title: HIF-1-mediated expression of pyruvate dehydrogenase kinase: a metabolic switch required for cellular adaptation to hypoxia.
abstract: Activation of glycolytic genes by HIF-1 is considered critical for metabolic adaptation to hypoxia through increased conversion of glucose to pyruvate and subsequently to lactate. We found that HIF-1 also actively suppresses metabolism through the tricarboxylic acid cycle (TCA) by directly trans-activating the gene encoding pyruvate dehydrogenase kinase 1 (PDK1). PDK1 inactivates the TCA cycle enzyme, pyruvate dehydrogenase (PDH), which converts pyruvate to acetyl-CoA. Forced PDK1 expression in hypoxic HIF-1alpha null cells increases ATP levels, attenuates hypoxic ROS generation, and rescues these cells from hypoxia-induced apoptosis. These studies reveal a hypoxia-induced metabolic switch that shunts glucose metabolites from the mitochondria to glycolysis to maintain ATP production and to prevent toxic ROS production.
authors.affiliation: Graduate Program of Pathobiology, Johns Hopkins University School of Medicine, Baltimore, Maryland 21205, USA.
authors.forename: Jung-whan
authors.initials: JW
authors.lastname: Kim
authors.forename: Irina
authors.initials: I
authors.lastname: Tchernyshyov
authors.forename: Gregg L
authors.initials: GL
authors.lastname: Semenza
authors.forename: Chi V
authors.initials: CV
authors.lastname: Dang
mesh_terms: D000222:Adaptation, Physiological; D000818:Animals; D017209:Apoptosis; D015687:Cell Hypoxia / Q000502:physiology*; D002470:Cell Survival; D005347:Fibroblasts / Q000166:cytology; D015870:Gene Expression; D015971:Gene Expression Regulation, Enzymologic; D006801:Humans; D051795:Hypoxia-Inducible Factor 1, alpha Subunit / Q000172:deficiency / Q000378:metabolism*; D051379:Mice; D008954:Models, Biological; D010766:Phosphorylation; D011494:Protein Kinases / Q000378:metabolism*; D017346:Protein Serine-Threonine Kinases; D000081382:Pyruvate Dehydrogenase Acetyl-Transferring Kinase; D017382:Reactive Oxygen Species
chemical_list: D051795:Hypoxia-Inducible Factor 1, alpha Subunit; C000631429:PDK1 protein, human; C000631433:Pdk1 protein, mouse; D000081382:Pyruvate Dehydrogenase Acetyl-Transferring Kinase; D017382:Reactive Oxygen Species; D011494:Protein Kinases; D017346:Protein Serine-Threonine Kinases