%0 Journal Article %T Hypoxia Induces Hypoxia %A Guiwen Wang %A Hiroshi Ishikawa %A Kunizui Sone %A Linlin Xu %A Makio Shozu %A Tatsuya Kobayashi %J Reproductive Sciences %@ 1933-7205 %D 2019 %R 10.1177/1933719118776793 %X Uterine leiomyoma is characterized by abundant extracellular matrix and broad avascular areas, both constantly resulting in hypoxia, suggesting some hypoxia-induced response function. Here, we examined whether hypoxia-inducible factor 1¦Á (HIF-1¦Á)- mediated hypoxic response function in uterine leiomyoma. Immunoblotting detected higher basal HIF-1¦Á protein expression in nuclear extracts from uterine leiomyoma tissues than in those from the adjacent myometrium (P = .0011). Immunohistochemical analysis revealed the presence of HIF-1¦Á-positive cellular components in both leiomyoma and surrounding myometrial tissues. Hypoxia decreased HIF-1¦Á messenger RNA (mRNA), but increased HIF-1¦Á protein in primary culture leiomyoma smooth muscle cells, and caused translocation of HIF-1¦Á from the cytoplasm to the nucleus. Hypoxia upregulated mRNAs of 6 potential HIF-responsive genes (ALDOA, ENO1, LDHA, VEGFA, PFKFB3, and SLC2A1). Chromatin immunoprecipitation quantitative polymerase chain reaction revealed that hypoxia significantly increased recruitment of HIF-1¦Á binding to putative HIF-responsive elements in the HIF-responsive genes, suggesting that the HIF transcriptional complex initiates hypoxia-induced transcription of HIF-responsive genes. These results demonstrated a HIF-1¦Á-mediated hypoxic response in uterine leiomyoma %K uterine leiomyoma %K hypoxia %K hypoxia inducible factor %K extracellular matrix %U https://journals.sagepub.com/doi/full/10.1177/1933719118776793