Objective. To uncover the mechanism by which hypoxia enhances cartilage matrix synthesis by human articular chondrocytes.Methods. The hypoxic response was investigated by exposing normal (nonarthritic) human articular chondrocyte cultures to 20% oxygen and 1% oxygen. Induction of the differentiated phenotype was confirmed at the gene and protein levels. In its first reported application in human articular chondrocytes, the RNA interference method was used to directly investigate the role of specific transcription factors in this process. Small interfering RNA directed against hypoxiainducible factor 1␣ (HIF-1␣), HIF-2␣, and SOX9 were delivered by lipid-based transfection of primary and passaged human articular chondrocytes. The effect of each knockdown on hypoxic induction of the chondrocyte phenotype was assessed.Results. Hypoxia enhanced matrix synthesis and SOX9 expression of human articular chondrocytes at both the gene and protein levels. Although HIF-1␣ knockdown had no effect, depletion of HIF-2␣ abolished this hypoxic induction. Thus, we provide the first evidence that HIF-2␣, but not HIF-1␣, is essential for hypoxic induction of the human articular chondrocyte phenotype. In addition, depletion of SOX9 prevented hypoxic induction of matrix genes, indicating that the latter are not direct HIF targets but are up-regulated by hypoxia via SOX9.Conclusion. Based on our data, we propose a novel mechanism whereby hypoxia promotes cartilage matrix synthesis specifically through HIF-2␣-mediated SOX9 induction of key cartilage genes. These findings have potential application for the development of cartilage repair therapies.Being avascular, cartilage has a low oxygen concentration (1,2). Chondrocytes, the unique resident cells, are therefore adapted to these hypoxic conditions, e.g., by having lower levels of oxidative phosphorylation (3) and enhanced anaerobic glycolysis (4). Furthermore, recent studies suggest that hypoxia triggers essential positive signals for the chondrocyte phenotype beyond such survival responses. Indeed, we previously reported that reduced oxygen tension increases levels of the cartilage matrix genes COL2A1 and aggrecan and the cartilage transcription factor SOX9 in cultured articular chondrocytes (5,6). Domm and colleagues also showed a positive effect of hypoxia on Col␣1(II) levels in bovine chondrocytes (7). Hypoxia has been shown to promote chondrogenic differentiation of mesenchymal stem cells, and it was recently shown that the mouse Sox9 promoter is activated by hypoxia in mouse mesenchymal cells (8).In various cell types, hypoxic effects have been shown to be mediated by hypoxia-inducible factor (HIF) transcription factors. These proteins belong to the Per-ARNT-Sim (PAS) subfamily of basic helix-loop-helix (bHLH) transcription factors and consist of an ␣ subunit and a  subunit (9). Under conditions of normoxia, HIF-1␣ is hydroxylated on specific proline residues, ubiquitinated through interaction with the von HippelLindau tumor suppressor protein, pVHL, and subsequently degraded b...