scriptional regulation of ␣1H T-type calcium channel under hypoxia. Am J Physiol Cell Physiol 307: C648 -C656, 2014. First published August 6, 2014; doi:10.1152/ajpcell.00210.2014.-The low-voltageactivated T-type Ca 2ϩ channels play an important role in mediating the cellular responses to altered oxygen tension. Among three T-type channel isoforms, ␣1G, ␣1H, and ␣1I, only ␣1H was found to be upregulated under hypoxia. However, mechanisms underlying such hypoxia-dependent isoform-specific gene regulation remain incompletely understood. We, therefore, studied the hypoxia-dependent transcriptional regulation of ␣1G and ␣1H gene promoters with the aim to identify the functional hypoxia-response elements (HREs). In rat pulmonary artery smooth muscle cells (PASMCs) and pheochromocytoma (PC12) cells after hypoxia (3% O2) exposure, we observed a prominent increase in ␣ 1H mRNA at 12 h along with a significant rise in ␣ 1H-mediated T-type current at 24 and 48 h. We then cloned two promoter fragments from the 5=-flanking regions of rat ␣ 1G and ␣1H gene, 2,000 and 3,076 bp, respectively, and inserted these fragments into a luciferase reporter vector. Transient transfection of PASMCs and PC12 cells with these recombinant constructs and subsequent luciferase assay revealed a significant increase in luciferase activity from the reporter containing the ␣1H, but not ␣1G, promoter fragment under hypoxia. Using serial deletion and point mutation analysis strategies, we identified a functional HRE at site Ϫ1,173CACGCϪ1,169 within the ␣ 1H promoter region. Furthermore, an electrophoretic mobility shift assay using this site as a DNA probe demonstrated an increased binding activity to nuclear protein extracts from the cells after hypoxia exposure. Taken together, these findings indicate that hypoxia-induced ␣ 1H upregulation involves binding of hypoxia-inducible factor to an HRE within the ␣1H promoter region.T-type calcium channel; gene expression; hypoxia; hypoxia-response element HYPOXIA IS AN ESSENTIAL and critical pathological component of many pulmonary disorders, including acute lung injury, chronic obstructive pulmonary disease, and pulmonary hypertension. One of the most important responses to hypoxia in the pulmonary vasculature is a change in intracellular calcium homeostasis. Smooth muscle cells in pulmonary arteries, i.e., pulmonary artery smooth muscle cells (PASMCs), and endothelial cell in the microvessels, i.e., pulmonary microvascular endothelial cells (PMVECs), are both equipped with voltage-gated Ca 2ϩ channels. The two major classes of voltage-gated Ca 2ϩ channels are differentiated by their electrophysiological properties: high-voltage-activated channels, which include the L-, N-, P/Q-, and R-subtypes, and low-voltage-activated channels, also known as T-type channels. In addition to their distinct voltage dependence of activation, T-type channels also exhibit a unique rapid inactivation and slow deactivation time course (29). Functionally, the L-type channel has long been considered the predominant source of C...