Hypoxia-inducible factor-2α is an essential catabolic regulator of inflammatory rheumatoid arthritis

PLoS Biol. 2014 Jun 10;12(6):e1001881. doi: 10.1371/journal.pbio.1001881. eCollection 2014 Jun.

Abstract

Rheumatoid arthritis (RA) is a systemic autoimmune disorder that manifests as chronic inflammation and joint tissue destruction. However, the etiology and pathogenesis of RA have not been fully elucidated. Here, we explored the role of the hypoxia-inducible factors (HIFs), HIF-1α (encoded by HIF1A) and HIF-2α (encoded by EPAS1). HIF-2α was markedly up-regulated in the intimal lining of RA synovium, whereas HIF-1α was detected in a few cells in the sublining and deep layer of RA synovium. Overexpression of HIF-2α in joint tissues caused an RA-like phenotype, whereas HIF-1α did not affect joint architecture. Moreover, a HIF-2α deficiency in mice blunted the development of experimental RA. HIF-2α was expressed mainly in fibroblast-like synoviocytes (FLS) of RA synovium and regulated their proliferation, expression of RANKL (receptor activator of nuclear factor-κB ligand) and various catabolic factors, and osteoclastogenic potential. Moreover, HIF-2α-dependent up-regulation of interleukin (IL)-6 in FLS stimulated differentiation of TH17 cells-crucial effectors of RA pathogenesis. Additionally, in the absence of IL-6 (Il6-/- mice), overexpression of HIF-2α in joint tissues did not cause an RA phenotype. Thus, our results collectively suggest that HIF-2α plays a pivotal role in the pathogenesis of RA by regulating FLS functions, independent of HIF-1α.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Arthritis, Experimental / etiology*
  • Arthritis, Experimental / metabolism
  • Arthritis, Rheumatoid / etiology*
  • Arthritis, Rheumatoid / metabolism
  • Basic Helix-Loop-Helix Transcription Factors / immunology
  • Basic Helix-Loop-Helix Transcription Factors / metabolism*
  • Cell Differentiation
  • Hypoxia-Inducible Factor 1, alpha Subunit / metabolism
  • Interleukin-6 / metabolism
  • Male
  • Mice, Inbred C57BL
  • Mice, Inbred DBA
  • Phenotype
  • Synovial Membrane / metabolism
  • Th17 Cells / cytology
  • Up-Regulation

Substances

  • Basic Helix-Loop-Helix Transcription Factors
  • Hif1a protein, mouse
  • Hypoxia-Inducible Factor 1, alpha Subunit
  • Interleukin-6
  • endothelial PAS domain-containing protein 1

Grants and funding

Our work was supported by grants from the National Research Foundation of Korea (2007-0056157, 2012M3A9B44028559, and 2013R1A2A1A01009713 to J-SC and 2012-0009418 and 2012-001729 to J-HR), the Korea Healthcare Technology R&D Project (A110274 to J-SC), and Institute for Basic Science (IBS, to S-HI). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.