Cell adaptation to changes in oxygen (O2) availability is controlled by two subfamilies of O2-dependent enzymes: the hypoxia inducible factor (HIF)-prolyl and asparaginyl hydroxylases [prolyl hydroxylases domain (PHDs) and factor inhibiting HIF (FIH)]. These oxygen sensors regulate the activity of the HIF, a transcriptional complex central in O 2 homeostasis. In well oxygenated cells, PHDs hydroxylate the HIF␣ subunits, thereby targeting them for proteasomal degradation. In contrast, acute hypoxia inhibits PHDs, leading to HIF␣ stabilisation. However, here we show that chronic hypoxia induces HIF1/2␣''desensitization'' in cellulo and in mice. At the basis of this general adaptative mechanism, we demonstrate that chronic hypoxia not only increases the pool of PHDs but also overactivates the three PHD isoforms. This overactivation appears to be mediated by an increase in intracellular O 2 availability consequent to the inhibition of mitochondrial respiration. By using in cellulo and in vivo siRNA, we found that the PHDs are the key enzymes triggering HIF␣ desensitization, a feedback mechanism required to protect cells against necrotic cell death and thus to adapt them across a chronic hypoxia. Hence, PHDs serve as dual enzymes, for which inactivation and later overactivation is necessary for cell survival in acute or chronic hypoxia, respectively.cell survival ͉ oxygen sensing T he transcriptional complex hypoxia inducible factor (HIF) plays a central role in the maintenance of oxygen (O 2 ) homeostasis, which is essential for cell survival (1). HIF is tightly regulated in an O 2 -dependent manner by hydroxylation of one of the three HIF␣ subunits (HIF1␣, HIF2␣, and HIF3␣) (2, 3). In well oxygenated cells (normoxia), the hydroxylation of two proline residues (P 402 and P 564 in human HIF1␣) by the HIF-prolyl hydroxylases [prolyl hydroxylases domains (PHDs)] allows the specific recognition and polyubiquitination by the von Hippel-Lindau protein (pVHL) E3-ligase complex, leading to proteasomal degradation (4). Moreover, the hydroxylation of an asparagine residue (N 803 in human HIF1␣) by the factor inhibiting HIF (FIH) prevents binding of the coactivator p300/CBP and hence blocks HIF transcriptional activity (5). In contrast, restricted O 2 availability, by relaxing HIF␣ hydroxylation, results in HIF␣ stabilization and activation of the HIF transcriptional complex. Like FIH, the PHDs belong to the super family of iron-and 2-oxoglutarate-dependent dioxygenases, which, by using O 2 as a cosubstrate, provide the molecular basis for their O 2 -sensing function (6). In mammalian cells, three PHDs isoforms have been identified (PHD1, PHD2, and PHD3) and shown to hydroxylate HIF1␣ in cellulo depending on their relative abundance (7). Nevertheless, we report that PHD2 has a dominant role, as it is the rate-limiting enzyme that sets the low steady-state level of HIF1␣ in normoxia (8).In line with our previous work, we sought to look for HIF␣ regulation during long-term hypoxia. Contrary to acute hypoxia, we observed that chr...