Abstract
Retinopathy of prematurity (ROP) is a neovascularizing disease that causes blindness in premature infants. ROP is initiated by an arrest of normal retinal blood vessel development. Subsequently, the non-perfused peripheral retina becomes hypoxic leading to retinal neovascularization. Vascular endothelial growth factor (VEGF) has been implicated in playing a role in the pathogenesis of ROP. HIF-1 is a heterodimeric DNA binding protein consisting of an α and β subunit. HIF-1 protein expression and DNA binding increases in response to hypoxia. HIF-1 binding sites are present in several hypoxia inducible genes and HIF-1 has been implicated in the activation of VEGF transcription in response to hypoxia. It is therefore possible that HIF-1 plays a role in the pathogenesis of ROP.
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