The molecular basis for impaired hypoxia-induced VEGF expression in diabetic tissues

Hariharan Thangarajah, Dachun Yao, Edward I. Chang, Yubin Shi, Leila Jazayeri, Ivan N. Vial, Robert D. Galiano, Xue Liang Du, Raymon Grogan, Michael G. Galvez, Michael Januszyk, Michael Brownlee, Geoffrey C. Gurtner

Research output: Contribution to journalArticlepeer-review

350 Scopus citations


Diabetes is associated with poor outcomes following acute vascular occlusive events. This results in part from a failure to form adequate compensatory microvasculature in response to ischemia. Since vascular endothelial growth factor (VEGF) is an essential mediator of neovascularization, we examined whether hypoxic up-regulation of VEGF was impaired in diabetes. Both fibroblasts isolated from type 2 diabetic patients, and normal fibroblasts exposed chronically to high glucose, were defective in their capacity to up-regulate VEGF in response to hypoxia. In vivo, diabetic animals demonstrated an impaired ability to increase VEGF production in response to soft tissue ischemia. This resulted from a high glucose-induced decrease in transactivation by the transcription factor hypoxia-inducible factor-1α (HIF-1α), which mediates hypoxia-stimulated VEGF expression. Decreased HIF-1α functional activity was specifically caused by impaired HIF-1α binding to the coactivator p300. We identify covalent modification of p300 by the dicarbonyl metabolite methylglyoxal as being responsible for this decreased association. Administration of deferoxamine abrogated methylglyoxal conjugation, normalizing both HIF-1α/p300 interaction and transactivation by HIF-1α. In diabetic mice, deferoxamine promoted neovascularization and enhanced wound healing. These findings define molecular defects that underlie impaired VEGF production in diabetic tissues and offer a promising direction for therapeutic intervention.

Original languageEnglish (US)
Pages (from-to)13505-13510
Number of pages6
JournalProceedings of the National Academy of Sciences of the United States of America
Issue number32
StatePublished - Aug 11 2009


  • Deferoxamine
  • HIF-1
  • Hyperglycemia
  • Ischemia

ASJC Scopus subject areas

  • General


Dive into the research topics of 'The molecular basis for impaired hypoxia-induced VEGF expression in diabetic tissues'. Together they form a unique fingerprint.

Cite this