Glucose up-regulates HIF-1 alpha expression in primary cortical neurons in response to hypoxia through maintaining cellular redox status

It has been suggested that hypoxia-inducible factor 1 (HIF-1), a key regulator in cell's adaptation to hypoxia, plays an important role in the fate of neurons during ischemia. However, the mechanism of HIF-1 regulation is still not fully understood in neurons subjected to ischemia. In this study, we demonstrated that glucose up-regulated the expression of HIF-1α, the oxygen-dependent subunit of HIF-1, in rat primary cortical neurons exposed to hypoxia. To understand the mechanism of glucose-regulated HIF-1α expression, we investigated the relationships between HIF-1α expression, reactive oxygen species (ROS), and redox status. Low levels of HIF-1α protein expression were observed in the neurons exposed to in vitro ischemic conditions that had high levels of ROS (oxidizing environments), and vice versa . The glutathione (GSH) precursor, N -acetyl cysteine, induced HIF-1α protein expression in hypoxic neurons while the GSH synthesis inhibitor, l -buthionine sulfoximine, inhibited the expression. Moreover, (?)-epicatechin gallate, a ROS scavenger, elevated HIF-1α expression in the neurons subjected to in vitro ischemia. Furthermore, results from a systemic hypoxia model showed that a reducing environment increased HIF-1α expression in rat brains. Taken together, these data presented the first evidence that glucose promoted HIF-1α stabilization through regulating redox status in primary neurons exposed to hypoxia. The results imply that hypoxia only may not be sufficient to stabilize HIF-1α and that a reducing environment is required to stabilize HIF-1α in neurons exposed to hypoxia.