Hypoxia-induced multidrug resistance 1 (MDR1) gene expression is known to be mediated by c-Jun NH 2 -terminal kinase (JNK) activation. However, the molecular mechanisms underlying this action of JNK remain elusive. On the contrary, there has been increasing evidence for a negative correlation of JNK activity with MDR1 expression under normoxic conditions. Here, we present evidence that the JNK pathway represses MDR1 expression in normoxia and activates MDR1 expression in hypoxia. Our data show that JNK pathway-induced MDR1 repression in normoxia is mediated by increased c-Jun binding to activator protein 1 site, located in the MDR1 promoter, and requires the activity of histone deacetylase 5. In contrast, JNK pathway-induced MDR1 activation in hypoxia is independent of the activator protein 1 site. Rather, this action is dependent on increased hypoxia-inducible factor 1 (HIF1) binding to the hypoxia response element in the MDR1 promoter, which is promoted by the interaction of HIF1␣ with c-Jun in the nucleus and requires the activity of the p300/CBP (CREB-binding protein) coactivator.Tissue hypoxia, a decrease in local oxygen tension (PO 2 ), is a common feature of developing tumors. Tumor cells develop various adaptive programs in response to hypoxia, including up-regulation of specific genes that promote tumor survival and growth (1). The key factor that regulates cellular adaptation to low PO 2 is hypoxia-inducible factor 1 (HIF1), 2 a heterodimer comprising ␣-and -subunits (2). Although HIF1␣ protein is stable only in hypoxia and rapidly degraded in normoxia, HIF1 protein level is not altered by PO 2 . Under hypoxic conditions, HIF1␣ translocates to the nucleus and dimerizes with HIF1 to form HIF1, which then binds to the hypoxia response elements (HREs) of target genes and activates their transcription (2). Multidrug resistance 1 (MDR1) gene, encoding the transmembrane drug transporter P-glycoprotein, is induced in response to hypoxia (3, 4), which may contribute to the observed chemotherapeutic resistance of cancer cells under hypoxic conditions (5). Hypoxia-induced MDR1 expression is mediated by the binding of HIF1 to the HRE located in the MDR1 promoter (3). In addition, activation of the c-Jun NH 2 -terminal kinase (JNK), a member of the mitogen-activated protein kinase family, has been implicated in hypoxia-induced MDR1 expression (6 -8). However, it remains to be elucidated how JNK activation contributes to MDR1 expression in hypoxia. On the other hand, there is a growing body of evidence supporting a negative correlation of JNK activity with MDR1 expression under normoxic conditions (9 -11). It is unclear at present whether the discrepancy between these studies results from the use of different cell lines or the variation in experimental protocols or whether it simply reflects different roles for JNK in regulating MDR1 gene expression under normoxic and hypoxic conditions.In this study, our data demonstrate for the first time that the JNK pathway plays PO 2 -dependent different roles in regulating...