The JI
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
 QUICK SEARCH:   [advanced]


     
 


This Article
Right arrow Abstract Freely available
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow Request Permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Qian, J.
Right arrow Articles by Rameshwar, P.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Qian, J.
Right arrow Articles by Rameshwar, P.
The Journal of Immunology, 2001, 167: 4600-4608.
Copyright © 2001 by The American Association of Immunologists

Induction of Hypoxia-Inducible Factor-1{alpha} and Activation of Caspase-3 in Hypoxia-Reoxygenated Bone Marrow Stroma Is Negatively Regulated by the Delayed Production of Substance P1

Jing Qian*, Kavita Ramroop2,*, Alnela McLeod2,*, Persis Bandari*, David H. Livingston{dagger}, Jonathan S. Harrison* and Pranela Rameshwar3,*

Departments of * Medicine and {dagger} Surgery, Trauma Division, University of Medicine and Dentistry of New Jersey, Newark, NJ 07103


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
The bone marrow (BM), which is the major site of immune cell development in the adult, responds to different stimuli such as inflammation and hemorrhagic shock. Substance P (SP) is the major peptide encoded by the immune/hemopoietic modulator gene, preprotachykinin-1 (PPT-I). Differential gene expression using a microarray showed that SP reduced hypoxia-inducible factor-1{alpha} (HIF-1{alpha}) mRNA levels in BM stroma. Because long-term hypoxia induced the expression of PPT-I in BM mononuclear cells, we used timeline studies to determine whether PPT-I is central to the biologic responses of BM stroma subjected to 30-min hypoxia (pO2 = 35 mm Hg) followed by reoxygenation. HIF-1{alpha} mRNA and protein levels were increased up to 12 h. At this time, {beta}-PPT-I mRNA was detected with the release of SP at 16 h. SP release correlated with down-regulation of HIF-1{alpha} to baseline. A direct role for SP in HIF-1{alpha} expression was demonstrated as follows: 1) transient knockout of {beta}-PPT-I showed an increase in HIF-1{alpha} expression up to 48 h of reoxygenation; and 2) HIF-1{alpha} expression remained baseline during reoxygenation when stroma was subjected to hypoxia in the presence of SP. Reoxygenation activated the PPT-I promoter with concomitant nuclear translocation of HIF-1{alpha} that can bind to the respective consensus sequences within the PPT-I promoter. SP reversed active caspase-3, an indicator of apoptosis and erythropoiesis, to homeostasis level after reoxygenation of hypoxic stroma. The results show that during reoxgenation the PPT-I gene acts as a negative regulator on the expression of HIF-1{alpha} and active caspase-3 in BM stroma subjected to reoxygenation.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Hemopoietic stem cells are quiescent, noncycling cells found in the bone marrow (BM)4 (1, 2). The finite number of stem cells replenishes the adult immune and erythropoietic systems. The ability of the BM as an organ of immune cell development places hemopoietic activity as part of the emerging immune system (3, 4). BM cells have the potential to repair damage in distant organs such as the liver and brain (5, 6). Through various mechanisms, the BM could receive and respond to the appropriate physiological signals. This study reports on the molecular responses of BM cells during hypoxia, which could result from rapid blood loss. This study focuses on the major hemopoietic supporting cells, BM stroma (7, 8).

The role of the stromal cells as cellular regulators of hemopoiesis shows their importance in maintaining homeostasis in the BM microenvironment (3, 4, 7, 8). The stromal cells are in close proximity to the hemopoietic stem cells so that cytokines and other soluble factors, released from the stroma, can interact with specific receptors on the BM stem cells and/or stroma (1, 7, 8). Cytokine interactions with the stroma and stem cells could trigger a cascade of biological responses to stimulate hemopoietic activity (7, 9). The induction of cytokines and other soluble factors in BM stroma (10, 11, 12) could be mediated by the following: inflammation, surgical trauma in which there is rapid blood loss, or any other physiologic disruption that requires hemopoietic activity.

This study addresses the roles of the preprotachykinin-I (PPT-I) and hypoxia-inducible factor-1{alpha} (HIF-1{alpha}) genes in hemopoietic homeostasis following hypoxia and reoxygenation. In particular, we determined how each regulates the expression of the other (9, 13). HIF-1{alpha} is a transcription factor that is increased in conditions of reduced cellular O2 (13, 14). DNA binding site for HIF-1{alpha} is present in several genes that are sensitive to changes in pO2 (15, 16). A recent report (17) suggested that HIF-1{alpha} could also be induced during inflammation. Peptides encoded by the PPT-I gene exert pleiotropic functions with specific effects in the different organs (18). In the BM and other lymphoid organs, PPT-I peptides regulate hemopoiesis and immune functions (9, 19).

Prolonged exposure of BM cells to hypoxia induced the expression of PPT-I (12). Substance P (SP), the major PPT-I peptide, stimulates hemopoiesis (9). Thus, up-regulation of PPT-I expression during reoxygenation of stroma exposed to hypoxia (12) would be consistent with a need for hemopoietic activity. Hypoxia reoxygenation is an indicator of hemorrhagic shock (10, 20, 21), which requires replacement of immune and other blood cells. In this report we examined differential gene expression in SP-stimulated and unstimulated BM stroma using microarray. HIF-1{alpha} mRNA represented one of the genes that was significantly decreased in the stimulated cells. This observation was unexpected because hypoxia induced PPT-I expression, which would result in the production of SP (9, 12). To investigate this paradox, we subjected BM stroma to hypoxia and then performed timeline studies during reoxygenation to understand the molecular relationship between HIF-1{alpha} and PPT-I genes. Justification of this model is supported by reports that showed hypoxia reoxygenation as an appropriate experimental system to study hemopoietic activity in hemorrhagic shock (10, 20, 21). Blood gas levels of BM aspirates from healthy subjects indicate pO2 ranging between 54 and 58 mm Hg (our unpublished data). This suggests that during hemorrhagic shock, the pO2 of the BM might be much lower than indicated by the levels in the arterial peripheral blood. Therefore, an understanding of hemopoietic activity in a hypoxic microenvironment could not be extrapolated from the reports in normoxic conditions, and such mechanisms remain undefined.

The results showed that unstimulated stromal cells express high levels of HIF-1{alpha} mRNA. Unlike other tissues in which HIF-1{alpha} mRNA is constant during hypoxia, in BM stroma, its levels were increased following reoxygenation with concomitant protein translation. In timeline studies, the results showed that the delayed release of SP during reoxygenation of hypoxic stroma hypoxia blunted the expression of HIF-1{alpha} and inactivated caspase-3, an indicator of apoptosis (22, 23). Reoxygenation activated the PPT-I promoter subjected to hypoxia with concomitant translocation of two transcription factors, NF-{kappa}B and HIF-1{alpha}, capable of interacting with the respective consensus sequences within the 5' regulatory region of the PPT-I gene.


    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Chemical reagents, cytokine, and Abs

SP, BSA, hydrocortisone, 2-ME, streptavidin, and Ficoll-Hypaque were purchased from Sigma (St. Louis, MO). The neurokinin-1 (NK-1) antagonist, CP-99,994, was obtained from Pfizer (Groton, CT). SP and CP-99,994 were dissolved and stored as described (24). Rabbit anti-SP, rabbit anti-active caspase-3, and rabbit anti-RelA/p65 were purchased from Arnell Products (New York, NY), Cell Signaling (Beverly, MA), and Santa Cruz Biotechnology (Santa Cruz, CA), respectively. Two sources of HIF-1{alpha} mAb were purchased from BD Transduction Laboratories (Lexington, KY) and Novus Biologicals (Littleton, CO). Biotinylated SP was purchased from Chiron Mimotopes (Emeryville, CA). Alkaline phosphatase-conjugated goat anti-rabbit IgG was obtained from Kirkegaard & Perry Laboratories (Gaithersburg, MD). Hoffman-LaRoche (Nutley, NJ) provided the recombinant human IL-1{alpha}.

Cells

BM stroma was prepared as described (25). Briefly, BM aspirates were obtained from healthy donors, ages 20–35 years, following guidelines from the Institutional Review Board of the University of Medicine and Dentistry of New Jersey-New Jersey Medical School. Unfractionated cells from BM aspirates were cultured at 33°C in {alpha}-MEM (Life Technologies, Grand Island, NY) with 12.5% FCS (HyClone Laboratories, Logan, UT), 12.5% horse serum (HyClone Laboratories), 0.1 µM hydrocortisone, 0.1 mM 2-ME, and 1.6 mM glutamine. At day 3 of culture, the mononuclear cells were selected by Ficoll-Hypaque density gradient and then replaced into the respective tissue culture flask. Cultures were reincubated with weekly replacement of 50% medium until confluence. CSH-HeLa cells were obtained from Dr. S. Gonnery, Department of Biochemistry and Molecular Biology, University of Medicine and Dentistry of New Jersey-New Jersey Medical School. CSH-HeLa cells were cultured in DMEM with high glucose (Sigma), 1 mM glutamine (Sigma), and 10% FCS. All media and cell culture reagents contained <0.015 EU/ml as determined by the Limulus Amebocyte Lysate, E-TOXATE kit (Sigma).

Hypoxic exposure and preparation of cell extracts

BM stroma was subjected to hypoxia as described (12). Five days before cells were subjected to hypoxia, cultures that were ~80% confluent were transferred to a 37°C incubator. Immediately before hypoxic exposure, nonadherent cells were removed and discarded from the confluent stroma. After this, the adherent cells were washed more than three times with serum-free {alpha}-MEM. Washing was terminated when there was no evidence of nonadherent cells, which was determined microscopically. After washing, 3 ml of serum-free {alpha}-MEM supplemented with insulin-transferrin-selenium-A (Life Technologies). Flasks were placed in a hypoxic chamber and flushed with gas comprising 5% CO2 and 95% N2 for 5 min resulting in a pO2 of 30–45 mm Hg. Chambers were sealed and then incubated at 37°C for 30 min. After this, flasks were removed from the hypoxic chamber and then placed in a 37°C incubator with a normoxic atmosphere (5% CO2 and 95% air). At different times after reoxygenation, stroma was used for the following: 1) extraction of total RNA for Northern analyses; 2) collection of cell-free supernatants, which were stored in siliconized tubes at -80°C for ELISA and Western blots; or 3) preparation of cell-free extracts from whole cells or nuclei. Extracts were stored at -80°C for ELISA and Western blots.

Differential gene expression

The differences in gene expression between SP-stimulated and unstimulated BM stroma were examined using a commercial slide array with 2400 genes: Micromax Human cDNA Microarray System I (NEN Life Science, Boston, MA). The technique followed manufacturer’s instructions. Briefly, BM stromal cultures from nine healthy donors were divided into two groups: 1) unstimulated; or 2) stimulated with 10 nM SP for 16 h. Total RNA from each group was pooled and then used to prepare cDNA probes. Labeling of cDNA probes was performed with biotin and DNP for unstimulated and stimulated stroma, respectively. Slides were hybridized with a mixture of the labeled probes from the stimulated and unstimulated cells. Hybrids were detected with the Tyramide Signal Amplification system (NEN Life Science), which resulted in signals by cyanine-3 (unstimulated) and cyanine-5 (stimulated). Slides were scanned with ScanArray 3000 (GSI Lumonics, Watertown, MA), and the data were analyzed with NEN data analysis, version 2.0.

Transfection and reporter gene assay

Different parts of the PPT-I promoter were ligated in pGL3-basic, upstream of the luciferase reporter (26) (see Fig. 6GoA). The following are constructs of the 5' regulatory sequences of the PPT-I gene (26): 1) PPT-I-1.2 (1.2 kb), which includes the region upstream of the transcription site (N0, 722 bp), Exon 1 (89 bp) and Intron 1 (409 bp); 2) N0; and 3) N0 in tandem with Exon 1. Stromal cells, 80% confluent, were cotransfected with pGL3 containing each insert and p{beta}-gal-Control (0.5 µg each) using SuperFect (Qiagen, Valencia, CA). Transfectants were subjected to 30-min hypoxia and, after 16 h of reoxygenation, cells were lysed in 30 µl of 250 mM Tris (pH 8.0) by repeated freeze-thaw cycles in a dry ice/ethanol bath. Cell-free lysates (24 µl) were obtained by centrifugation at 15,000 x g for 5 min at 4°C and then diluted with 5x cell culture lysis buffer (Promega, Madison, WI). Luciferase and {beta}-galactosidase ({beta}-gal) activities were quantitated with 10 µl of lysates using a Luciferase assay system (Promega) and a Luminescent {beta}-gal detection kit II (Clontech Laboratories, Palo Alto, CA), respectively. The ratios of Luciferase/{beta}-gal in cells transfected with vector alone ranged from 0.18 to 0.19 and was normalized to 1. Hypoxia reoxygenation showed no change in {beta}-gal activity (data not shown).



View larger version (39K):
[in this window]
[in a new window]
 
FIGURE 6. Binding of PPT-I consensus sequences for HIF-1{alpha}-1 and HIF-1{alpha}-2 with nuclear extracts from hypoxic BM stroma. EMSA was performed with nuclear extracts from hypoxic stroma with 1- and 2-h recovery in normoxic atmosphere (A). Specificity of DNA-protein interaction was performed with excess cold competitor (B) or with a mixture of two different mAbs to HIF-1{alpha} (C).

 
Quantitation of SP-IR (immunoreactive)

Competitive ELISA quantitated SP-IR as described (27). Briefly, 96-well plates were coated with a complex of streptavidin-biotinylated SP. Equal volumes (50 µl) of unknown samples and optimum rabbit anti-SP were added to quadruplicate wells. Each sample was assayed as undiluted and three serial dilutions. Bound anti-SP was detected with alkaline phosphatase-conjugated goat anti-rabbit IgG and Sigma 104 phosphatase substrate (Sigma). SP-IR levels were calculated from a standard curve developed with OD at 405 nm vs 12 serial dilutions of known SP concentrations.

Immunoprecipitation and Western blots

Cultures of BM stromal cells in a 25-cm2 flask were gently washed with PBS, pH 7.4, and then replaced with 1 ml of PBS containing 1 mM PMSF and 5 µM leupeptin (both protease inhibitors purchased from Sigma). Cell extracts were prepared by repeated freeze-thaw cycles in a dry ice-ethanol bath. Total proteins were quantitated in cell extracts from stromal cultures using a kit from Bio-Rad (Hercules, CA), and 15 µg was analyzed in Western blots for SP, HIF-1{alpha}, or active caspase-3, as described (26, 27). HIF-1{alpha} and active caspase-3 were electrophoresed on 15% SDS-PAGE and SP on 4–20% gradient gel (Invitrogen, Carlsbad, CA). Proteins were transferred to polyvinylidene difluoride membrane (NEN Life Science), which were incubated overnight with anti-HIF-1{alpha}, anti-SP, or anti-active caspase-3 at a final concentration of 1/1000. After this, membranes were washed and then incubated with HRP-conjugated goat anti-rabbit IgG (1/5000) for 45 min. HRP was developed with ECL Western blotting detection reagents (Amersham Pharmacia Biotech, Piscataway, NJ). The Mr values of developed bands were compared with prestained protein standards (Diversified Biotech, Newton Center, MA).

Nuclear extracts from BM stromal cells (26) were analyzed for HIF-1{alpha} and RelA/p65 by immunoprecipitation as described (31). Briefly, 500 µl of extracts was incubated consecutively at 4°C with HIF-1{alpha} (250 µg/ml) overnight and protein G-Sepharose (Sigma) for 2 h. Samples were centrifuged at 10,000 x g for 30 min at 4°C, and the pellets were analyzed in Western blots for HIF-1{alpha} protein as described above. Immunoprecipitation was repeated in the same supernatants with 500 µg/ml anti-RelA/p65.

Transient knockout of PPT-I in BM stromal cells

DNA sequences from exons 2 (nt: +101/+224), 3 (nt: +211/+245), and 7 (nt: +431/+456) of {beta}-PPT-I (29) were synthesized in tandem at the University of Medicine and Dentistry of New Jersey-New Jersey Medical School Molecular Core Facility with HindIII and Kpn.I linkers in the 5' or 3' ends. The linkers directed the ligation of the sequence in the sense and anti-sense orientations in the cloning site of pEGFP-N1 (Clontech Laboratories). Stromal cells were transfected with pEGFP-N1. After this, cells were examined at an excitation of 495 nm with an Olympus (Melville, NY) Probis microscope and determined to be >90% positive for green fluorescence. Transfectants were determined to be transiently deficient of PPT-I expression by stimulating the transfected cells (sense and anti-sense) or untransfected cells for 16 h with an inducer of PPT-I (30): 25 ng/ml IL-1{alpha} in {alpha}-MEM (Sigma) containing 2% FCS. Intracellular immunofluorescence with anti-SP and Western blots indicated no evidence of PPT-I expression (data not shown).

EMSA

EMSA assays were performed as described (26). Table IGo shows the consensus sequences for HIF-1{alpha} binding sites, which spanned DNA sequences +643/+649 (HIF-1{alpha}-1) and +1075/+1080 (HIF-1{alpha}-2) of the reported clone (GenBank accession no. AF252261). Table IGo also shows the sequences of the oligonucleotide probes used in the EMSA for HIF-1{alpha}. The oligonucleotide probes for RelA/p65 were previously described (28). Double-stranded probes, 20 ng (31), were end labeled with [{gamma}-32P]ATP using T4 polynucleotide kinase. Labeled probe was incubated for 1 h with 2 µg of nuclear extracts from HeLa cells or BM stroma. Parallel reactions were performed in the presence of excess cold competitor or 250 µg/ml anti-HIF-1{alpha}. Reactions were separated on 4% PAGE. Gels were dried and then developed by autoradiography after 12 h.


View this table:
[in this window]
[in a new window]
 
Table I. HIF-1{alpha}-specific nucleotide sequence in EMSA1

 
Northern analysis

Northern analyses for steady-state {beta}-PPT-I and HIF-1{alpha} mRNA were performed as described (24). Stromal cells were stimulated with 10 nM SP for 16 h in serum-free {alpha}-MEM supplemented with Insulin-Transferrin-Selenium-A and then immediately subjected to hypoxia. Cultures were allowed to recover for different times in normoxic conditions as described above. Control cultures included unstimulated stroma placed in parallel experimental conditions in serum-free medium. Total RNA (10 µg) and RNA ladders were separated on 1.2% agarose. After this, RNA was transferred to nylon membranes (S & S Nytran, Keene, NH), which were fixed by consecutive exposure to UV cross-link and baked for 1 h at 80°C. Membranes were hybridized with {beta}-PPT-I or HIF-1{alpha} cDNA probes, which were randomly labeled with 3000 Ci/mM [{alpha}-32P]dATP (DuPont-NEN, Boston, MA) using the Prime-IT II random primer kit (Stratagene, La Jolla, CA). After hybridization, membranes were washed twice at room temperature with 2x SSC containing 0.1% SDS and then a third wash for 20 min at 37°C with buffer of similar stringency. Bands were developed by autoradiography. Band intensities from rehybridization with cDNA for 18S rRNA were used for normalization.

Human cDNA for 18S rRNA and {beta}-PPT-I were previously described (31). HIF-1{alpha} cDNA was prepared by RT-PCR with total RNA from CSH-HeLa cells. The primer pair, 25 nt each, spanned sequences +541/+1060 of the reported sequence for HIF-1{alpha} cDNA (32). PCR products with the predicted size were ligated into the cloning site of PCR2.1-TOPO (Invitrogen), and the DNA was sequenced at the Molecular Resource Facility of New Jersey Medical School in both orientations using T7 and SP6 primers. Analyses with the GCG DNA/protein sequence analysis programs, version 10 (Genetics Computer Group, Madison, WI) indicated >99% homology with the reported clone (32).

Statistical analysis

Data were analyzed using Student’s t test to determine the significance (p value) between experimental values.


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Effects of SP on HIF-1{alpha} mRNA in BM stroma

This study uses BM stromal cells, which comprise three major cell subsets. To ensure variability among human subjects, the following steps were followed in the preparation stage: 1) healthy donors were within a narrow range of age; 2) the same hematologist collected all of the BM aspirates using a constant volume of withdrawal: 3) the same laboratory personnel cultured the stromal cells. The phenotype of the adherent cell population was characterized from representative stromal flasks of seven different donors as described (24, 26). Based on the results of immunofluorescence, the mean percentages were 90 ± 5% fibroblasts, 5 ± 4% endothelial cells, and 3 ± 1% macrophages. Cytochemical staining for nonspecific esterase (24) indicated similar percentages of macrophage.

Microarray analysis was performed with total RNA extracted from SP-stimulated (16 h) and unstimulated pooled BM stroma. Arrays represented 2400 genes based on prosite motifs. Differences of >=2-fold between stimulated and unstimulated cultures were considered significant (Fig. 1Go). Based on the biology of HIF-1{alpha} and its association with hypoxia and PPT-I, we studied the mechanism that might partly explain the down-regulation of HIF-1{alpha} mRNA by SP, shown in the boxed area of Fig. 1GoA. The signal intensities for HIF-1{alpha} for unstimulated and stimulated stroma were 2031 and 531, respectively, indicating a decrease of ~4-fold by SP stimulation.



View larger version (27K):
[in this window]
[in a new window]
 
FIGURE 1. A, Intensities of unstimlated (x-axis) vs SP-stimulated BM stroma (y-axis) using a microarray with 2400 genes. Hybridization was performed with total RNA from pooled human BM stroma, obtained from nine healthy donors. Stromal cells were stimulated with 10 nM SP for 16 h. Boxed genes show the relative expression of HIF-1{alpha}. B, HIF-1{alpha} mRNA levels in BM stroma stimulated with 10 nM SP for 16 h. Northern blots were used to determine steady-state HIF-1{alpha} mRNA in BM stroma: unstimulated (lane 1) and stimulated (lane 2). C, Ratios of HIF-1{alpha} mRNA/18s RNA are represented as normalized densities on the y-axis (B).

 
To confirm the results obtained by microarray for HIF-1{alpha}, we used Northern analyses to determine the differences in HIF-1{alpha} mRNA in BM stroma stimulated with 10 nM SP for 16 h and unstimulated stroma. Representative result for analyses performed with three different BM donors is shown in Fig. 1Go, B and C. There was a significant decrease in HIF-1{alpha} mRNA (Fig. 1GoB, lane 2) compared with unstimulated stroma (Fig. 1GoB, lane 1). Normalization of band densities with 18S rRNA indicated a 10-fold decrease in SP-stimulated stroma (Fig. 1GoC). The results showed that SP mediated a decrease in the level of HIF-1{alpha} mRNA after 16 h.

Effects of hypoxia on HIF-1{alpha} in the presence or absence of SP

Hypoxia induced the expression of PPT-I in BM mononuclear cells (12). Because HIF-1{alpha} is associated with reduced O2, its down-regulation by SP (Fig. 1Go), the major PPT-I peptide, was unexpected. The induction of PPT-I by hypoxia was reported in experiments in which BM mononuclear cells were subjected to 24 h of hypoxia (12). Timeline studies were performed to understand this previous report, and the observation is shown in Fig. 1Go. BM stroma was subjected to hypoxia for 30 min in the presence or absence of 10 nM SP. After this, stromal cultures were allowed to recover for different times in normoxic conditions, and the stromal cell extracts were analyzed in Western blots for HIF-1{alpha} protein. Representative results of five experiments, each performed with a different BM donor, showed a strong band in hypoxic cultures that were recovered for 8 h (Fig. 2GoA, lane 2) and 12 h (Fig. 2GoA, lane 3). A relatively weak to almost undetectable band was shown for 16 h (Fig. 2GoA, lane 4), and at 24 h no band was detected (Fig. 2GoA, lane 5). Normoxic stroma showed no band (Fig. 2GoA, lane l).



View larger version (26K):
[in this window]
[in a new window]
 
FIGURE 2. Effects of SP on HIF-1{alpha} protein in BM stroma subjected to hypoxia. Representative results of five different experiments, performed by Western blots, are shown for HIF-1{alpha} protein (A and B). A, BM stroma exposed to hypoxia for 30 min and then allowed to recover in normoxic atmosphere for different times. B, Hypoxic exposure in the presence of 10 nM SP and/or 100 nM CP-99,994 with different recovery times. H, Hypoxia; N, normoxia; Time (h), recovery times in normoxic atmosphere.

 
Fig. 2GoB shows the effects of SP on HIF-1{alpha} protein. This question was addressed by adding 10 nM SP to the BM stromal cultures during hypoxia and recovery times. In the presence of SP, no band was detected for HIF-1{alpha} protein after recovery times of 8 and 12 h (Fig. 2GoB, lanes 1 and 2). To determine the specificity of this observation, we repeated similar experiment in the presence of an antagonist (CP-99,994) to the high affinity SP receptor NK-1 (19, 29). Stromal cells subjected to hypoxia and recovered for 8 and 12 h in the presence of 10 nM SP and 100 nM CP-99,994 resulted in the detection of HIF-1{alpha} protein (Fig. 2GoB, lanes 3 and 4). These results indicate that NK-1 antagonist can reverse the blunting effect of SP on HIF-1{alpha} translation. CP-99,994 alone in normoxic stroma showed no band (data not shown).

The next set of studies determined the level of HIF-1{alpha} mRNA at different times during recovery from hypoxia. Fig. 3GoA shows representative results of three experiments, each performed with a different BM donor. The normalized ratios of HIF-1{alpha} mRNA over normoxic/unstimulated stroma (fold change) are shown in Fig. 3GoB and were derived by normalizing the densities of HIF-1{alpha} mRNA with those of 18S rRNA. Consistent with detectable HIF-1{alpha} mRNA in the microarray studies and the data shown in Fig. 1GoA, a band was detected for HIF-1{alpha} mRNA in the normoxic/unstimulated stroma (Fig. 3GoA, lane 1). To determine the effect of SP on HIF-1{alpha} mRNA in the normoxic stroma, cells were stimulated with 10 nM SP for 12 h. Compared with the reduced level of HIF-1{alpha} mRNA in normoxic stroma stimulated with SP for 16 h (Fig. 1Go, B and C), there was no change in its level at 12 h (Fig. 3GoA, lane 7). When BM stroma was subjected to hypoxia and then allowed to recover in a normoxic atmosphere for 8 and 12 h, HIF-1{alpha} mRNA levels were increased by 15- (Fig. 3GoA, lane 2, and B) and 10-fold (Fig. 3GoA, lane 3, and B), respectively. At a 16-h recovery, there was a 9-fold decrease in HIF-1{alpha} mRNA compared with an 8-h recovery (Fig. 3GoA, lanes 2 and 4, and B). Hypoxic exposure of stromal cells in the presence of 10 nM SP showed no significant change in HIF-1{alpha} mRNA levels compared with unstimulated/normoxic stroma (Fig. 3GoA, lane 1) after 8 h (Fig. 3GoA, lane 5) and 12 h (Fig. 3GoA, lane 6). The results described in this section show that hypoxia mediates an increase in HIF-1{alpha} protein and the respective mRNA, and that SP through an NK-1R blunted the induction of HIF-1{alpha} over baseline/unstimulated BM stroma.



View larger version (31K):
[in this window]
[in a new window]
 
FIGURE 3. Effects of hypoxia in the presence or absence of SP on HIF-1{alpha} mRNA. Figure shows representative results of three different Northern analyses for HIF-1{alpha} mRNA. BM stromal cells were exposed to hypoxia for 30 min in the presence or absence of 10 nM SP and then allowed to recover in normoxic atmosphere for different times. Parallel cultures were placed in normoxic atmosphere with 10 nM SP for 12 h. SP-containing cultures were recovered in medium with 10 nM SP. A, Band intensities of HIF-1{alpha} mRNA. B, HIF-1{alpha} mRNA shown in A normalized with the densities of 18S rRNA and the fold change from normoxic cultures represented on the y-axis. H, Hypoxia; N, normoxia; Time (h), recovery times in normoxic atmosphere.

 
PPT-I induction in BM stroma subjected to hypoxia

SP blunted the increase of HIF-1{alpha} protein in BM stroma subjected to hypoxia (Fig. 2GoB). This negative effect of SP on HIF-1{alpha} expression was also observed for baseline HIF-1{alpha} mRNA in normoxic stroma stimulated with SP for 16 h (Fig. 1Go). Long-term hypoxic exposure of BM mononuclear cells induced PPT-I (12), and HIF-1{alpha} level is increased during hypoxia (13). Therefore, we studied the relationship between hypoxia-mediated induction of PPT-I and HIF-1{alpha} with the goal to understand how SP blunts HIF-1{alpha} expression in BM stroma during reoxygenation after hypoxia.

SP-IR levels were analyzed by Western blots and ELISA from stromal extracts obtained from normoxic and hypoxic stroma with different recovery times. Representative Western blot for SP-IR in seven experiments, each with a different BM donor, is shown in Fig. 4GoA. As expected (9), SP-IR bands were not detected in normoxic cultures (Fig. 4GoA, lane 1). Hypoxic BM stroma that was recovered for 8 h (Fig. 4GoA, lane 2) and 12 h (Fig. 4GoA, lane 3) showed no band for SP-IR. However, strong bands were detected in cultures recovered for 16 h (Fig. 4GoA, lane 4) and 24 h (Fig. 4GoA, lane 5). Using a more sensitive method, we quantitated SP-IR levels by ELISA and showed significant increase in SP-IR levels in the hypoxic stromal cultures that were recovered for different times up to 16 h (Table IIGo). SP-IR levels were analyzed in the cell extracts (cell-associated) and supernatants (release). The former analyses were necessary because "soluble factors" released from BM stroma could anchor to the surrounding extracellular matrix proteins. Total SP-IR levels (shown in Table IIGo) are shown as the sum of the mean values of cell-associated and release.



View larger version (21K):
[in this window]
[in a new window]
 
FIGURE 4. Expression of PPT-I in BM stroma subjected to hypoxia. Stromal cell extracts and total RNA were analyzed in Western blots for SP-IR (A) and by Northern blots for {beta}-PPT-I mRNA (B). A, Representative blot of seven experiments, each performed with a different BM donor. Lane 1, N; lane 2, H, 8 h; lane 3, H, 12 h; lane 4, H, 16 h; lane 5, H, 24 h; lane 6, SP standard. B, Representative blots of three experiments, each performed with a different BM donor. Lane 1, N; lane 2, H, 4 h; lane 3, H, 8 h; lane 4, H, 12 h; lane 5, H, 16 h; lane 6, H, 24 h. N, Normoxia; H, hypoxia; Time (h), recovery times in normoxic atmosphere.

 

View this table:
[in this window]
[in a new window]
 
Table II. SP-IR levels in normoxic and hypoxic BM stroma1

 
The next series of experiments determined whether the increase in SP-IR levels from stroma subjected to hypoxia correlated with an increase in the transcript of the gene, PPT-I mRNA. BM stroma was subjected to hypoxia, and PPT-I mRNA levels were analyzed by Northern analyses. Representative results of three different experiments are shown in Fig. 4GoB. The data indicated light bands when cultures were recovered for 4 h (lane 2) and 8 h (lane 3). Strong bands were observed after 12-h (lane 4) and 16-h (lane 5) recoveries. The level of PPT-I mRNA was decreased by 24 h (lane 6). Consistent with the literature (26), no band was detected for normoxic stroma (lane 1). The results showed that during reoxygenation of hypoxic stroma, the PPT-I gene is expressed, but at a later time than for HIF-1{alpha}.

Activity of PPT-I promoter to hypoxia

The regulatory sequences within the 5' regions of the PPT-I gene consisted of consensus sequences that bind to hypoxia-inducible transcription factors, HIF-1{alpha} and NF-{kappa}B (Refs. 26 and 33 , and Fig. 5GoA). Therefore, we analyzed the effects of hypoxia on the different DNA regions of PPT-I, shown in Fig. 5GoA. BM stroma was cotransfected with p{beta}gal-Control and/or pGL3 containing PPT-1-1.2 (N0-Exon 1-Intron 1) and subfragments, N0 or N0-Exon 1. After 24 h, the transfectants were subjected to hypoxia and, 16 h later, luciferase and {beta}-gal activities were determined. The results, shown in Fig. 5GoB, indicate no change in stromal cells transfected with pGL3/N0. There were significant increases in the activities of PPT-1-1.2 and N0-Exon 1 when the transfectants were subjected to hypoxia reoxygenation.



View larger version (34K):
[in this window]
[in a new window]
 
FIGURE 5. Effects of hypoxia on the 5' untranslated region of the PPT-I gene. Different DNA fragments with the relative consensus sequences for NF-{kappa}B and HIF-1{alpha} (A). pGL3 with different DNA fragments were cotransfected with {beta}-gal in BM stroma. Transfectants were subjected to 30-min hypoxia, and luciferase activity was determined after 16 h (B). Immunoprecipation with nuclear extracts for HIF-1{alpha} (C: lane 1, 1 h; lane 2, 4 h; lane 3, 8 h; lane 4, normoxia) and relA/p65 (D: lane 1, 5 min; lane 2, 10 min; lane 3, 20 min; lane 4, 30 min; lane 5, 1 h; lane 6, 2 h; lane 7, normoxia). Hypoxia and normoxic stroma showed comparable {beta}-gal activities in cells transfected with p{beta}-gal-Control. *, p < 0.05 vs hypoxia within the same group. Immunoprecipitation was performed with nuclear cell extracts. Time (h), Recovery times in normoxic atmosphere.

 
The 5' untranslated region of the PPT-I gene contains two consensus sequences for HIF-1{alpha} and one for NF-{kappa}B (26) (Fig. 5GoA). PPT-I activity was increased when the Exon 1 and/or Intron 1 were ligated downstream of N0 (Fig. 5GoB). To this end, studies were performed to determine whether hypoxia mediated nuclear translocation of the transcription factors, HIF-1{alpha} and NF-{kappa}B, and whether these proteins could bind to the respective consensus sequences within PPT-I-1.2. Immunoprecipitation was performed for anti-HIF-1{alpha} or anti-RelA/p65 in nuclear extracts. Because the sample buffer contained reducing agent (2-ME), the precipitating IgG was observed at 55 kDa in the blots for both HIF-1{alpha} and RelA/p65 (data not shown). The only other bands observed were those of the predicted sizes for HIF-1{alpha} (Fig. 5GoC) and RelA/p65 (Fig. 5GoD). There was a weak band after 1-h recovery for HIF-1{alpha} (Fig. 5GoC, lane 1) and strong bands at 4- and 8-h recovery (Fig. 5GoC, lanes 2 and 3, respectively). No band was observed for normoxic stroma (Fig. 5GoC, lane 4). Western blots for p65/RelA showed no detectable band after 5 min (Fig. 5GoD, lane 1). Bands for p65/RelA were detectable at 10 min (Fig. 5GoD, lane 2) and 20 min (Fig. 5GoD, lane 3). The optimum level of p65/RelA was detected after 30 min (Fig. 5GoD, lane 4), and its intensity was significantly reduced by 2 h (Fig. 5GoD, lane 5, 1 h; lane 6, 2 h). Nuclear extracts from normoxic stroma showed no detectable band (Fig. 5GoD, lane 7).

EMSA showed that the immunoreactive transcription factors detected in the nuclear extracts of hypoxic stroma for HIF-1{alpha} (Fig. 5GoC) could bind to both consensus sequences within the PPT-I gene (26) (Fig. 6Go, A–C). Gel and supershift assays with nuclear extracts from stroma with 1- and 2-h recoveries in normoxic atmosphere showed binding with HIF-1{alpha}-1 and HIF-1{alpha}-2 (Fig. 6GoA). The bands disappeared when EMSA was repeated with nuclear extracts and excess cold competitor from 1-h recovery (Fig. 6GoB), and shifted when the extracts were preincubated with two different sources of mAb to HIF-1{alpha} (Fig. 6GoC). Preincubation of HeLa extracts with the Ab mixture showed no shift of the band (data not shown). The results show that the two consensus sequences for HIF-1{alpha} within the 5' regulatory regions of PPT-I could interact with HIF-1{alpha}.

Role of SP in the regulation of HIF-1{alpha} expression

The timeline studies shown in Figs. 2–4GoGoGo and the down-regulation by SP on HIF-1{alpha} mRNA (Fig. 1Go) strongly suggest that PPT-I induction and SP release might lead to autocrine feedback on the stromal cells to down-regulate HIF-1{alpha} expression. To address this further, BM stroma was transiently transfected with anti-sense {beta}-PPT-I, which was ligated upstream of green fluorescent protein. The transfected stromal cells were subjected to 30 min of hypoxia, and after 16 h in normoxic condition the cell extracts were assayed for HIF-1{alpha} or SP protein by Western blots. In the presence of anti-sense PPT-I, HIF-1{alpha} protein was detected up to 48 h (Fig. 7GoA). However, in stromal cells transfected with sense sequences, the band intensity was reduced after 16 h of recovery in normoxic atmosphere (Fig. 7GoA, lane 5). Sense transfectants showed no band after a 24-h recovery (Fig. 7GoA, lane 6). Consistent with reports in the literature (9, 26), no HIF-1{alpha} protein was observed in extracts from normoxic cells (Fig. 7GoA, lane 1).



View larger version (23K):
[in this window]
[in a new window]
 
FIGURE 7. Effects of anti-sense {beta}-PPT-I on HIF-{alpha} induction. BM stromal cells were transfected with pEGFP-N1 containing the anti-sense (as) or sense (s) sequences of {beta}-PPT-I. After 24 h, transfected cells were subjected to hypoxia (H). At different recovery times (h) in normoxic (N) atmosphere, cell extracts were analyzed for HIF-1{alpha} (A) or SP (B) by Western blots.

 
Fig. 7GoB shows the results of studies in which SP was analyzed in stromal cells transfected with PPT-I in the sense or anti-sense orientations. At 12, 24, and 48 h, SP was undetectable (Fig. 7GoB, lanes 2–4). During the period that SP was undetectable, bands for HIF-1{alpha} were present (Fig. 7GoA, lanes 2–4). In sense-transfected stroma, SP was produced at 16 and 48 h (Fig. 7GoB, lanes 5 and 6). During the times that SP was present, HIF-1{alpha} protein level was decreased (Fig. 7GoA, lanes 5 and 6). The results showed a delay in the down-regulation of HIF-1{alpha} in stromal cells that had {beta}-PPT-I transiently knockout. In contrast, stromal cells that could express PPT-I (sense-transfected) showed detectable HIF-1A.

Role of SP on the activation of caspase-3

Hypoxia to the BM could be associated with necrosis and apoptosis. Cell viability of the hypoxic stroma showed no evidence of trypan blue incorporation (data not shown). Therefore, we examined hypoxic stroma during various recovery times for indication of apoptosis. Levels of active caspase-3 were performed by Western blots using anti-active caspase-3. No band was detected in normoxic stroma (Fig. 8GoA, lane 1). Hypoxic stroma with recovery times of 4, 8, and 12 h showed strong bands (Fig. 8GoA, lanes 2–4). At 16 h, active caspase-3 was not detected (Fig. 8GoA, lane 5).



View larger version (19K):
[in this window]
[in a new window]
 
FIGURE 8. Expression of active caspase-3 in the presence or absence of SP. BM stroma was subjected to hypoxia (H) in the presence or absence of 10 nM SP (A). At different times after cell recovery in normoxic atmosphere (N), cell extracts were analyzed in Western blots for active caspase-3. BM stromal cells transfected with pEGFP-N1 containing the anti-sense or sense sequences of {beta}-PPT-I were subjected to hypoxia. At different recovery periods in normoxic atmosphere, cell extracts were analyzed for active caspase-3 by immunoprecipitation (B). H+SP: SP during hypoxic exposure and recovery.

 
As SP is detected at 16 h posthypoxia (Fig. 4GoA), we next determined whether SP could prevent activation of caspase-3. Indeed the results showed no detectable active caspase-3 when the stromal cells were subjected to hypoxia in the presence of SP after 4 and 8 h (Fig. 8GoA, lanes 6 and 7). This is in contrast to stromal cells subjected to hypoxia in the absence of SP (Fig. 8GoA, lanes 2 and 3). To further study the role of SP on the activation of caspase-3, stromal cells were transfected with a green fluorescent protein expression vector containing the sense and anti-sense sequences of {beta}-PPT-I, and then the stroma were subjected to 30 min of hypoxia. At different times following hypoxia, cell extracts were studied for active caspase-3 by immunoprecipitation. The results shown in Fig. 8GoB indicate the presence of active caspase-3 at 16 h in the PPT-I knockout stromal cells/anti-sense transfectants (Fig. 8GoB). In contrast, no band was detected in extracts from hypoxic stroma with sense transfectants and 16-h recovery (Fig. 8GoB). Active caspase-3 was detected in extracts in which PPT-I was transiently knockout for up to 16 h. The recovery time at which SP is released (16 h) in hypoxic stroma that was transfected with sense oligonucleotides (16 h, Fig. 7GoB) correlated with the disappearance of active caspase-3 (Fig. 8GoB). The results indicated endogenous and exogenous PPT-I peptides blunted hypoxia-mediated activation of caspase-3.


    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
The main objective of this study was to understand how the BM protects itself and at the same time replenishes the immune system during physiologic changes such as rapid, short-term hypoxia and reoxygenation that are associated with hemorrhagic shock. Another goal of this study was to understand the plasticity of the BM stromal cells in response to inflammation, which could be secondary to an antigenic challenge and/or to distant inflammation. Pertinent to this study are the multiple roles of PPT-I peptides as neurotransmitters and immune/hemopoietic modulators (18). These functions as well as the interactions between HIF-1{alpha} and SP (shown in this report) indicate that HIF-1{alpha} expression could be important to neurogenic inflammation. This would be an additional function by HIF-1{alpha} and PPT-I peptides, which are associated with inflammation (9, 34).

The mixture of venous and arterial blood in the vicinity of the BM sinus explained the range of pO2 of BM aspirate between 56 and 58 mm Hg (our unpublished data). This level of blood gas in the BM indicates that a relatively small decrease in peripheral blood pO2 could result in a significantly lower O2 level in the BM. Therefore, this study, which exposes BM stroma to short-term hypoxia, showed part of the changes that occur in the BM during fluctuation of physiologic O2 levels.

A summary of this report is shown in Fig. 9Go. Unlike other tissues in which HIF-1{alpha} mRNA is unchanged during hypoxia, in BM stromal cells its level is increased at 4 h after hypoxia (data not shown) and up to 12 h (Fig. 9Go). The changes in HIF-1{alpha} expression in stromal cells are intriguing. Preliminary studies suggest that the accessory macrophages mediate the difference in HIF-1{alpha} expression in the fibroblast subset. The role of the other BM subsets such as the progenitors and differentiated nonadherent cells is yet to be determined. These are ongoing studies to understand HIF-1{alpha} during the loss of blood and inflammation. HIF-1{alpha} protein was detected following an increase in its mRNA (Fig. 9Go). There was a delay in the induction of the PPT-I gene with its mRNA detectable at 12 h and its protein (SP) at 16 h (Fig. 9Go). The release of SP correlates with down-regulation of HIF-1{alpha} expression (Fig. 9Go). A role for SP in the regulation of HIF-1{alpha} expression was shown in experiments performed with hypoxic BM stroma in which the PPT-I gene was transiently knockout, and the use of specific SP receptor (NK-1) antagonists. The experimental conditions that blunted the expression of PPT-I showed detectable HIF-1{alpha} protein up to 48 h of reoxygenation following hypoxia (Fig. 7Go). Furthermore, the results also showed that exogenous SP blunted the expression of HIF-1{alpha} (Fig. 2Go). Together, these findings led to a working model in which delayed release of SP mediates autocrine stimulation of the BM stroma leading to a negative effect on the expression of HIF-1{alpha} and the activation of caspase-3 (Fig. 9Go).



View larger version (30K):
[in this window]
[in a new window]
 
FIGURE 9. Timeline of HIF-1{alpha}, active caspase-3 (a-caspase), and PPT-I expression in BM stroma following hypoxic exposure. {uparrow}, Induction of the particular gene with double arrows representing the relative induction. {downarrow}, Down-regulation of the respective gene. At time 0, HIF-1{alpha} mRNA is detected in unstimulated/normoxic BM stroma. At 8–12 h after hypoxic exposure, the levels of HIF-1{alpha} mRNA is increased further with concomitant increase in the protein. At 12 h, {beta}-PPT-I mRNA is detectable followed by SP release at 16 h. SP release correlated with decreased expression of HIF-1{alpha} and active caspase-3.

 
In reduced O2, cells within the BM microenvironment are predisposed to cell death. This poses a problem, as the BM is the primary lymphoid organ for immune cell development. Recent reports stress an importance for the BM as an organ of cellular source to reconstitute other nonimmune organs (5, 6). This study showed that the PPT-I gene might have a negative role in the reversal of potential cell death by hypoxia because it blunted the activation of caspase-3 (Figs. 7Go and 8Go). Activated caspase-3 has been shown to be key in the differentiation of the erythroid lineage (35). The role of this protease in erythropoiesis could be clinically important, as hypoxia could be caused by hemorrhagic shock. Therefore, the presence of active caspase-3 could serve dual functions: induce apoptosis in reduced cellular O2 and mediate erythropoiesis during blood loss.

Although consensus sequences for HIF-1{alpha} and NF-{kappa}B are present within the 5' regulatory regions of the PPT-I gene (26) (Fig. 5GoA), and despite the presence of the respective transcription factors in the nuclei of hypoxic cells (Fig. 5Go, C and D), the results did not prove that these transcription factors are involved in the induction of PPT-I. These are ongoing studies by our research group, and the results are beyond the scope of this report. Such studies will determine the additional benefit to the BM and the immune system by the delayed induction of PPT-I following hypoxia. At this time, we could speculate that PPT-I gene products, which exert multiple functions within the neuroendocrine-immune-hemopoietic axis (9), might benefit distant organs following critical injuries associated with hemorrhagic shock. Other gene products within this axis cannot be eliminated and would require further studies.

Overall, this report, summarized in Fig. 9Go, brings an understanding of PPT-I induction following long-term (24 h) hypoxia (12). The results reinforce the ability of the "plastic" biological feature of the stromal cells to regulate homeostasis in the BM. Although this study shows PPT-I as a negative feedback on HIF-1{alpha} and active-caspase-3, the presence of PPT-I peptides in the BM could be important for the regulation of relevant hemopoietic regulators such as cytokines (9, 30, 36). This would be consistent for PPT-I peptides as hemopoietic regulators (9, 37, 38, 39) and the association of hypoxia with immune and blood cell replacement (10, 17, 39). It is tempting to speculate that these results might partly explain the mechanism in which the more quiescent BM progenitors are preserved during hypoxia (40). The role of proinflammatory cytokines on the expression of HIF-1{alpha} to regulate hypoxia-sensitive genes is different in normoxic and hypoxic conditions (41). Thus, the findings in this study contribute to the physiology of cells following relative hypoxic exposure to the BM microenvironment. These results could not otherwise be deduced from reports with cells in normoxic condition.


    Footnotes
 
1 This research was supported by National Institutes of Health Grants HL-54973, HL-57675, and CA89868. Back

2 K.R. and A.M. contributed equally to this work. Back

3 Address correspondence and reprint requests to Dr. Pranela Rameshwar, University of Medicine and Dentistry of New Jersey-New Jersey Medical School, 185 South Orange Avenue, MSB, Room E-579, Newark, NJ 07103. E-mail address: rameshwa{at}umdnj.edu Back

4 Abbreviations used in this paper: BM, bone marrow; SP, substance P; PPT-I, preprotachykinin-1; HIF-1{alpha}, hypoxia-inducible factor-1{alpha}; NK-1, neurokinin-1; {beta}-gal, {beta}-galactosidase; IR, immunoreactive. Back

Received for publication April 25, 2001. Accepted for publication August 14, 2001.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

  1. Phillips, R. L., R. E. Ernst, B. Brunk, N. Ivanova, M. A. Mahan, J. K. Deanehan, K. A. Moore, G. C. Overton, I. R. Lemischka. 2000. The genetic program of hematopoietic stem cells. Science 288:1635.[Abstract/Free Full Text]
  2. Zon, L. I.. 1995. Developmental biology of hematopoiesis. Blood 86:2876.[Abstract/Free Full Text]
  3. Pittenger, M. F., A. M. Mackay, S. C. Beck, R. K. Jaiswal, R. Douglas, J. D. Mosca, M. A. Moorman, D. W. Simonetti, S. Craig, D. R. Marshak. 1999. Multilineage potential of adult human mesenchymal stem cells. Science 284:143.[Abstract/Free Full Text]
  4. Fliedner, T. M.. 1998. The role of blood stem cells in hematopoietic cell renewal. Stem Cells 16:361.[Medline]
  5. Mezey, E., K. J. Chandross, G. Harta, R. A. Maki, S. R. McKercher. 2000. Turning blood into brain: cells bearing neuronal antigens generated in vivo from bone marrow. Science 290:1779.[Abstract/Free Full Text]
  6. Woodbury, D., E. J. Schwarz, D. J. Prockop, I. B. Black. 2000. Adult rat and human bone marrow stromal cells differentiate into neurons. J. Neurosci. Res. 61:364.[Medline]
  7. Muller-Sieburg, C. E., E. Deryugina. 1995. The stromal cells’ guide to the stem cell universe. Stem Cells 13:477.[Medline]
  8. Morrison, S. J., N. M. Shah, D. J. Anderson. 1997. Regulatory mechanisms in stem cell biology. Cell 88:287.[Medline]
  9. Rameshwar, P.. 1997. Substance P: a regulatory neuropeptide for hematopoiesis and immune functions. Clin. Immunol. Immunopathol. 85:120.
  10. Taneja, R., P. Rameshwar, J. Upperman, M. T. Wang, D. H. Livingston. 2000. Effects of hypoxia on granulocytic-monocytic progenitors in rats: role of bone marrow stroma. Am. J. Hematol. 64:20.[Medline]
  11. Testa, N. G., T. M. Dexter. 1990. Cell lineages in haemopoiesis: comments on their regulation. Semin. Immunol. 2:167.[Medline]
  12. Jr Quinlan, D., P. Rameshwar, J. Qian, P. B. Maloof, A. M. Mohr, C. J. Hauser, D. H. Livingston. 1998. Effect of hypoxia on the hematopoietic and immune modulator preprotachykinin-1. Arch. Surg. 133:1328.[Abstract/Free Full Text]
  13. Semenza, G. L.. 1999. Regulation of mammalian O2 homeostasis by hypoxia-inducible factor 1. Annu. Rev. Cell Dev. Biol. 15:551.[Medline]
  14. Kamura, T., S. Sato, K. Iwai, M. Czyzyk-Krzeska, R. C. Conaway, J. W. Conaway. 2000. Activation of HIF-1{alpha} ubiquitination by a reconstituted von Hippel-Lindau (VHL) tumor suppressor complex. Proc. Natl. Acad. Sci. USA 97:10430.[Abstract/Free Full Text]
  15. Jelkmann, W.. 1992. Erythropoietin: structure, control of production. Physiol. Rev. 72:449.[Free Full Text]
  16. Ferrara, N.. 1999. Role of vascular endothelial growth factor in the regulation of angiogenesis. Kidney Int. 98:281.
  17. Sandau, K. B., J. Fandrey, B. Brune. 2001. Accumulation of HIF-1{alpha} under the influence of nitric oxide. Blood 97:1009.[Abstract/Free Full Text]
  18. Lecci, A., S. Giuliani, M. Tramontana, F. Carini, C. A. Maggi. 2000. Peripheral actions of tachykinins. Neuropeptides 34:303.[Medline]
  19. Quartara, L., C. A. Maggi. 1997. The tachykinin NK1 receptor: part I: ligands and mechanisms of cellular activation. Neuropeptides 31:537.[Medline]
  20. Mohr, A. M., J. S. Upperman, R. Taneja, M. T. Wang, P. Rameshwar, D. H. Livingston. 1997. The differential effects of acute hypoxia and endotoxin on the secretion and expression of bone marrow interleukin-1 and interleukin-6. Shock 7:1.[Medline]
  21. Xu, D. Z., Q. Lu, R. Kubicka, E. A. Deitch. 1999. The effect of hypoxia/reoxygenation on the cellular function of intestinal epithelial cells. J. Trauma 46:280.[Medline]
  22. Wickremasinghe, G., V. A. Hoffbrand. 1999. Biochemical and genetic control of apoptosis: relevance to normal hematopoiesis and hematological malignancies. Blood 93:3587.[Free Full Text]
  23. Raff, M.. 1998. Cell suicide for beginners. Nature 396:119.[Medline]
  24. Rameshwar, P., A. Poddar, G. Zhu, P. Gascón. 1997. Receptor induction regulates the synergistic effects of substance P with IL-1 and PDGF on the proliferation of bone marrow fibroblasts. J. Immunol. 158:3417.[Abstract]
  25. Singh, D., D. D. Joshi, M. Hameed, J. Qian, P. Gascón, P. B. Maloof, A. Mosenthal, P. Rameshwar. 2000. Increased expression of preprotachykinin-I and neurokinin receptors in human breast cancer cells: implications for bone marrow metastasis. Proc. Natl. Acad. Sci. USA 97:388.[Abstract/Free Full Text]
  26. Qian, J., G. Yehia, C. Molina, A. Fernandes, R. J. Donnelly, D. J. Anjaria, P. Gascón, P. Rameshwar. 2001. Cloning of human preprotachykinin-I promoter and the role of adenosine 5'-monophosphate response elements in its expression by IL-1 and stem cell factor. J. Immunol. 166:2553.[Abstract/Free Full Text]
  27. Rameshwar, P., D. D. Joshi, P. Yadav, J. Qian, P. Gascon, V. T. Chang, D. Anjaria, J. S. Harrison, X. Song. 2001. Mimicry between neurokinin-1 and fibronectin may explain the transport and stability of increased substance P-immunoreactivity in patients with bone marrow fibrosis. Blood 97:3025.[Abstract/Free Full Text]
  28. Rameshwar, P., R. Narayanan, J. Qian, T. N. Denny, C. Colon, P. Gascón. 2000. NF-{kappa}B as a central mediator in the induction of TGF-{beta} in monocytes from patients with idiopathic myelofibrosis: an inflammatory response beyond the realm of homeostasis. J. Immunol. 165:2271.[Abstract/Free Full Text]
  29. Harmar, A. J., A. Amstrong, J. C. Pascall, K. Chapman, R. Rosie, A. Curtis, J. Going, C. R. Edwards, G. Fink. 1986. cDNA sequence of human {beta}-preprotachykinin, the common precursor to substance P and neurokinin-A. FEBS Lett. 208:67.[Medline]
  30. Rameshwar, P., P. Gascón. 1995. Substance P (SP) mediates production of stem cell factor and interleukin-1 in bone marrow stroma: potential autoregulatory role for these cytokines in SP receptor expression and induction. Blood 86:482.[Abstract/Free Full Text]
  31. Maloof, P. B., D. D. Joshi, J. Qian, P. Gascón, D. Singh, P. Rameshwar. 2000. Induction of preprotachykinin-I and neurokinin-1 by adrenocorticotropin and prolactin: implication for neuroendocrine-immune-hematopoietic axis. J. Neuroimmunol. 112:188.
  32. Wang, G. L., B. H. Jiang, E. A. Rue, G. L. Semenza. 1995. Hypoxia-inducible factor 1 is a basic-helix-loop-helix-PAS heterodimer regulated by cellular O2 tension. Proc. Natl. Acad. Sci. USA 92:5510.[Abstract/Free Full Text]
  33. Gleadle, J. M., P. J. Ratcliffe. 1998. Hypoxia and the regulation of gene expression. Mol. Med. Today 4:122.[Medline]
  34. Kimura, H., A. Weisz, Y. Kurashima, K. Hashimoto, T. Ogura, F. D’Acquisto, R. Addeo, M. Makuuchi, H. Esumi. 2000. Hypoxia response element of the human vascular endothelial growth factor gene mediates transcriptional regulation by nitric oxide: control of hypoxia-inducible factor-1 activity by nitric oxide. Blood 95:189.[Abstract/Free Full Text]
  35. Zermati, Y., C. Garrido, S. Amsellem, S. Fishelson, D. Bouscary, F. Valensi, B. Varet, E. Solary, O. Hermine. 2001. Caspase activation is required for terminal erythroid differentiation. J. Exp. Med. 193:247.[Abstract/Free Full Text]
  36. Lotz, M., J. H. Vaughan, D. A. Carson. 1988. Effect of neuropeptides on production of inflammatory cytokines by human monocytes. Science 241:1218.[Abstract/Free Full Text]
  37. Rameshwar, P., A. Poddar, P. Gascón. 1997. Hematopoietic regulation mediated by interactions among the neurokinins and cytokines. Leuk. Lymphoma 28:1.[Medline]
  38. Bost, K. L., D. W. Pascual. 1992. Substance P: a late-acting B lymphocyte differentiation cofactor. Am. J. Physiol. 262:C537.[Abstract/Free Full Text]
  39. Hiramoto, M., S. Aizawa, O. Iwase, M. Nakano, K. Toyama, M. Hoque, R. Nabeshima, A. Kaidow, T. Imai, H. Hoshi, H. Handa. 1998. Stimulatory effects of substance P on CD34 positive cell proliferation and differentiation in vitro are mediated by the modulation of stromal cell function. Int. J. Mol. Med. 1:347.[Medline]
  40. Cipolleschi, M. G., P. D. Sbarba, M. Olivoto. 1993. The role of hypoxia in the maintenance of hematopoietic stem cells. Blood 82:2031.[Abstract/Free Full Text]
  41. Hellwig-Burgel, T., K. Rutkowski, E. Metzen, J. Fandrey, W. Jelkmann. 1999. Interleukin-1{beta} and tumor necrosis factor-{alpha} stimulate DNA binding of hypoxia-inducible factor-1. Blood 94:1561.[Abstract/Free Full Text]



This article has been cited by other articles:


Home page
J Mol EndocrinolHome page
K. E Corcoran, A. Malhotra, C. A Molina, and P. Rameshwar
Stromal-derived factor-1{alpha} induces a non-canonical pathway to activate the endocrine-linked Tac1 gene in non-tumorigenic breast cells
J. Mol. Endocrinol., March 1, 2008; 40(3): 113 - 123.
[Abstract] [Full Text] [PDF]


Home page
J. Clin. Pathol.Home page
M. Nowicki, D. Ostalska-Nowicka, B. Kondraciuk, and B. Miskowiak
The significance of substance P in physiological and malignant haematopoiesis
J. Clin. Pathol., July 1, 2007; 60(7): 749 - 755.
[Abstract] [Full Text] [PDF]


Home page
Mol Cancer ResHome page
K. E. Corcoran and P. Rameshwar
Nuclear Factor-{kappa}B Accounts for the Repressor Effects of High Stromal Cell-Derived Factor-1{alpha} Levels on Tac1 Expression in Nontumorigenic Breast Cells
Mol. Cancer Res., April 1, 2007; 5(4): 373 - 381.
[Abstract] [Full Text] [PDF]


Home page
Reproductive SciencesHome page
C. Y. Cheung, L. Bogic, R. Gagnon, R. Harding, and R. A. Brace
Morphologic Alterations in Ovine Placenta and Fetal Liver Following Induced Severe Placental Insufficiency
Reproductive Sciences, December 1, 2004; 11(8): 521 - 528.
[Abstract] [PDF]


Home page
J. Am. Soc. Nephrol.Home page
O. Eickelberg, F. Seebach, M. Riordan, G. Thulin, A. Mann, K. H. Reidy, S. K. Van Why, M. Kashgarian, and N. Siegel
Functional Activation of Heat Shock Factor and Hypoxia-Inducible Factor in the Kidney
J. Am. Soc. Nephrol., August 1, 2002; 13(8): 2094 - 2101.
[Abstract] [Full Text] [PDF]


This Article
Right arrow Abstract Freely available
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow Request Permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Qian, J.
Right arrow Articles by Rameshwar, P.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Qian, J.
Right arrow Articles by Rameshwar, P.


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS