Evidence map›Paper›PMID 34128478›Full record

ArticleThe Journal of clinical investigation2021

HIF-1α and HIF-2α redundantly promote retinal neovascularization in patients with ischemic retinal disease.

Jing Zhang, Yaowu Qin, Mireya Martinez, Miguel Flores-Bellver, Murilo Rodrigues, Aumreetam Dinabandhu, Xuan Cao, Monika Deshpande, Yu Qin, Silvia Aparicio-Domingo and 10 more

Open access · bronzeAbstract read
In one paragraph

Article in The Journal of clinical investigation, 2021. 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
12.0field-weighted citation impact, top 1% 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, 84 citations in OpenAlex.

  1. Identification of novel HIF2α inhibitors: a structure-based virtual screening approach.Journal of enzyme inhibition and medicinal chemistry · 2026
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  8. Molecular stress and neurovascular injury in the diabetic retina.The Journal of clinical investigation · 2026
    Review
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  10. Review
  11. A Somatic Mutation in HIF-2α Affects Glucose and Lipid Metabolism via CD36 and Ceramide.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2026
    Article
  12. Article
  13. Article
  14. Monocyte-derived exosomal periostin driven by histone lactylation contributes to retinal neovascularization.Proceedings of the National Academy of Sciences of the United States of America · 2025
    Article
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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

20 authors at 4 institutions in 2 countries.

Jing ZhangWilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Yaowu QinWilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Mireya MartinezWilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Miguel Flores-BellverCellSight, Ocular Stem Cell and Regeneration Research Program, Department of Ophthalmology, Sue Anschutz-Rodgers Eye Center, University of Colorado School of Medicine, Aurora, Colorado, USA.
Murilo RodriguesWilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Aumreetam DinabandhuWilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Xuan CaoWilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Monika DeshpandeWilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Yu QinWilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Silvia Aparicio-DomingoCellSight, Ocular Stem Cell and Regeneration Research Program, Department of Ophthalmology, Sue Anschutz-Rodgers Eye Center, University of Colorado School of Medicine, Aurora, Colorado, USA.
Yuan RuiDepartment of Biomedical Engineering, Institute for NanoBioTechnology, and Translational Tissue Engineering Center, and.
Stephany Y TzengDepartment of Biomedical Engineering, Institute for NanoBioTechnology, and Translational Tissue Engineering Center, and.
Shaima SalmanDepartments of Pediatrics, Medicine, Oncology, Radiation Oncology, Biological Chemistry, and Genetic Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Jin YuanState Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangzhou, Guangdong, China.
Adrienne W ScottWilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Jordan J GreenWilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
M Valeria Canto-SolerCellSight, Ocular Stem Cell and Regeneration Research Program, Department of Ophthalmology, Sue Anschutz-Rodgers Eye Center, University of Colorado School of Medicine, Aurora, Colorado, USA.
Gregg L SemenzaDepartments of Pediatrics, Medicine, Oncology, Radiation Oncology, Biological Chemistry, and Genetic Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Silvia MontanerDepartment of Oncology and Diagnostic Sciences, School of Dentistry, Greenebaum Cancer Center, University of Maryland, Baltimore, Maryland, USA.
Akrit SodhiWilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Johns Hopkins University · USUniversity of Colorado Anschutz Medical Campus · USUniversity of Maryland, Baltimore · USSun Yat-sen University · CN

Funding

Wilmer Core Grant for Vision ResearchP30EY001765 · NEI · JOHNS HOPKINS UNIVERSITY · PI Ji Yi · 1985 to 2026
$22.1M
Promotion of retinal vascular hyperpermeability and macular edema by ANGPTL4R01EY025705 · NEI · UNIVERSITY OF MARYLAND BALTIMORE · PI MONTANER, SILVIA V · 2016 to 2020
$2.6M
Divergent Roles for Hypoxia-Inducible Factor-1 and -2 in Ischemic Retinal DiseaseR01EY029750 · NEI · JOHNS HOPKINS UNIVERSITY · PI SODHI, AKRIT SINGH · 2019 to 2023
$2.6M
Gene Delivery Nanoparticles to Treat GlioblastomaR01CA228133 · NCI · JOHNS HOPKINS UNIVERSITY · PI GREEN, JORDAN · 2019 to 2023
$1.9M
NCI NIH HHS R01 CA228133NEI NIH HHS P30 EY001765NEI NIH HHS R01 EY025705NEI NIH HHS R01 EY029750
6 · The paper itself

Abstract

Therapies targeting VEGF have proven only modestly effective for the treatment of proliferative sickle cell retinopathy (PSR), the leading cause of blindness in patients with sickle cell disease. Here, we shift our attention upstream from the genes that promote retinal neovascularization (NV) to the transcription factors that regulate their expression. We demonstrated increased expression of HIF-1α and HIF-2α in the ischemic inner retina of PSR eyes. Although both HIFs participated in promoting VEGF expression by hypoxic retinal Müller cells, HIF-1 alone was sufficient to promote retinal NV in mice, suggesting that therapies targeting only HIF-2 would not be adequate to prevent PSR. Nonetheless, administration of a HIF-2-specific inhibitor currently in clinical trials (PT2385) inhibited NV in the oxygen-induced retinopathy (OIR) mouse model. To unravel these discordant observations, we examined the expression of HIFs in OIR mice and demonstrated rapid but transient accumulation of HIF-1α but delayed and sustained accumulation of HIF-2α; simultaneous expression of HIF-1α and HIF-2α was not observed. Staggered HIF expression was corroborated in hypoxic adult mouse retinal explants but not in human retinal organoids, suggesting that this phenomenon may be unique to mice. Using pharmacological inhibition or an in vivo nanoparticle-mediated RNAi approach, we demonstrated that inhibiting either HIF was effective for preventing NV in OIR mice. Collectively, these results explain why inhibition of either HIF-1α or HIF-2α is equally effective for preventing retinal NV in mice but suggest that therapies targeting both HIFs will be necessary to prevent NV in patients with PSR.

Indexed as

Gene Expression RegulationAnemia, Sickle CellAnimalsBasic Helix-Loop-Helix ProteinsDisease Models, AnimalEndothelial PAS Domain-Containing Protein 1HumansHypoxia-Inducible Factor 1, alpha SubunitIndansMiceRetinal NeovascularizationRetinal VesselsSulfonesBasic Helix-Loop-Helix ProteinsEndothelial PAS Domain-Containing Protein 1HIF1A protein, humanHif1a protein, mouseHypoxia-Inducible Factor 1, alpha SubunitIndansPT2385SulfonesAngiogenesisHypoxiaMouse modelsOphthalmologyRetinopathy

Identifiers

PMID34128478
PMCPMC8203455
OpenAlexW3170909446

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.