Accumulated evidence indicates that hypoxia activates collagen synthesis in
tissues. To explore the molecular mechanism of activation, we screened gen
es that are up-regulated or down-regulated by hypoxia, Fibroblasts isolated
from fetal rat lung were cultured under hypoxia, Differential display tech
nique showed that the mRNA level of prolyl 4-hydroxylase (PH) alpha(I), an
active subunit that catalyzes the oxygen-dependent hydroxylation of proline
residue in procollagen, increased 2-3-fold after an 8-h exposure to hypoxi
a, This elevated level was maintained over 40 h and returned to the basal l
evel after reoxygenation, The transcription rate, protein level, and hydrox
yproline content tan indicator of the prolyl hydroxylation) were all elevat
ed by hypoxic culture. Analysis of the promotor region of PH alpha(I) gene
indicated that a motif similar to hypoxia-responsive element (HRE) of hypox
ia-inducible genes such as erythropoietin, was identified within a 120-base
pair sequence upstream of the transcription start site. Luciferase reporte
r assay and mutational analysis showed that a site similar to the HRE in th
is motif is functionally essential to hypoxic response. Electrophoretic mob
ility shift assay revealed that hypoxia-inducible factor-1 was stimulated a
nd bound to the PH alpha(I) HRE upon hypoxic challenge. Our results indicat
e that PHa(I), an essential enzyme for collagen synthesis, is a target gene
for hypoxia-inducible factor-1.