Objective-Hypoxia-inducible factor 1␣ (HIF-1␣) is primarily involved in the adapting of cells to changes in oxygen levels, which is essential for normal vascular function. Recently, physiological roles for retinoic acid-related orphan receptor ␣ (ROR␣) have been implicated in cardiovascular diseases such as atherosclerosis. In this study, we have investigated the potential roles of ROR␣ in the hypoxia signaling pathway in connection with activation of HIF-1␣. Key Words: ROR␣ Ⅲ hypoxia Ⅲ HIF-1␣ Ⅲ melatonin Ⅲ vascular endothelial growth factor R etinoic acid receptor-related orphan receptor ␣ (ROR␣; NR1F1) is a member of the steroid/thyroid hormone receptor superfamily of transcriptional factors and is closely related to the retinoic acid receptors. 1,2 ROR␣ exists in 4 isoforms, ROR␣1, ROR␣2, ROR␣3, and ROR␣4 (also known as RZR␣), which are generated by a combination of alternative promoter use and exon splicing of the RORA gene. 2 These isoforms comprise a common DNA-binding domain (DBD) and a putative ligand-binding domain (LBD), but differ by their N-terminal sequences. 3 Melatonin and synthetic thiazolidine diones have been shown to transactivate ROR␣, although these observations need to be clarified. 4,5 Recently, analysis of the crystal structure of the ligand-binding domain of ROR␣ revealed that a ligand is present in the binding pocket. This was identified as cholesterol, suggesting that plasma and intracellular levels of cholesterol may be important in the regulation of transcriptional activity for ROR␣. 6,7 ROR␣ usually binds as a monomer to a ROR response element (RORE) consisting of a half site core AGGTCA motif or as a homodimer to a direct repeat of the core motif separated by 2 base pairs. 1 Putative ROREs have been identified in the promoters, such as human fibrinogen , Apo A-V, Apo A-I, Apo C-III, PPAR␥, and RevErb␣, which may suggest a role of this receptor in lipid metabolism and cardiovascular physiology. 8 -12 However, little is known regarding the internal and external stimuli that regulate the RORA gene expression.ROR␣ functions have been studied with the help of the staggerer (sg/sg) mutant mouse. A spontaneous mutation in the ligand-binding domain induces a frameshift that results in a protein truncated in its C terminus and generates the staggerer phenotype. 13 These animals experience severe cerebellar ataxia caused by massive neurodegeneration of Purkinje cells. 14 Moreover, the phenotype of these mice revealed that ROR␣ is crucially involved in regulating the inflammatory and immune responses and lipid metabolism, which are closely related to vascular disorders such as atherosclerosis. 15,16 In the staggerer mice, angiogenesis is enhanced markedly after ischemia induced by the ligation of the femoral artery. 17 In the vascular system, ROR␣ mRNAs have been detected in human smooth muscle cells (SMCs), endothelial cells (ECs), as well as mammary arteries. 16,18 ROR␣ expression level is significantly decreased in human atherosclerotic plaques, whereas increased expression is observed a...