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Copyright: ©Author(s) 2026. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution-NonCommercial (CC BY-NC 4.0) license. No commercial re-use. See permissions. Published by Baishideng Publishing Group Inc.
World J Stem Cells. May 26, 2026; 18(5): 116050
Published online May 26, 2026. doi: 10.4252/wjsc.v18.i5.116050
Hypoxia-inducible factor-1α/β-catenin axis: A conserved regulatory hub for enhancing stem cell function in tissue regeneration
Hui-Fang Wang, Peng-Yu Yan, Shoaib Muhammad, Yu-Xiang Liu, Chun Liu
Hui-Fang Wang, Shoaib Muhammad, First Clinical Medical College, Shanxi Medical University, Taiyuan 030001, Shanxi Province, China
Peng-Yu Yan, Chun Liu, Department of Urology, First Hospital of Shanxi Medical University, Taiyuan 030001, Shanxi Province, China
Yu-Xiang Liu, Department of Nephrology, Shanxi Provincial People’s Hospital, Taiyuan 030012, Shanxi Province, China
Author contributions: Liu C designed the overall concept and outline of the manuscript; Wang HF, Yan PY, and Muhammad S contributed to the discussion and design of the manuscript, and manuscript writing; Liu YX translated the manuscript, and made preliminary revisions to the manuscript. Liu YX and Liu C contributed equally to this work and share co-corresponding authorship, they jointly conceived and co-drafted and critically revised the manuscript.
Supported by the Natural Science Research Project of Basic Research Program in Shanxi Province, No. 202203021221268; the National Natural Science Foundation of China, No. 82305030; and the Special Fund from Medicinal Basic Research Innovation Center of Chronic Kidney Disease, Ministry of Education, Shanxi Medical University, No. CKD/SXMU-2024-04.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Corresponding author: Chun Liu, Chief Physician, Consultant, Dean, Professor, Department of Urology, First Hospital of Shanxi Medical University, No. 85 Jiefang South Road, Taiyuan 030001, Shanxi Province, China. sxtyliuchun@126.com
Received: November 2, 2025
Revised: December 12, 2025
Accepted: January 30, 2026
Published online: May 26, 2026
Processing time: 205 Days and 4.6 Hours
Abstract

This article provides an in-depth commentary on the study by Wang et al, which elucidates that the hypoxia-inducible factor-1α (HIF-1α)/β-catenin axis serves as a core hub regulating the function of peripheral blood mesenchymal stem cells (PBMSCs) under hypoxic conditions. The research confirms that in a hypoxic environment, HIF-1α acts as an upstream regulator by directly binding to and activating the transcription of β-catenin, a relationship that is unidirectional and irreversible. This axis enhances the therapeutic potential of PBMSCs through a dual mechanism: On one hand, it regulates anti-apoptotic proteins while inhibiting pro-apoptotic molecules, significantly improving cell survival and self-renewal capacity; on the other hand, it promotes the secretion of factors such as vascular endothelial growth factor, thereby enhancing angiogenic activity. In a rat myocardial infarction model, PBMSCs overexpressing HIF-1α showed significantly improved retention in the infarcted area, reduced infarct size, and promoted neovascularization - effects that were abolished upon knockdown of β-catenin. This discovery provides a key target for optimizing stem cell therapy for myocardial infarction. By pre-activating this axis in vitro (e.g., via lentiviral vectors or small-molecule regulators), it is possible to standardize and enhance the survival and reparative capacity of PBMSCs in ischemic tissues, holding important translational medical value.

Keywords: Hypoxia-inducible factor-1α; β-catenin; Stem cell; Tissue regeneration; Conserved regulatory hub

Core Tip: The hypoxia-inducible factor-1α/β-catenin axis functions as a conserved regulatory hub that enhances stem cell survival and angiogenic capacity under hypoxic conditions. This unidirectional signaling pathway, with hypoxia-inducible factor-1α as the upstream driver, coordinates anti-apoptotic and pro-angiogenic responses in stem cells, offering a promising target for improving cell-based therapies in ischemic diseases such as myocardial infarction.

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