Department of Surgery, Johns Hopkins University School of Medicine, 4940 Eastern Avenue, 1550 Orleans Street, Baltimore, MD, 21224, USA.
Department of General and Oncological Surgery, Medical University of Lodz, Lodz, Poland.
Sci Rep. 2024 Mar 20;14(1):6738. doi: 10.1038/s41598-024-54941-w.
Hypoxia-Inducible Factor-1α (HIF-1α) has presented a new direction for ischemic preconditioning of surgical flaps to promote their survival. In a previous study, we demonstrated the effectiveness of HIF-1a DNA plasmids in this application. In this study, to avoid complications associated with plasmid use, we sought to express HIF-1α through mRNA transfection and determine its biological activity by measuring the upregulation of downstream angiogenic genes. We transfected six different HIF-1a mRNAs-one predominant, three variant, and two novel mutant isoforms-into primary human dermal fibroblasts using Lipofectamine, and assessed mRNA levels using RT-qPCR. At all time points examined after transfection (3, 6, and 10 h), the levels of HIF-1α transcript were significantly higher in all HIF-1α transfected cells relative to the control (all p < 0.05, unpaired Student's T-test). Importantly, the expression of HIF-1α transcription response genes (VEGF, ANG-1, PGF, FLT1, and EDN1) was significantly higher in the cells transfected with all isoforms than with the control at six and/or ten hours post-transfection. All isoforms were transfected successfully into human fibroblast cells, resulting in the rapid upregulation of all five downstream angiogenic targets tested. These findings support the potential use of HIF-1α mRNA for protecting ischemic dermal flaps.
缺氧诱导因子-1α(HIF-1α)为外科皮瓣的缺血预处理提供了新的方向,以促进其存活。在之前的研究中,我们证明了 HIF-1a 质粒在这方面的应用的有效性。在这项研究中,为了避免与质粒使用相关的并发症,我们试图通过转染 mRNA 来表达 HIF-1α,并通过测量下游血管生成基因的上调来确定其生物学活性。我们使用 Lipofectamine 将六种不同的 HIF-1a mRNA(一种主要的、三种变体和两种新型突变异构体)转染到原代人真皮成纤维细胞中,并使用 RT-qPCR 评估 mRNA 水平。在转染后所有检查的时间点(3、6 和 10 小时),与对照相比,所有 HIF-1α 转染细胞中的 HIF-1α 转录本水平均显著升高(均 p < 0.05,未配对学生 t 检验)。重要的是,与对照组相比,在转染后六小时和/或十小时,所有异构体转染的细胞中 HIF-1α 转录反应基因(VEGF、ANG-1、PGF、FLT1 和 EDN1)的表达显著更高。所有异构体均成功转染入人成纤维细胞,导致所有五种测试的下游血管生成靶标均迅速上调。这些发现支持使用 HIF-1α mRNA 来保护缺血性皮瓣。