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The role of hypoxia-inducible factor 1 in atherosclerosis
Linggen Gao1, Qian Chen, Xianliang Zhou
1Department of Geriatric Cardiology, General Hospital of Chinese People's Liberation Army, Beijing, China.
Insights
Hypoxia-inducible factor 1 (HIF-1) drives atherosclerosis progression by promoting foam cell formation and inflammation. This review summarizes HIF-1's pathological role in cardiovascular disease development.
Area of Science:
- Cardiovascular Science
- Molecular Biology
- Pathology
Background:
- Atherosclerosis is a leading cause of death, characterized by plaque buildup in arteries.
- Hypoxic conditions and inflammation are hallmarks of atherosclerotic lesions.
- Lipid-loaded macrophages (foam cells) are key cellular components in plaque progression.
Purpose of the Study:
- To review the critical role of hypoxia-inducible factor 1 (HIF-1) in the pathological progression of atherosclerosis.
- To elucidate how HIF-1 influences key cellular processes within atherosclerotic lesions.
Main Methods:
- This review synthesizes existing literature on HIF-1's function in atherosclerosis.
- Key findings from preclinical and clinical studies investigating HIF-1 signaling pathways are discussed.
Main Results:
- HIF-1 is a central regulator of cellular responses to hypoxia in atherosclerotic lesions.
- HIF-1 promotes foam cell formation, endothelial dysfunction, apoptosis, inflammation, and angiogenesis.
- Targeting HIF-1 pathways may offer therapeutic strategies for atherosclerosis.
Conclusions:
- HIF-1 is a significant driver of atherosclerosis pathogenesis.
- Understanding HIF-1's multifaceted role is crucial for developing effective treatments for cardiovascular diseases.
Abstract:
Atherosclerosis is by far the most frequent underlying cause of coronary artery disease, carotid artery disease and peripheral arterial disease, and is associated with high morbidity and mortality. Hypoxic areas are known to be present in human atherosclerotic lesions, and lesion progression is associated with the formation of lipid-loaded macrophages, increased local inflammation and angiogenesis. The key regulator of hypoxia, hypoxia-inducible factor 1 (HIF-1), plays a key role in the progression of atherosclerosis by initiating and promoting the formation of foam cells, endothelial cell dysfunction, apoptosis, increasing inflammation and angiogenesis. The objective of this review is to summarise the pathological role of HIF-1 in the progression of atherosclerosis.
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Hypoxia
Types of Hypoxia
There are four primary types of hypoxia, each resulting from a different cause:
1. Anemic hypoxia: This type occurs due to insufficient oxygen delivery caused by a lack of red blood cells (RBCs) or RBCs with abnormal or...

