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Updated: Aug 6, 2026

Angiogenesis in the Ischemic Rat Lung
Published on: February 8, 2013
Hypoxia-induced mitogenic factor has proangiogenic and proinflammatory effects in the lung via VEGF and VEGF
Kazuyo Yamaji-Kegan1, Qingning Su, Daniel J Angelini
1Department of Anesthesiology, The Johns Hopkins Medical Institutions, Baltimore, Maryland 21205, USA.
Abstract:
From a mouse model of hypoxia-induced pulmonary hypertension, we previously found a highly upregulated protein in the lung that we named hypoxia-induced mitogenic factor (HIMF), also known as found in inflammatory zone 1 (FIZZ1), and resistin-like molecule alpha (RELMalpha). However, the mechanisms of HIMF in the pulmonary vascular remodeling remain unknown. We now demonstrate that HIMF promoted cell proliferation, migration, and the production of vascular endothelial growth factor (VEGF) and monocyte chemotactic protein-1 (MCP-1) in pulmonary endothelial cells as well as the production of reactive oxygen species in murine monocyte/macrophage cells. HIMF-induced CD31-positive cell infiltrate in in vivo Matrigel plugs was significantly suppressed by VEGF receptor-2 (VEGFR2) blockade. In ex vivo studies, HIMF stimulated the production of VEGF, MCP-1, and stromal cell-derived factor-1 (SDF-1) in the lung resident cells, and VEGFR2 neutralization significantly suppressed HIMF-induced MCP-1 and SDF-1 production. Furthermore, intravenous injection of HIMF showed marked increase of CD68-positive inflammatory cells in the lungs, and these events were attenuated by VEGFR2 neutralization. Intravenous injection of HIMF also downregulated the expression of VEGFR2 in the lung. These results suggest that HIMF plays critical roles in pulmonary inflammation as well as angiogenesis.
Insights
Hypoxia-induced mitogenic factor (HIMF) drives pulmonary vascular remodeling by promoting cell growth and inflammation. Blocking VEGF receptor-2 (VEGFR2) significantly reduces these HIMF-induced effects, suggesting a therapeutic target.
Area of Science:
- Pulmonary Hypertension Research
- Molecular Biology
- Immunology
Background:
- Hypoxia-induced pulmonary hypertension (HPH) involves complex molecular mechanisms.
- Hypoxia-induced mitogenic factor (HIMF), also known as FIZZ1 and RELMalpha, is upregulated in HPH.
- The specific roles of HIMF in pulmonary vascular remodeling remain unclear.
Purpose of the Study:
- To elucidate the mechanisms by which HIMF contributes to pulmonary vascular remodeling.
- To investigate HIMF's effects on pulmonary endothelial cells and inflammatory cells.
- To assess the role of VEGF receptor-2 (VEGFR2) in HIMF-mediated processes.
Main Methods:
- In vitro studies on pulmonary endothelial cells and murine monocyte/macrophage cells.
- In vivo Matrigel plug assays with VEGFR2 blockade.
- Ex vivo lung cell cultures and intravenous HIMF injection models.
- VEGFR2 neutralization experiments.
Main Results:
- HIMF promotes pulmonary endothelial cell proliferation, migration, and VEGF/MCP-1 production.
- HIMF induces reactive oxygen species in monocytes/macrophages.
- VEGFR2 blockade significantly inhibits HIMF-induced angiogenesis and inflammatory cell infiltration.
- HIMF stimulates lung resident cells to produce VEGF, MCP-1, and SDF-1, with VEGFR2 neutralization partially blocking this.
Conclusions:
- HIMF plays a critical role in pulmonary inflammation and angiogenesis.
- HIMF-mediated pulmonary vascular remodeling involves VEGFR2 signaling.
- Targeting HIMF or VEGFR2 may offer therapeutic strategies for HPH.
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