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Updated: Aug 30, 2025

In Vitro Apical-Out Enteroid Model of Necrotizing Enterocolitis
Published on: June 8, 2022
Hypoxia-Inducible Factor 1α Stability Modified by Glutaredoxin-1 in Necrotizing Enterocolitis
Yunfei Zhang1, Xiao Zhang1, Bing Tian1
1Department of Pediatric Surgery, Women and Children's Hospital, Chongqing Medical University, Chongqing, China; Ministry of Education Key Laboratory of Child Development and Disorders, Children's Hospital of Chongqing Medical University, Chongqing, China.
Necrotizing enterocolitis (NEC) impairs intestinal microcirculation. Glutaredoxin-1 (Grx1) deletion ameliorates this impairment by involving hypoxia-inducible factor-1α (HIF-1α), suggesting HIF-1α as a therapeutic target for NEC.
Area of Science:
- Gastroenterology
- Neonatal Research
- Molecular Biology
Background:
- Necrotizing enterocolitis (NEC) is a severe gastrointestinal disease in neonates.
- Hypoxia-inducible factor-1α (HIF-1α) plays a critical role in NEC pathogenesis.
- The specific role of HIF-1α in intestinal microcirculation during NEC is not fully understood.
Purpose of the Study:
- To investigate the role of HIF-1α in regulating intestinal microcirculation during NEC development.
- To determine the impact of glutaredoxin-1 (Grx1) deletion on HIF-1α activity and intestinal microcirculation in a mouse model of NEC.
Main Methods:
- Experimental NEC was induced in C57BL/6 and Grx1 knockout (Grx1-/-) mice.
- HIF-1α signaling was inhibited using the specific inhibitor YC-1.
- Intestinal microcirculation, HIF-1α activity, and signaling pathways were assessed.
Main Results:
- NEC induction led to impaired intestinal microcirculation, characterized by reduced blood flow and capillary density.
- Grx1 deletion ameliorated microcirculatory impairment in NEC, associated with increased vascular endothelial growth factor A (VEGF-A) production.
- Inhibition of HIF-1α abolished the protective effects observed in Grx1-/- mice, indicating HIF-1α's involvement in microvascular regulation.
Conclusions:
- HIF-1α signaling is a key mediator of intestinal microvascular changes in NEC.
- Targeting HIF-1α presents a potential therapeutic strategy for managing NEC.
- Grx1 deletion may offer protection against NEC-induced intestinal injury through HIF-1α-dependent mechanisms.
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