Consecutive Hypoxia Decreases Expression of , , , and via Downregulation and Intermittent Hypoxia-Reoxygenation Increases Expression of , , , , and via Upregulation in Human Bronchial Epithelial Cells.

Previous studies have shown that the experimental models of hypoxia-reoxygenation (H/R) mimics the physiological conditions of ischemia-reperfusion and induce oxidative stress and injury in various types of organs, tissues, and cells, both and , including human lung adenocarcinoma epithelial cells. Nonetheless, it had not been reported whether H/R affected proliferation, apoptosis, and expression of stem/progenitor cell markers in the bronchial epithelial cells. In this study, we investigated differential effects of consecutive hypoxia and intermittent 24/24-h cycles of H/R on human bronchial epithelial (HBE) cells derived from the same-race and age-matched healthy subjects (i.e., NHBE) and subjects with chronic obstructive pulmonary disease (COPD) (i.e., DHBE). To analyze gene/protein expression during differentiation, both the NHBE and DHBE cells at the 2nd passage were cultured at the air-liquid interface (ALI) in the differentiation medium under normoxia for 3 days, followed by either culturing under hypoxia (1% O) for consecutively 9 days and then returning to normoxia for another 9 days, or culturing under 24/24-h cycles of H/R (i.e., 24 h of 1% O followed by 24 h of 21% O, repetitively) for 18 days in total, so that all differentiating HBE cells were exposed to hypoxia for a total of 9 days. In both the normal and diseased HBE cells, intermittent H/R significantly increased , , , , , and expression, while consecutive hypoxia significantly decreased , , , , and expression. Inhibition of or expression by siRNA transfection respectively decreased //// and / expression in the HBE cells cultured under intermittent H/R to the same levels under normoxia. Overexpression of via cDNA transfection caused more than 2.8-fold increases in , , and mRNA levels in the HBE cells cultured under consecutive hypoxia compared to the levels under normoxia. Taken together, our results show for the first time that consecutive hypoxia decreased expression of the co-regulated gene module and the ciliogenesis-inducing transcription factor gene via mRNA downregulation, while intermittent H/R increased expression of the co-regulated gene module and the predominant airway mucin gene via mRNA upregulation.