P olyl Hyd oxylase-dependen Modula ion o Euka yo ic
Elonga ion Fac o 2 Ac i i y and P o ein T ansla ion unde
Acu e Hypoxia
*
□
S
Recei ed o publica ion, Augus 30, 2011, and in e ised o m, Janua y 14, 2012 Published, JBC Pape s in P ess, Feb ua y 3, 2012, DOI 10.1074/jbc.M111.299180
An onio Rome o-Ruiz
‡1,2
, Lucía Bau is a
‡1
, Vi ginia Na a o
§
, An onio He as-Ga ín
‡
, Rosana Ma ch-Díaz
‡
,
An onio Cas ellano
‡
, Raquel Gómez-Díaz
‡
, Ma ía J. Cas o
‡
, Edu ne Be a
§
, José López-Ba neo
‡3
,
and Albe o Pascual
‡4
F om he
‡
Ins i u o de Biomedicina de Se illa, Hospi al Uni e si a io Vi gen del Rocío/CSIC/Uni e sidad de Se illa,
41013 Se ille and he
§
Cen o de In es igación Coope a i a en Biociencias, CIC bioGUNE, Pa que Tecnológico de Bizkaia,
48160 De io, Spain
Backg ound: T ansla ional a es is a classical cellula esponse o hypoxia, he unde lying mechanisms o which a e
unknown.
Resul s: Inhibi o y phospho yla ion o euka yo ic elonga ion ac o 2 by acu e hypoxia depends on oxygen-sensi i e p olyl
hyd oxylases (PHDs).
Conclusion: The elonga ion phase o p o ein syn hesis is egula ed by PHDs.
Signi icance: This wo k un a els a no el cellula p ocess con olled by PHDs, po en ial pha macological a ge s in se e al
human diseases.
Ea ly adap i e esponses o hypoxia a e essen ial o cell su -
i al, bu hei na u e and unde lying mechanisms a e poo ly
known. We ha e s udied he pos - ansc ip ional changes in he
p o eome o mammalian cells elici ed by acu e hypoxia and
ound ha phospho yla ion o euka yo ic elonga ion ac o 2
(eEF2), a ibosomal anslocase whose phospho yla ion inhibi s
p o ein syn hesis, is unde he p ecise and e e sible con ol o
O
2
ension. Upon exposu e o hypoxia, phospho yla ion o eEF2
a Th
56
occu ed apidly (<15 min) and esul ed in modes
ansla ional a es , a undamen al homeos a ic esponse o
hypoxia ha spa es ATP and hus acili a es cell su i al. Acu e
inhibi o y eEF2 phospho yla ion occu ed wi hou ATP deple-
ion o AMP kinase ac i a ion. Fu he mo e, eEF2 phospho yl-
a ion was mimicked by p olyl hyd oxylase (PHD) inhibi ion
wi h dime hyloxalylglycine o by selec i e PHD2 siRNA silenc-
ing bu was independen o hypoxia-inducible ac o
␣
s abili-
za ion. Mo eo e , o e exp ession o PHD2 blocked hypoxic
accumula ion o phospho yla ed eEF2. The e o e, ou indings
sugges ha eEF2 phospho yla ion s a us (and, as a conse-
quence, ansla ion a e) is con olled by PHD2 ac i i y. They
un a el a no el pa hway o cell adap a ion o hypoxia ha could
ha e pa hophysiologic ele ance in issue ischemia and cance .
Cell adap a ion o educed oxygen a ailabili y o main ain
ATP le els is a majo physiologic challenge because O
2
dep i-
a ion, e en ansien , can p oduce i e e sible damage. Cellu-
la esponses o hypoxia comp ise ansc ip ional and non-
ansc ip ional mechanisms, he na u e o which is as ye only
pa ially known (1–3). T ansc ip ional adap a ion o low O
2
ension depends mainly on hypoxia-inducible ansc ip ion
ac o s (HIFs),
5
mas e egula o s o a b oad coho o genes
whose exp ession dec eases he cellula O
2
demand and
inc eases O
2
supply (3). Cellula le els o HIF-
␣
a e in e sely
co ela ed wi h he ac i i y o p olyl hyd oxylases (PHDs),
O
2
-sensingandFe
2⫹
-dependen enzymes ha hyd oxyla espe-
ci ic p oline esidues in HIF-
␣
using O
2
as co-subs a e, hus
allowing HIF-
␣
ubiqui ina ion and p o easomal deg ada ion (4,
5).
In con as wi h he ela i ely well cha ac e ized PHD-HIF
pa hway, he ansc ip ion-independen hypoxic adap i e
mechanisms a e poo ly unde s ood. Ne e heless, hey a e
essen ial o cell su i al du ing he i s minu es o hypoxia,
be o e unc ional exp ession o he O
2
- egula ed genes can ake
place (2, 6). Global inhibi ion o p o ein syn hesis (“ ansla-
ional a es ”) has been classically ecognized as a undamen al
adap a ion o hypoxia because mRNA ansla ion is an ene gy-
cos ly p ocess ha consumes up o 70% o he ATP syn hesized
by he cells. Hence, any small adjus men o he ansla ion a e
can spa e su icien ATP as o immedia ely a end unc ions
c i ical o cell su i al (7–10). Se e al kinases egula ed du ing
cell ene gy s a a ion, in pa icula mTOR (mammalian a ge
o apamycin), he endoplasmic e iculum kinase PERK, and
AMP-ac i a ed p o ein kinase (AMPK), ha e been sugges ed o
*This wo k was suppo ed by he Spanish Minis y o Science and Heal h, he
Ma celino Bo in Founda ion, and he Andalusian Go e nmen .
□
S
This a icle con ains supplemen al “Me hods,” Figs. 1 and 2, Tables I and II,
and addi ional e e ences.
1
Bo h au ho s con ibu ed equally o his wo k.
2
Fellow o he Spanish “Sa a Bo ell” P og am.
3
To whom co espondence may be add essed: Ins . de Biomedicina de Se -
illa, Hospi al Uni e si a io Vi gen del Rocío, A . Manuel Siu o s/n, 41013
Se ille, Spain. E-mail: [email p o ec ed].
4
To whom co espondence may be add essed: Ins . de Biomedicina de Se -
illa, Hospi al Uni e si a io Vi gen del Rocío, A . Manuel Siu o s/n, 41013
Se ille, Spain. Tel.: 34-95-592-3049; Fax: 34-95-592-3101; E-mail: apascual-
[email p o ec ed].
5
The abb e ia ions used a e: HIF, hypoxia-inducible ansc ip ion ac o ;
PHD, p olyl hyd oxylase; AMPK, AMP-ac i a ed p o ein kinase; eEF2,
euka yo ic elonga ion ac o 2; eEF2K, eEF2 kinase; DMOG, dime hyloxalyl-
glycine; DIGE, di e ence gel elec opho esis.
THE JOURNAL OF BIOLOGICAL CHEMISTRY VOL. 287, NO. 12, pp. 9651–9658, Ma ch 16, 2012
© 2012 by The Ame ican Socie y o Biochemis y and Molecula Biology, Inc. Published in he U.S.A.
MARCH 16, 2012•VOLUME 287•NUMBER 12 JOURNAL OF BIOLOGICAL CHEMISTRY 9651
con ibu e o HIF-independen inhibi ion o p o ein ansla-
ion unde low O
2
condi ions (7, 9, 11–13). These phospho yl-
a ion/dephospho yla ion cascades egula e p o ein syn hesis
by p ecisely modula ing he ac i i y o ibosomal ini ia ion and
elonga ion ac o s (10, 14). In his ega d, euka yo ic elonga ion
ac o 2 (eEF2), a anslocase necessa y o he mo emen o he
mRNA along he ibosome, is pa icula ly impo an as, in con-
junc ion wi h aminoacyla ion, i uses mos o he ATP equi ed
o p o ein syn hesis (15). eEF2 is inhibi ed by phospho yla ion
a Th
56
by eEF2 kinase (eEF2K) (16, 17), which in u n is ac i-
a ed by AMPK (18).
Using a p o eomic app oach designed o de ec ea ly adap -
i e changes du ing sho - e m (5–30 min) exposu e o hypoxia,
we ha e iden i ied se e al p o eins acu ely egula ed by O
2
a ailabili y. Among hese p o eins, eEF2 was also modula ed by
dime hyloxalylglycine (DMOG), an inhibi o o he O
2
-sensing
PHDs. He ein, we show ha eEF2 ac i i y is apidly and e e s-
ibly egula ed by O
2
ension in a PHD2-dependen manne .
This phenomenon is un ela ed o HIF s abiliza ion, and i
occu s p io o AMPK ac i a ion. These obse a ions, which
un eil unexpec ed ac ions o he O
2
-sensing PHD2, could ha e
p o ound implica ions o he pa hophysiology and pha macol-
ogy o cell adap a ion o hypoxia.
EXPERIMENTAL PROCEDURES
Cell Cul u e and Hypoxic T ea men s
PC12, Mlp9, HeLa, and HuH7 cells we e cul u ed in DMEM
(BioWhi ake ) supplemen ed wi h 10% FBS (In i ogen), 100
uni s/ml penicillin, 100 uni s/ml s ep omycin, and 2 mML-glu-
amine(BioWhi ake ).Ca diac en icula myocy eswe ep e-
pa ed om 1–3-day-old animals and cul u ed as desc ibed (19).
Hepa ocy eswe e isola ed om male Wis a a s bycollagenase
(In i ogen) pe usion as desc ibed p e iously (41). U2OS
Te -On and U2OS Te -On/pUHD-FLAG-PHD2 cells we e cul-
u ed in DMEM supplemen ed wi h 10% e acycline- ee FBS
(Clon ech), 100 uni s/ml penicillin, 100 uni s/ml s ep omycin,
and5
g/mlblas icidinS(In i ogen). 200
g/mlhyg omycinB
(Roche Applied Science) was used in U2OS FLAG-PHD2 cul-
u es. Cells we e main ained unde a wa e -sa u a ed a mo-
sphe e o 5% CO
2
and 95% ai . DMOG (BIOMOL In e na-
ional) was used a a inal concen a ion o 1 mM, NaF (Sigma)
was used a 25 mM, and 5-aminoimidazole-4-ca boxamide
iboside (Sigma) was used a 1 mM. Okadaic acid (Calbiochem)
and sanguina ine (Sigma) we e used a he concen a ions
speci ied.
Hypoxic condi ions (1% O
2
, 94% N
2
, and 5% CO
2
) we e
achie ed in a humidi ied a iable ae obic wo ks a ion (In i o
2
300, Ruskinn Technology L d.). In all expe imen s, cells we e
pla ed a 30–50% con luence o p e en he de elopmen o
anae obic condi ions a 1% O
2
. Be o e expe imen a ion, media
we e p e-equilib a ed o e nigh o he expe imen al oxygen
le el.
P o ein Analysis
Sample P epa a ion, Labeling, and Analysis by Two-dimen-
sional Di e ence Gel Elec opho esis (DIGE)—S100 p o ein
ex ac s om PC12 cells we e p epa ed and labeled as
desc ibed (20). 150
g o labeled p o ein con aining h ee
ex ac s o equal amoun s (no moxic, hypoxic, o DMOG-
ea ed and he in e nal s anda d) we e used o wo-dimen-
sional DIGE. Elec opho e ic condi ions, quan i a i e analysis
o di e ences, and p epa a i e gels we e as desc ibed (20). Fou
biological eplica es we e used in all o he expe imen s.
eEF2 Pu i ica ion om Ra Li e —Ra li e s we e homoge-
nized, and eEF2 was pu i ied as desc ibed (21) using an ÄKTA
pu i ie (GE Heal hca e).
Wes e n Blo ing, P o ein Syn hesis Measu emen s, and
MALDI-MS/MS Analysis—These a e desc ibed unde supple-
men al “Me hods.”
RNA In e e ence
T ans ec ions o siRNAs we e ca ied ou using Lipo-
ec amine 2000 (In i ogen) a a inal concen a ion o 20 nM.
P e iously alida ed sequences o siRNAs we e used (22, 23).
Howe e , he e icacy o he ans ec ion in each expe imen
was asce ained by immunoblo ing and/o eal- ime quan i a-
i e PCR. Unpublished siRNAs and oligonucleo ide sequences
a e p o ided unde supplemen al “Me hods.”
ATP Measu emen s
ATP le els in cell ex ac s we e de e mined wi h a CLS II
ATPbioluminescenceassayki (RocheAppliedScience)usinga
GloMax
TM
96-mic opla e luminome e equipped wi h an
au oinjec ion de ice (P omega).
S a is ics
Da a a e p esen ed as he mean ⫾S.E. and we e analyzed by
one-way analysis o a iance, ollowed by Tukey’s es . p⬍0.05
was conside ed s a is ically signi ican .
RESULTS
Acu e O
2
-dependen Modula ion o Cell P o eome—We pe -
o med p o eomic ( wo-dimensional DIGE) analyses o soluble
subcellula ac ions (S100) (20) ob ained om homogena es o
PC12 cells exposed o no moxia (21% O
2
) o hypoxia (1% O
2
)
o 15–30 min. A wo-dimensional map o he S100 ac ion is
shown in Fig. 1A, wi h spo s whose ela i e amoun s inc eased
( ed), dec eased (g een), o we e unchanged (yellow) unde
hypoxia. Among he 2598 spo s de ec ed, 24 we e iden i ied in
all o he expe imen al eplica es and changed hei ela i e
amoun unde hypoxia e sus no moxia (⬎1.5- old; p⬍0.05)
(supplemen al Table I). In wo-dimensional gels, eEF2
appea ed in a s ip o spo s ha could co espond o addi i e
modi ica ions o he p o ein (Fig. 1A,boxed); hence, we
ex ended ou analysis o addi ional neighbo ing spo s. These
modi ica ions a e p obably due o di e en diph hamide con-
en in eEF2. Among he se en spo s s udied (Fig. 1B,uppe
panel), i e we e iden i ied as eEF2 by MALDI-MS(/MS) (as e -
isks), and all we e ecognized by an an i-eEF2 an ibody (Fig. 1B,
middle panel). Acco dingly, eEF2 pu i ied om a li e and
sepa a ed by wo-dimensional elec opho esis showed a simila
dis ibu ion (Fig. 1B,lowe panel). These esul s e ealed ha
eEF2 is modi ied by sho - e m exposu e o hypoxia, hus sug-
ges ing ha i could be a media o o he ea ly adap i e mech-
anisms igge ed by low O
2
ension.
PHD2 Ac i i y and T ansla ional A es unde Hypoxia
9652 JOURNAL OF BIOLOGICAL CHEMISTRY VOLUME 287•NUMBER 12•MARCH 16, 2012
I is known ha eEF2 ac i i y is inhibi ed by phospho yla ion
a Th
56
h ough a speci ic eEF2 kinase (16, 17). The e o e, we
es ed in se e al cell ypes whe he he changes in eEF2
obse ed in he wo-dimensional DIGE analyses co ela ed
wi h modi ica ions in eEF2 Th
56
phospho yla ion s a us using
speci ic phospho-Th
56
an ibodies. Hypoxia (1% O
2
) p oduced
a ma ked inc ease in eEF2 phospho yla ion ha was de ec able
15 min a e exposu e o cells o low O
2
ension. The o al
amoun o eEF2 was unchanged by exposu e o hypoxia (Fig. 1,
C–E, and supplemen al Fig. 1, Aand B).
Inhibi o y eEF2 Phospho yla ion by Acu e Hypoxia Occu s
be o e ATP Deple ion and AMPK Ac i a ion—As men ioned
p e iously, se e al kinases modula ed by ene gy s a a ion a e
also egula ed du ing sus ained hypoxic condi ions (7, 9, 12, 13,
18). AMPK, ac i a ed by phospho yla ion a Th
172
by LKB1
(li e kinase B1) when he AMP/ATP a io inc eases (24–27),
can ac i a e eEF2K h ough phospho yla ion a Se
398
(18) and
hus induce inhibi o y Th
56
phospho yla ion o eEF2 (16, 17).
We pos ula ed ha he as O
2
-dependen modula ion o eEF2
epo ed he e should occu p io o and independen ly o
AMPK ac i a ion.
As expec ed, exposu e o hepa ocy es o 1% O
2
e ealed a
clea inc ease in eEF2 Th
56
phospho yla ion de ec able as
soon as 5 min a e O
2
dep i a ion, wi hou any inc ease in he
le els o ac i e AMPK (phospho yla ed a Th
172
). In con as ,
cells ea ed wi h 5-aminoimidazole-4-ca boxamide iboside,
an AMPK ac i a o used as a con ol (28), showed s ong ac i-
a ion o AMPK (Fig. 2A). Sho - e m exposu e o hypoxia also
esul ed in an inc ease in eEF2 phospho-Th
56
and dec ease in
AMPK phospho-Th
172
le els in o he cell ypes analyzed (Fig.
2B). In e es ingly, he amoun o ac i e AMPK du ing hypoxic
exposu eslas ingup o4h emained e en lowe han ha unde
no moxia (Fig. 2, Aand B). In ai ag eemen wi h hese da a,
he cellula ATP concen a ion did no change (o e en
inc eased) a e 15 o 60 min o hypoxia (1% O
2
) (Fig. 2C). The
ac i i y o eEF2K is inhibi ed by phospho yla ion a Se
366
,a
p ocess egula ed by p90
RSK
/p70
S6K
kinases (18). Sho - e m
hypoxia did no p oduce any changes in he cellula le els o
eEF2K phospho-Se
366
(Fig. 1C). Hypoxic ea men did no
al e he o al le els o eEF2, eEF2K, o AMPK (Figs. 1Cand 2B).
Hypoxia and PHD2 Inhibi ion Inc ease eEF2 Phospho yla ion
in a HIF-independen Manne —To es whe he some o he
iden i iedp o einsmodi iedbyhypoxiacouldbeunde hecon-
ol o he O
2
-sensing PHDs, cells we e exposed o DMOG, a
compe i i e inhibi o o 2-oxoglu a a e-dependen dioxyge-
nases, including PHDs (4, 29). Con ol (un ea ed) and 15-min
DMOG- ea ed cells we e p ocessed by wo-dimensional
DIGE, and a ep esen a i e gel o he S100 ac ion is shown in
Fig.3A, wi h p o eins whose ela i e amoun s inc eased (g een),
dec eased ( ed), o we e unchanged (yellow) a e DMOG ea -
men . Only spo 1, iden i ied by mass inge p in ing analysis as
eEF2, changed bo h unde hypoxia (Fig. 1A) and a e DMOG
ea men (Fig. 3A). Like hypoxia, DMOG ea men also elic-
i ed, in se e al cell ypes, a simila phospho-Th
56
eEF2 accu-
mula ion al hough wi h a slowe ime cou se (Fig. 3, C–E, and
supplemen al Fig. 1B). DMOG- igge ed accumula ion o
ei he HIF-1
␣
o HIF-2
␣
, used as con ols (Fig. 3C), was also
delayed compa ed wi h hypoxia, hus possibly e lec ing
DMOG cellula up ake and me aboliza ion o he ac i e N-ox-
alylglycine inhibi o .
As ans o med cell lines no mally show some esis ance o
hypoxic ansla ional a es (30), we es ima ed i he inc ease in
phospho yla ion o eEF2 by sho - e m hypoxia o DMOG
induced a concomi an dec ease in p o ein ansla ion in p i-
ma y cul u ed hepa ocy es (Fig. 3E). As expec ed, hypoxic and
DMOG ea men s esul ed in a signi ican dec ease in he p o-
FIGURE 1. Acu e inhibi o y eEF2 phospho yla ion (Th
56
) is induced by hypoxia. A, ep esen a i e wo-dimensional gel. Ex ac s om no moxic (21% O
2
;
g een) o hypoxic (1% O
2
, 15 min; ed) PC12 cells mig a ed in he same gel. Numbe ed spo s co espond o he spo s lis ed in supplemen al Table I. The in e nal
s anda d ex ac is no shown in he image. B, same spo s as hose boxed in Alabeled wi h CyDye om a di e en wo-dimensional gel (uppe panel). Fi e spo s
(as e isks) we e iden i ied as eEF2 by pep ide mass inge p in ing analysis. Wes e n blo ing o he ma ked spo s was pe o med using an an i-eEF2 an ibody
(
␣
-eEF2;middle panel). eEF2 was pu i ied om a li e , sepa a ed by wo-dimensional elec opho esis, and de ec ed by SYPRO s aining (lowe panel). C,
phospho yla ion o eEF2 a Th
56
in HuH7 cells subjec ed o no moxia (N) o hypoxia (H;1%O
2
) o 15–240 min. The le els o eEF2K, eEF2K Se
366
,

-ac in (

-ac ),
HIF-1
␣
, and HIF-2
␣
we e analyzed in he same cell ex ac s. D, quan i ica ion o eEF2 phospho-Th
56
le els in C. .u., ela i e uni s. E, hepa ocy es subjec ed o
no moxia o hypoxia (1% O
2
) o 15 min. Two independen expe imen s a e shown. The o al le els o eEF2 and

-ac in we e analyzed by Wes e n blo ing.
PHD2 Ac i i y and T ansla ional A es unde Hypoxia
MARCH 16, 2012•VOLUME 287•NUMBER 12 JOURNAL OF BIOLOGICAL CHEMISTRY 9653
ein syn hesis a e as de e mined by [
35
S]Me inco po a ion
assay (Fig. 3F).
Hypoxia and DMOG apidly inhibi PHDs; he e o e, he
in ol emen o hese enzymes in he modula ion o p o ein
syn hesis was s udied using cells incuba ed wi h siRNA speci ic
o each PHD (22). We obse ed a selec i e inc ease in eEF2
phospho-Th
56
a e PHD2 silencing and no e ec a e inhibi-
ion o ei he PHD1 o PHD3 (Fig. 4A). The e ec i eness o he
siRNA ea men on PHD mRNAs was con i med by quan i a-
i e RT-PCR (supplemen al Table II). PHD2 silencing was also
demons a ed by selec i e s abiliza ion o HIF-1
␣
(Fig. 4A).
PHD down- egula ion s udied in se e al cell ypes always co -
ela ed wi h hype phospho yla ion o eEF2 a Th
56
(supple-
men al Fig. 2A).
To u he p o e he di ec in ol emen o PHD2 in he eg-
ula ion o eEF2 by acu e hypoxia, we used a cell line (U2OS) in
which PHD2 exp ession is condi ionally induced by doxycy-
cline.
6
O e exp ession o PHD2 is known o inhibi s abiliza-
ion o HIF-1 and HIF-2
␣
unde hypoxia (23, 31); hence, we
6
N. Masson and P. J. Ra cli e, unpublished da a.
FIGURE 2. Inhibi o y eEF2 phospho yla ion unde acu e hypoxia is independen o AMPK ac i i y. A, phospho yla ion o eEF2 (Th
56
) and AMPK (Th
172
)
analyzed by Wes e n blo ing in hepa ocy es subjec ed o hypoxia (H) o 5–240 min o ea ed wi h he AMPK ac i a o 5-aminoimidazole-4-ca boxamide
iboside (AICAR) o 240 min as a con ol. B, phospho yla ion o eEF2 (Th
56
) and AMPK (Th
172
) analyzed by Wes e n blo ing in PC12 (le panels) and HuH7 ( igh
panels) cells exposed o no moxia o hypoxia o 5 o 15 min. To al AMPK, eEF2K, and

-ac in (

-ac ) we e used as loading con ols. C, ATP le els in HeLa (le
ba s) and HuH7 ( igh ba s) cell lysa es exposed o no moxia o hypoxia o 15 o 60 min. Dashed lines ep esen no moxic le els. *, p⬍0.05 (n⫽5).
FIGURE 3. Acu e inhibi o y eEF2 phospho yla ion (Th
56
) induced by DMOG ea men . A, ep esen a i e wo-dimensional gel showing p o ein ex ac s
om con ol ( ed) and DMOG- ea ed (g een) cells. The enci cled spo was di e en ially exp essed a e DMOG ea men and is simila o spo 1 in Fig. 1A. The
boxed a ea ep esen s he same a ea o he gel shown in Fig. 1A.B, wo-dimensional gel egion showing spo s modi ied by hypoxia (uppe panel) and DMOG
(lowe panel). C, phospho yla ion o eEF2 (Th
56
) in HuH7 cells subjec ed o no moxia (N) o DMOG (1 mM) o 15–240 min. The le els o eEF2K, eEF2K Se
366
,

-ac in (

-ac ), HIF-1
␣
, and HIF-2
␣
we e analyzed in he same cell ex ac s. D, quan i ica ion o eEF2 phospho-Th
56
le els in C. .u., ela i e uni s. E, hepa ocy es
subjec ed o no moxia o DMOG (1 mM) o 15 min. Two independen expe imen s a e shown. The o al le els o eEF2 and

-ac in we e analyzed by Wes e n
blo ing. F, p o ein syn hesis ([
35
S]Me inco po a ion) in ca diomyocy es exposed o no moxia, DMOG, o hypoxia (H) o 4 h. Da a a e ep esen ed ela i e o
no moxia. *, p⬍0.05 (n⫽5).
PHD2 Ac i i y and T ansla ional A es unde Hypoxia
9654 JOURNAL OF BIOLOGICAL CHEMISTRY VOLUME 287•NUMBER 12•MARCH 16, 2012
es ed whe he PHD2 o e exp ession also p e en s eEF2 phos-
pho yla ion by acu e hypoxia. A e 4hindoxycycline, PHD2
exp ession was obse ed in U2OS cells (Fig. 4B) and was co e-
la ed wi h a clea dec ease in he amoun o eEF2 phospho yl-
a ed a e 30 min o hypoxic ea men (Fig. 4B; see quan i ica-
ion in Fig. 4C,p⫽0.024). As a con ol, we es ed whe he
HIF-1
␣
s abiliza ion by hypoxia was also pa ially p e en ed by
PHD2 exp ession (Fig. 4B; see quan i ica ion in Fig. 4C,p⫽
0.044).
Because inhibi ion o PHD2 by hypoxia, DMOG, o siRNA
leads o HIF-
␣
accumula ion, we in es iga ed whe he HIF
migh egula e eEF2 phospho yla ion a Th
56
. Al hough
exp ession o ei he HIF-1
␣
o HIF-2
␣
unde hypoxia was
clea ly abolished using speci ic siRNAs, eEF2 phospho yla ion
was unal e ed (Fig. 4D,uppe panels). Hypoxia-dependen
eEF2 phospho yla ion was obse ed e en hough HIF-1
␣
and
HIF-2
␣
we e simul aneously silenced o p e en possible com-
pensa o y e ec s o any o he iso o ms (Fig. 4D,lowe panels).
The dispensabili y o HIF-
␣
o he hypoxic/DMOG-induced
eEF2 phospho yla ion was u he con i med using a gene i-
callymodi ied emb yonic s em cell line lacking HIF-1
␣
(supple-
men al Fig. 2B) (32).
eEF2 Phospho yla ion by Hypoxia Is Re e sible and S ongly
Con olled by Phospha ase Ac i i y—Accumula ion o phos-
pho yla ed eEF2 unde hypoxia was apidly (⬍15 min) e e sed
upon eoxygena ion, independen ly o he du a ion o he
hypoxic ea men (Fig. 5A), hus suppo ing he no ion ha
O
2
-dependen eEF2 phospho yla ion is indeed a igh ly egu-
la ed p ocess. Fu he mo e, inhibi ion o Se /Th phospha ases
wi h NaF p oduced a ma ked inc ease in he amoun o eEF2
phospho-Th
56
, which was no u he modi ied by subsequen
exposu e o hypoxia. In con as , phospho yla ion o eEF2K a
Se
366
, used as a con ol o phospha ase ac i i y, was
unchanged. Hence, eEF2 phospho-Th
56
appea s o be highly
suscep ible o he ac ion o phospha ases (Fig. 5B). To iden i y
he phospha ase ac ing on eEF2, we used inhibi o s mo e spe-
ci ic han NaF. I has been desc ibed ha eEF2 can be dephos-
pho yla ed by PP2A and PP2C (33, 34). Hence, we es ed spe-
ci ic inhibi o s o each phospha ase and analyzed whe e hey
ep oduce he as changes in he le el o phospho yla ion o
eEF2 obse ed unde hypoxia. A sho okadaic acid ea men
(a PP2A inhibi o ) p oduced a s ong accumula ion o eEF2
(Fig. 5C,le panels), bu sanguina ine (a PP2C inhibi o ) did
no a ec he phospho yla ion s a us o eEF2 ( igh panels).
These esul s sugges ha PP2A con ols he phospho yla ion
s a us o eEF2 unde no moxia.
DISCUSSION
In his wo k, we ha e desc ibed selec i e pos - ansc ip ional
adap i e changes in he p o eome o mammalian cells elici ed
by acu e hypoxia. We ocused on eEF2, a anslocase necessa y
o p o ein syn hesis, al hough we iden i ied wo o he p o eins
(a ginyl aminopep idase and p o ease inhibi o Se pinB6) also
al e ed by lowe ing O
2
ension (supplemen al Table I). We ha e
shown ha hypoxic inhibi o y eEF2 phospho yla ion is inde-
penden o AMPK ac i i y and is mimicked by DMOG ea -
FIGURE 4. Hypoxic eEF2 phospho yla ion is egula ed by PHD2 in HIF-independen manne . A, phospho yla ion o eEF2 (Th
56
) and le els o HIF-1
␣
examined by Wes e n blo ing 48 h a e siRNA ans ec ion. HeLa cells we e ans ec ed ei he wi h PHD siRNAs o a non-silencing sc ambled siRNA (Con ol).
Con ol cells we e independen ly subjec ed o hypoxia (H) o 15 min. In all he expe imen s, sample loading was no malized wi h o al eEF2 and

-ac in (

-ac ).
B, hypoxic eEF2 phospho yla ion a Th
56
is p e en ed by acu e PHD2 o e exp ession. Shown is he phospho yla ion o eEF2 in con ol o PHD2-exp essing
U2OS cells (FLAG-PHD2). Cells we e ea ed wi h doxycycline (Dox) o 4 h when indica ed (⫹) and subjec ed o no moxia (N) o hypoxia (1% O
2
) o 30 min. The
le els o HIF-1
␣
and FLAG-PHD2 we e analyzed in he same cell ex ac s. The o al le els o eEF2 and

-ac in we e also analyzed by Wes e n blo ing. C,
quan i ica ion o he - old change p oduced in he le els o eEF2 phospho-Th
56
(black ba s) and HIF-1
␣
(g ay ba s) by 30 min o hypoxia in he absence (⫺)o
p esence (⫹) o doxycycline in FLAG-PHD2 cell cul u es. *, p⬍0.05 (n⫽3). D, hypoxic eEF2 phospho yla ion a Th
56
is independen o HIF-
␣
ac i i y. HeLa cells
we e ans ec ed wi h a sc ambled siRNA (Con ol), HIF-1
␣
(siHIF-1
␣
) o HIF-2
␣
(siHIF-2
␣
) siRNA (uppe panels), o bo h (lowe panels) o 24 h and exposed o
hypoxia o 0, 15, o 240 min. The le els o eEF2 phospho-Th
56
, eEF2, HIF-1
␣
, HIF-2
␣
, and

-ac in we e analyzed by Wes e n blo ing.
PHD2 Ac i i y and T ansla ional A es unde Hypoxia
MARCH 16, 2012•VOLUME 287•NUMBER 12 JOURNAL OF BIOLOGICAL CHEMISTRY 9655
men , hus sugges ing ha eEF2 ac i i y and p o ein syn hesis
a e modula ed by PHDs.
T ansla ional a es is a classically s udied cellula esponse
o anoxia o long- e m hypoxia ( o a e iew, see Re . 14). I has
also been epo ed ha a sho (2 h) exposu e o mode a e
hypoxia (0.2–2% O
2
) can lead o a modes bu ep oducible
dec ease in ansla ion e iciency (35), an e ec ha is be e
obse ed wi h longe (⬎24 h) ea men s (12, 13, 36, 37). We
ha e shown he e ha acu e (5–15 min) hypoxia (1% O
2
)o
DMOG ea men leads o changes in he eEF2 mig a ion pa -
e n as a consequence o inc eased p o ein phospho yla ion a
Th
56
. I is well es ablished ha phospho yla ion o eEF2 a
Th
56
dec eases he a e o p o ein elonga ion (16, 17, 38), a
mechanism ha can con ibu e o mRNA ansla ion inhibi ion
by hypoxia and DMOG obse ed in p ima y cul u ed ca -
diomyocy es (Fig. 3F). Simila esul s ha e been epo ed using
umo /immo alized cell lines (12, 13), bu longe pe iods,
mo e se e e hypoxia, o e en concomi an se um wi hd awal
was equi ed o obse e a dec ease in p o ein syn hesis in hese
cellula models ha a e no mally esis an o mRNA ansla-
ion inhibi ion by hypoxia (30).
The ac i a ion o he AMPK-eEF2K-eEF2 pa hway o a es
p o ein ansla ion unde long- e m hypoxia o ischemia has
been elegan ly demons a ed in p e ious epo s (12, 13). How-
e e , he inhibi ion o eEF2 ac i i y obse ed unde acu e
hypoxia desc ibed he e is independen o his pa hway. Indeed,
we ha e shown ha sho - e m hypoxia e en dec eases AMPK
ac i i y in all cells es ed (Fig. 2, Aand B). In ag eemen wi h
hese da a, cellula ATP le els we e p ese ed o inc eased
uponacu eexposu e ohypoxia(Fig.2C)(13,39).Theexis ence
o complemen a y PHD2- and AMPK-dependen eEF2 modu-
la o pa hways se in mo ion depending on O
2
a ailabili y is
ad an ageous because i o e s a b oade adap i e epe oi e o
ensu e ATP homeos asis.
As DMOG inhibi s a b oad amily (⬎50 membe s) o 2-oxo-
glu a a e-dependen dioxygenases (4, 29), we pe o med siRNA
analyses o iden i y he PHDs in ol ed in eEF2 egula ion. We
ound ha selec i e inhibi ion o PHD2 in se e al cell lines
leads o sus ained eEF2 phospho yla ion a Th
56
, hus con-
i ming ha p o einsyn hesis is modula ed by he ac i i y o he
O
2
senso PHD2 (Fig. 4Aand supplemen al Fig. 2A). To achie e
a s ong silencing o PHD2, cells we e ea ed wi h siRNAs o
72 h, inducing se e al HIF- egula ed pa hways ha could, indi-
ec ly, lead o phospho yla ion o eEF2. Howe e , o e exp es-
sion o PHD2 o 4 h p oduced a s ong inhibi ion o he hypox-
ia-dependen phospho yla ion o eEF2 (Fig. 4, Band C), an
e ec ha has been also shown o hypoxia-induced HIF s abi-
liza ion (23, 31). Al oge he , hese da a sugges he con ol o
PHD2 o e he elonga ion phase o p o ein ansla ion. PHD2-
dependen egula ion o ansla ion is independen o HIF-
␣
ac i i y and akes place a ew minu es a e PHD inhibi ion (Fig.
4Cand supplemen al Fig. 2B). Sequence analyses e ealed he
p esence in eEF2 o h ee mo i s consis ing o a p oline p e-
ceded by wo neighbo ing leucines (LXLXP), esembling he
hyd oxyla ion consensus mo i s (LXXLAP) exis ing in he
O
2
-dependen deg ada ion domain o HIF-
␣
(4, 5). Howe e ,
addi ional wo k will be equi ed o de e mine whe he PHD2
egula es eEF2 by di ec hyd oxyla ion o hese esidues o ,
al e na i ely,modula es he ac i i y o o he p o eins, including
eEF2K o any subuni o he cellula phospha ases.
O
2
in lux o issues can be a luc ua ing condi ion (40); hus,
he mechanisms egula ing hypoxic esponses mus be e e s-
ible and easily adjus able o oxygen a ailabili y. In e es ingly,
phospho yla ion o eEF2 is igh ly egula ed by he ac i i y o
speci ic kinases and phospha ases (33, 34, 38). We ha e shown
he e ha phospho yla ion o eEF2 a Th
56
by hypoxia is
quickly e e sed upon e u ning o no moxia (Fig. 5A). A sho
exposu e (10 min) o cells o a Se /Th phospha ase inhibi o
leads o ma ked accumula ion o phospho yla ed eEF2, indica -
ing a high basal ac i i y o phospha ases ac ing on eEF2 (Fig.
5B). Ou pha macological s udies e ealed ha acu e inhibi ion
o PP2A ac i i y leads o a simila accumula ion o phospho yl-
FIGURE 5. Phospho yla ion o eEF2 a Th
56
is dynamic. A, le els o eEF2 phospho yla ion (Th
56
) in HuH7 cells subjec ed o hypoxia (H) o 15 (uppe panels)
o 60 (lowe panels) min and eco e y a e e u ning o no moxia (N) o 15–240 min (Reox). B, phospho yla ion o eEF2 (Th
56
) and eEF2K (Se
366
) in HeLa cells
ea ed wi h he Th /Se phospha ase inhibi o NaF (25 mM) o 10 min. Cells we e also exposed o no moxia o hypoxia o 15 min. The o al le els o eEF2K,
eEF2, and

-ac in (

-ac ) we e also analyzed by Wes e n blo ing. C, phospho yla ion o eEF2 a Th
56
is enhanced by a sho okadaic acid ea men (OA; 250
nM;le panels) and is no a ec ed by ea men wi h sanguina ine (SA; 0.5–2.5
M; igh panels). NaF (25 mM) ea men was pe o med as a con ol.
PHD2 Ac i i y and T ansla ional A es unde Hypoxia
9656 JOURNAL OF BIOLOGICAL CHEMISTRY VOLUME 287•NUMBER 12•MARCH 16, 2012
a ed eEF2 (Fig. 5C), sugges ing a ole o his p o ein in he eg-
ula ion o p o ein syn hesis by acu e hypoxia. The igh egula-
ion and as e e sibili y o he eEF2 phospho yla ion/
dephospho yla ion s a us make his p o ein an ideal candida e
o con ol he p o ein syn hesis a e in esponse o a iable
condi ions o issue O
2
a ailabili y.
In conclusion, we p opose a no el mechanism ha helps
explain acu e ansla ional a es unde hypoxia, which is
AMPK- and HIF-independen and elies on PHD2-media ed
egula ion o eEF2 ac i i y (see scheme in Fig. 6). Howe e , a
comple e unde s anding o he mechanism whe eby PHD2 eg-
ula es eEF2 phospho yla ion mus awai u he in es iga ion.
Besides i s ob ious in e es o he biology o hypoxia and
hypoxia/ epe usion, he PHD2-eEF2 pa hway could p o ide
new pe spec i es ele an o he pha macology o issue ische-
mia and cance .
Acknowledgmen s—We hank Pe e Ra cli e and No ma Masson o
p o iding unpublished U2OS cell lines. We hank D s. M. L. Ma -
ínez-Chan a and M. Va ela (CIC bioGUNE) o kindly p o iding
he hepa ocy e p ima y cul u es.
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9658 JOURNAL OF BIOLOGICAL CHEMISTRY VOLUME 287•NUMBER 12•MARCH 16, 2012