HMGA2-mediated tumorigenesis through angiogenesis in leiomyoma

Yinuo Li, Wenan Qiang, Brannan Brooks Griffin, Tingting Gao, Debabrata Chakravarti, Serdar Bulun, J. Julie Kim, Jian Jun Wei*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

25 Scopus citations


Objective: To study the role of HMGA2 in promoting angiogenesis in uterine leiomyoma (LM). Design: This study involved evaluation of vessel density and angiogenic factors in leiomyomas with HMGA2 overexpression; examining angiogenic factor expression and AKT signaling in myometrial (MM) and leiomyoma cells by introducing HMGA2 overexpression in vitro; and exploring vessel formation induced by HMGA2 overexpression both in vitro and in vivo. Setting: University research laboratory. Patients: None. Interventions: None. Main Outcome Measures: The main outcome measures include vessel density in leiomyomas with HMGA2 (HMGA2-LM) or MED12 (MED12-LM) alteration; angiogenic factor expression in primary leiomyoma and in vitro cell line model; and vessel formation in leiomyoma cells with HMGA2 overexpression in vitro and in vivo. Results: Angiogenic factors and receptors were significantly upregulated at mRNA and protein levels in HMGA2-LM. Specifically, HMGA2-LM exhibited increased expression of VEGFA, EGF, bFGF, TGFα, VEGFR1, and VEGFR2 compared to MED12-LM and myometrium. Overexpression of HMGA2 in MM and LM cell lines resulted in increased secretion of angiogenesis-associated factors. Secreted factors promoted human umbilical vein endothelial cell (HUVEC) migration, tube formation, and wound healing. HMGA2 overexpression upregulated IGF2BP2 and pAKT, and silencing the IGF2BP2 gene reduced pAKT levels and reduced HUVEC migration. Myometrial cells with stable HMGA2 overexpression exhibited increased colony formation and cell growth in vitro and formed xenografts with increased blood vessels. Conclusions: HMGA2-LM have a high vasculature density, which likely contributes to tumor growth and disease burden of this leiomyoma subtype. HMGA2 plays an important role in angiogenesis and the involvement of IGF2BP2-mediated pAKT activity in angiogenesis, which provides a potential novel target for therapy for this subtype of LM.

Original languageEnglish (US)
Pages (from-to)1085-1096
Number of pages12
JournalFertility and Sterility
Issue number5
StatePublished - Nov 2020


  • AKT pathway
  • HMGA2
  • Leiomyoma
  • angiogenesis
  • xenograft

ASJC Scopus subject areas

  • Obstetrics and Gynecology
  • Reproductive Medicine


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