# Role of HIF-1 in Intervertebral Disc Function

> **NIH NIH R01** · THOMAS JEFFERSON UNIVERSITY · 2020 · $522,466

## Abstract

In the intervertebral disc, nucleus pulposus (NP) cells reside in a unique hypoxic niche that imposes metabolic
constraints on cells. NP cells exhibit a robust expression of HIF-1 and there is non-canonical control of its
turnover and activity by prolyl hydroxylases (PHDs). Based on our recent findings, a major goal of the
investigation is to evaluate the mechanisms by which HIF-PHD axis controls NP cell metabolism and if
sustained, HIF-1 activity retards age-dependent metabolic and degenerative changes in the disc. In Aim 1 we
will test the hypothesis that the HIF-PHD axis is the master regulator of NP cell function in the hypoxic
microenvironment through intricate control of their metabolic state. We will determine how HIF-1 controls
GLUT-1 and key glycolytic enzyme transcription by ChIP-Seq, mutagenesis and silencing or overexpression
approaches. The role of HIF-1 in controlling metabolic flux will be delineated by measuring the fate of [1-2-
13C2]-glucose and [U-13C5]-glutamine in NP cells from young and old rats. We will delete GLUT-1 using NP
specific FoxA2-Cre and Shh-CreERT2-Cre mice. Finally, we will use NP cells isolated from human degenerated
tissues to determine how disease severity alters the expression of GLUT-1 and HIF-1 dependent metabolic
targets. In Aim 2, we will test the hypothesis that pH homeostasis in glycolytic NP cells is regulated by HIF-1-
dependent molecular circuit comprising the lactate transporter, MCT4, its accessory protein basigin and
plasma membrane associated carbonic anhydrase (CA) 9 and 12. We have shown that HIF-1-dependent
expression of CA9 and 12 play a critical role in cytosolic pH maintenance through HCO3- recycling. We will
determine mechanisms by which HIF-1 controls MCT4 and basigin expression. We will delineate the functional
role of MCT4 in cytosolic clearance of glycolytic end products, lactate and H+. Using MCT4 knockout mice, we
will ascertain if perturbation of pH homeostasis compromises disc health with aging. Finally, using human
degenerated tissues we will determine how HIF-1 activity and disease severity alters expression of MCT4,
basigin and CA9/12. In Aim 3 we will test the hypothesis that increasing HIF-1 activity rescues NP cells from
age-dependent disc degeneration through maintenance of glycolytic metabolism and pH homeostasis. We
showed that PHD3 controls HIF-1 activity and lack of PHD3 in vivo promotes NP degeneration. We will
conditionally overexpress HIF-1 in the NP of PHD3-/- mice and examine the age dependent changes in disc
phenotype. We will study the influence of restored HIF-1 activity on expression of key metabolic and pH
homeostatic regulators. Finally, we will determine if HIF-1 overexpression alone slows down the progression
of age-dependent disc degeneration. The studies are first-of-a-kind in field of disc research and will provide
insights into the unique metabolic control of NP cells by the HIF-PHD circuit. The investigations will generate
metabolic biomarke...

## Key facts

- **NIH application ID:** 9914217
- **Project number:** 5R01AR055655-12
- **Recipient organization:** THOMAS JEFFERSON UNIVERSITY
- **Principal Investigator:** Makarand V Risbud
- **Activity code:** R01 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2020
- **Award amount:** $522,466
- **Award type:** 5
- **Project period:** 2008-08-01 → 2024-02-29

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/9914217

## Citation

> US National Institutes of Health, RePORTER application 9914217, Role of HIF-1 in Intervertebral Disc Function (5R01AR055655-12). Retrieved via AI Analytics 2026-05-25 from https://api.ai-analytics.org/grant/nih/9914217. Licensed CC0.

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