Expression and regulation of HIF-1a in hypoxic pulmonary hypertension: Focus on pathological mechanism and Pharmacological Treatment

Int J Med Sci. 2024 Jan 1;21(1):45-60. doi: 10.7150/ijms.88216. eCollection 2024.

Abstract

Hypoxia inducible factor-1(HIF-1), a heterodimeric transcription factor, is composed of two subunits (HIF-1α and HIF-1β). It is considered as an important transcription factor for regulating oxygen changes in hypoxic environment, which can regulate the expression of various hypoxia-related target genes and play a role in acute and chronic hypoxia pulmonary vascular reactions. In this paper, the function and mechanism of HIF-1a expression and regulation in hypoxic pulmonary hypertension (HPH) were reviewed, and current candidate schemes for treating pulmonary hypertension by using HIF-1a as the target were introduced, so as to provide reference for studying the pathogenesis of HPH and screening effective treatment methods.

Keywords: Hypoxia induced pulmonary hypertension; Hypoxia-inducible factor-1a; Pulmonary vascular remodeling; Right ventricular remodeling.

Publication types

  • Review

MeSH terms

  • Gene Expression Regulation
  • Humans
  • Hypertension, Pulmonary* / drug therapy
  • Hypertension, Pulmonary* / genetics
  • Hypoxia / complications
  • Hypoxia / drug therapy
  • Hypoxia / genetics
  • Hypoxia-Inducible Factor 1, alpha Subunit / genetics
  • Hypoxia-Inducible Factor 1, alpha Subunit / metabolism
  • Oxygen / metabolism
  • Pulmonary Artery / metabolism

Substances

  • Oxygen
  • Hypoxia-Inducible Factor 1, alpha Subunit