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Hypoxia Case Study

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Potentiating innate immune signaling pathways by stabilizing Hypoxia-inducible factor
Bacterial infections are often associated with hypoxic conditions which can stimulate the inflammatory response and improve infection clearance (76). The host response to hypoxic conditions is regulated at the transcriptional level by hypoxia-inducible factor (HIF). HIF-1 heterodimerizes with one of two HIF-α isoforms (HIF-1α and HIF-2α) and drives the expression of pro-inflammatory cytokines that mediate macrophage aggregation, invasion, and motility. The stability of HIF-α subunits is regulated by oxygen availability. Under normoxia conditions, prolylhydroxylases hydroxylates HIF-α and marks it for proteasomal degradation in a process mediated by von …show more content…

However, an imbalance in the production and elimination of ROS is associated with human diseases (68). ROS molecules are produced by the host enzyme NADPH oxidase (NOX). Seven NOX homologues are encoded in the human genome. NOX2 (otherwise known as gp91Phox) is the best-characterized family member in terms of its regulation. Gp91Phox is the catalytic unit of this multicomponent oxidase whereas p22Phox, p40Phox, p47Phox, p67Phox and the small GTPase RAC are regulatory subunits. Exposure of cells to pathogens triggers the assembly of cytosolic regulatory subunit (p40Phox, p47Phox, p67Phox and RAC) with transmembrane protein complex formed by gp91Phox and p22Phox (47). NOX2 mediates the transfer of an electron from NADPH to O2, forming the superoxide radical (O2̇ ˉ) (47). The superoxide radical is converted to hydrogen peroxide by superoxide dismutase. In the phagolysosome of neutrophils, myeloperoxidase (MPO) catalyzes the generation of hypochlorite (HOCl) from hydrogen peroxide. HOCl dramatically enhances the microbicidal activity of hydrogen peroxide (92). Pro-inflammatory cytokines such as IL-1 and TNF-α upregulate the expression of inducible nitric oxide synthase (iNOS), which produces nitric oxide from the amino acid L-arginine. Nitric oxide reacts with superoxide to generate peroxynitrite (OONO-), a potent nitrating agent and oxidant (Figure 2D) (31). Both RNS and ROS

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