Abstract-Hypoxia inducible factor-1 (HIF-1) regulates changes in transcription of key genes such as inducible NO synthase (iNOS) in hypoxic/ischemic environments. In normoxia, HIF-1 activation is controlled by HIF-1␣-prolyl 4-hydroxylases, which target HIF-1␣ for ubiquitination and proteasomal degradation. We hypothesized that normoxic HIF-1 preservation could attenuate cardiac ischemia/reperfusion injury via a preconditioning effect. HIF-1 preservation was achieved by using small interfering RNA (siRNA) to silence murine HIF-1␣-prolyl-4 hydroxylase-2 (PHD2). PHD2 siRNA reduced PHD2 mRNA expression 89Ϯ1.5% (PϽ0.001) in a time-and concentration-dependent manner in normoxic murine microvascular endothelial cells (EC). PHD2 silencing in normoxic EC stabilized HIF-1␣ protein levels while significantly increasing HIF-1 transcriptional activity and iNOS mRNA expression. Wild-type mice infused with PHD2 siRNA (1.5 g/g body weight) showed a 61Ϯ2.4% (PϽ0.05) reduction in cardiac PHD2 mRNA within 24 hours. In addition HIF-1␣ protein levels and HIF-1-dependent iNOS mRNA levels were increased. PHD2 siRNA-transfected hearts from wild-type mice (nϭ6) subjected to 30 minutes ischemia followed by 60 minutes reperfusion exhibited reduced infarct size when compared with saline-treated controls (9.7Ϯ1.9% versus 31.6Ϯ1.8%, respectively, PϽ0.0001, nϭ6) and to control mice transfected with a nontargeting siRNA control (28.4Ϯ3.0%, PϽ0.0001, nϭ6). Hearts from iNOS knockout mice receiving PHD2 siRNA by identical injection protocol (nϭ6) exhibited infarct size indistinguishable from saline controls (28.7Ϯ1.3%). These results show that in vitro and in vivo, PHD2 silencing using a siRNA strategy produces transcriptionally active HIF-1. Key Words: small interfering RNA Ⅲ hypoxia inducible factor-1␣-prolyl 4-hydroxylase-2 Ⅲ cardiac ischemia/reperfusion Ⅲ inducible NO synthase H ypoxia inducible factor-1 (HIF-1) is a heterodimeric ␣, transcription factor that mediates tissue responses to hypoxia. 1 HIF-1 promotes transcription of more than 40 genes involved in oxygen homeostasis in response to diminished oxygen tension, including inducible NO synthase (iNOS), vascular endothelial growth factor (VEGF), and heme oxygenase-1. 2 HIF-1␣ and - mRNAs are expressed in most human tissues, 3 but HIF-1 activity is determined by expression and activity of the ␣ subunit. 4 Under normoxic conditions, HIF-1 is ubiquitinated and degraded by the 26S proteasome. [5][6][7] Posttranslational hydroxylation of HIF-1␣ targets the subunit for the von Hippel Lindau tumor suppressor protein E3 ubiquitin ligase complex. 8 -11 Three prolyl hydroxylase isoforms have been identified and use O 2 and 2-oxoglutarate as substrates to generate 4-hydroxyproline at residue 402 and/or 564 of HIF-1␣. 12,13 Because HIF-1␣-prolyl 4-hydroxylases possess a high Michaelis constant (K m ) for O 2 , changes in the cellular O 2 concentration are transduced into changes in the rate at which HIF-1␣ is hydroxylated, ubiquitinated, and degraded. 14 Expression of the prolyl 4-hydroxylases v...