Lee JH, Gao Z, Ye J. Regulation of 11-HSD1 expression during adipose tissue expansion by hypoxia through different activities of NF-B and HIF-1␣. Am J Physiol Endocrinol Metab 304: E1035-E1041, 2013. First published March 19, 2013; doi:10.1152/ajpendo.00029.2013.-11-Hydroxysteroid dehydrogenase type 1 (11-HSD1) is involved in the pathogenesis of type 2 diabetes by generating active glucocorticoids (cortisol and corticosterone) that are strong inhibitors of angiogenesis. However, the mechanism of 11-HSD1 gene expression and its relationship to adipose angiogenesis are largely unknown. To address this issue, we examined 11-HSD1 expression in visceral and subcutaneous adipose tissue (AT) of diet-induced obese (DIO) mice during weight gain and investigated the gene regulation by hypoxia in vitro. 11-HSD1 mRNA was reduced in the adipose tissues during weight gain in DIO mice, and the reduction was associated with an elevated expression of angiogenic factors. In vitro, 11-HSD1 expression was induced in mRNA and protein by hypoxia. Of the two transcription factors activated by hypoxia, the nuclear factor-B (NF-B) enhanced but the hypoxia inducible factor-1␣ (HIF-1␣) reduced 11-HSD1 expression. 11-HSD1 expression was elevated by NF-B in epididymal fat of aP2-p65 mice. The hypoxia-induced 11-HSD1 expression was attenuated by NF-B inactivation in p65-deficient cells but enhanced by HIF-1 inactivation in HIF-1␣-null cells. These data suggest that 11-HSD1 expression is upregulated by NF-B and downregulated by HIF-1␣. During AT expansion in DIO mice, the reduction of 11-HSD1 expression may reflect a dominant HIF-1␣ activity in the adipose tissue. This study suggests that NF-B may mediate the inflammatory cytokine signal to upregulate 11-HSD1 expression.11-hydroxysteroid dehydrogenase type 1; nuclear factor-B; hypoxiainducible factor-1␣; hypoxia; hyperinsulinemia; angiogenesis; inflammation; obesity; type 2 diabetes 11-HYDROXYSTEROID DEHYDROGENASE TYPE 1 (11-HSD1) that converts inactive glucocorticoids (GCs; cortisone and 11-dehydrocorticosterone) into active GCs (cortisol and corticosterone) plays a role in the pathogenesis of insulin resistance. Global inactivation of 11-HSD1 by gene knockout prevents insulin resistance and reduces hepatic gluconeogenesis in obese mice (21). 11-HSD1 overexpression in adipose tissue (AT) generates visceral obesity and systemic insulin resistance in transgenic mice (23). Liver-specific overexpression of 11-HSD1 leads to insulin resistance in the absence of obesity in mice (31). Conversely, global inactivation of the 11-HSD1 gene protects mice from diet-induced obesity (21,25,26). 11-HSD1 has been a drug target in the study of insulin resistance, and its inhibition using a pharmacological approach improves insulin sensitivity in diabetic mice (2). 11-HSD1 is expressed in many cell types, including adipocytes, and the expression is increased during adipocyte differentiation (7). 11-HSD1 elevation in adipocytes is proposed to be a common molecular etiology for visceral obe...