PUBLICATION

HIF-1α and HIF-2α induced angiogenesis in gastrointestinal vascular malformation and reversed by thalidomide

Authors
Feng, N., Chen, H., Fu, S., Bian, Z., Lin, X., Yang, L., Gao, Y., Fang, J., Ge, Z.
ID
ZDB-PUB-160602-3
Date
2016
Source
Scientific Reports   6: 27280 (Journal)
Registered Authors
Keywords
Intestinal diseases, Mechanisms of disease
MeSH Terms
  • Adult
  • Aged
  • Angiogenesis Inhibitors/administration & dosage*
  • Angiogenesis Inhibitors/pharmacology
  • Animals
  • Basic Helix-Loop-Helix Transcription Factors/genetics*
  • Basic Helix-Loop-Helix Transcription Factors/metabolism
  • Disease Models, Animal
  • Female
  • Gastrointestinal Hemorrhage/drug therapy*
  • Gastrointestinal Hemorrhage/genetics
  • Gastrointestinal Hemorrhage/metabolism
  • Human Umbilical Vein Endothelial Cells
  • Humans
  • Hypoxia-Inducible Factor 1, alpha Subunit/genetics*
  • Hypoxia-Inducible Factor 1, alpha Subunit/metabolism
  • Intercellular Signaling Peptides and Proteins/metabolism
  • Male
  • Mice
  • Middle Aged
  • Receptor, Notch1/metabolism
  • Thalidomide/administration & dosage*
  • Thalidomide/pharmacology
  • Up-Regulation/drug effects
  • Vascular Endothelial Growth Factor A/metabolism
  • Vascular Malformations/drug therapy*
  • Vascular Malformations/genetics
  • Vascular Malformations/metabolism
  • Vesicular Transport Proteins/metabolism
  • Zebrafish
PubMed
27249651 Full text @ Sci. Rep.
Abstract
Thalidomide is used in clinical practice to treat gastrointestinal vascular malformation (GIVM), but the pathogenesis of GIVM is not clear. Hypoxia inducible factor 1 alpha (HIF-1α) and 2 alpha (HIF-2α/EPAS1) are in the same family and act as master regulators of the adaptive response to hypoxia. HIF-1α and HIF-2α are up-regulated in vascular malformations in intestinal tissues from GIVM patients, but not in adjacent normal vessels. Therefore, we investigated the role of HIF-1α and HIF-2α during angiogenesis and the mechanism of thalidomide action. In vitro experiments confirmed that vascular endothelial growth factor (VEGF) was a direct target of HIF-2α and that HIF-1α and HIF-2α regulated NOTCH1, Ang2, and DLL4, which enhanced vessel-forming of endothelial cells. Thalidomide down-regulated the expression of HIF-1α and HIF-2α and inhibited angiogenesis. In vivo zebrafish experiments suggested that HIF-2α overexpression was associated with abnormal subintestinal vascular (SIV) sprouting, which was reversed by thalidomide. This result indicated that thalidomide regulated angiogenesis via the inhibition of HIF-1α and HIF-2α expression, which further regulated downstream factors, including VEGF, NOTCH1, DLL4, and Ang2. The abnormally high expression of HIF-1α and HIF-2α may contribute to GIVM.
Genes / Markers
Figures
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Expression
Phenotype
Mutations / Transgenics
Human Disease / Model
Sequence Targeting Reagents
Fish
Antibodies
Orthology
Engineered Foreign Genes
Mapping