Evidence map›Paper›PMID 30478339›Full record

ArticleScientific reports2018

HIF-2α, but not HIF-1α, mediates hypoxia-induced up-regulation of Flt-1 gene expression in placental trophoblasts.

Tadashi Sasagawa, Takeshi Nagamatsu, Kazuki Morita, Nobuko Mimura, Takayuki Iriyama, Tomoyuki Fujii, Masabumi Shibuya

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed
3.2field-weighted citation impact, top 7% 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

33 citing papers in PubMed, 59 citations in OpenAlex.

  1. Review
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  6. Trophoblast adaptation to hypoxia: balance and dysfunction.Cell communication and signaling : CCS · 2025
    Review
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  9. The uteroplacental circulation at high altitude: adaptation and maladaptation.Philosophical transactions of the Royal Society of London. Series B, Biological sciences · 2025
    Review
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  20. Hypoxia induces downregulation of the tumor-suppressive sST2 in colorectal cancer cells via the HIF-nuclear IL-33-GATA3 pathway.Proceedings of the National Academy of Sciences of the United States of America · 2023
    Article
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

7 authors at 2 institutions in 1 country.

Tadashi SasagawaInstitute of Physiology and Medicine, Jobu University, Gunma, Japan.
Takeshi NagamatsuDepartment of Obstetrics and Gynecology, The University of Tokyo, Tokyo, Japan.
Kazuki MoritaDepartment of Obstetrics and Gynecology, The University of Tokyo, Tokyo, Japan.
Nobuko MimuraDepartment of Obstetrics and Gynecology, The University of Tokyo, Tokyo, Japan.
Takayuki IriyamaDepartment of Obstetrics and Gynecology, The University of Tokyo, Tokyo, Japan.
Tomoyuki FujiiDepartment of Obstetrics and Gynecology, The University of Tokyo, Tokyo, Japan.
Masabumi ShibuyaInstitute of Physiology and Medicine, Jobu University, Gunma, Japan. shibuya@ims.u-tokyo.ac.jp.
The University of Tokyo · JPJobu University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Placental hypoxia and elevated levels of circulating soluble Fms-like tyrosine kinase-1 (sFlt-1), an anti-angiogenic factor, are closely related to the pathogenesis of preeclampsia. Although sFlt-1 secretion from the placental trophoblasts is increased under hypoxic conditions, the underlying molecular mechanism remains unclear. Previously, an authentic hypoxia response element in the Flt-1 gene promoter was shown to be a potential binding site for hypoxia-inducible factors (HIFs). Here, we investigated the roles of HIF-1α and HIF-2α in Flt-1 gene expression in trophoblast-derived choriocarcinoma cell lines and cytotrophoblasts exposed to hypoxic conditions. In the cell lines, increased expression of sFlt-1 splice variants and nuclear accumulation of HIF-1α and HIF-2α were observed after hypoxic stimulation. A specific small interfering RNA or an inhibitor molecule targeting HIF-2α decreased hypoxia-induced up-regulation of Flt-1 gene expression. Moreover, in cytotrophoblasts, increased sFlt-1 mRNA expression and elevated sFlt-1 production were induced by hypoxic stimulation. Notably, hypoxia-induced elevation of sFlt-1 secretion from the cytotrophoblasts was inhibited by silencing the HIF-2α, but not HIF-1α mRNA. These findings suggest that hypoxia-induced activation of HIF-2α is essential for the increased production of sFlt-1 proteins in trophoblasts. Targeting the HIF-2α may be a novel strategy for the treatment of preeclampsia.

Indexed as

Basic Helix-Loop-Helix ProteinsCell LineEndothelial PAS Domain-Containing Protein 1FemaleGene ExpressionHumansHypoxiaHypoxia-Inducible Factor 1, alpha SubunitPlacentaPre-EclampsiaPregnancyPromoter Regions, GeneticRNA, MessengerRNA, Small InterferingTrophoblastsUp-RegulationBasic Helix-Loop-Helix ProteinsEndothelial PAS Domain-Containing Protein 1FLT1 protein, humanHIF1A protein, humanHypoxia-Inducible Factor 1, alpha SubunitRNA, MessengerRNA, Small InterferingVascular Endothelial Growth Factor Receptor-1

Identifiers

PMID30478339
PMCPMC6255857
OpenAlexW2901715201

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Registered trials

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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.