Human articular cartilage is an avascular tissue, and therefore it functions in a hypoxic environment. Cartilage cells, the chondrocytes, have adapted to this and actually use hypoxia to drive tissue-specific functions. We have previously shown that human chondrocytes enhance cartilage matrix synthesis in response to hypoxia specifically through hypoxia-inducible factor 2␣ (HIF-2␣)-mediated up-regulation of master regulator transcription factor SOX9, which in turn drives expression of the main cartilage-specific extracellular matrix genes. HIF-␣ isoforms are themselves regulated by specific prolyl hydroxylase domain-containing proteins, which target them for proteosomal degradation. In fact, prolyl hydroxylase domains are the direct oxygen sensors because they require molecular oxygen as a co-substrate. Here, we have identified PHD2 as the dominant isoenzyme regulating HIF-2␣ stability in human chondrocytes. Moreover, specific inhibition of PHD2 using RNA interferencemediated depletion caused an up-regulation of SOX9 and enhanced extracellular matrix protein production. Depletion of PHD2 resulted in greater HIF-2␣ levels and therefore enhanced SOX9-induced cartilage matrix production compared with the levels normally found in hypoxia (1% oxygen) implying that PHD2 inhibition offers a novel means to enhance cartilage repair in vivo. The need for HIF-specific hydroxylase inhibition was highlighted because treatment with the 2-oxoglutarate analogue dimethyloxalylglycine (which also inhibits the collagen prolyl 4-hydroxylases) prevented secretion of type II collagen, a critical cartilage matrix component.Articular cartilage consists of a single cell type, the chondrocyte, which is solely responsible for the synthesis and maintenance of the extracellular matrix (1). The rigid nature of type II collagen fibrils present in the matrix confers tensile strength to the tissue, and the swelling pressure caused by water-saturated aggrecan molecules creates a compressive gellike stiffness allowing the tissue to resist deformation and giving cartilage its ability to absorb shocks (1, 2). Due to its shockabsorbing and articulating functions, articular cartilage cannot afford a blood or nerve supply. The tissue is therefore dependent on diffusion of oxygen from the synovial fluid on one side and the vascularized underlying bone on the other. As a result, articular cartilage (at least in larger animals and man) is maintained in a low oxygen environment (1-5% oxygen tension) throughout life (3-5). There is now significant evidence that hypoxia is a critical parameter in promoting the chondrocyte phenotype. It has been shown that hypoxia up-regulates key cartilage transcription factor SOX9 and increases expression of the main extracellular matrix genes in bovine and human chondrocytes (6 -10).The response of cells to hypoxia is mediated by hypoxiainducible factors (HIFs), 2 heterodimeric transcription factors consisting of an ␣ and  subunit (11). Both subunits are constitutively expressed at the mRNA level; however, the ␣ subunit ...