Society
Metabolism is coordinated with oxygenation




     This course is funded with the support of the METOXIA project under the FP7 Programme.
Tissue culture
20% oxygen: 5% CO2
  at sea level = 152 mmHg

Diffusion (with some convection) - Fick’s law

Consumption by cells - mitochondria and other
 processes

Do not need mitochondria!
Metzen et al, Respiration Physiology , 1995




  24 hours, unstirred, 52 mm height
Many other reactions use are more sensitive
  to oxygen than cytochrome c oxidase!

                                    Km, µM

Cytochrome c oxidase                <0.5

Xanthine oxidase                    50-240
Collagen prolyl hydroxylase         30-72
Lysine hydroxylase
Heme oxygenases
Nitric oxide synthases
Lipoxygenases                       40
Cholesterol 7 -monooxygenase        20
Calcidiol 1-monoxygenase
Dopamine hydroxylase                550

Tissue oxygenation 10-60 mmHg ~ 13-78 µM
Learning objectives 1
• how oxygen varies in cell culture and in vivo

  – Not simple to relate in cell culture to in vivo setting
  – In vivo oxygen concentration is very variable
  – Oxygen is necessary for other reactions besides
    respiration
  – Many aspects of anatomy and physiology are consistent
    with matching oxygen supply and demand

                    This course is funded with the support of the METOXIA project
                                      under the FP7 Programme.
RED BLOOD CELLS
20,000,000,000,000 red blood cells

Volume about 2 litres

Carries 99% of the oxygen in the blood
bound to haemoglobin.

~65% of iron in the body

No nucleus or genetic material

Production is tightly physiologically regulated via EPO
Control of red cell production
Relationship between EPO and blood
           oxygen content
Hep3B cells in culture produce more EPO in
                  hypoxia




                        Golderg et al., Science 1987
Identification of a hypoxia response
               element
                    ON
         Erythropoietin gene   HRE

                1% O2
                   OFF
         Erythropoietin gene   HRE

                21% O2
HIF-1
                HIF-
        HRE




HIF-2




                Wiesener et al, Blood 1998
HIF is not an ON/OFF switch




      This course is funded with the support of
        the METOXIA project under the FP7
                      Programme.
Three PHD enzymes
                                                      PHD
                                                       Fe
                  PHD
                                                                  succinate
                      Fe   2oxoglutarate
      HIF        Pro564 O2                        Hyp564
                                           HIF
                                                                      CO2


Two HIF subunits




                                                                 Cul2
                                                            Elongin
                                                              BC
                                                       VHL       Rbx
                                                                 1
         HIF                               HIF        Hyp564

                 Ub
                                                 Ub
            Ub   Ub                                                     E2/E1
                                            Ub   Ub
Oxygen



                   HIF prolyl                  HIF asparinyl
                   hydroxylases                hydroxylase
                   PHD 1,2,3                        FIH


HIF-1                                                    N803
            P402          P564
C-teminus

             OH            OH                                  OH


              VHL E3 ligase                p300 co-activator




                                                    Activation of
     Ubiquitin mediated
                                                    HIF
         proteolysis                                transcription
The different HIF subunits

HIF-1 : the prototypical HIF subunit –
 although HIF-2 more important for EPO!

HIF-2 : more restricted range of
 targets, more cell-type specific, not
 completely essential for mouse
 development

HIF-3 : multiple isoforms, some of which
 have a dominant negative effect
The different HIF prolyl
          hydroxylases

PHD2: main PHD activity in most cells
   required for development in mice
   controls EPO production in humans

PHD3: highly inducible by hypoxia
Learning objectives 2
• The HIF pathway

  – Key steps are
     •   Prolyl hydroxylation
     •   Capture by VHL
     •   Ubiquitylation
     •   Proteasomal destruction




                        This course is funded with the support of the METOXIA project
                                          under the FP7 Programme.
Tools for analysing HIF pathway

Altering oxygen
  decreases PHD, FIH activity

PHD inhibitors
 iron chelators (eg desferrioxamine, 100µM)
 cobalt (eg CoCl2 100µM)
 2OG analogues (eg DMOG, 1 mM)

PHD inhibitors are HIF activators but are not
 hypoxia mimetics!
Tools for analysing HIF pathway
Genetic approaches in cell culture

RNAi
 stable knockdown may be difficult to achieve
 ?minimal levels of VHL required

Cells with deletion of a component
  VHL defective human cells
  CHO cells lacking VHL, lacking HIF
  mouse embryonic fibroblasts
  stable expression
Tools for analysing HIF pathway

Genetic approaches in whole organisms
 mice: knockouts, inducible
 knockouts, hypomorphs
 humans: vhl, phd2
 worms
 fish
 flies

Power of comparison across organisms
  eg Trichoplax adherens
Inputs to the HIF signal

HIF- mRNA
Translation efficiency
Level of PHD enzyme expression
Amount of oxygen
  ? iron, ascorbate, 2OG
  ? fumarate, succinate
Other post translational modifications of HIF-
Outputs from the HIF signal

Direct transcription effects of HIF on HRE’s

Highly influenced by cell type and context

Interacts with other pathways

Influences epigenetic control
Cellular adaptation and HIF



                                   HIF-1
GLUCOSE             GLUCOSE
                                           HIF-1




OXYGEN              PYRUVATE
                               Mitochondrial respiration


                     LACTATE
                                      ATP
Angiogenes
                                                           Energy metabolism
                               is
                                                           Glucose transporters
                               VEGF
  Blood oxygen                                             Glycolytic enzymes
                               PLGF
  Erythropoietin                                           Mitochondrial respiration
                               PDGF


                       HIF-1     coactivators
                                                    Transcription
                                HIF-1
                          HRE


Vasomotor                                                     Cell
NOS isoforms                                                  proliferation/survival
Endothelins                                                   IGF/IGF-BPs
Adrenoreceptors                                               Cyclin G2
Tyrosine                                                      Nip/Nix
hydroxylase
                   Metal                        Matrix metabolism
                   transport                    Collagens/prolyl
                   Transferrin                  hydroxylases
                   Caeruloplasmi                Transglutaminase
Effect of HIF may be “good” or “bad”……..




Cell and tissue survival      Cancer progression
HIF is strongly implicated in cancer biology
                                                                         Tumors are hypoxic

                                                                         Oncogenic pathways
                                                                         commonly increase
                                                                         HIF

                                                                         HIF contributes to key
                                                                         aspects of phenotype

                      Vaupel, P. et al. Oncologist 2004;9(Suppl 5):4-9
                                                                         VHL mutations
Copyright ©2004 AlphaMed Press
VHL status and normal epithelial phenotype
                  In kidney

Glycolysis, angiogenic signalling

Adherens junctions

Tight junctions

Primary cilium                      HIF-1
Patient with an inherited VHL mutation

        Left nephrectomy specimen




          Tumors and cysts
Renal cyst syndromes and primary cilium




                                                 Davenport, J. R. et al. Am J Physiol Renal Physiol 289: F1159-F1169 2005




Copyright ©2005 American Physiological Society
VHL restores the primary cilium in RCC cells




                               Esteban et al JASN 2006
E-Cadherin
• Epithelial cell adhesion
  molecule
                               LOSS OF
• Maintains tissue integrity   CELL-CELL ADHESION
  and architecture
• Interacts with the beta
  catenin-Wnt signalling
  pathway
• Reduced expression is
                                           PROMOTE TUMOUR
  seen in many carcinomas                  GROWTH AND INVASION
Left nephrectomy specimen
Very large numbers of foci of HIF activation




Mandriota et al Cancer Cell 2002
Loss of VHL reduces E Cadherin expression
CAIX                ECAD           CAIX                ECAD




        Normal kidney




           Tumour




CAIX                ECAD
                                          Esteban et al, Cancer Res 2006
Re-expression of VHL restores E Cadherin
              expression

                VHL
   RCC -                     RCC +




                               Esteban et al, Cancer Res 2006
siRNA for HIF-1 and HIF-2 rescues E-cadherin




                                   Esteban et al, Cancer Res 2006
In renal epithelium

Independent effects of VHL loss on tight
  junction, adherens junction, cilium

Effects substantially mediated via HIF

Effects are indirect, involve several
  mediators, balance of HIF-1 and HIF-2 is
  variable

Interacts with other pathways
Second hit is very common
Minimal effect on proliferation
Progression – a progressive switch from HIF-1 to HIF-2?




   Normal epithelium   Cyst / adenoma / tumour   Metastasis


      HIF-1                 HIF-1 + HIF-2          HIF-2
HIF1A inactivated in some CCRCC



Dalgliesh et al, 2010   3/407 mutations in HIF1A

Morris et al 2009       1/40 mutations in HIF1A
HIF will be activated in many settings
- but it is not necessarily beneficial
Strong signature of evolutionary selection
HIF-2




HIF-2      PHD2
Selection and reproduction




  POTOSI
  4,100m




17th Century one of the largest cities in the world
53 years before the first child of Spanish parentage survived in Potosi

Colorado – birthweight falls 100g per 1,000 m

Worldwide decline in birthweights with altitude is lowest in longest resident groups
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HIF in cell Biology & Physiology

  • 1. METOXIA Course HIF in cell biology and physiology Professor Patrick H. Maxwell 11th October 2012 This course is funded with the support of the METOXIA project under the FP7 Programme.
  • 2. Learning objectives • Consider how oxygen varies in cell culture and in vivo • Understand the molecular basis of the HIF pathway • Understand the tools available for dissecting the role of HIF • Consider inputs contributing to HIF activation • Understand outputs resulting from HIF activation This course is funded with the support of the METOXIA project under the FP7 Programme.
  • 3. 1660: Robert Boyle - effect of air pump Mammals and candles both need oxygen
  • 4. Why do we need oxygen? RESPIRATION glucose + 6 O2 6H2O + 6CO2 DG°’ = -686 kcal 36 ATP GLYCOLYSIS glucose 2 x lactate DG°’ = -47 kcal 2 ATP
  • 5. Oxygen in vivo Breathing-airways- Cytochome oxidase lungs-heart-blood Heme based enzyme 140-100 mmHg Km for oxygen < 1 mmHg Blood vessels, tissue 100-30 mmHg Cell- mitochondrion 30-1 mmHg
  • 6. Oxygen supply and demand are coordinated
  • 7. Oxygenation in tissues is very variable Vaupel, P. et al. Oncologist 2004;9(Suppl 5):4-9 Copyright ©2004 AlphaMed Press
  • 8. Oxygenation decreases with distance from vessel Oxygen consumption is adaptive TSAI,©2003 Americanet al. Physiol. Rev. 83: 933-963 2003 Copyright A. G. Physiological Society
  • 9. Metabolism is coordinated with oxygenation This course is funded with the support of the METOXIA project under the FP7 Programme.
  • 10. Tissue culture 20% oxygen: 5% CO2 at sea level = 152 mmHg Diffusion (with some convection) - Fick’s law Consumption by cells - mitochondria and other processes Do not need mitochondria!
  • 11. Metzen et al, Respiration Physiology , 1995 24 hours, unstirred, 52 mm height
  • 12. Many other reactions use are more sensitive to oxygen than cytochrome c oxidase! Km, µM Cytochrome c oxidase <0.5 Xanthine oxidase 50-240 Collagen prolyl hydroxylase 30-72 Lysine hydroxylase Heme oxygenases Nitric oxide synthases Lipoxygenases 40 Cholesterol 7 -monooxygenase 20 Calcidiol 1-monoxygenase Dopamine hydroxylase 550 Tissue oxygenation 10-60 mmHg ~ 13-78 µM
  • 13. Learning objectives 1 • how oxygen varies in cell culture and in vivo – Not simple to relate in cell culture to in vivo setting – In vivo oxygen concentration is very variable – Oxygen is necessary for other reactions besides respiration – Many aspects of anatomy and physiology are consistent with matching oxygen supply and demand This course is funded with the support of the METOXIA project under the FP7 Programme.
  • 14. RED BLOOD CELLS 20,000,000,000,000 red blood cells Volume about 2 litres Carries 99% of the oxygen in the blood bound to haemoglobin. ~65% of iron in the body No nucleus or genetic material Production is tightly physiologically regulated via EPO
  • 15. Control of red cell production
  • 16. Relationship between EPO and blood oxygen content
  • 17. Hep3B cells in culture produce more EPO in hypoxia Golderg et al., Science 1987
  • 18. Identification of a hypoxia response element ON Erythropoietin gene HRE 1% O2 OFF Erythropoietin gene HRE 21% O2
  • 19. HIF-1 HIF- HRE HIF-2 Wiesener et al, Blood 1998
  • 20. HIF is not an ON/OFF switch This course is funded with the support of the METOXIA project under the FP7 Programme.
  • 21. Three PHD enzymes PHD Fe PHD succinate Fe 2oxoglutarate HIF Pro564 O2 Hyp564 HIF CO2 Two HIF subunits Cul2 Elongin BC VHL Rbx 1 HIF HIF Hyp564 Ub Ub Ub Ub E2/E1 Ub Ub
  • 22. Oxygen HIF prolyl HIF asparinyl hydroxylases hydroxylase PHD 1,2,3 FIH HIF-1 N803 P402 P564 C-teminus OH OH OH VHL E3 ligase p300 co-activator Activation of Ubiquitin mediated HIF proteolysis transcription
  • 23. The different HIF subunits HIF-1 : the prototypical HIF subunit – although HIF-2 more important for EPO! HIF-2 : more restricted range of targets, more cell-type specific, not completely essential for mouse development HIF-3 : multiple isoforms, some of which have a dominant negative effect
  • 24. The different HIF prolyl hydroxylases PHD2: main PHD activity in most cells required for development in mice controls EPO production in humans PHD3: highly inducible by hypoxia
  • 25. Learning objectives 2 • The HIF pathway – Key steps are • Prolyl hydroxylation • Capture by VHL • Ubiquitylation • Proteasomal destruction This course is funded with the support of the METOXIA project under the FP7 Programme.
  • 26. Tools for analysing HIF pathway Altering oxygen decreases PHD, FIH activity PHD inhibitors iron chelators (eg desferrioxamine, 100µM) cobalt (eg CoCl2 100µM) 2OG analogues (eg DMOG, 1 mM) PHD inhibitors are HIF activators but are not hypoxia mimetics!
  • 27. Tools for analysing HIF pathway Genetic approaches in cell culture RNAi stable knockdown may be difficult to achieve ?minimal levels of VHL required Cells with deletion of a component VHL defective human cells CHO cells lacking VHL, lacking HIF mouse embryonic fibroblasts stable expression
  • 28. Tools for analysing HIF pathway Genetic approaches in whole organisms mice: knockouts, inducible knockouts, hypomorphs humans: vhl, phd2 worms fish flies Power of comparison across organisms eg Trichoplax adherens
  • 29. Inputs to the HIF signal HIF- mRNA Translation efficiency Level of PHD enzyme expression Amount of oxygen ? iron, ascorbate, 2OG ? fumarate, succinate Other post translational modifications of HIF-
  • 30. Outputs from the HIF signal Direct transcription effects of HIF on HRE’s Highly influenced by cell type and context Interacts with other pathways Influences epigenetic control
  • 31. Cellular adaptation and HIF HIF-1 GLUCOSE GLUCOSE HIF-1 OXYGEN PYRUVATE Mitochondrial respiration LACTATE ATP
  • 32. Angiogenes Energy metabolism is Glucose transporters VEGF Blood oxygen Glycolytic enzymes PLGF Erythropoietin Mitochondrial respiration PDGF HIF-1 coactivators Transcription HIF-1 HRE Vasomotor Cell NOS isoforms proliferation/survival Endothelins IGF/IGF-BPs Adrenoreceptors Cyclin G2 Tyrosine Nip/Nix hydroxylase Metal Matrix metabolism transport Collagens/prolyl Transferrin hydroxylases Caeruloplasmi Transglutaminase
  • 33. Effect of HIF may be “good” or “bad”…….. Cell and tissue survival Cancer progression
  • 34. HIF is strongly implicated in cancer biology Tumors are hypoxic Oncogenic pathways commonly increase HIF HIF contributes to key aspects of phenotype Vaupel, P. et al. Oncologist 2004;9(Suppl 5):4-9 VHL mutations Copyright ©2004 AlphaMed Press
  • 35. VHL status and normal epithelial phenotype In kidney Glycolysis, angiogenic signalling Adherens junctions Tight junctions Primary cilium HIF-1
  • 36. Patient with an inherited VHL mutation Left nephrectomy specimen Tumors and cysts
  • 37. Renal cyst syndromes and primary cilium Davenport, J. R. et al. Am J Physiol Renal Physiol 289: F1159-F1169 2005 Copyright ©2005 American Physiological Society
  • 38. VHL restores the primary cilium in RCC cells Esteban et al JASN 2006
  • 39. E-Cadherin • Epithelial cell adhesion molecule LOSS OF • Maintains tissue integrity CELL-CELL ADHESION and architecture • Interacts with the beta catenin-Wnt signalling pathway • Reduced expression is PROMOTE TUMOUR seen in many carcinomas GROWTH AND INVASION
  • 41. Very large numbers of foci of HIF activation Mandriota et al Cancer Cell 2002
  • 42. Loss of VHL reduces E Cadherin expression CAIX ECAD CAIX ECAD Normal kidney Tumour CAIX ECAD Esteban et al, Cancer Res 2006
  • 43. Re-expression of VHL restores E Cadherin expression VHL RCC - RCC + Esteban et al, Cancer Res 2006
  • 44. siRNA for HIF-1 and HIF-2 rescues E-cadherin Esteban et al, Cancer Res 2006
  • 45. In renal epithelium Independent effects of VHL loss on tight junction, adherens junction, cilium Effects substantially mediated via HIF Effects are indirect, involve several mediators, balance of HIF-1 and HIF-2 is variable Interacts with other pathways
  • 46. Second hit is very common Minimal effect on proliferation
  • 47. Progression – a progressive switch from HIF-1 to HIF-2? Normal epithelium Cyst / adenoma / tumour Metastasis HIF-1 HIF-1 + HIF-2 HIF-2
  • 48. HIF1A inactivated in some CCRCC Dalgliesh et al, 2010 3/407 mutations in HIF1A Morris et al 2009 1/40 mutations in HIF1A
  • 49. HIF will be activated in many settings - but it is not necessarily beneficial
  • 50. Strong signature of evolutionary selection
  • 51. HIF-2 HIF-2 PHD2
  • 52. Selection and reproduction POTOSI 4,100m 17th Century one of the largest cities in the world 53 years before the first child of Spanish parentage survived in Potosi Colorado – birthweight falls 100g per 1,000 m Worldwide decline in birthweights with altitude is lowest in longest resident groups