PMID- 10702412 OWN - NLM STAT- MEDLINE DCOM- 20000323 LR - 20210109 IS - 0002-9440 (Print) IS - 1525-2191 (Electronic) IS - 0002-9440 (Linking) VI - 156 IP - 3 DP - 2000 Mar TI - Hypoxia-induced vascular endothelial growth factor expression precedes neovascularization after cerebral ischemia. PG - 965-76 AB - We investigated the hypothesis that hypoxia induces angiogenesis and thereby may counteract the detrimental neurological effects associated with stroke. Forty-eight to seventy-two hours after permanent middle cerebral artery occlusion we found a strong increase in the number of newly formed vessels at the border of the infarction. Using the hypoxia marker nitroimidazole EF5, we detected hypoxic cells in the ischemic border of the neocortex. Expression of vascular endothelial growth factor (VEGF), which is the main regulator of angiogenesis and is inducible by hypoxia, was strongly up-regulated in the ischemic border, at times between 6 and 24 hours after occlusion. In addition, both VEGF receptors (VEGFRs) were up-regulated at the border after 48 hours and later in the ischemic core. Finally, the two transcription factors, hypoxia-inducible factor-1 (HIF-1) and HIF-2, known to be involved in the regulation of VEGF and VEGFR gene expression, were increased in the ischemic border after 72 hours, suggesting a regulatory function for these factors. These results strongly suggest that the VEGF/VEGFR system, induced by hypoxia, leads to the growth of new vessels after cerebral ischemia. Exogenous support of this natural protective mechanism might lead to enhanced survival after stroke. FAU - Marti, H J AU - Marti HJ AD - Department of Molecular Cell Biology, the Max Planck Institute for Physiological and Clinical Research, Bad Nauheim, Germany. hugo.marti@kerckhoff.mpg.de FAU - Bernaudin, M AU - Bernaudin M FAU - Bellail, A AU - Bellail A FAU - Schoch, H AU - Schoch H FAU - Euler, M AU - Euler M FAU - Petit, E AU - Petit E FAU - Risau, W AU - Risau W LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Am J Pathol JT - The American journal of pathology JID - 0370502 RN - 0 (DNA Primers) RN - 0 (DNA-Binding Proteins) RN - 0 (Endothelial Growth Factors) RN - 0 (HIF-2 protein, mouse) RN - 0 (Hif1a protein, mouse) RN - 0 (Hypoxia-Inducible Factor 1) RN - 0 (Hypoxia-Inducible Factor 1, alpha Subunit) RN - 0 (Ki-67 Antigen) RN - 0 (Lymphokines) RN - 0 (Nuclear Proteins) RN - 0 (Peptide Initiation Factors) RN - 0 (Platelet Endothelial Cell Adhesion Molecule-1) RN - 0 (Proto-Oncogene Proteins) RN - 0 (RNA, Messenger) RN - 0 (Receptors, Growth Factor) RN - 0 (Transcription Factors) RN - 0 (Vascular Endothelial Growth Factor A) RN - 0 (Vascular Endothelial Growth Factors) RN - 9007-49-2 (DNA) RN - EC 2.7.10.1 (Receptor Protein-Tyrosine Kinases) RN - EC 2.7.10.1 (Receptors, Vascular Endothelial Growth Factor) RN - EC 2.7.10.1 (Vascular Endothelial Growth Factor Receptor-1) SB - IM MH - Animals MH - Brain Ischemia/*complications/metabolism/pathology MH - DNA/analysis MH - DNA Primers/chemistry MH - DNA-Binding Proteins/metabolism MH - Disease Models, Animal MH - Endothelial Growth Factors/genetics/*metabolism MH - Hypoxia/*complications/metabolism/pathology MH - Hypoxia-Inducible Factor 1 MH - Hypoxia-Inducible Factor 1, alpha Subunit MH - Immunohistochemistry MH - In Situ Hybridization MH - Ki-67 Antigen/metabolism MH - Lymphokines/genetics/*metabolism MH - Mice MH - Neovascularization, Pathologic/*etiology/metabolism/pathology MH - Nuclear Proteins/metabolism MH - Peptide Initiation Factors/metabolism MH - Platelet Endothelial Cell Adhesion Molecule-1/metabolism MH - Proto-Oncogene Proteins/genetics/metabolism MH - RNA, Messenger/metabolism MH - Receptor Protein-Tyrosine Kinases/genetics/metabolism MH - Receptors, Growth Factor/genetics/metabolism MH - Receptors, Vascular Endothelial Growth Factor MH - Reverse Transcriptase Polymerase Chain Reaction MH - Transcription Factors/biosynthesis MH - Up-Regulation MH - Vascular Endothelial Growth Factor A MH - Vascular Endothelial Growth Factor Receptor-1 MH - Vascular Endothelial Growth Factors PMC - PMC1876841 EDAT- 2000/03/07 09:00 MHDA- 2000/03/25 09:00 PMCR- 2000/09/01 CRDT- 2000/03/07 09:00 PHST- 2000/03/07 09:00 [pubmed] PHST- 2000/03/25 09:00 [medline] PHST- 2000/03/07 09:00 [entrez] PHST- 2000/09/01 00:00 [pmc-release] AID - S0002-9440(10)64964-4 [pii] AID - 2091 [pii] AID - 10.1016/S0002-9440(10)64964-4 [doi] PST - ppublish SO - Am J Pathol. 2000 Mar;156(3):965-76. doi: 10.1016/S0002-9440(10)64964-4.