PMC

(A) Immunofluorescence staining showed only a few cells expressed HIF-1α in their nuclei in normoxic condition. In contrast, there were a large number cells expressed HIF-1α in their nuclei under 2.0% and 0.5% O₂ tensions. Original magnification ×200, scale bar=100 μm
(B) Higher expression of HIF-1α was detected from the whole cell lysates cultured in hypoxic conditions. β-actin is shown as a loading control.

(A) Ratio of positive cells stained with SA-β-galactosidase at pH 6 under normoxia and hypoxia (N = 6). There was statistically significant difference between 2.0% and 20%O₂ culture condition although the difference between 0.5% and 20% O₂ pressure was marginal, which were determined by Tukey’s post-hoc test (*p< 0.05).
(B) Representative images of SA-β-galactosidase staining after cells were cultured for 72 hours at 20, 2.0 and 0.5% O₂.

(A) Expression of cell cycle regulatory proteins. Western immunoblotting detection of cyclin D1, phospho-Rb, Rb, p16^INK4 and Rb2/p130 in oral keratinocytes cultured in three different oxygen tensions for 48 hours. The results shown are representative of 4 separate experiments. β-actin is shown as a loading control.
(B) Rb phosphorylation of cells cultured in normoxic and hypoxic conditions was quantified based on the densitometric analysis (N = 3). Statistically significant difference of the ratio of phosphorylated to total Rb protein was present between normoxic and hypoxic cells determined by Tukey’s post-hoc test (*p< 0.05).

(A) Distribution of human oral keratinocytes cultured at three different oxygen tensions (20%, 2.0% and 0.5%) in various phases of the cell cycle. Bar chart showing the cell distribution (%) in G₀/G₁, S, and G₂/M phases as determined by ModFit software. Data are mean percent ±standard deviations (SD) of 11 independent experiments. Asterisks represent statistically significant differences determined by Tukey’s post-hoc test (*p< 0.05, **p< 0.01) .
(B) Representative dot plot images of flow cytometric analysis of DNA content and p21 ^WAF1/CIP1 expression.
(C) Ratio of p21 ^WAF1/CIP1 positive cells within G₀/G₁ phase of normoxic and hypoxic oral keratinocytes (N = 12). Statistically significant differences were present between normoxic and hypoxic cells determined by Tukey’s post-hoc test (*p< 0.05).

(A) Expression of basal and suprabasal keratinocyte phenotypic markers. Western immunoblotting detection of 14-3-3σ and p75^NTR in oral keratinocytes cultured in three different oxygen tensions for 48 hours. The results shown are representative of 4 separate experiments. β-actin is shown as a loading control.
(B) Ratio of α6 integrin positive cells under normoxia and hypoxia detected by flow cytometric analysis (N = 9). The α6 integrin expression ratio significantly increased at the oxygen tension of 0.5% compared with 20% O₂ pressure while there was no statistical difference between 2.0% and 20% O₂ culture condition determined by Tukey’s post-hoc test (*p< 0.05).
(C) Total ROS production levels under normoxia and hypoxia measured by a microplate fluorometer (N = 10). Cells cultured at 20% O₂ pressure generated total ROS and its level was close to a positive control cells incubated with 200μM of pyocyanin. In contrast, total ROS was barely detected in cells cultured in hypoxic conditions. There was a remarkable statistical difference between normoxic and hypoxic culture conditions determined by Tukey’s post-hoc test (*p< 0.001).
(D) Expression of down-stream substrates of mTOR signaling pathway. Western immunoblotting detection of p-S6K, S6K, p-S6 and S6 in oral keratinocytes cultured in three different oxygen tensions for 48 hours. The results shown are representative of 3 separate experiments.

(A) Effects of three different oxygen tensions (20%, 2.0% and 0.5%) on the cellular metabolic activity of human oral keratinocytes up to 96 hours. The metabolic activity was assessed using a Cell-Counting kit-8 (N=10). Assays were performed in triplicate. Asterisks represent statistically significant differences determined by Steel-Dwass test (*p< 0.05).
(B) Effects of three different oxygen tensions on the proliferation rate of human oral keratinocytes up to 6 days. Viable cells were stained with trypan blue and counted (N=8). Assays were performed in duplicate. Asterisks represent statistically significant differences determined by Tukey’s post-hoc test (*p< 0.05, **p< 0.01).
(C) Effects of three different oxygen tensions on the colony forming efficiency of human oral keratinocytes. Cells were stained with crystal violet and the number of colonies were microscopically and macroscopically counted (N=9) as stated in the Materials and Methods. An asterisk represents statistically significant difference determined by Tukey’s post-hoc test (*p< 0.05). The statistical differences between normoxic and hypoxic cells were marginal except the microscopic quantification between 2.0% and 20%O₂ culture condition.
(D) Representative images of clonogenic assay. After cells were cultured for 4 days at 20, 2.0 and 0.5% O₂, colonies were fixed and stained with Crystal Violet as aforementioned.
(E) CFSE dye profile of cells cultured in normoxic and hypoxic conditions for 48 h. Their patterns were diverse among different oxygen tensions as well as individuals. The data shown are representative of six separate experiments. (a) 20% O₂, (b) 2% O₂, (c) 0.5% O², (d) Overlay, (e) FITC standard beads. The values shown in (a), (b), (c) are the percentage of cells that could be experienced round of divisions of 2, 1 and 0 times according to the protocol of Chadli’s work.