Activation of the hypoxia‐inducible factor pathway and stimulation of angiogenesis by application of prolyl hydroxylase inhibitors

C Warnecke, W Griethe, A Weidemann… - The FASEB …, 2003 - Wiley Online Library
C Warnecke, W Griethe, A Weidemann, JS Jürgensen, C Willam, S Bachmann…
The FASEB journal, 2003Wiley Online Library
Hypoxia‐inducible transcription factors (HIF) mediate complex adaptations to reduced
oxygen supply, including neoangiogenesis. Regulation of HIF occurs mainly through oxygen‐
dependent destruction of its α subunit. In the presence of oxygen, two HIFα prolyl residues
undergo enzymatic hydroxylation, which is required for its proteasomal degradation. We
therefore tested whether pharmacological activation of HIFα by hydroxylase inhibitors may
provide a novel therapeutic strategy for the treatment of ischemic diseases. Three distinct …
Abstract
Hypoxia‐inducible transcription factors (HIF) mediate complex adaptations to reduced oxygen supply, including neoangiogenesis. Regulation of HIF occurs mainly through oxygen‐dependent destruction of its α subunit. In the presence of oxygen, two HIFα prolyl residues undergo enzymatic hydroxylation, which is required for its proteasomal degradation. We therefore tested whether pharmacological activation of HIFα by hydroxylase inhibitors may provide a novel therapeutic strategy for the treatment of ischemic diseases. Three distinct prolyl 4‐hydroxylase inhibitors—l‐mimosine (l‐Mim), ethyl 3,4‐dihydroxybenzoate (3,4‐DHB), and 6‐chlor‐3‐hydroxychinolin‐2‐carbonic acid‐N‐carboxymethylamid (S956711)—demonstrated similar effects to hypoxia (0.5% O2) by inducing HIFα protein in human and rodent cells. l‐Mim, S956711, and, less effectively, 3,4‐DHB also induced HIF target genes in cultured cells, including glucose transporter 1 and vascular endothelial growth factor, as well as HIF‐dependent reporter gene expression. Systemic administration of l‐Mim and S956711 in rats led to HIFα induction in the kidney. In a sponge model for angiogenesis, repeated local injection of the inhibitors strongly increased invasion of highly vascularized tissue into the sponge centers. In conclusion, structurally distinct inhibitors of prolyl hydroxylation are capable of inducing HIFα and HIF target genes in vitro and in vivo and induce adaptive responses to hypoxia, including angiogenesis.
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