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<article xml:lang="en" article-type="research-article" xmlns:xlink="http://www.w3.org/1999/xlink">
<front>
<journal-meta>
<journal-id journal-id-type="nlm-ta">OR</journal-id>
<journal-title-group>
<journal-title>Oncology Reports</journal-title></journal-title-group>
<issn pub-type="ppub">1021-335X</issn>
<issn pub-type="epub">1791-2431</issn>
<publisher>
<publisher-name>D.A. Spandidos</publisher-name></publisher></journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3892/or.2015.4223</article-id>
<article-id pub-id-type="publisher-id">or-34-05-2745</article-id>
<article-categories>
<subj-group>
<subject>Articles</subject></subj-group></article-categories>
<title-group>
<article-title>Hypoxia-induced fibroblast growth factor 11 stimulates capillary-like endothelial tube formation</article-title></title-group>
<contrib-group>
<contrib contrib-type="author">
<name><surname>YANG</surname><given-names>JIMIN</given-names></name><xref rid="af1-or-34-05-2745" ref-type="aff">1</xref><xref rid="fn1-or-34-05-2745" ref-type="author-notes">&#x0002A;</xref></contrib>
<contrib contrib-type="author">
<name><surname>KIM</surname><given-names>WOO JEAN</given-names></name><xref rid="af2-or-34-05-2745" ref-type="aff">2</xref><xref rid="fn1-or-34-05-2745" ref-type="author-notes">&#x0002A;</xref></contrib>
<contrib contrib-type="author">
<name><surname>JUN</surname><given-names>HYOUNG OH</given-names></name><xref rid="af3-or-34-05-2745" ref-type="aff">3</xref></contrib>
<contrib contrib-type="author">
<name><surname>LEE</surname><given-names>EUN JU</given-names></name><xref rid="af1-or-34-05-2745" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author">
<name><surname>LEE</surname><given-names>KYEONG WON</given-names></name><xref rid="af4-or-34-05-2745" ref-type="aff">4</xref></contrib>
<contrib contrib-type="author">
<name><surname>JEONG</surname><given-names>JAE-YEON</given-names></name><xref rid="af4-or-34-05-2745" ref-type="aff">4</xref><xref ref-type="corresp" rid="c2-or-34-05-2745"/></contrib>
<contrib contrib-type="author">
<name><surname>LEE</surname><given-names>SAE-WON</given-names></name><xref rid="af1-or-34-05-2745" ref-type="aff">1</xref><xref ref-type="corresp" rid="c1-or-34-05-2745"/></contrib></contrib-group>
<aff id="af1-or-34-05-2745">
<label>1</label>Biomedical Research Institute and IRICT, Seoul National University Hospital, Seoul, Republic of Korea</aff>
<aff id="af2-or-34-05-2745">
<label>2</label>National Research Laboratory of Regenerative Sexual Medicine, Department of Urology, Inha University School of Medicine, Incheon, Republic of Korea</aff>
<aff id="af3-or-34-05-2745">
<label>3</label>Biomedical Research Institute, Seoul National University Hospital, Seoul, Republic of Korea</aff>
<aff id="af4-or-34-05-2745">
<label>4</label>Marine Biotechnology Research Group, Korea Institute of Ocean Science and Technology, Ansan, Republic of Korea</aff>
<author-notes>
<corresp id="c1-or-34-05-2745">Correspondence to: Dr Sae-Won Lee, Biomedical Research Institute, Seoul National University Hospital, 101 Daehak-ro, Jongro-gu, Seoul 110-744, Republic of Korea, E-mail: <email>brainsw@gmail.com</email>; <email>sawolee@snu.ac.kr</email></corresp>
<corresp id="c2-or-34-05-2745">Dr Jae-Yeon Jeong, Marine Biotechnology Research Group, Korea Institute of Ocean Science and Technology, Korea Ocean Research and Development Institute, 787 Haeanro, Ansan 426-744, Republic of Korea, E-mail: <email>jeongjy@kiost.ac.kr</email>; <email>jeongjy@gmail.com</email></corresp><fn id="fn1-or-34-05-2745">
<label>&#x0002A;</label>
<p>Contributed equally</p></fn></author-notes>
<pub-date pub-type="ppub">
<month>11</month>
<year>2015</year></pub-date>
<pub-date pub-type="epub">
<day>24</day>
<month>08</month>
<year>2015</year></pub-date>
<volume>34</volume>
<issue>5</issue>
<fpage>2745</fpage>
<lpage>2751</lpage>
<history>
<date date-type="received">
<day>04</day>
<month>06</month>
<year>2015</year></date>
<date date-type="accepted">
<day>06</day>
<month>07</month>
<year>2015</year></date></history>
<permissions>
<copyright-statement>Copyright: &#x000A9; Yang</copyright-statement>
<copyright-year>2015</copyright-year>
<license license-type="open-access" xlink:href="https://creativecommons.org/licenses/by-nc-nd/4.0">
<license-p>This is an open access article distributed under the terms of a Creative Commons Attribution License</license-p></license></permissions>
<abstract>
<p>Low oxygen or hypoxia can be observed in the central region of solid tumors. Hypoxia is a strong stimulus for new blood vessel formation or angiogenesis, which is essential for tumor growth and progression. Fibroblast growth factor 11 (FGF11) is an intracellular non-secretory FGF whose function has not yet been fully characterized. In the present study, we demonstrated that FGF11 expression is upregulated under hypoxic conditions in human umbilical vein endothelial cells (HUVECs). FGF11 overexpression stimulated capillary-like tube formation, yet did not affect cell migration. Notably, FGF11 markedly increased the levels of tight junction proteins including occludin, zonula occludens-1 (ZO-1) and claudin-5 in HUVECs. The FGF11 promoter contains hypoxia response elements (HREs), and hypoxia-inducible factor-1 (HIF-1) binds to HREs to activate hypoxia-related genes. We demonstrated that hypoxia or HIF-1 expression under normoxic conditions increased the luciferase activity driven by the FGF11 promoter. However, deletion of the HREs from the FGF11 promoter rendered reporter gene activity unresponsive to hypoxia or HIF-1. Taken together, we propose that FGF11 may be involved in the stabilization of capillary-like tube structures associated with angiogenesis and may act as a modulator of hypoxia-induced pathological processes such as tumorigenesis.</p></abstract>
<kwd-group>
<kwd>tumor angiogenesis</kwd>
<kwd>hypoxia-inducible factor-1</kwd>
<kwd>hypoxia response element</kwd>
<kwd>growth factor</kwd>
<kwd>transcription factor</kwd>
<kwd>fibroblast growth factor 11</kwd></kwd-group></article-meta></front>
<body>
<sec sec-type="intro">
<title>Introduction</title>
<p>Oxygen is an essential nutrient for cellular respiration and organisms must closely monitor fluctuations in oxygen concentration to maintain homeostasis. Changes in oxygen concentration can signal events in embryonic development (<xref rid="b1-or-34-05-2745" ref-type="bibr">1</xref>), determine stem cell fate (<xref rid="b2-or-34-05-2745" ref-type="bibr">2</xref>,<xref rid="b3-or-34-05-2745" ref-type="bibr">3</xref>) and contribute to pathological conditions (<xref rid="b4-or-34-05-2745" ref-type="bibr">4</xref>,<xref rid="b5-or-34-05-2745" ref-type="bibr">5</xref>). Inadequate oxygen supply to a tissue, or hypoxia, triggers an adaptive response mediated by hypoxia-inducible factors (HIFs) (<xref rid="b6-or-34-05-2745" ref-type="bibr">6</xref>). Hypoxia is a common feature of malignant tumors and can be observed in central regions of solid tumors (<xref rid="b7-or-34-05-2745" ref-type="bibr">7</xref>,<xref rid="b8-or-34-05-2745" ref-type="bibr">8</xref>). When tumor size reaches 1&#x02013;2 mm<sup>3</sup>, the center of the tumor becomes hypoxic due to the lack of adequate blood supply, hindering tumor growth. The growth of rich, new vasculature or angiogenesis, is triggered by hypoxia and supports the growing tumor by providing nutrients and oxygen (<xref rid="b9-or-34-05-2745" ref-type="bibr">9</xref>,<xref rid="b10-or-34-05-2745" ref-type="bibr">10</xref>). Cellular responses to hypoxia are diverse and include changes in metabolism, antioxidant gene expression, cell proliferation, apoptosis and angiogenesis (<xref rid="b6-or-34-05-2745" ref-type="bibr">6</xref>,<xref rid="b8-or-34-05-2745" ref-type="bibr">8</xref>,<xref rid="b9-or-34-05-2745" ref-type="bibr">9</xref>).</p>
<p>Angiogenesis is essential for tumor growth and progression (<xref rid="b11-or-34-05-2745" ref-type="bibr">11</xref>), meaning that tumor growth could be effectively inhibited when angiogenesis is blocked (<xref rid="b12-or-34-05-2745" ref-type="bibr">12</xref>). Angiogenesis is a multistep process that begins when quiescent endothelial cells are activated by signals from ischemic tissue or a hypoxic solid tumor. Activated endothelial cells degrade the extracellular matrix, proliferate and migrate toward the source of the stimuli, forming an immature vascular network. The newly formed network undergoes a process of maturation and stabilization that includes the recruitment of supporting mural cells, association with mural cells and placement of a new basement membrane (<xref rid="b9-or-34-05-2745" ref-type="bibr">9</xref>,<xref rid="b10-or-34-05-2745" ref-type="bibr">10</xref>). The angiogenic process is tightly regulated through angiogenic and anti-angiogenic factors (<xref rid="b9-or-34-05-2745" ref-type="bibr">9</xref>).</p>
<p>Several factors containing heparin-binding domains, including vascular endothelial growth factor (VEGF), basic fibroblast growth factor (bFGF/FGF-2), acidic FGF (aFGF/FGF-1) and heparin-binding EGF-like growth factor (HB-EGF) have angiogenic functions (<xref rid="b13-or-34-05-2745" ref-type="bibr">13</xref>&#x02013;<xref rid="b15-or-34-05-2745" ref-type="bibr">15</xref>). The hypoxia-inducible factor-1 (HIF-1) transcription factor is a key regulator of hypoxia-induced angiogenesis (<xref rid="b6-or-34-05-2745" ref-type="bibr">6</xref>,<xref rid="b16-or-34-05-2745" ref-type="bibr">16</xref>). HIF-1 regulates genes affecting vessel formation such as VEGF, placental growth factor and bFGF (<xref rid="b16-or-34-05-2745" ref-type="bibr">16</xref>). We are interested in identifying and characterizing angiogenesis-related factors that are sensitive to hypoxia; in the present study we focused on the fibroblast growth factor (FGF) gene family containing heparin-binding domains.</p>
<p>Twenty-two members of the FGF family (FGF1-FGF23) have been reported in humans and rodents (<xref rid="b17-or-34-05-2745" ref-type="bibr">17</xref>). Human FGF19 is the ortholog of rodent FGF15. Fibroblast growth factors (FGFs) can be classified as secretory (FGF1-FGF10 and FGF15-FGF23) or intracellular and non-secretory (FGF11-FGF14) (<xref rid="b17-or-34-05-2745" ref-type="bibr">17</xref>,<xref rid="b18-or-34-05-2745" ref-type="bibr">18</xref>). Most secretory FGFs and their surface FGF receptors have been well characterized and carry out defined biological roles in cell growth, differentiation and multiple developmental processes. The functions of intracellular FGFs, also referred to as FGF homologous factors (FHFs; FGF11-FGF14), remain to be explored.</p>
<p>In the present study, we described how FGF11 is upregulated in endothelial cells in response to hypoxia. FGF11 overexpression stimulated the formation of capillary-like tube structures in human endothelial cells and increased the levels of tight junction (TJ) proteins. The promoter region of FGF11 contains hypoxia response elements (HREs), which orchestrate FGF11 upregulation. Our results should facilitate the design of new cancer therapeutics aimed at FGF11.</p></sec>
<sec sec-type="methods">
<title>Materials and methods</title>
<sec>
<title>Cell culture and hypoxic condition</title>
<p>Human umbilical vein endothelial cells (HUVECs) (passages 5&#x02013;8; Lonza) were cultured in M199 (Gibco) containing 20% fetal bovine serum (FBS) (Lonza), bFGF (3 ng/ml; Invitrogen), heparin (5 U/ml) and 1% penicillin/streptomycin (both from Gibco) (<xref rid="b5-or-34-05-2745" ref-type="bibr">5</xref>). HEK293a cells (ATCC CRL-1573) were cultured in Dulbecco's modified Eagle's medium (DMEM) (Gibco) containing 10% FBS. For hypoxic condition, cells were incubated in a Forma hypoxia chamber (Forma Scientific), which is an anaerobic system that strictly regulates oxygen levels; cells were maintained at low oxygen tension (1% O<sub>2</sub>, 5% CO<sub>2</sub> and balanced with N<sub>2</sub>) to simulate hypoxia.</p></sec>
<sec>
<title>Real-time PCR and end-point PCR</title>
<p>Total RNA was isolated using the QIAshredder and RNeasyPlus Mini kits (Qiagen Inc.). The PrimeScript&#x02122; First Strand cDNA Synthesis kit (Takara) was used to synthesize cDNA from 1 <italic>&#x000B5;</italic>g of total RNA according to the manufacturer's instructions. Real-time PCR was performed using the SYBR-Green PCR Master Mix (Roche), using primers for human FGF11 as follows: forward, 5&#x02032;-TGTCGCTTTAAGGAGTGCGT-3&#x02032; and reverse, 5&#x02032;-AGAGAAGGCTCCCGGTACAT-3&#x02032;. Real-time PCR data were acquired using an ABI PRISM-7500 sequence detection system (Applied Biosystems). The 18S rRNA gene was used as a positive control and for normalization. End-point PCR for FGF11 was also performed. GAPDH was used for normalization.</p>
<p>Oligonucleotide primers for PCR were designed as follows: FGF11 forward, 5&#x02032;-GTCACCATCCAGAGTGCCAA-3&#x02032; and FGF11 reverse, 5&#x02032;-CACTGTGGAGAGAAGGCTCC-3&#x02032;; GAPDH forward, 5&#x02032;-CATGACAACTTTGGCATTGTG-3&#x02032; and GAPDH reverse, 5&#x02032;-GTTGAAGTCGCAGGAGACAAC-3&#x02032;. The PCR products were analyzed using a 1.2 % agarose gel.</p></sec>
<sec>
<title>Plasmid cloning, transfection and western blot analysis</title>
<p>Full-length human FGF11 was synthesized by PCR and cloned into the pcDNA3.1/HA vector (Invitrogen). Transfection was carried out using Metafectene Pro (Biontex). For western blotting, cells were harvested and lysed with lysis buffer containing protease inhibitors (Roche). Total protein (20&#x02013;30 <italic>&#x000B5;</italic>g) was immunoblotted with antibodies specific to FGF11 (R&amp;D Systems), zonula occludens-1 (ZO-1) (Invitrogen), occludin (Invitrogen) or claudin-5 (Abcam). &#x003B1;-tubulin (Calbiochem) was used as an internal control. Quantification of band intensity was analyzed using ImageJ (NIH).</p></sec>
<sec>
<title>Tube formation assay</title>
<p>The tube formation assay was performed as previously described (<xref rid="b19-or-34-05-2745" ref-type="bibr">19</xref>). Briefly, 200 <italic>&#x000B5;</italic>l of growth factor-reduced Matrigel (BD Biosciences) was pipetted into a well of a 24-well culture plate and polymerized for 30 min at 37&#x000B0;C. After transfection, HUVECs (1&#x000D7;10<sup>4</sup> cells/well) were seeded onto polymerized Matrigel and incubated in M199 containing 2% FBS and heparin (10 U/ml). Every hour up to 16 h, the cultures were photographed with an Olympus TH4-200 microscope. Capillary-like tube networks were observed and the branch point number was counted.</p></sec>
<sec>
<title>Endothelial cell migration assay</title>
<p>HUVECs were transfected with an FGF11-overexpression plasmid or control mock plasmid. After one day, cells were plated on 60-mm culture dishes and the migration assay was performed as previously described (<xref rid="b20-or-34-05-2745" ref-type="bibr">20</xref>). Briefly, confluent HUVECs were wounded and incubated in M199 media with 2% FBS and 1 mM thymidine. After 16 h, HUVECs were fixed with absolute methanol for 2 min and stained with Giemsa solution for 3 min. Migration activity was quantitated by counting the number of cells that moved beyond the reference line (<xref rid="b20-or-34-05-2745" ref-type="bibr">20</xref>).</p></sec>
<sec>
<title>Promoter luciferase assay</title>
<p>A partial genomic DNA sequence encompassing the human FGF11 promoter region bearing putative HREs was amplified by PCR and cloned into the luciferase pGL3 promoter vector (Promega). Primer information was as follows: forward, 5&#x02032;-CTGCTAGCCCAACCTCTCCTTCCTACC-3&#x02032; (pGL3-FGF11-HREs); forward, 5&#x02032;-GTGCTAGCGGGGCTGGTTAGATTGGAG-3&#x02032; (pGL3-FGF11-&#x00394;HREs); and reverse, 5&#x02032;-ATAGATCTACTAGGGCATGCTCTTGACG-3&#x02032;. HEK293a cells were plated at a density of 2&#x000D7;10<sup>5</sup> cells/well of a 6-well plate and transfected with various combinations of effector plasmids. Luciferase assays were performed using the luciferase assay system kit with a GloMax luminometer (both from Promega), according to the manufacturer's instructions. Relative luciferase activity was normalized to relative light units and &#x003B2;-galactosidase activity.</p></sec>
<sec>
<title>Statistical analysis</title>
<p>The data are expressed as means &#x000B1; standard deviations (SD). The statistical differences between the groups were compared using the unpaired t-test or the one-way analysis of variance (ANOVA). P-values &#x02264;0.05 were considered to indicate statistically significant results.</p></sec></sec>
<sec sec-type="results">
<title>Results</title>
<sec>
<title>Hypoxia-induced FGF11 expression in endothelial cells</title>
<p>Solid tumor angiogenesis is initiated by hypoxic conditions that serve as a strong stimulus for new vessel formation (<xref rid="b9-or-34-05-2745" ref-type="bibr">9</xref>,<xref rid="b10-or-34-05-2745" ref-type="bibr">10</xref>). Since we are interested in identifying hypoxia-induced genes, we first investigated the mRNA expression of FGF homologous factors (FHFs; FGF11-FGF14) in HUVECs after exposure to hypoxia (1% O<sub>2</sub>). FGF14 mRNA was not detected in HUVECs by real-time PCR. FGF12 and FGF13 expression increased slightly under hypoxia, yet their expression level was very low in HUVECs. Whereas FGF11 mRNA expression was relatively high in comparison to FGF12 and FGF13 expression (data not shown). FGF11 mRNA expression was significantly increased in response to hypoxic conditions (<xref rid="f1-or-34-05-2745" ref-type="fig">Fig. 1A and B</xref>). Western blotting results for the FGF11 protein suggests that the protein level was significantly increased under hypoxia (<xref rid="f1-or-34-05-2745" ref-type="fig">Fig. 1C</xref>).</p></sec>
<sec>
<title>FGF11 overexpression in HUVECs increases capillary-like tube formation</title>
<p>To investigate the effect of FGF11 expression on angiogenesis, tube formation and cell migration were examined for HUVECs transfected with pFGF11 (<xref rid="f2-or-34-05-2745" ref-type="fig">Fig. 2A</xref>). FGF11 overexpression significantly stimulated tube formation compared to the control cells (<xref rid="f2-or-34-05-2745" ref-type="fig">Fig. 2B and C</xref>), yet did not stimulate migration activity (<xref rid="f2-or-34-05-2745" ref-type="fig">Fig. 2D</xref>). HUVECs treated with basic FGF (bFGF) as a positive migration control (<xref rid="b14-or-34-05-2745" ref-type="bibr">14</xref>) migrated normally, thus we concluded that FGF11-overexpression did not affect endothelial migration activity. Instead, FGF11 may be involved in stabilizing capillary-like tube structures.</p></sec>
<sec>
<title>FGF11 overexpression increases the expression of TJ proteins</title>
<p>Since capillary tube formation in HUVECs was increased with FGF11 overexpression, we examined whether FGF11 overexpression in endothelial cells affects the expression of TJ proteins by western blotting (<xref rid="f3-or-34-05-2745" ref-type="fig">Fig. 3</xref>). TJ proteins play a role in stabilizing capillary structure by maintaining adhesive cell-cell interactions (<xref rid="b21-or-34-05-2745" ref-type="bibr">21</xref>). We found that FGF11 overexpression markedly increased the levels of the TJ proteins, such as occludin, ZO-1, and claudin-5 (<xref rid="f3-or-34-05-2745" ref-type="fig">Fig. 3</xref>).</p></sec>
<sec>
<title>Hypoxia increases the FGF11 promoter activity through HIF-1&#x003B1;</title>
<p>We further examined the novel finding that FGF11 expression was upregulated in response to hypoxic conditions by determining the mechanism through which hypoxia stimulates FGF11 expression, focusing on the FGF11 promoter. HIF-1&#x003B1; is a key transcription factor that activates genes involved in the hypoxic response by binding to HREs in the gene promoter region (<xref rid="b2-or-34-05-2745" ref-type="bibr">2</xref>,<xref rid="b16-or-34-05-2745" ref-type="bibr">16</xref>). Notably, the FGF11 promoter contains two HREs (5&#x02032;-ACGTG-3&#x02032;) (<xref rid="f4-or-34-05-2745" ref-type="fig">Fig. 4A</xref>).</p>
<p>We determined the effects of HIF-1 on the FGF11 promoter containing two HREs (FGF11-HREs; <xref rid="f4-or-34-05-2745" ref-type="fig">Fig. 4B and C</xref>) using a promoter luciferase assay. Reporter gene activity was significantly increased in response to hypoxia for the cells transfected with FGF11-HREs (WT). In contrast, reporter gene activity was not changed by hypoxia for cells transfected with the HRE-deletion-fragment (&#x00394;HRE) (<xref rid="f4-or-34-05-2745" ref-type="fig">Fig. 4B</xref>), suggesting that the HREs in the FGF11 promoter region are sensitive to hypoxia. To determine whether FGF11-HREs are responsive to hypoxia via the HIF-1&#x003B1; transcription factor, we co-transfected cells with both WT FGF11-HREs and HIF-1&#x003B1; under normoxic conditions (<xref rid="f4-or-34-05-2745" ref-type="fig">Fig. 4C</xref>). To promote assembly of the functional HIF1 complex, cells were also co-transfected with the partner of HIF-1&#x003B1;, HIF-1&#x003B2;. With HIF-1&#x003B1; overexpression, reporter gene activity was high even under normoxic conditions, whereas the HRE-deletion-fragment (&#x00394;HRE) was unaffected by HIF-1&#x003B1; overexpression (<xref rid="f4-or-34-05-2745" ref-type="fig">Fig. 4C</xref>), which indicates that FGF11 promoter induction occurs via HIF-1.</p></sec></sec>
<sec sec-type="discussion">
<title>Discussion</title>
<p>Tumor growth is strongly limited by oxygen availability; tumorigenesis is dependent on angiogenesis for the formation of rich vasculature around the tumor that delivers oxygen and nutrients (<xref rid="b11-or-34-05-2745" ref-type="bibr">11</xref>). Under hypoxic conditions, the transcription factor HIF-1 binds to HREs in the promoter regions of hypoxia-induced genes, which then orchestrate hypoxia adaptations and promote angiogenesis (<xref rid="b6-or-34-05-2745" ref-type="bibr">6</xref>). We identified a member of the fibroblast growth factor family, intracellular FGF11 whose expression was upregulated in response to hypoxic conditions (<xref rid="f1-or-34-05-2745" ref-type="fig">Fig. 1</xref>). Furthermore, FGF11 has been reported to play a role in tumorigenesis, particularly in mitogenic and cell-survival activities that are related to tumor invasion and growth (<xref rid="b22-or-34-05-2745" ref-type="bibr">22</xref>). Infiltrating T cells enhanced prostate cancer growth through regulation of FGF11-mediated MMP9 signaling (<xref rid="b23-or-34-05-2745" ref-type="bibr">23</xref>). Microarray-based expression profiles for oral cancer cells indicated that increased FGF11 expression is associated with increased cell proliferation, resistance to apoptosis and enhanced capillary-like structures (<xref rid="b24-or-34-05-2745" ref-type="bibr">24</xref>).</p>
<p>Since FGF11 is associated with tumorigenesis (<xref rid="b22-or-34-05-2745" ref-type="bibr">22</xref>&#x02013;<xref rid="b24-or-34-05-2745" ref-type="bibr">24</xref>) and its expression was upregulated under hypoxic conditions in endothelial cells (<xref rid="f1-or-34-05-2745" ref-type="fig">Fig. 1</xref>), we examined whether FGF11 is involved in angiogenesis which is essential for tumorigenesis (<xref rid="b9-or-34-05-2745" ref-type="bibr">9</xref>&#x02013;<xref rid="b11-or-34-05-2745" ref-type="bibr">11</xref>). FGF11 overexpression in HUVECs stimulated capillary tube formation (<xref rid="f2-or-34-05-2745" ref-type="fig">Fig. 2</xref>); however, FGF11 overexpression did not affect endothelial migration. Notably, the expression of tight junction (TJ) proteins including occludin, ZO-1 and claudin-5 increased by FGF11 overexpression (<xref rid="f3-or-34-05-2745" ref-type="fig">Fig. 3</xref>). TJ complexes are composed of occludins, claudins and junctional adhesion molecules (JAMs), which are stabilized by ZO scaffold proteins (<xref rid="b21-or-34-05-2745" ref-type="bibr">21</xref>). TJs in epithelial and endothelial cells establish a barrier to diffusion through the paracellular pathway and block diffusion of membrane proteins between the apical and basal regions of the cell (<xref rid="b19-or-34-05-2745" ref-type="bibr">19</xref>,<xref rid="b21-or-34-05-2745" ref-type="bibr">21</xref>,<xref rid="b25-or-34-05-2745" ref-type="bibr">25</xref>).</p>
<p>Numerous studies have reported TJ protein downregulation in multiple types of cancer. However, upregulation of TJ proteins has been observed in various types of cancers, indicating that there is an emerging role for TJ proteins in cancer cell proliferation, transformation and metastasis (<xref rid="b21-or-34-05-2745" ref-type="bibr">21</xref>,<xref rid="b26-or-34-05-2745" ref-type="bibr">26</xref>). Occludin and claudin-5 expression were upregulated in human hepatocellular carcinoma tissue in comparison to non-neoplastic liver or normal control tissues (<xref rid="b27-or-34-05-2745" ref-type="bibr">27</xref>). Claudin-5 expression was elevated in borderline ovarian tumors and was implicated in malignant transformation (<xref rid="b28-or-34-05-2745" ref-type="bibr">28</xref>). Strong claudin-5 expression is a biomarker for elevated risk of pancreatic adenocarcinoma and breast cancer (<xref rid="b29-or-34-05-2745" ref-type="bibr">29</xref>,<xref rid="b30-or-34-05-2745" ref-type="bibr">30</xref>). Increased ZO-1 expression and altered localization were observed in primary and metastatic pancreatic cancers (<xref rid="b31-or-34-05-2745" ref-type="bibr">31</xref>). Clearly, the role of TJ proteins in tumor initiation and development is more complicated than originally understood and a more systematic examination is warranted for clarification. Since FGF11 overexpression is associated with increased occludin, ZO-1 and claudin-5 expression, it is reasonable to expect that FGF11 modulates tumorigenesis.</p>
<p>HIF-1 is a master transcription factor that regulates genes involved in the adaptive response to hypoxia through binding to <italic>cis</italic>-acting HREs (<xref rid="b2-or-34-05-2745" ref-type="bibr">2</xref>,<xref rid="b16-or-34-05-2745" ref-type="bibr">16</xref>,<xref rid="b30-or-34-05-2745" ref-type="bibr">30</xref>) and it regulates genes affecting cell survival, metabolism and tumor vessel formation such as VEGF, erythropoietin, placental growth factor and bFGF (<xref rid="b6-or-34-05-2745" ref-type="bibr">6</xref>,<xref rid="b16-or-34-05-2745" ref-type="bibr">16</xref>,<xref rid="b32-or-34-05-2745" ref-type="bibr">32</xref>). In the present study, we found that FGF11 expression can be induced through HIF-1 binding sites in its promoter region (<xref rid="f4-or-34-05-2745" ref-type="fig">Fig. 4</xref>). Based on our results, we suggest that FGF11 acts as a novel modulator of hypoxia-induced pathological processes such as tumor progression. Future studies focusing on the role of FGF11 in human tumors, as well as a more systematic examination of FGF11 biology, may facilitate the development of new cancer therapeutics.</p></sec></body>
<back>
<ack>
<title>Acknowledgments</title>
<p>This study was supported by the Basic Science Research Program through the National Research Foundation of Korea (NRF) funded by the Ministry of Science, ICT and Future Planning (2013R1A1A3012024, awarded to S.-W.L.), the Basic Science Research Program through the NRF grant funded by the Ministry of Education (NRF-2011-0025506, awarded to W.-J.K.), and the KIOST in-house program (PE99314, awarded to S.-W.L.).</p></ack>
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<floats-group>
<fig id="f1-or-34-05-2745" position="float">
<label>Figure 1</label>
<caption>
<p>Hypoxia upregulates the expression of FGF11 in HUVECs. (A and B) Upregulation of FGF11 mRNA after hypoxic exposure. (A) End-point PCR for FGF11 was performed and the PCR fragments were separated by agarose gel electrophoresis. (B) Real-time PCR analysis of FGF11 mRNA expression in HUVECs cultured under hypoxic conditions (1% O<sub>2</sub> for 16 h, n=3). Nor, normoxia (20% O<sub>2</sub>); Hy, hypoxia. (C) Western blotting of FGF11 after 16 h of hypoxia (left). Quantification graph (right) (n=4). FGF11, fibroblast growth factor 11; HUVECs, human umbilical vein endothelial cells.</p></caption>
<graphic xlink:href="OR-34-05-2745-g00.tif"/></fig>
<fig id="f2-or-34-05-2745" position="float">
<label>Figure 2</label>
<caption>
<p>FGF11 overexpression increases capillary-like tube formation in HUVECs. (A) HUVECs were transfected with pFGF11 for 24 h and FGF11 overexpression was observed by western blotting (left). Quantification graph (right) (n=4, <sup>&#x0002A;</sup>P&lt;0.05). (B) HUVECs transfected with pFGF11 had enhanced tube formation on Matrigel. Magnification, &#x000D7;100. (C) Tube formation was observed (5 h) and the branch point number was counted (n=5, P&lt;0.001). (D) Endothelial cell migration assay. FGF11 overexpression in HUVECs did not affect migration (n=4) (NS, not significant). FGF11, fibroblast growth factor 11; HUVECs, human umbilical vein endothelial cells.</p></caption>
<graphic xlink:href="OR-34-05-2745-g01.tif"/></fig>
<fig id="f3-or-34-05-2745" position="float">
<label>Figure 3</label>
<caption>
<p>FGF11 regulates the expression of tight junction proteins in HUVECs. (A) HUVECs were transfected with pFGF11 for 48 h. FGF11 overexpression increased the tight junction proteins occludin, ZO-1 and claudin-5. (B) Western blotting quantification (n=4 each, <sup>&#x0002A;</sup>P&lt;0.05). FGF11, fibroblast growth factor 11; HUVECs, human umbilical vein endothelial cells; ZO-1, zonula occludens-1.</p></caption>
<graphic xlink:href="OR-34-05-2745-g02.tif"/></fig>
<fig id="f4-or-34-05-2745" position="float">
<label>Figure 4</label>
<caption>
<p>Hypoxia- or HIF-1&#x003B1;-stimulated FGF11 promoter activity. (A) Promoter sequence of the human FGF11 promoter (Transcriptional Regulatory Element Database accession no. 11767). Nucleotides are numbered relative to the transcription start site and the two HREs (5&#x02032;-ACGTG-3&#x02032;) are underlined. (B) HEK293a cells were co-transfected with pCMV-&#x003B2;-gal, the full promoter sequence containing pGL3-FGF11-HREs (WT) or HRE-deletion-fragment pGL3-FGF11-&#x00394;HREs (&#x00394;HRE) for 24 h and incubated for 16 h under hypoxic conditions (n=4). (C) Cells were co-transfected with pGL3-FGF11-HRE (WT) or pGL3-FGF11-&#x00394;HREs (&#x00394;HRE), pCMV-&#x003B2;-gal, pEGFP-HIF-1&#x003B1; and pEGFP-HIF-1&#x003B2; plasmids under normoxic conditions, and then reporter gene activity was quantified using the luciferase assay (n=4). HIF-1&#x003B1;, hypoxia-inducible factor-1&#x003B1;; FGF11, fibroblast growth factor 11.</p></caption>
<graphic xlink:href="OR-34-05-2745-g03.tif"/></fig></floats-group></article>
