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Updated: Aug 7, 2026

In Vitro Model of Coronary Angiogenesis
Published on: March 10, 2020
Fibroblast growth factor signals regulate a wave of Hedgehog activation that is essential for coronary vascular
Kory J Lavine1, Andrew C White, Changwon Park
1Department of Molecular Biology and Pharmacology, Washington University Medical School, St. Louis, Missouri 63110, USA.
Insights
Hedgehog (HH) signaling is crucial for embryonic coronary development. Activating HH signaling promotes new blood vessel growth in the heart, offering a potential therapy for ischemic heart disease.
Area of Science:
- Cardiovascular Biology
- Developmental Biology
- Molecular Signaling
Background:
- Ischemic heart disease and myocardial infarction are leading causes of death globally.
- Current therapies focus on increasing cardiac blood flow, but pharmacological induction of coronary growth has yielded disappointing results.
- Exploring embryonic development pathways may reveal novel therapeutic targets for coronary neovascularization.
Purpose of the Study:
- To identify novel signaling pathways regulating embryonic coronary vascular development.
- To investigate the roles of fibroblast growth factor (FGF) and Hedgehog (HH) signaling in this process.
- To assess the therapeutic potential of HH signaling for coronary neovascularization.
Main Methods:
- Utilized genetically engineered mice and an ex vivo organ culture system.
- Investigated the interplay between FGF and HH signaling pathways.
- Analyzed the expression of key angiogenic factors like vascular endothelial growth factor (Vegf) and angiopoietin-2 (Ang2).
Main Results:
- Identified redundant roles for Fgfr1 and Fgfr2 in mediating FGF's indirect promotion of coronary growth.
- Demonstrated that myocardial FGF signaling triggers essential HH pathway activation.
- Showed that HH signaling is necessary for coronary vascular development and sufficient to promote growth and rescue FGF-deficiency defects.
- Confirmed that activating HH signaling in adult hearts increases coronary vessel density.
Conclusions:
- Hedgehog (HH) signaling is an essential regulator of coronary vascular development.
- HH signaling activation is a promising therapeutic strategy for promoting coronary neovascularization.
- Targeting HH pathways could offer new treatments for ischemic heart disease.
Abstract:
Myocardial infarction and ischemic heart disease are the leading cause of death in the industrial world. Therapies employed for treating these diseases are aimed at promoting increased blood flow to cardiac tissue. Pharmacological induction of new coronary growth has recently been explored, however, clinical trials with known proangiogenic factors have been disappointing. To identify novel therapeutic targets, we have explored signaling pathways that govern embryonic coronary development. Using a combination of genetically engineered mice and an organ culture system, we identified novel roles for fibroblast growth factor (FGF) and Hedgehog (HH) signaling in coronary vascular development. We show that FGF signals promote coronary growth indirectly by signaling to the cardiomyoblast through redundant function of Fgfr1 and Fgfr2. Myocardial FGF signaling triggers a wave of HH activation that is essential for vascular endothelial growth factor (Vegf)-A, Vegf-B, Vegf-C, and angiopoietin-2 (Ang2) expression. We demonstrate that HH is necessary for coronary vascular development and activation of HH signaling is sufficient to promote coronary growth and to rescue coronary defects due to loss of FGF signaling. These studies implicate HH signaling as an essential regulator of coronary vascular development and as a potential therapeutic target for coronary neovascularization. Consistent with this, activation of HH signaling in the adult heart leads to an increase in coronary vessel density.
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