Effect of hypoxia-inducible factor-1α on transcription of survivin in non-small cell lung cancer

Background: Survivin is a structurally and functionally unique member of the inhibitor of apoptosis protein (IAP) family. It plays an important role, not only in regulating mitosis but also in inhibiting apoptosis. The current literature contains few reports on the transcriptional regulation of survivin expression in lung cancer. Methods: In this study, we investigated the effect of hypoxia-inducible factor-1 alpha (HIF-1 alpha) on the transcriptional activity of the survivin promoter in non-small cell lung cancer (NSCLC). Immunohistochemical staining was used to detect the expression of survivin and HIF-1 alpha in the lung tissue of 120 patients with non-small cell lung cancer (NSCLC) and 40 patients with benign pulmonary disease. We also performed experiments with the lung adenocarcinoma cell line A549 cells, which were cultured under hypoxic conditions. The expression of survivin and HIF-1 alpha was detected by real-time RT-PCR and Western blotting. In the survivin promoter the putative bindingsite for HIF-1 alpha, is -19 bp similar to-16 bp upstream of TSS. We performed site-directed mutagenesis of this binding site, and used luciferase reporter plasmids to determine the relative activity of the survivin promoter in A549 cells. We also studied the effect of HIF-1 alpha on the expression of survivin by dsRNA targeting of HIF-1 alpha mRNA. Results: HIF-1 alpha (58.33%) and survivin (81.60%) were both over-expressed in NSCLC and their expressions correlated with one another. They were also expressed in A549 cells under normal and hypoxic conditions, with a significant increase under hypoxic conditions. Site directed mutagenesis of the putative binding site for HIF-1 alpha in the survivin promoter significantly decreased the activity of the survivin promoter in A549 cells. Inhibition of HIF-1 alpha by RNAi decreased the expression of survivin in A549 cell lines. Conclusion: Our results indicate that the binding of HIF-1 alpha to the survivin promoter increases transcription of the survivin gene. Thus, HIF-1 alpha is an important transcriptional regulator of survivin expression