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Published Online
on October 11, 2007

Arteriosclerosis, Thrombosis, and Vascular Biology. 2007
Published online before print October 11, 2007, doi: 10.1161/ATVBAHA.107.151050
A more recent version of this article appeared on December 1, 2007
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Submitted on March 5, 2007
Accepted on August 30, 2007

Expression of HIF-1{alpha} in Injured Arteries Controls SDF-1{alpha}–Mediated Neointima Formation in Apolipoprotein E–Deficient Mice

Ela Karshovska ; Alma Zernecke ; Gueler Sevilmis ; Andrea Millet ; Mihail Hristov ; Clemens D. Cohen ; Holger Schmid ; Florian Krotz ; Hae-Young Sohn ; Volker Klauss ; Christian Weber ; and Andreas Schober *

From the Division of Cardiology (E.K., G.S., A.M., F.K., H.-Y.S., V.K., A.S.), Medizinische Poliklinik, University of Munich; Division of Nephrology (C.C., H.S.), Medizinische Poliklinik, University of Munich; and Institute of Molecular Cardiovascular Research (IMCAR) (A.Z., M.H., C.W.), University Hospital Aachen, Germany.

* To whom correspondence should be addressed. E-mail: andreas.schober{at}med.uni-muenchen.de.

Objective—Hypoxia-inducible factor (HIF)-1{alpha} is the regulatory subunit of a transcriptional complex, which controls the recruitment of multipotent progenitor cells and tissue repair in ischemic tissue by inducing stromal cell-derived factor (SDF)-1{alpha} expression. Because HIF-1{alpha} can be activated under normoxic conditions in smooth muscle cells (SMCs) by platelet products, we investigated the role of HIF-1{alpha} in SDF-1{alpha}–mediated neointima formation after vascular injury.

Methods and Results—Wire-induced injury of the left carotid artery was performed in apolipoprotein E–deficient mice. HIF-1{alpha} expression was increased in the media as early as 1 day after injury, predominantly in SMCs. Nuclear translocation of HIF-1{alpha} and colocalization with SDF-1{alpha} was detected in neointimal cells after 2 weeks. HIF-1{alpha} mRNA expression was induced at 6 hours after injury as determined by real-time RT-PCR. Inhibition of HIF-1{alpha} expression by local application of HIF-1{alpha}-siRNA reduced the neointimal area by 49% and significantly decreased the neointimal SMCs content compared with control-siRNA. HIF-1{alpha} and SDF-1{alpha} expression was clearly diminished in neointimal cells of HIF-1{alpha}-siRNA treated arteries.

Conclusions—HIF-1{alpha} expression is directly involved in neointimal formation after vascular injury and mediates the upregulation of SDF-1{alpha}, which may affect the stem cell–based repair of injured arteries.


Key words: atherosclerosis • restenosis • vascular biology • chemokines • progenitor cells • smooth muscle cells




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