Smooth muscle Insulin-like growth factor-1 mediates hypoxia-induced pulmonary hypertension in neonatal mice

Miranda Sun, Ramaswamy Ramchandran, Jiwang Chen, Qiwei Yang, J. Usha Raj

Research output: Contribution to journalArticlepeer-review

25 Scopus citations


Insulin-like growth factor (IGF)-1 is a potent mitogen of vascular smooth muscle cells (SMCs), but its role in pulmonary vascular remodeling associated with pulmonary hypertension (PH) is not clear. In an earlier study, we implicated IGF-1 in the pathogenesis of hypoxia-inducedPHin neonatal mice. In this study, we hypothesized that hypoxia-induced up-regulation of IGF-1 in vascular smooth muscle is directly responsible for pulmonary vascular remodeling and PH. We studied neonatal and adult mice with smooth muscle-specific deletion of IGF-1 and also used an inhibitor of IGF-1 receptor (IGF-1R), OSI-906, in neonatal mice. We found that, in neonatal mice, SMC-specific deletion of IGF-1 or IGF-1R inhibition with OSI-906 attenuated hypoxia-induced pulmonary vascular remodeling in small arteries, right ventricular hypertrophy, and right ventricular systolic pressure. Pulmonary arterial SMCs from IGF-1-deleted mice or after OSI-906 treatment exhibited reduced proliferative potential. However, in adult mice, smooth muscle-specific deletion of IGF-1 had no effect on hypoxia-induced PH. Our data suggest that vascular smooth muscle-derived IGF-1 plays a critical role in hypoxia-inducedPHin neonatal mice but not in adult mice. We speculate that the IGF-1/IGF-1R axis is important in pathogenesis of PH in the developing lung and may be amenable to therapeutic manipulation in this age group.

Original languageEnglish (US)
Pages (from-to)779-791
Number of pages13
JournalAmerican journal of respiratory cell and molecular biology
Issue number6
StatePublished - Dec 2016
Externally publishedYes


  • Hypoxia
  • Insulin-like growth factor
  • Neonatal
  • Pulmonary hypertension
  • Vascular smooth muscle

ASJC Scopus subject areas

  • Molecular Biology
  • Pulmonary and Respiratory Medicine
  • Clinical Biochemistry
  • Cell Biology


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