The Intersection of Pulmonary Vascular Disease and Hypoxia-Inducible Factors

Interv Cardiol Clin. 2023 Jul;12(3):443-452. doi: 10.1016/j.iccl.2023.03.010. Epub 2023 Apr 28.

Abstract

Hypoxia-inducible factors (HIFs) are a family of nuclear transcription factors that serve as the master regulator of the adaptive response to hypoxia. In the lung, HIFs orchestrate multiple inflammatory pathways and signaling. They have been reported to have a major role in the initiation and progression of acute lung injury, chronic obstructive pulmonary disease, pulmonary fibrosis, and pulmonary hypertension. Although there seems to be a clear mechanistic role for both HIF 1α and 2α in pulmonary vascular diseases including PH, a successful translation into a definitive therapeutic modality has not been accomplished to date.

Keywords: HIF 1 alpha; Pulmonary hypertension; Pulmonary vascular disease.

Publication types

  • Review

MeSH terms

  • Basic Helix-Loop-Helix Transcription Factors* / metabolism
  • Humans
  • Hypertension, Pulmonary*
  • Hypoxia
  • Lung / metabolism

Substances

  • Basic Helix-Loop-Helix Transcription Factors