Hypoxia and upregulation of hypoxia-inducible factor 1{alpha} stimulate venous thrombus recanalization

Angiogenic factors are expressed within thrombus during resolution, but the primary stimulus for neovascularization is unknown. Our aims were to determine whether (1) hypoxia and hypoxia-inducible factor 1α (HIF1α) are induced in resolving thrombus, (2) this stimulates angiogenic factor production,...

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Veröffentlicht in:Arteriosclerosis, thrombosis, and vascular biology thrombosis, and vascular biology, 2010-12, Vol.30 (12), p.2443-2451
Hauptverfasser: Evans, Colin Edward, Humphries, Julia, Mattock, Katherine, Waltham, Matthew, Wadoodi, Ashar, Saha, Prakash, Modarai, Bijan, Maxwell, Patrick H, Maxwell, Patrick J, Smith, Alberto
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container_end_page 2451
container_issue 12
container_start_page 2443
container_title Arteriosclerosis, thrombosis, and vascular biology
container_volume 30
creator Evans, Colin Edward
Humphries, Julia
Mattock, Katherine
Waltham, Matthew
Wadoodi, Ashar
Saha, Prakash
Modarai, Bijan
Maxwell, Patrick H
Maxwell, Patrick J
Smith, Alberto
description Angiogenic factors are expressed within thrombus during resolution, but the primary stimulus for neovascularization is unknown. Our aims were to determine whether (1) hypoxia and hypoxia-inducible factor 1α (HIF1α) are induced in resolving thrombus, (2) this stimulates angiogenic factor production, and (3) upregulating HIF1α enhances thrombus resolution and vein recanalization. Oxygen tension in the thrombus was negatively correlated with HIF1α levels (Spearman correlation [RS] = -0.77, P
doi_str_mv 10.1161/ATVBAHA.110.215038
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Our aims were to determine whether (1) hypoxia and hypoxia-inducible factor 1α (HIF1α) are induced in resolving thrombus, (2) this stimulates angiogenic factor production, and (3) upregulating HIF1α enhances thrombus resolution and vein recanalization. Oxygen tension in the thrombus was negatively correlated with HIF1α levels (Spearman correlation [RS] = -0.77, P<0.0001), whereas HIF1α levels positively correlated with vascular endothelial growth factor (VEGF) expression (Pearson correlation [R] = 0.85, P<0.0005), during resolution in a murine model. HIF1α (P<0.005), VEGF (P<0.005), and VEGF receptor 1 (VEGFR1) (P<0.05) expression was 2-fold greater in the thrombus of mice treated with the prolyl hydroxylase domain inhibitor L-mimosine compared with controls. The levels of 13 other HIF1-mediated angiogenic factors were also increased. Thrombus weight (P<0.001) and volume (P<0.05) were reduced by a third in l-mimosine-treated mice compared with controls, whereas vein recanalization (P<0.005) and thrombus neovascularization (P<0.001) were 2-fold greater, and this was associated with increased inflammatory cell content. Hypoxia and HIF1α are induced in the naturally resolving thrombus and correlate with increased angiogenic factor expression. Upregulation of HIF1α enhances thrombus resolution and vein recanalization. HIF1α may represent a novel target for treatments that promote resolution and recanalization and reduce the incidence of post-thrombotic syndrome.]]></description><identifier>EISSN: 1524-4636</identifier><identifier>DOI: 10.1161/ATVBAHA.110.215038</identifier><identifier>PMID: 20930171</identifier><language>eng</language><publisher>United States</publisher><subject>Animals ; Cell Hypoxia ; Cytokines - metabolism ; Disease Models, Animal ; Enzyme Inhibitors - pharmacology ; Hypoxia-Inducible Factor 1, alpha Subunit - metabolism ; Macrophages - immunology ; Male ; Mice ; Mice, Inbred BALB C ; Mimosine - pharmacology ; Neovascularization, Physiologic - drug effects ; Neutrophil Infiltration ; Neutrophils - immunology ; Oxygen - metabolism ; Procollagen-Proline Dioxygenase - antagonists &amp; inhibitors ; Procollagen-Proline Dioxygenase - metabolism ; Time Factors ; Up-Regulation ; Vascular Endothelial Growth Factor A - metabolism ; Vascular Endothelial Growth Factor Receptor-1 - metabolism ; Vena Cava, Inferior - drug effects ; Vena Cava, Inferior - immunology ; Vena Cava, Inferior - metabolism ; Venous Thrombosis - immunology ; Venous Thrombosis - metabolism ; Venous Thrombosis - physiopathology</subject><ispartof>Arteriosclerosis, thrombosis, and vascular biology, 2010-12, Vol.30 (12), p.2443-2451</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20930171$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Evans, Colin Edward</creatorcontrib><creatorcontrib>Humphries, Julia</creatorcontrib><creatorcontrib>Mattock, Katherine</creatorcontrib><creatorcontrib>Waltham, Matthew</creatorcontrib><creatorcontrib>Wadoodi, Ashar</creatorcontrib><creatorcontrib>Saha, Prakash</creatorcontrib><creatorcontrib>Modarai, Bijan</creatorcontrib><creatorcontrib>Maxwell, Patrick H</creatorcontrib><creatorcontrib>Maxwell, Patrick J</creatorcontrib><creatorcontrib>Smith, Alberto</creatorcontrib><title>Hypoxia and upregulation of hypoxia-inducible factor 1{alpha} stimulate venous thrombus recanalization</title><title>Arteriosclerosis, thrombosis, and vascular biology</title><addtitle>Arterioscler Thromb Vasc Biol</addtitle><description><![CDATA[Angiogenic factors are expressed within thrombus during resolution, but the primary stimulus for neovascularization is unknown. 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Thrombus weight (P<0.001) and volume (P<0.05) were reduced by a third in l-mimosine-treated mice compared with controls, whereas vein recanalization (P<0.005) and thrombus neovascularization (P<0.001) were 2-fold greater, and this was associated with increased inflammatory cell content. Hypoxia and HIF1α are induced in the naturally resolving thrombus and correlate with increased angiogenic factor expression. Upregulation of HIF1α enhances thrombus resolution and vein recanalization. HIF1α may represent a novel target for treatments that promote resolution and recanalization and reduce the incidence of post-thrombotic syndrome.]]></description><subject>Animals</subject><subject>Cell Hypoxia</subject><subject>Cytokines - metabolism</subject><subject>Disease Models, Animal</subject><subject>Enzyme Inhibitors - pharmacology</subject><subject>Hypoxia-Inducible Factor 1, alpha Subunit - metabolism</subject><subject>Macrophages - immunology</subject><subject>Male</subject><subject>Mice</subject><subject>Mice, Inbred BALB C</subject><subject>Mimosine - pharmacology</subject><subject>Neovascularization, Physiologic - drug effects</subject><subject>Neutrophil Infiltration</subject><subject>Neutrophils - immunology</subject><subject>Oxygen - metabolism</subject><subject>Procollagen-Proline Dioxygenase - antagonists &amp; inhibitors</subject><subject>Procollagen-Proline Dioxygenase - metabolism</subject><subject>Time Factors</subject><subject>Up-Regulation</subject><subject>Vascular Endothelial Growth Factor A - metabolism</subject><subject>Vascular Endothelial Growth Factor Receptor-1 - metabolism</subject><subject>Vena Cava, Inferior - drug effects</subject><subject>Vena Cava, Inferior - immunology</subject><subject>Vena Cava, Inferior - metabolism</subject><subject>Venous Thrombosis - immunology</subject><subject>Venous Thrombosis - metabolism</subject><subject>Venous Thrombosis - physiopathology</subject><issn>1524-4636</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo1UEFOwzAQtJAQLYUPcEC-cUqxYztJj6GiFKkSl4prtLHX1CiJg5MgCuLvBFpOszszO1oNIVeczTlP-G2-fb7L1_m4sHnMFRPZCZlyFctIJiKZkPOue2WMyThmZ2QSs4VgPOVTYtf71n84oNAYOrQBX4YKeucb6i3dHbTINWbQrqyQWtC9D5R_QdXu4Jt2vat_D5C-Y-OHjva74OtyHAJqaKByn39pF-TUQtXh5RFnZLu63y7X0ebp4XGZb6JWKR5ZphhgmqXcyAylTlKhtLFSKhAWJGoDpYUMsnShTKk4RzkSXKK1CmPQYkZuDrFt8G8Ddn1Ru05jVUGD43dFxjKpFolIR-f10TmUNZqiDa6GsC_-mxE_I_VoFg</recordid><startdate>201012</startdate><enddate>201012</enddate><creator>Evans, Colin Edward</creator><creator>Humphries, Julia</creator><creator>Mattock, Katherine</creator><creator>Waltham, Matthew</creator><creator>Wadoodi, Ashar</creator><creator>Saha, Prakash</creator><creator>Modarai, Bijan</creator><creator>Maxwell, Patrick H</creator><creator>Maxwell, Patrick J</creator><creator>Smith, Alberto</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>201012</creationdate><title>Hypoxia and upregulation of hypoxia-inducible factor 1{alpha} stimulate venous thrombus recanalization</title><author>Evans, Colin Edward ; 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inhibitors</topic><topic>Procollagen-Proline Dioxygenase - metabolism</topic><topic>Time Factors</topic><topic>Up-Regulation</topic><topic>Vascular Endothelial Growth Factor A - metabolism</topic><topic>Vascular Endothelial Growth Factor Receptor-1 - metabolism</topic><topic>Vena Cava, Inferior - drug effects</topic><topic>Vena Cava, Inferior - immunology</topic><topic>Vena Cava, Inferior - metabolism</topic><topic>Venous Thrombosis - immunology</topic><topic>Venous Thrombosis - metabolism</topic><topic>Venous Thrombosis - physiopathology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Evans, Colin Edward</creatorcontrib><creatorcontrib>Humphries, Julia</creatorcontrib><creatorcontrib>Mattock, Katherine</creatorcontrib><creatorcontrib>Waltham, Matthew</creatorcontrib><creatorcontrib>Wadoodi, Ashar</creatorcontrib><creatorcontrib>Saha, Prakash</creatorcontrib><creatorcontrib>Modarai, Bijan</creatorcontrib><creatorcontrib>Maxwell, Patrick H</creatorcontrib><creatorcontrib>Maxwell, Patrick J</creatorcontrib><creatorcontrib>Smith, Alberto</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Arteriosclerosis, thrombosis, and vascular biology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Evans, Colin Edward</au><au>Humphries, Julia</au><au>Mattock, Katherine</au><au>Waltham, Matthew</au><au>Wadoodi, Ashar</au><au>Saha, Prakash</au><au>Modarai, Bijan</au><au>Maxwell, Patrick H</au><au>Maxwell, Patrick J</au><au>Smith, Alberto</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Hypoxia and upregulation of hypoxia-inducible factor 1{alpha} stimulate venous thrombus recanalization</atitle><jtitle>Arteriosclerosis, thrombosis, and vascular biology</jtitle><addtitle>Arterioscler Thromb Vasc Biol</addtitle><date>2010-12</date><risdate>2010</risdate><volume>30</volume><issue>12</issue><spage>2443</spage><epage>2451</epage><pages>2443-2451</pages><eissn>1524-4636</eissn><abstract><![CDATA[Angiogenic factors are expressed within thrombus during resolution, but the primary stimulus for neovascularization is unknown. Our aims were to determine whether (1) hypoxia and hypoxia-inducible factor 1α (HIF1α) are induced in resolving thrombus, (2) this stimulates angiogenic factor production, and (3) upregulating HIF1α enhances thrombus resolution and vein recanalization. Oxygen tension in the thrombus was negatively correlated with HIF1α levels (Spearman correlation [RS] = -0.77, P<0.0001), whereas HIF1α levels positively correlated with vascular endothelial growth factor (VEGF) expression (Pearson correlation [R] = 0.85, P<0.0005), during resolution in a murine model. HIF1α (P<0.005), VEGF (P<0.005), and VEGF receptor 1 (VEGFR1) (P<0.05) expression was 2-fold greater in the thrombus of mice treated with the prolyl hydroxylase domain inhibitor L-mimosine compared with controls. The levels of 13 other HIF1-mediated angiogenic factors were also increased. Thrombus weight (P<0.001) and volume (P<0.05) were reduced by a third in l-mimosine-treated mice compared with controls, whereas vein recanalization (P<0.005) and thrombus neovascularization (P<0.001) were 2-fold greater, and this was associated with increased inflammatory cell content. Hypoxia and HIF1α are induced in the naturally resolving thrombus and correlate with increased angiogenic factor expression. Upregulation of HIF1α enhances thrombus resolution and vein recanalization. HIF1α may represent a novel target for treatments that promote resolution and recanalization and reduce the incidence of post-thrombotic syndrome.]]></abstract><cop>United States</cop><pmid>20930171</pmid><doi>10.1161/ATVBAHA.110.215038</doi><tpages>9</tpages></addata></record>
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subjects Animals
Cell Hypoxia
Cytokines - metabolism
Disease Models, Animal
Enzyme Inhibitors - pharmacology
Hypoxia-Inducible Factor 1, alpha Subunit - metabolism
Macrophages - immunology
Male
Mice
Mice, Inbred BALB C
Mimosine - pharmacology
Neovascularization, Physiologic - drug effects
Neutrophil Infiltration
Neutrophils - immunology
Oxygen - metabolism
Procollagen-Proline Dioxygenase - antagonists & inhibitors
Procollagen-Proline Dioxygenase - metabolism
Time Factors
Up-Regulation
Vascular Endothelial Growth Factor A - metabolism
Vascular Endothelial Growth Factor Receptor-1 - metabolism
Vena Cava, Inferior - drug effects
Vena Cava, Inferior - immunology
Vena Cava, Inferior - metabolism
Venous Thrombosis - immunology
Venous Thrombosis - metabolism
Venous Thrombosis - physiopathology
title Hypoxia and upregulation of hypoxia-inducible factor 1{alpha} stimulate venous thrombus recanalization
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