The vascular endothelium is an important mediator of vascular tone, inflamm
atory-immune reactions, vascular permeability, angiogenesis, and hemostasis
. Endothelial functions may be altered by changes in the local cellular env
ironment, particularly changes in oxygen tension. The mechanisms by which e
ndothelial cells (ECs) respond and adapt to hypoxia are unknown; however, t
he EC is one of the more hypoxia-tolerant mammalian cell types. Cultured EC
s exposed to hypoxia up-regulate a set of stress proteins, termed hypoxia-a
ssociated proteins (HAPs), that are distinct from the classically described
stress proteins induced by heat shock (heat-shock proteins, HSPs) or gluco
se deprivation (glucose-regulated proteins, GRPs). Two of these proteins ha
ve been identified as the glycolytic enzymes glyceraldehyde-3-phosphate deh
ydrogenase (GAPDH) and non-neuronal enolase (NNE). GAPDH expression during
hypoxia is regulated primarily at the level of transcription, while the mec
hanism of NNE mRNA accumulation remains unclear. GAPDH, NNE, and the other
HAPs are up-regulated by transitional metals and deferoxamine; however, unl
ike the situation with other hypoxia-regulated proteins such as erythropoie
tin, the up-regulation of GAPDH, NNE, and the other HAPs by hypoxia is not
inhibited by carbon monoxide. Subcellular fractionation of hypoxic EC has s
hown that GAPDH and NNE are up-regulated in the cytoplasmic fraction as wou
ld be expected for a glycolytic enzyme; however, a protein corresponding to
GAPDH is also up-regulated in the nuclear fraction. This suggests that GAP
DH and perhaps NNE have functions aside from their catalytic function in gl
ycolysis. It is unknown whether the up-regulation of GAPDH, NNE, and the ot
her HAPs in ECs is related to the relative ability of ECs to adapt to hypox
ia; however, other more-hypoxia-sensitive cells do not up-regulate HAPs.