Abstract
H2A histone family member X (H2AX, encoded by H2AFX) and its C-terminal phosphorylation (γ-H2AX) participates in the DNA damage response and mediates DNA repair1,2,3,4,5,6. Hypoxia is a physiological stress that induces a replication-associated DNA damage response7. Moreover, hypoxia is the major driving force for neovascularization8, as the hypoxia-mediated induction of vascular growth factors triggers endothelial cell proliferation8. Here we studied the role of the hypoxia-induced DNA damage response in endothelial cell function and in hypoxia-driven neovascularization in vivo. Hypoxia induced replication-associated generation of γ-H2AX in endothelial cells in vitro and in mice. Both in cultured cells and in mice, endothelial cell proliferation under hypoxic conditions was reduced by H2AX deficiency. Whereas developmental angiogenesis was not affected in H2afx−/− mice, hypoxia-induced neovascularization during pathologic proliferative retinopathy, in response to hind limb ischemia or during tumor angiogenesis was substantially lower in H2afx−/− mice. Moreover, endothelial-specific H2afx deletion resulted in reduced hypoxia-driven retina neovascularization and tumor neovascularization. Our findings establish that H2AX, and hence activation of the DNA repair response, is needed for endothelial cells to maintain their proliferation under hypoxic conditions and is crucial for hypoxia-driven neovascularization.
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Acknowledgements
This research was supported by the Intramural Research Program of the US National Institutes of Health National Cancer Institute. H.F.L. was supported by the German Academy of Sciences (Leopoldina). We would like to acknowledge M.E. Kruhlak for the help with microscopy, D. Winkler and S. Kaul for help with genotyping, G. Tosato for help with Matrigel experiments, F. Alt (Harvard University) for providing the H2afx floxed mice and A. Singer and D.S. Singer for critically reading the manuscript.
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M.E. designed and conducted experiments and wrote the manuscript, H.F.L. conducted experiments, A.C. designed experiments, V.V.O. conducted experiments, E.Y.C., M.M., A.V. and E.C. conducted experiments, C.D. supervised experiments, C.H.B. generated H2afx floxed mice, M.B. designed, conducted and supervised experiments, A.N. supervised and designed experiments, and T.C. designed, conducted and supervised experiments and wrote the manuscript.
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Economopoulou, M., Langer, H., Celeste, A. et al. Histone H2AX is integral to hypoxia-driven neovascularization. Nat Med 15, 553–558 (2009). https://doi.org/10.1038/nm.1947
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DOI: https://doi.org/10.1038/nm.1947
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