PMID- 33358677 OWN - NLM STAT- MEDLINE DCOM- 20210825 LR - 20210825 IS - 1878-0539 (Electronic) IS - 1748-6815 (Linking) VI - 74 IP - 8 DP - 2021 Aug TI - HIF-1alpha inhibits mitochondria-mediated apoptosis and improves the survival of human adipose-derived stem cells in ischemic microenvironments. PG - 1908-1918 LID - S1748-6815(20)30660-4 [pii] LID - 10.1016/j.bjps.2020.11.041 [doi] AB - BACKGROUND: Human adipose mesenchymal stem cells (hADSCs) show poor survival after transplantation, limiting their clinical application. Tissue regeneration resulting from stem cell treatment may be caused by attenuation of hypoxia-inducible factor-1alpha (HIF-1alpha). In this study, we constructed hADSCs stably expressing HIF-1alpha and investigated the potential effects of HIF-1alpha expression in the ischemic microenvironment on mitochondrial apoptosis and survival of hADSCs, and studied the mechanisms involved. METHOD: Apoptosis was induced by an ischemic microenvironment in vitro. ADSCs with stable HIF-1alpha expression were established. Cell survival and apoptosis were observed by CCK-8 assay, western blotting, flow cytometry, and fluorescence staining. ADSCs were subcutaneously transplanted into nude mice in the location where a hypoxia ischemic microenvironment was simulated in vivo. After 1, 3, and 7 d, mitochondrial apoptotic proteins were evaluated by immunohistochemistry and immunofluorescence staining. RESULTS: Exogenous HIF-1alpha downregulated mitochondrial reactive oxygen species, cytochrome c, caspase-9, and caspase-3, but inhibited mitochondrial membrane potential depolarization and increased the Bcl-2/bax ratio. HIF-1alpha prevented apoptosis and promoted vascular endothelial growth factor (VEGF) secretion as demonstrated by enzyme-linked immunosorbent assay (ELISA), terminal deoxyribonucleotidyl transferase-mediated dUTP nick end labeling (TUNEL) staining, and flow cytometry analysis. HIF-1alpha enhanced the survival of transplanted ADSCs in nude mice. CONCLUSION: We have shown that through inhibition of the mitochondria-mediated apoptotic pathway and promotion of VEGF secretion in hADSCs in an ischemic microenvironment, HIF-1alpha may potentially be applied in clinical therapy and as an alternative strategy for improving hADSC therapy. CI - Copyright (c) 2020 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved. FAU - Wang, Jie AU - Wang J AD - Department of Plastic and Aesthetic Surgery, The Second Affiliated Hospital of Harbin Medical University, Harbin 150081, People's Republic of China. FAU - Wu, Hao AU - Wu H AD - Department of Plastic and Aesthetic Surgery, The Second Affiliated Hospital of Harbin Medical University, Harbin 150081, People's Republic of China. FAU - Zhou, Yongting AU - Zhou Y AD - Department of Plastic and Aesthetic Surgery, The Second Affiliated Hospital of Harbin Medical University, Harbin 150081, People's Republic of China. FAU - Pang, Hao AU - Pang H AD - Department of Plastic and Aesthetic Surgery, The Second Affiliated Hospital of Harbin Medical University, Harbin 150081, People's Republic of China. FAU - Liu, Ying AU - Liu Y AD - Department of Plastic and Aesthetic Surgery, The Second Affiliated Hospital of Harbin Medical University, Harbin 150081, People's Republic of China. FAU - Oganezov, Giorgi AU - Oganezov G AD - Department of Plastic and Aesthetic Surgery, The Second Affiliated Hospital of Harbin Medical University, Harbin 150081, People's Republic of China. FAU - Lv, Tianqi AU - Lv T AD - Department of Plastic and Aesthetic Surgery, The Second Affiliated Hospital of Harbin Medical University, Harbin 150081, People's Republic of China. FAU - Li, Jiaxu AU - Li J AD - Department of Plastic and Aesthetic Surgery, The Second Affiliated Hospital of Harbin Medical University, Harbin 150081, People's Republic of China. FAU - Xu, Jiayi AU - Xu J AD - Department of Medicine, Jiamusi University, Jiamusi 154007, People's Republic of China. FAU - Xiao, Zhibo AU - Xiao Z AD - Department of Plastic and Aesthetic Surgery, The Second Affiliated Hospital of Harbin Medical University, Harbin 150081, People's Republic of China. Electronic address: xiaozhibodoctor@126.com. FAU - Dong, Xiaoqun AU - Dong X AD - Department of Medicine, Warren Alpert Medical School of Brown University, Rhode Island, USA. LA - eng PT - Journal Article DEP - 20201211 PL - Netherlands TA - J Plast Reconstr Aesthet Surg JT - Journal of plastic, reconstructive & aesthetic surgery : JPRAS JID - 101264239 RN - 0 (HIF1A protein, human) RN - 0 (Hypoxia-Inducible Factor 1, alpha Subunit) SB - IM MH - Adipose Tissue/*cytology MH - Adult MH - Apoptosis/*physiology MH - Cell Proliferation MH - Cell Survival MH - Female MH - Humans MH - Hypoxia-Inducible Factor 1, alpha Subunit/*physiology MH - In Vitro Techniques MH - Ischemia/*physiopathology MH - Mitochondria/*metabolism MH - *Stem Cell Transplantation OTO - NOTNLM OT - Apoptosis OT - HIF-1alpha OT - Ischemic microenvironment OT - Mitochondria OT - hADSC COIS- Declaration of competing Interest The authors declare that they have no competing interests EDAT- 2020/12/29 06:00 MHDA- 2021/08/26 06:00 CRDT- 2020/12/28 10:39 PHST- 2020/04/01 00:00 [received] PHST- 2020/11/15 00:00 [revised] PHST- 2020/11/22 00:00 [accepted] PHST- 2020/12/29 06:00 [pubmed] PHST- 2021/08/26 06:00 [medline] PHST- 2020/12/28 10:39 [entrez] AID - S1748-6815(20)30660-4 [pii] AID - 10.1016/j.bjps.2020.11.041 [doi] PST - ppublish SO - J Plast Reconstr Aesthet Surg. 2021 Aug;74(8):1908-1918. doi: 10.1016/j.bjps.2020.11.041. Epub 2020 Dec 11.