Protein synthesis, especially translation elongation, requires large amounts of energy, which is often generated by oxidative metabolism. Elongation is controlled by phosphorylation of eukaryotic elongation factor 2 (eEF2), which inhibits its activity and is catalyzed by eEF2 kinase (eEF2K), a calcium/calmodulin-dependent ␣-kinase. Hypoxia causes the activation of eEF2K and induces eEF2 phosphorylation independently of previously known inputs into eEF2K. Here, we show that eEF2K is subject to hydroxylation on proline-98. Proline hydroxylation is catalyzed by proline hydroxylases, oxygen-dependent enzymes which are inactivated during hypoxia. Pharmacological inhibition of proline hydroxylases also stimulates eEF2 phosphorylation. Pro98 lies in a universally conserved linker between the calmodulin-binding and catalytic domains of eEF2K. Its hydroxylation partially impairs the binding of calmodulin to eEF2K and markedly limits the calmodulin-stimulated activity of eEF2K. Neuronal cells depend on oxygen, and eEF2K helps to protect them from hypoxia. eEF2K is the first example of a protein directly involved in a major energy-consuming process to be regulated by proline hydroxylation. Since eEF2K is cytoprotective during hypoxia and other conditions of nutrient insufficiency, it may be a valuable target for therapy of poorly vascularized solid tumors.
Many cells require aerobic metabolism to generate energy, necessitating an adequate supply of oxygen. Protein synthesis, especially translation elongation, is a major energy-consuming process, and translation elongation uses both ATP (for aminoacyl-tRNA charging) and GTP (at least two GTP equivalents are used during each round of the elongation process). Overall, at least four ATP equivalents are used for each amino acid added to the growing chain during elongation. Elongation rates can be regulated through the phosphorylation of eukaryotic elongation factor 2 (eEF2) (1). Phosphorylation of eEF2 on Thr56 by eEF2 kinase (eEF2K) inhibits its ability to interact with ribosomes (2), thereby impairing translation elongation. Indeed, a range of studies has shown that increased phosphorylation of eEF2 is associated with slower ribosomal movement along the mRNA (e.g., see references 3 to 5).eEF2K interacts with calmodulin (CaM) through a binding site which lies almost immediately N terminal to its catalytic domain (6, 7). The catalytic domain belongs to the small group of (six) mammalian ␣-kinases, rather than the main protein kinase superfamily; ␣-kinases show no sequence homology and only limited three-dimensional structural homology to other protein kinases (8, 9). eEF2K activity is regulated through several signaling pathways linked, e.g., to nutrient availability; these include signaling through the mammalian target of rapamycin complex 1 (mTORC1), which represses eEF2K activity, and the AMPactivated protein kinase (AMPK), a key cellular energy sensor (10) which causes activation of eEF2K (11, 12), probably in part by inhibiting mTORC1 signaling. Both inputs operate such th...