EGLN3, also termed Prolyl Hydroxylase Domain-containing Protein 3 (PHD3), is encoded by the EGLN3 gene on human chromosome 14. It belongs to the α-ketoglutarate-dependent hydroxylase family and regulates oxygen-sensitive pathways .
EGLN3 contains an iron-binding site (Asp137, His196) and 2-oxoglutarate-binding motif (Arg205) . Key functions include:
Hypoxia-Inducible Factor (HIF) Regulation: Hydroxylates HIF-α subunits (particularly HIF2A), targeting them for proteasomal degradation under normoxia .
Non-HIF Targets: Modulates apoptosis via BCL2/BAX complex disruption in cardiomyocytes and caspase-3 regulation in neurons .
DNA Damage Response: Hydroxylates TELO2 to activate the ATR/CHK1/p53 pathway .
EGLN3 expression is induced by hypoxia through a hypoxia-responsive element (HRE) in its first intron, creating a negative feedback loop to limit HIF activity . Additional hypoxia-linked roles:
Metabolic Regulation: Hydroxylates pyruvate kinase M (PKM) to suppress glycolysis under low oxygen .
Adrenergic Signaling: Stabilizes β2-adrenergic receptors (ADRB2) via hydroxylation .
EGLN3 exhibits tumor-suppressive roles across malignancies, though mechanisms vary:
Key findings:
Nonenzymatic Activity: In gastric cancer, EGLN3 inhibits metastasis independent of hydroxylase activity by downregulating JMJD8-mediated NF-κB signaling .
Therapeutic Targeting: Pharmacologic inhibition of EGLN3 hydroxylase (e.g., DMOG) reduces tumor burden in lung cancer models by reprogramming the tumor microenvironment .
In glioma, EGLN3 upregulation correlates with increased apoptosis-specific CAD protein, suppressing early tumor growth .
Knockout mouse models show that EGLN3 inactivation reduces apoptotic signals, leading to uncontrolled cell proliferation .
EGLN3 hydroxylates Erk3, blocking its degradation via chaperone-mediated autophagy (CMA). This stabilization promotes lung cancer progression by enhancing immunosuppressive signaling .
Hypermethylation of the EGLN3 promoter is linked to advanced gastric cancer stages and poor prognosis . Demethylating agents may restore antitumor effects.
Biomarker Potential: Low EGLN3 expression in tumors correlates with metastasis and survival .
Therapeutic Strategies: Small-molecule inhibitors targeting EGLN3’s hydroxylase activity (e.g., DMOG) show efficacy in preclinical models .
Combination Therapies: Co-targeting EGLN3 and HIF pathways may overcome resistance in hypoxic tumors .
EGLN3, also known as Prolyl Hydroxylase Domain-containing protein 3 (PHD3), is a 27 kDa enzyme belonging to the Egl-9 family of hypoxia-inducible factor proteins. Its primary function is serving as a cellular oxygen sensor that catalyzes the post-translational formation of 4-hydroxyproline in hypoxia-inducible factor (HIF) alpha proteins under normoxic conditions . This hydroxylation is a critical regulatory mechanism for oxygen homeostasis. EGLN3 specifically hydroxylates proline residues found in the oxygen-dependent degradation domains (ODDs) of HIF1A and HIF2A, with a notable preference for the C-terminal ODD (CODD) site over the N-terminal ODD (NODD) site . This post-translational modification targets HIFs for ubiquitination by the von Hippel-Lindau complex and subsequent proteasomal degradation, thereby preventing the activation of hypoxia-response elements under normal oxygen conditions . Among the three PHD family members, EGLN3 is considered the most important isozyme in limiting physiological activation of HIFs (particularly HIF2A) in hypoxic environments .
EGLN3 is widely expressed at low baseline levels across human tissues, with particularly elevated expression in adult heart (cardiac myocytes, aortic endothelial cells, and coronary artery smooth muscle), lung, and placenta . Significant expression has also been observed in fetal spleen, heart, and skeletal muscle tissues. Within the pancreas, EGLN3 demonstrates localization to both pancreatic acini and islet cells . The most notable regulatory mechanism for EGLN3 expression is hypoxia itself, with expression being significantly induced under low oxygen conditions in numerous cell types, including neutrophils and various cancer cell lines . This creates an important negative feedback loop where the oxygen-sensing mechanism is amplified during hypoxic challenge. Particularly striking is the observation that EGLN3 is upregulated approximately 10-fold in pancreatic cancer tissues compared to normal pancreatic tissue, suggesting potential roles in cancer progression and possibly representing a cancer biomarker . This differential expression pattern across tissues and disease states makes EGLN3 an important target for understanding tissue-specific responses to hypoxia.
The human EGLN3 protein consists of 239 amino acids and contains several well-defined structural domains that are essential for its hydroxylase activity. Most critically, EGLN3 features one iron 2-oxoglutarate (Fe2OG) dioxygenase domain spanning amino acids 278-376, which forms the catalytic core of the enzyme . This domain requires both iron and 2-oxoglutarate as cofactors for hydroxylation activity. The protein contains specific residues for cofactor binding, including an iron-binding site formed by Asp137 and His196, as well as a 2-oxoglutarate-binding site at Arg205 . These binding sites are crucial for proper enzymatic function as they allow EGLN3 to coordinate iron and 2-oxoglutarate during the hydroxylation reaction. Target proteins containing the LXXLAP motif are preferentially recognized by EGLN3, which explains its substrate specificity for HIFα subunits and other targets like ADRB2 (beta-2-adrenergic receptor) and TELO2 . The human EGLN3 shares 97% amino acid sequence identity with mouse and rat EGLN3 within amino acids 2-239, indicating strong evolutionary conservation of this oxygen-sensing mechanism across mammals .
EGLN3 exhibits a nuanced regulation pattern for HIF-1α and HIF-2α that varies depending on oxygen levels and hydroxylation sites. Under normoxic conditions, EGLN3 hydroxylates specific proline residues in both the N-terminal oxygen-dependent degradation domain (NODD) and the C-terminal oxygen-dependent degradation domain (CODD) of HIF subunits . Multiple studies have demonstrated that EGLN3 shows a stronger preference for hydroxylating the CODD site in both HIF-1α and HIF-2α compared to the NODD site . Interestingly, hydroxylation of the NODD site by EGLN3 appears to require prior hydroxylation of the CODD site, suggesting a sequential mechanism of regulation that provides fine-tuned control over HIF stability . When oxygen tensions decrease, EGLN3 hydroxylase activity becomes attenuated, as the reaction requires molecular oxygen as a substrate. This attenuation allows HIF-α subunits to escape degradation, translocate to the nucleus, heterodimerize with HIF-1β, and activate hypoxia-responsive genes . Among the PHD family members, EGLN3 is considered the most critical isozyme for limiting the physiological activation of HIFs, particularly HIF-2α, during hypoxic conditions . This is significant because HIF-2α regulates different gene sets than HIF-1α, suggesting EGLN3 may have particular importance in regulating erythropoiesis and other HIF-2α-dependent processes.
EGLN3 functions as a significant regulator of apoptosis in multiple cell types through distinct mechanisms. In cardiomyocytes, EGLN3 inhibits the anti-apoptotic effect of BCL2 by disrupting the BAX-BCL2 complex, effectively promoting cell death under certain conditions . This disruption shifts the balance toward pro-apoptotic signaling, making cells more susceptible to apoptosis triggers. In neuronal cells, EGLN3 demonstrates a nerve growth factor (NGF)-induced pro-apoptotic effect, likely through the regulation of caspase-3 activity . This suggests that EGLN3 serves as an important link between growth factor signaling and programmed cell death in neural tissues. Beyond these direct interactions with apoptotic machinery, EGLN3 also plays a role in DNA damage response (DDR) pathways by hydroxylating TELO2, which promotes its interaction with ATR (Ataxia Telangiectasia and Rad3-related protein) . This interaction is required for activation of the ATR/CHK1/p53 pathway, a critical regulator of cell cycle arrest and apoptosis in response to DNA damage . Additionally, under hypoxic conditions, EGLN3 hydroxylates pyruvate kinase M (PKM), limiting glycolysis and potentially affecting metabolic adaptations that influence cell survival decisions . These diverse mechanisms highlight EGLN3's multifaceted role in integrating oxygen sensing with cell fate determination across different tissue contexts.
Whole-genome sequencing studies have identified significant associations between EGLN3 genetic variants and high-altitude adaptation in Tibetan populations. In particular, the SNV rs1346902 located within the EGLN3 gene (14q13.1) has been strongly associated (P = 1.91 × 10^-5) with high-altitude polycythemia (HAPC) in Tibetan populations living at high altitudes . HAPC is characterized by excessive erythrocytosis and represents a maladaptation to the hypoxic conditions of high-altitude environments. The association of EGLN3 variants with this condition is biologically plausible given the protein's central role in regulating HIF stability and activity, which directly influences erythropoietin production and red blood cell generation . Beyond high-altitude adaptation, EGLN3 has been implicated in several disease states. Genetic alterations and expression changes in EGLN3 are associated with multiple cancer types, particularly renal cell carcinoma and pheochromocytoma . The gene's involvement in these cancers aligns with the known role of HIF dysregulation in promoting tumor growth and angiogenesis. The PPP1R2P1 gene (Protein Phosphatase 1 Regulatory Inhibitor Subunit 2) located at 6p21.32 has also been identified in association with HAPC (rs521539, P = 0.012), suggesting potential interactions between EGLN3 and phosphatase signaling pathways in the context of high-altitude adaptation and disease susceptibility .
For optimal EGLN3/PHD3 detection using immunofluorescence in human cell lines, researchers should consider a validated protocol that has demonstrated success with the A549 human lung carcinoma cell line . Begin by seeding cells on coverslips at 60-70% confluence, then either maintain under normoxic conditions or induce hypoxic response with CoCl₂ (commonly used at 100-150 μM for 16-24 hours) to compare differential expression patterns. After treatment, fix cells with 4% paraformaldehyde for 15 minutes at room temperature, followed by permeabilization with 0.1% Triton X-100 in PBS for 10 minutes . For immunostaining, the Mouse Anti-Human EGLN3/PHD3 Monoclonal Antibody (such as MAB6954) has been validated at a concentration of 10 μg/mL applied for 3 hours at room temperature . Secondary detection can be achieved using NorthernLights™ 557-conjugated Anti-Mouse IgG Secondary Antibody or another appropriate fluorophore-conjugated secondary antibody. Counterstain nuclei with DAPI (1 μg/mL) for 5 minutes to facilitate subcellular localization analysis . When properly executed, this protocol reveals EGLN3/PHD3 localization in both the cytoplasm and nucleus, with typically enhanced staining in CoCl₂-treated cells due to hypoxia-induced upregulation. Researchers should optimize antibody concentrations for their specific cell types, as dilutions may vary between different cellular contexts. Include both positive controls (CoCl₂-treated cells) and negative controls (secondary antibody only) to ensure specificity of the observed staining patterns.
Effective measurement of EGLN3 hydroxylase activity requires techniques that can directly assess proline hydroxylation of target substrates. The most widely used approach involves a peptide-based hydroxylation assay using synthetic peptides containing the LXXLAP motif derived from HIF-1α ODD domains . In this assay, recombinant EGLN3 (can be produced in E. coli expression systems) is incubated with the peptide substrate in the presence of Fe²⁺, 2-oxoglutarate, ascorbate, and oxygen. Hydroxylation can then be detected through several methods: mass spectrometry to measure the mass shift of the hydroxylated peptide (+16 Da), HPLC separation of hydroxylated and non-hydroxylated peptides, or an oxygen consumption assay that measures the stoichiometric decarboxylation of 2-oxoglutarate that accompanies hydroxylation . For cellular systems, researchers can employ an HIF-ODD-luciferase fusion protein reporter system where the ODD domain is linked to luciferase, resulting in luciferase degradation when hydroxylated, thus providing an indirect but quantifiable measure of EGLN3 activity.
The following table summarizes the key methods for measuring EGLN3 hydroxylase activity:
| Method | Description | Advantages | Limitations |
|---|---|---|---|
| Mass Spectrometry | Direct detection of hydroxylated proline residues | High specificity, quantitative | Requires specialized equipment |
| HPLC Separation | Separation of hydroxylated vs. non-hydroxylated peptides | Good for comparing reaction rates | Lower throughput |
| Oxygen Consumption | Measures O₂ consumption during hydroxylation | Real-time monitoring possible | Indirect measurement |
| HIF-ODD-Luciferase | Cell-based reporter system | Works in intact cells | Indirect measurement |
| VHL Binding Assay | Measures binding of hydroxylated substrates to VHL | Functional readout | Requires purified VHL complex |
Researchers should select the appropriate method based on their specific experimental questions, available equipment, and whether they need to assess EGLN3 activity in purified systems or cellular contexts.
Distinguishing between the activities of different PHD isoforms (PHD1/EGLN2, PHD2/EGLN1, and PHD3/EGLN3) requires a multi-faceted approach that leverages their biochemical and cellular differences. One effective strategy is to use isoform-specific antibodies for immunoprecipitation followed by activity assays. For EGLN3/PHD3 specifically, monoclonal antibodies like clone 700210 have been validated for high specificity . RNA interference provides another powerful approach through the use of siRNAs or shRNAs specifically designed against each PHD isoform, allowing researchers to selectively knock down individual PHDs and observe the resulting effects on HIF stability and target gene expression. CRISPR-Cas9 genome editing can also be employed to generate isoform-specific knockout cell lines.
Biochemical approaches to differentiate PHD isoforms include exploiting their differential substrate preferences, as EGLN3/PHD3 shows a stronger preference for the CODD site of HIF-α subunits compared to the NODD site, while other PHDs may have different preferences . Additionally, the three PHD isoforms exhibit different sensitivities to oxygen tension—EGLN3/PHD3 remains partially active at lower oxygen tensions compared to EGLN1/PHD2. Researchers can also use specific small-molecule inhibitors with varying affinities for each PHD isoform, though truly isoform-specific inhibitors remain limited.
The following experimental design can help distinguish EGLN3/PHD3 activity from other PHD isoforms:
Perform parallel experiments under normoxia, moderate hypoxia (5% O₂), and severe hypoxia (1% O₂) to exploit differential oxygen sensitivities
Use cell-type specific approaches, as EGLN3/PHD3 is particularly important in cardiac myocytes and neuronal cells
Assess hydroxylation of non-HIF substrates that are specific to EGLN3/PHD3, such as β2-adrenergic receptor (ADRB2)
Examine effects on apoptosis pathways, where EGLN3/PHD3 has specific roles in disrupting the BAX-BCL2 complex
By combining these approaches, researchers can more precisely attribute observed effects to specific PHD isoforms in complex biological systems.
As a therapeutic target, EGLN3 presents interesting opportunities and challenges. Inhibition of EGLN3 in combination with other PHD family members has been explored as a strategy to promote HIF stabilization and erythropoietin production for treating anemia, particularly in chronic kidney disease. Conversely, enhancing EGLN3 activity in cancer contexts where HIF stabilization drives tumor growth could theoretically reduce tumor angiogenesis and metabolism. The effectiveness of either approach depends on the specific tissue context and disease state. EGLN3 also affects chemotherapy response through its involvement in DNA damage response pathways via TELO2 hydroxylation and subsequent ATR/CHK1/p53 pathway activation . This suggests that EGLN3 modulation could potentially sensitize cancer cells to DNA-damaging therapies. For developing effective EGLN3-targeted therapeutics, researchers must carefully consider isoform specificity, as pan-PHD inhibition may produce undesired systemic effects due to the wide-ranging roles of PHD family members in various tissues.
For treating altitude-related disorders, EGLN3 represents a promising therapeutic target. Pharmacological inhibition of EGLN3 and other PHD enzymes could potentially mimic the genetic adaptations observed in high-altitude native populations. Inhibitors could be valuable for preventing acute mountain sickness in individuals rapidly ascending to high altitudes by preemptively stabilizing HIF and initiating adaptive responses. Conversely, for treating HAPC, approaches that enhance EGLN3 activity to reduce excessive erythrocytosis might be beneficial. The association of EGLN3 with the Protein Phosphatase 1 Regulatory Inhibitor Subunit 2 (PPP1R2P1) gene in HAPC pathogenesis suggests potential interactions with phosphatase signaling pathways that could be therapeutically exploited . Additionally, EGLN3's role in regulating neutrophilic inflammation under hypoxic conditions indicates broader implications for managing inflammatory aspects of altitude-related disorders . The development of altitude-specific therapeutics targeting EGLN3 would benefit from additional studies of the molecular mechanisms underlying successful adaptation in high-altitude native populations, particularly focusing on how genetic variants affect EGLN3 structure, expression, and activity.
EGLN3 is a 2-oxoglutarate-dependent dioxygenase that mediates the hydroxylation of proline residues in target proteins. This hydroxylation is essential for the regulation of the hypoxia-inducible factor (HIF) pathway. Under normoxic (normal oxygen) conditions, EGLN3 hydroxylates specific proline residues on HIF-α subunits, marking them for degradation via the von Hippel-Lindau (VHL) ubiquitination complex .
Under hypoxic (low oxygen) conditions, the activity of EGLN3 is attenuated, allowing HIF-α subunits to escape degradation. These stabilized HIF-α subunits translocate to the nucleus, where they dimerize with HIF-β and activate the transcription of genes involved in the adaptive response to hypoxia. This includes genes that promote angiogenesis, erythropoiesis, and glycolysis .
EGLN3 has been implicated in various physiological and pathological processes:
Recombinant human EGLN3 is used in research to study its role in hypoxia signaling and its potential as a therapeutic target. Understanding the mechanisms by which EGLN3 regulates HIF and other pathways can provide insights into the development of treatments for diseases related to hypoxia and apoptosis.