Extracellular heat shock protein-90α:: linking hypoxia to skin cell motility and wound healing

Hypoxia is a microenvironmental stress in wounded skin, where it supports wound healing by promoting cell motility. The mechanism of the hypoxia action remained speculative. Here, we provide evidence that hypoxia promotes human dermal fibroblast (HDF) migration by inducing secretion of heat shock protein-90alpha (hsp90 alpha) into the extracellular environment through hypoxia-inducible factor-1alpha (HIF-1 alpha). The secreted hsp90 alpha in turn executes hypoxia's pro-motility effect. Expression of an activated HIF-1 alpha mimicked, whereas expression of an inactive HIF-1 alpha or suppression of endogenous HIF-1 alpha blocked, hypoxia- induced hsp90a secretion and HDF migration. Interestingly, the hypoxia-HIF-1 pathway-induced hsp90a secretion required neither changes in the steady-state mRNA level nor in the promoter activity of hsp90a. Recombinant hsp90a fully duplicated the hypoxia effect on HDFs. Inhibition of extracellular hsp90a function completely blocked the hypoxia-HIF-1 pathway-stimulated HDF migration. More intriguingly, topical application of hsp90a accelerated wound healing in mice. This study has demonstrated a novel mechanism of hypoxia > HIF-1 > hsp90 alpha secretion > skin cell migration > wound healing, and identified extracellular hsp90 alpha as a potential therapeutic agent for skin wounds.