Preferred Label : Angiogenesis Pathway;
NCIt related terms : VEGF, Hypoxia, and Angiogenesis;
Alternative definition : BIOCARTA: Vascular endothelial growth factor (VEGF) plays a key role in physiological
blood vessel formation and pathological angiogenesis such as tumor growth and ischemic
diseases. Hypoxia is a potent inducer of VEGF in vitro. The increase in secreted biologically
active VEGF protein from cells exposed to hypoxia is partly because of an increased
transcription rate, mediated by binding of hypoxia-inducible factor-1 (HIF1) to a
hypoxia responsive element in the 5'-flanking region of the VEGF gene. bHLH-PAS transcription
factor that interacts with the Ah receptor nuclear translocator (Arnt), and its predicted
amino acid sequence, exhibits significant similarity to the hypoxia-inducible factor
1alpha (HIF1a) product. HLF mRNA expression is closely correlated with that of VEGF
mRNA. The high expression level of HLF mRNA in the O2 delivery system of developing
embryos and adult organs suggests that in a normoxic state, HLF regulates gene expression
of VEGF, various glycolytic enzymes, and others driven by the HRE sequence, and may
be involved in development of blood vessels and the tubular system of lung. VEGF expression
is dramatically induced by hypoxia due in large part to an increase in the stability
of its mRNA. HuR binds with high affinity and specificity to the VRS element that
regulates VEGF mRNA stability by hypoxia. In addition, an internal ribosome entry
site (IRES) ensures efficient translation of VEGF mRNA even under hypoxia. The VHL
tumor suppressor (von Hippel-Lindau) regulates also VEGF expression at a post-transcriptional
level. The secreted VEGF is a major angiogenic factor that regulates multiple endothelial
cell functions, including mitogenesis. Cellular and circulating levels of VEGF are
elevated in hematologic malignancies and are adversely associated with prognosis.
Angiogenesis is a very complex, tightly regulated, multistep process, the targeting
of which may well prove useful in the creation of novel therapeutic agents. Current
approaches being investigated include the inhibition of angiogenesis stimulants (e.g.,
VEGF), or their receptors, blockade of endothelial cell activation, inhibition of
matrix metalloproteinases, and inhibition of tumor vasculature. Preclinical, phase
I, and phase II studies of both monoclonal antibodies to VEGF and blockers of the
VEGF receptor tyrosine kinase pathway indicate that these agents are safe and offer
potential clinical utility in patients with hematologic malignancies. (This definition
may be outdated - see the DesignNote.);
NCIt note : The BIOCARTA Definition (ALT_DEFINITION) for this pathway concept was provided by
BioCarta. This property was not created by, nor is it maintained by the NCI Thesaurus
staff. Additionally, BioCarta is no longer updating its pathway data; thus, the BIOCARTA
Definition might be outdated or inaccurate. Please see the Terms and Conditions for
Use at http://www.biocarta.com/.;
Biocarta ID : h_vegfPathway;
Origin ID : C39264;
UMLS CUI : C1510883;
Semantic type(s)
has_gene_product_element
pathway_has_gene_element