Evidence map›Paper›PMID 17525282›Full record

ArticleThe American journal of pathology2007

Human placental hypoxia-inducible factor-1alpha expression correlates with clinical outcomes in chronic hypoxia in vivo.

Stacy Zamudio, Yuanhong Wu, Francesca Ietta, Alessandro Rolfo, Ashley Cross, Timothy Wheeler, Martin Post, Nicholas P Illsley, Isabella Caniggia

Open access · bronzeAbstract read
In one paragraph

Article in The American journal of pathology, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 61 papers.

0numbers the graph read from it
0cells of the map it votes in
61citing papers in PubMed
5.4field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

61 citing papers in PubMed, 122 citations in OpenAlex.

  1. Review
  2. Article
  3. The uteroplacental circulation at high altitude: adaptation and maladaptation.Philosophical transactions of the Royal Society of London. Series B, Biological sciences · 2025
    Review
  4. Review
  5. Article
  6. Placental Adaptation to Hypoxia: The Case of High-Altitude Pregnancies.International journal of environmental research and public health · 2025
    Review
  7. Observational
  8. Cited2 is a key regulator of placental development and plasticity.BioEssays : news and reviews in molecular, cellular and developmental biology · 2024
    Review
  9. Article
  10. Article
  11. Review
  12. Article
  13. CaInternational journal of molecular sciences · 2023
    Review
  14. Article
  15. Article
  16. Article
  17. Article
  18. Review
  19. Fetal growth, high altitude, and evolutionary adaptation: a new perspective.American journal of physiology. Regulatory, integrative and comparative physiology · 2021
    Article
  20. Review

1 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 5 institutions in 3 countries.

Stacy ZamudioDepartment of Obstetrics, Gynecology and Women's Health, New Jersey Medical School, 185 South Orange Avenue, Newark, NJ 07103, USA. stacy.zamudio@umdnj.edu
Yuanhong Wu
Francesca Ietta
Alessandro Rolfo
Ashley Cross
Timothy Wheeler
Martin Post
Nicholas P Illsley
Isabella Caniggia
Mount Sinai Hospital · CARutgers New Jersey Medical SchoolHospital for Sick Children · CAInternational Society for Developmental Origins of Health and Disease · GBSickKids Foundation · CA

Funding

Coordination of fetal growth by nutrient availabilityR01HD046982 · NICHD · UNIV OF MED/DENT OF NJ-NJ MEDICAL SCHOOL · PI ILLSLEY, NICHOLAS · 2004 to 2008
$1.9M
Altitude-induced hypoxia,IUGR and placental functionR01HD042737 · NICHD · UNIV OF MED/DENT OF NJ-NJ MEDICAL SCHOOL · PI ZAMUDIO, STACY · 2003 to 2006
$1.1M
NICHD NIH HHS HD 42737NICHD NIH HHS HD 46982NICHD NIH HHS R01 HD042737NICHD NIH HHS R01 HD046982
6 · The paper itself

Abstract

Placental hypoxia is causally implicated in fetal growth restriction and preeclampsia, with both occurring more frequently at high altitude (>2700 m; HA). The nuclear transcription factor hypoxia-inducible factor (HIF) may facilitate placental oxygen transport at HA by increasing erythropoiesis and placental angiogenesis. We therefore investigated HIF expression and its regulatory mechanisms in placentas from normal pregnancies at high (3100 m), moderate (1600 m), and sea level (75 m) altitudes. Moderate-altitude and sea level placentas did not differ, but HIF-1alpha and the von Hippel-Lindau tumor suppressor protein were overexpressed in HA placentas. The ability of von Hippel-Lindau tumor suppressor protein to form the E3 ubiquitin protein ligase complex, required for HIF-1alpha degradation, was unaltered in HA placentas. mRNA for factor-inhibiting HIF, a negative modulator of HIF-1alpha transactivation, was increased, but protein levels were diminished. Elevated HIF-1alpha likely contributed to the significant increase we report in HIF-1alpha downstream target proteins, transforming growth factor beta3 in the placenta, and vascular endothelial growth factor and erythropoietin in the maternal circulation. These circulating markers and lowered birth to placental weight ratios correlated with increased HIF-1alpha, thereby linking molecular and systemic physiological data. The HA response to chronic hypoxia resembles preeclampsia in several aspects, illustrating the utility of the HA model in understanding placental pathologies.

Indexed as

AltitudeHypoxiaAdultAnimalsBirth WeightCullin ProteinsFemaleGestational AgeHumansHypoxia-Inducible Factor 1, alpha SubunitMixed Function OxygenasesOrgan SizePlacentaPregnancyRepressor ProteinsTranscription FactorsCUL2 protein, humanCullin ProteinsHIF1AN protein, humanHIF1A protein, humanHypoxia-Inducible Factor 1, alpha SubunitMixed Function OxygenasesRepressor ProteinsTranscription FactorsTransforming Growth Factor betaVHL protein, humanVon Hippel-Lindau Tumor Suppressor Protein

Identifiers

PMID17525282
PMCPMC1899448
OpenAlexW2027853088

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.