Therapeutic angiogenesis with gene encoding
vascular endothelial growth factor (
VEGF) is a potential treatment for ischemic diseases. However,
VEGF expression should be tightly regulated to avoid side effects such as
tumor growth. Previously, our group developed the
erythropoietin (Epo) enhancer-SV40 promoter system for
hypoxia-specific gene expression. In the present study, the activity of the Epo enhancer-SV40 promoter system was further enhanced without significant decrease in its specificity by co-transfection of the
hypoxia-inducible factor 1alpha (HIF1alpha) gene. pSV-HIF1alpha was constructed by the insertion of the HIF1alpha
cDNA into pSI. At a 1:1 ratio, co-transfection of pSV-HIF1alpha and pEpo-SV-Luc increased the promoter activity of the Epo enhancer-SV40 promoter system, showing at least three times higher gene expression under
hypoxia as compared with the pEpo-SV-Luc single-plasmid transfection. Furthermore, co-transfection showed significant
hypoxia specificity. Also, co-transfection of pEpo-SV-
VEGF with pSV-HIF1alpha showed the enhanced
VEGF expression without loss of
hypoxia specificity, as compared with pEpo-SV-
VEGF single-plasmid transfection. Furthermore, pSV-HIF1alpha induced the endogenous
hypoxia-responsive genes such as
angiopoietin-1, which would be beneficial for therapeutic angiogenesis. Therefore, with
hypoxia specificity and higher gene expression, co-transfection of pSV-HIF1alpha and pEpo-SV-
VEGF may be useful for
ischemia targeting gene therapy.