PMID- 20122829 OWN - NLM STAT- MEDLINE DCOM- 20100608 LR - 20181201 IS - 1873-2364 (Electronic) IS - 0960-8966 (Linking) VI - 20 IP - 3 DP - 2010 Mar TI - Microvasculopathic neuromuscular diseases: lessons from hypoxia-inducible factors. PG - 192-7 LID - 10.1016/j.nmd.2010.01.005 [doi] AB - Dermatomyositis and vasculitic neuropathies are disorders with immune mediated ischemic injuries. Cellular responses to hypoxia include the hypoxia-inducible factor-1 (HIF-1)-induced transcription of genes involved in angiogenesis. To study their possible roles in those disorders, the immunohistochemical expression of HIF-1alpha, HIF-1beta, HIF-2alpha, vascular endothelial growth factor (VEGF), VEGF-receptor (VEGF-R) and erythropoietin-receptor was investigated. Cases of normal nerves, diabetic neuropathy, normal muscles, polymyositis and inclusion-body-myositis served as controls. The latter were chosen because they represent comparable inflammatory disorders, however, in these ischemia/hypoxia is not supposed to play such a prominent pathogenetic role. Hypoxia-related proteins were not detected in normal controls. In polymyositis and inclusion-body-myositis, there was VEGF-R-expression in muscle fibers and HIF-2alpha reactivity in endothelial cells. In dermatomyositis, HIF-1alpha and HIF-1beta were found in endothelial cells, whereas HIF-2alpha, erythropoietin-receptor, VEGF and VEGF-R additionally were observed in muscle fibers. In vasculitic and diabetic neuropathies, a variable focal expression of hypoxia-inducible factors, VEGF, VEGF-R and erythropoietin-receptor was seen in vessels. These observations suggest that the upregulation of hypoxia-related proteins may represent an adaptation mechanism of neuromuscular tissues to immune mediated deprivation of the blood supply. CI - Copyright 2010 Elsevier B.V. All rights reserved. FAU - Probst-Cousin, Stefan AU - Probst-Cousin S AD - Department of Neurology, Klinikum Bremen-Ost, Bremen, Germany. stefan.probst@klinikum-bremen-ost.de FAU - Neundorfer, Bernhard AU - Neundorfer B FAU - Heuss, Dieter AU - Heuss D LA - eng PT - Journal Article DEP - 20100201 PL - England TA - Neuromuscul Disord JT - Neuromuscular disorders : NMD JID - 9111470 RN - 0 (Angiogenesis Inducing Agents) RN - 0 (Basic Helix-Loop-Helix Transcription Factors) RN - 0 (Ephrin-B2) RN - 0 (HSP70 Heat-Shock Proteins) RN - 0 (Hypoxia-Inducible Factor 1) RN - 0 (Proteins) RN - 0 (Receptors, Erythropoietin) RN - 0 (Vascular Endothelial Growth Factor A) RN - 0 (oxygen-regulated proteins) RN - 1B37H0967P (endothelial PAS domain-containing protein 1) RN - EC 2.7.10.1 (Receptors, Vascular Endothelial Growth Factor) SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Angiogenesis Inducing Agents/metabolism MH - Basic Helix-Loop-Helix Transcription Factors/metabolism MH - Ephrin-B2/metabolism MH - Female MH - HSP70 Heat-Shock Proteins MH - Humans MH - Hypoxia-Inducible Factor 1/genetics/*metabolism MH - Male MH - Microvessels/*metabolism/pathology MH - Middle Aged MH - Neovascularization, Pathologic/etiology/metabolism MH - Neuromuscular Diseases/complications/*metabolism/*pathology MH - Proteins/metabolism MH - Receptors, Erythropoietin/metabolism MH - Receptors, Vascular Endothelial Growth Factor/metabolism MH - Up-Regulation/physiology MH - Vascular Endothelial Growth Factor A/metabolism EDAT- 2010/02/04 06:00 MHDA- 2010/06/09 06:00 CRDT- 2010/02/04 06:00 PHST- 2009/09/06 00:00 [received] PHST- 2009/12/21 00:00 [revised] PHST- 2010/01/07 00:00 [accepted] PHST- 2010/02/04 06:00 [entrez] PHST- 2010/02/04 06:00 [pubmed] PHST- 2010/06/09 06:00 [medline] AID - S0960-8966(10)00018-0 [pii] AID - 10.1016/j.nmd.2010.01.005 [doi] PST - ppublish SO - Neuromuscul Disord. 2010 Mar;20(3):192-7. doi: 10.1016/j.nmd.2010.01.005. Epub 2010 Feb 1.