Abstract

BackgroundHyperoxia-mediated inhibition of vascular endothelial growth factor (VEGF) in the retina is the main cause of impeded angiogenesis during phase I retinopathy of prematurity (ROP). Human retinal angiogenesis involves the proliferation, migration and vessel-forming ability of microvascular endothelial cells. Previous studies have confirmed that BTB and CNC homology l (BACH1) can inhibit VEGF and angiogenesis, while haem can specifically degrade BACH1. However, the effect of haem on endothelial cells and ROP remains unknown.MethodsIn this report, we established a model of the relative hyperoxia of phase I ROP by subjecting human microvascular endothelial cells (HMEC-1) to 40% hyperoxia. Haem was added, and its effects on the growth and viability of HMEC-1 cells were evaluated. Cell counting kit 8 (CCK8) and 5-ethynyl-2′-deox-yuridine (EdU) assays were used to detect proliferation, whereas a wound healing assay and Matrigel cultures were used to detect the migration and vessel-forming ability, respectively. Western blot (WB) and immunofluorescence (IF) assays were used to detect the relative protein levels of BACH1 and VEGF.ResultsHMEC-1 cells could absorb extracellular haem under normoxic or hyperoxic conditions. The proliferation, migration and angiogenesis abilities of HMEC-1 cells were inhibited under hyperoxia. Moderate levels of haem can promote endothelial cell proliferation, while 20 μM haem could inhibit BACH1 expression, promote VEGF expression, and relieve the inhibition of proliferation, migration and angiogenesis in HMEC-1 cells induced by hyperoxia.ConclusionsHaem (20 μM) can relieve hyperoxia-induced inhibition of VEGF activity in HMEC-1 cells by inhibiting BACH1 and may be a potential medicine for overcoming stunted retinal angiogenesis induced by relative hyperoxia in phase I ROP.

Highlights

  • Hyperoxia-mediated inhibition of vascular endothelial growth factor (VEGF) in the retina is the main cause of impeded angiogenesis during phase I retinopathy of prematurity (ROP)

  • The results showed that the proliferation, migration and angiogenesis of Human microvascular endothelial cells (HMEC-1) cells were inhibited under hyperoxia, and 20 μM haem promoted VEGF expression by inhibiting BTB and CNC homology l (BACH1) expression in HMEC1 cells and relieved the hyperoxia-induced inhibitory effects on angiogenesis

  • These findings provide a certain experimental basis for haem as a potential medicine for the treatment of stunted angiogenesis induced by relative hyperoxia during the early stages of ROP

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Summary

Introduction

Hyperoxia-mediated inhibition of vascular endothelial growth factor (VEGF) in the retina is the main cause of impeded angiogenesis during phase I retinopathy of prematurity (ROP). Retinopathy of prematurity (ROP) is a retinal vascular disease in premature and low-birth-weight infants and is one of the main causes of blindness in children [1]. The main pathological features of ROP are stunted retinal angiogenesis in the early stage and pathological neovascularization in the later stage. The main cause of stunted angiogenesis in early ROP is the relative hyperoxia owing to infants leaving the uterus prematurely and receiving oxygen therapy, which inhibits VEGF expression in the retina. To solve the problem of neonatal hypoxia and reduce mortality, oxygen therapy is sometimes necessary [4]; there is no effective intervention for retinopathy caused by relative hyperoxia in early ROP

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