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Mechanisms of infantile hemangioma involution (Review)

  • Authors:
    • Xiuwen Zheng
    • Yong Zeng
    • Jinping Liu
    • Yu Wang
    • Xiaoqiang Wen
    • Wei Peng
    • Wenqing Fu
    • Haijin Liu
    • Qianduo Li
    • Feng Chen
  • View Affiliations / Copyright

    Affiliations: The First Clinical Medical College, Gannan Medical University, Ganzhou, Jiangxi 341000, P.R. China, Department of Pediatric Surgery, The First Affiliated Hospital of Gannan Medical University, Ganzhou, Jiangxi 341000, P.R. China
    Copyright: © Zheng et al. This is an open access article distributed under the terms of Creative Commons Attribution License.
  • Article Number: 341
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    Published online on: October 14, 2026
       https://doi.org/10.3892/etm.2026.13336
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Abstract

Infantile hemangioma (IH) is the most common benign vascular tumor of infancy, characterized by a distinctive life cycle of rapid postnatal proliferation followed by spontaneous involution. However, the mechanisms underlying this regression process remain incompletely understood. In this narrative review, current IH‑specific evidence was synthesized and candidate pathways were organized according to their relative strength. A total of three core mechanistic modules with moderate‑to‑high supporting evidence were identified: Endothelial proliferation restraint, immune microenvironment remodeling and adipogenic differentiation of hemangioma‑derived progenitor cells. Additional pathways, including extracellular matrix remodeling, regulated cell death and endocrine signaling, were discussed as potential contributors but remain less validated. Overall, IH involution appears to represent an active and coordinated process of immunovascular remodeling rather than passive regression. Future studies should prioritize longitudinal human samples, single‑cell and spatial profiling and functional validation in immune‑competent models to clarify the temporal hierarchy and causal interactions among these pathways.
View Figures

Figure 1

Schematic overview of coordinated
immunovascular changes during infantile hemangioma involution.
EndMT, endothelial-to-mesenchymal transition; PI3K,
phosphoinositide 3-kinase; AKT, protein kinase B; C/EBPs,
CCAAT-enhancer-binding proteins; PPARγ, peroxisome
proliferator-activated receptor γ; HIF-1α, hypoxia-inducible factor
1α; VEGF, vascular endothelial growth factor; IGF-1, insulin-like
growth factor 1; IGF-1R, IGF1 receptor.
View References

1 

Takahashi K, Mulliken JB, Kozakewich HP, Rogers RA, Folkman J and Ezekowitz RA: Cellular markers that distinguish the phases of hemangioma during infancy and childhood. J Clin Invest. 93:2357–2364. 1994.PubMed/NCBI View Article : Google Scholar

2 

Yuan SM, Guo Y, Wang Q, Xu Y, Wang M, Chen HN and Shen WM: Over-expression of PPAR-γ2 gene enhances the adipogenic differentiation of hemangioma-derived mesenchymal stem cells in vitro and in vivo. Oncotarget. 8:115817–115828. 2017.PubMed/NCBI View Article : Google Scholar

3 

Ji Y, Chen S, Li K, Li L, Xu C and Xiang B: Signaling pathways in the development of infantile hemangioma. J Hematol Oncol. 7(13)2014.PubMed/NCBI View Article : Google Scholar

4 

Mitra R, Fitzsimons HL, Hale T, Tan ST, Gray C and White MPJ: Recent advances in understanding the molecular basis of infantile haemangioma development. Br J Dermatol. 191:661–669. 2024.PubMed/NCBI View Article : Google Scholar

5 

Holm A, Mulliken JB and Bischoff J: Infantile hemangioma: The common and enigmatic vascular tumor. J Clin Invest. 134(e172836)2024.PubMed/NCBI View Article : Google Scholar

6 

Chen Q, Zheng J and Bian Q: Cell fate regulation during the development of infantile hemangioma. J Invest Dermatol. 145:266–279. 2025.PubMed/NCBI View Article : Google Scholar

7 

Chen ZT, Cui MJ, Guo SK, Wang ZL, Zhai QL, Duan YF, Zhou T, Yang RM, Zheng JW, Liu BQ and Liu C: Single-cell RNA sequencing reveals bidirectional development of infantile hemangioma. J Invest Dermatol. 146:1344–1353. 2026.PubMed/NCBI View Article : Google Scholar

8 

Yang L, Gong X, Xu Y, Zhang K, Xiang S, Zhang Y and Ji Y: Immune microenvironment of infantile hemangioma: Cellular dynamics, molecular networks, and emerging immunomodulatory strategies. Front Immunol. 17(1908287)2026.PubMed/NCBI View Article : Google Scholar

9 

Harris RP, Helfand M, Woolf SH, Lohr KN, Mulrow CD, Teutsch SM and Atkins D: Methods Work Group, Third U.S. Preventive Services Task Force. REPRINT oF: Current methods of the U.S. preventive services task force: A review of the process. Am J Prev Med. 58:316–331. 2020.PubMed/NCBI View Article : Google Scholar

10 

Zhang X, Dai XY, Qian JY, Xu F, Wang ZW, Xia T, Zhou XJ, Li XX, Shi L, Wei JF and Ding Q: SMC1A regulated by KIAA1429 in m6A-independent manner promotes EMT progress in breast cancer. Mol Ther Nucleic Acids. 27:133–146. 2021.PubMed/NCBI View Article : Google Scholar

11 

Wang L, Zou Y, Huang Z, Wang W, Li J, Bi J and Huo R: KIAA1429 promotes infantile hemangioma regression by facilitating the stemness of hemangioma endothelial cells. Cancer Sci. 114:1569–1581. 2023.PubMed/NCBI View Article : Google Scholar

12 

Yu Y, Flint AF, Mulliken JB, Wu JK and Bischoff J: Endothelial progenitor cells in infantile hemangioma. Blood. 103:1373–1375. 2004.PubMed/NCBI View Article : Google Scholar

13 

Li Y, Zhu X, Kong M, Chen S, Bao J and Ji Y: Three-dimensional microtumor formation of infantile hemangioma-derived endothelial cells for mechanistic exploration and drug screening. Pharmaceuticals (Basel). 15(1393)2022.PubMed/NCBI View Article : Google Scholar

14 

Serrano M, Hannon GJ and Beach D: A new regulatory motif in cell-cycle control causing specific inhibition of cyclin D/CDK4. Nature. 366:704–707. 1993.PubMed/NCBI View Article : Google Scholar

15 

Li J, Poi MJ and Tsai MD: Regulatory mechanisms of tumor suppressor P16(INK4A) and their relevance to cancer. Biochemistry. 50:5566–5582. 2011.PubMed/NCBI View Article : Google Scholar

16 

Lorusso B, Nogara A, Fioretzaki R, Corradini E, Bove R, Roti G, Gherli A, Montanaro A, Monica G, Cavazzini F, et al: CD26 is differentially expressed throughout the life cycle of infantile hemangiomas and characterizes the proliferative phase. Int J Mol Sci. 25(9760)2024.PubMed/NCBI View Article : Google Scholar

17 

Ritter MR, Moreno SK, Dorrell MI, Rubens J, Ney J, Friedlander DF, Bergman J, Cunningham BB, Eichenfield L, Reinisch J, et al: Identifying potential regulators of infantile hemangioma progression through large-scale expression analysis: A possible role for the immune system and indoleamine 2,3 dioxygenase (IDO) during involution. Lymphat Res Biol. 1:291–299. 2003.PubMed/NCBI View Article : Google Scholar

18 

Zhang W, Chen G, Wang FQ, Ren JG, Zhu JY, Cai Y, Zhao JH, Jia J and Zhao YF: Macrophages contribute to the progression of infantile hemangioma by regulating the proliferation and differentiation of hemangioma stem cells. J Invest Dermatol. 135:3163–3172. 2015.PubMed/NCBI View Article : Google Scholar

19 

Wang FQ, Chen G, Zhu JY, Zhang W, Ren JG, Liu H, Sun ZJ, Jia J and Zhao YF: M2-polarised macrophages in infantile haemangiomas: Correlation with promoted angiogenesis. J Clin Pathol. 66:1058–1064. 2013.PubMed/NCBI View Article : Google Scholar

20 

Zhu Z, Jiang X, Wang F, Zhao L and Song Q: Decoding infantile hemangioma: Cellular dynamics, molecular signals, and microenvironmental influences. Front Oncol. 15(1675194)2025.PubMed/NCBI View Article : Google Scholar

21 

Wu KQ, Muratore CS, So EY, Sun C, Dubielecka PM, Reginato AM and Liang OD: M1 macrophage-induced endothelial-to-mesenchymal transition promotes infantile hemangioma regression. Am J Pathol. 187:2102–2111. 2017.PubMed/NCBI View Article : Google Scholar

22 

Medici D, Shore EM, Lounev VY, Kaplan FS, Kalluri R and Olsen BR: Conversion of vascular endothelial cells into multipotent stem-like cells. Nat Med. 16:1400–1406. 2010.PubMed/NCBI View Article : Google Scholar

23 

Greenberger S, Yuan S, Walsh LA, Boscolo E, Kang KT, Matthews B, Mulliken JB and Bischoff J: Rapamycin suppresses self-renewal and vasculogenic potential of stem cells isolated from infantile hemangioma. J Invest Dermatol. 131:2467–2476. 2011.PubMed/NCBI View Article : Google Scholar

24 

Liu L, Lin S, Bai J and Zhang B: Integrative bioinformatics analysis of pyroptosis-related genes and analysis of immune cell infiltration in infantile hemangioma regression. Clin Cosmet Investig Dermatol. 18:291–302. 2025.PubMed/NCBI View Article : Google Scholar

25 

Liu J, Zhong W, Wang R, Wang P, Tong G, Chai M, Sun Y, Zhu T, Huang C, Yang S, et al: Macrophage ferroptotic resistance is required for the progression of infantile hemangioma. J Am Heart Assoc. 14(e034261)2025.PubMed/NCBI View Article : Google Scholar

26 

Tan ST, Velickovic M, Ruger BM and Davis PF: Cellular and extracellular markers of hemangioma. Plast Reconstr Surg. 106:529–538. 2000.PubMed/NCBI View Article : Google Scholar

27 

Wu M, Chen Y, Feng L, Dai H, Fang S and Xu J: MiR-206 promotes extracellular matrix accumulation and relieves infantile hemangioma through targeted inhibition of DNMT3A. Cell Cycle. 20:978–992. 2021.PubMed/NCBI View Article : Google Scholar

28 

Zhao ZL, Liu C, Wang QZ, Wu HW and Zheng JW: Engineered exosomes for targeted delivery of miR-187-3p suppress the viability of hemangioma stem cells by targeting Notch signaling. Ann Transl Med. 10(621)2022.PubMed/NCBI View Article : Google Scholar

29 

Li Z, Cao Z, Li N, Wang L, Fu C, Huo R, Xu G, Tian C and Bi J: M2 macrophage-derived exosomal lncRNA MIR4435-2HG promotes progression of infantile hemangiomas by targeting HNRNPA1. Int J Nanomedicine. 18:5943–5960. 2023.PubMed/NCBI View Article : Google Scholar

30 

Johnson A, Zhang H, Gonzalez SR, Lee M, Wei T and Richter G: Presence of estrogen and progesterone receptors in proliferating and involuting infantile hemangiomas. J Plast Reconstr Aesthet Surg. 74:3061–3065. 2021.PubMed/NCBI View Article : Google Scholar

31 

Munabi NCO, Tan QK, Garzon MC, Behr GG, Shawber CJ and Wu JK: Growth hormone induces recurrence of infantile hemangiomas after apparent involution: Evidence of growth hormone receptors in infantile hemangioma. Pediatr Dermatol. 32:539–543. 2015.PubMed/NCBI View Article : Google Scholar

32 

Hou F, Dai Y, Fan CY, Suen JY and Richter GT: Estrogen is involved in hemangioma regression associated with mast cells. Orphanet J Rare Dis. 13(181)2018.PubMed/NCBI View Article : Google Scholar

33 

Maclellan RA, Konczyk DJ, Goss JA and Greene AK: Analysis of follicle-stimulating hormone receptor in infantile hemangioma. Ann Plast Surg. 80 (4 Suppl 4):S211–S213. 2018.PubMed/NCBI View Article : Google Scholar

34 

Hong Z, Kuang J, Guo Y, Zhou G, Zhu Z and Jiang L: Effects of follicle-stimulating hormone on the proliferation and apoptosis of infantile hemangioma stem cells. Biochem Biophys Rep. 35(101551)2023.PubMed/NCBI View Article : Google Scholar

35 

Khan ZA, Boscolo E, Picard A, Psutka S, Melero-Martin JM, Bartch TC, Mulliken JB and Bischoff J: Multipotential stem cells recapitulate human infantile hemangioma in immunodeficient mice. J Clin Invest. 118:2592–2599. 2008.PubMed/NCBI View Article : Google Scholar

36 

Arasiewicz H and Dec M: Targeted therapies in infantile hemangiomas and vascular malformations: From β-blockers to PI3K/AKT/mTOR inhibitors. J Cell Mol Med. 30(e71103)2026.PubMed/NCBI View Article : Google Scholar

37 

Yang K, Qiu T, Zhou J, Gong X, Zhang X, Lan Y, Zhang Z and Ji Y: Blockage of glycolysis by targeting PFKFB3 suppresses the development of infantile hemangioma. J Transl Med. 21(85)2023.PubMed/NCBI View Article : Google Scholar

38 

Wang F, Li H, Lou Y, Xie J, Cao D and Huang X: Insulin-like growth factor I promotes adipogenesis in hemangioma stem cells from infantile hemangiomas. Mol Med Rep. 19:2825–2830. 2019.PubMed/NCBI View Article : Google Scholar

39 

Ritter MR, Dorrell MI, Edmonds J, Friedlander SF and Friedlander M: Insulin-like growth factor 2 and potential regulators of hemangioma growth and involution identified by large-scale expression analysis. Proc Natl Acad Sci USA. 99:7455–7460. 2002.PubMed/NCBI View Article : Google Scholar

40 

Zhang K, Wang F, Huang J, Lou Y, Xie J, Li H, Cao D and Huang X: Insulin-like growth factor 2 promotes the adipogenesis of hemangioma-derived stem cells. Exp Ther Med. 17:1663–1669. 2019.PubMed/NCBI View Article : Google Scholar

41 

Harbi S, Wang R, Gregory M, Hanson N, Kobylarz K, Ryan K, Deng Y, Lopez P, Chiriboga L and Mignatti P: Infantile hemangioma originates from a dysregulated but not fully transformed multipotent stem cell. Sci Rep. 6(35811)2016.PubMed/NCBI View Article : Google Scholar

42 

Madsen MS, Siersbæk R, Boergesen M, Nielsen R and Mandrup S: Peroxisome proliferator-activated receptor γ and C/EBPα synergistically activate key metabolic adipocyte genes by assisted loading. Mol Cell Biol. 34:939–954. 2014.PubMed/NCBI View Article : Google Scholar

43 

Choi SK, Park S, Jang S, Cho HH, Lee S, You S, Kim SH and Moon HS: Cascade regulation of PPARγ(2) and C/EBPα signaling pathways by celastrol impairs adipocyte differentiation and stimulates lipolysis in 3T3-L1 adipocytes. Metabolism. 65:646–654. 2016.PubMed/NCBI View Article : Google Scholar

44 

Maimaiti A, Aierken Y, Zhou L, He J, Abudureyimu A and Li SX: Inhibiting interleukin-6/signal transducers and activators of transduction-3/hypoxia-inducible factor-1α signaling pathway suppressed the growth of infantile hemangioma. Eur J Pediatr Surg. 33:158–166. 2023.PubMed/NCBI View Article : Google Scholar

45 

Sun ZJ, Cai Y, Chen G, Wang R, Jia J, Chen XM, Zheng LW and Zhao YF: LMO2 promotes angiogenesis probably by up-regulation of bFGF in endothelial cells: An implication of its pathophysiological role in infantile haemangioma. Histopathology. 57:622–632. 2010.PubMed/NCBI View Article : Google Scholar

46 

Wu JK, Adepoju O, De Silva D, Baribault K, Boscolo E, Bischoff J and Kitajewski J: A switch in Notch gene expression parallels stem cell to endothelial transition in infantile hemangioma. Angiogenesis. 13:15–23. 2010.PubMed/NCBI View Article : Google Scholar

47 

Wang W, Chen S, Wang Y, Jie C and Shen W: Effects of Notch signaling on proliferation, angiogenesis, and adipogenesis of hemangioma-derived stem cells. Eur J Histochem. 69(4241)2025.PubMed/NCBI View Article : Google Scholar

48 

Zhang H, Wei T, Johnson A, Sun R, Richter G and Strub GM: NOTCH pathway activation in infantile hemangiomas. J Vasc Surg Venous Lymphat Disord. 9:489–496. 2021.PubMed/NCBI View Article : Google Scholar

49 

Kowalska M, Dębek W and Matuszczak E: Infantile hemangiomas: An update on pathogenesis and treatment. J Clin Med. 10(4631)2021.PubMed/NCBI View Article : Google Scholar

50 

Chen S, Zhuang K, Sun K, Yang Q, Ran X, Xu X, Mu C, Zheng B, Lu Y, Zeng J, et al: Itraconazole induces regression of infantile hemangioma via downregulation of the platelet-derived growth factor-D/PI3K/Akt/mTOR pathway. J Invest Dermatol. 139:1574–1582. 2019.PubMed/NCBI View Article : Google Scholar

51 

Munabi NCO, England RW, Edwards AK, Kitajewski AA, Tan QK, Weinstein A, Kung JE, Wilcox M, Kitajewski JK, Shawber CJ and Wu JK: Propranolol targets hemangioma stem cells via cAMP and mitogen-activated protein kinase regulation. Stem Cells Transl Med. 5:45–55. 2016.PubMed/NCBI View Article : Google Scholar

52 

Pan WK, Li P, Guo ZT, Huang Q and Gao Y: Propranolol induces regression of hemangioma cells via the down-regulation of the PI3K/Akt/eNOS/VEGF pathway. Pediatr Blood Cancer. 62:1414–1420. 2015.PubMed/NCBI View Article : Google Scholar

53 

Cai B, Lin Q, Ke R, Chen L, Wan X, Ni X, Shan X and Wang B: Determinants of proliferation and involution in infantile hemangioma: Macrophage crosstalk, endothelial plasticity, and metabolic rewiring. Front Pediatr. 14(1847957)2026.PubMed/NCBI View Article : Google Scholar

54 

Zaaroura H, Tibi A, Avitan-Hersh E and Khamaysi Z: Our experience in treating infantile hemangioma: Prognostic factors for relapse after propranolol discontinuation. Adv Ther. 42:537–547. 2025.PubMed/NCBI View Article : Google Scholar

55 

Li Q, Xiao L, Su M, Chen H, Zhang H, Cao N, Jiang L, Liu X and Zhang G: Factors influencing treatment duration of oral propranolol in infantile hemangioma: A five-year retrospective analysis. Front Pediatr. 13(1693660)2026.PubMed/NCBI View Article : Google Scholar

56 

Li M, Wang X, Yang E, Li Y, Geng Y, Chen Z, Huang S, Zhang D and Wu H: OTUB1 catalytic-independently deubiquitinates TGFBI and mediates the angiogenesis in infantile hemangioma by regulating glycolysis. Arterioscler Thromb Vasc Biol. 43:654–673. 2023.PubMed/NCBI View Article : Google Scholar

57 

Chen Q, Rong H, Zhang L, Wang Y, Bian Q and Zheng J: KLF2 orchestrates pathological progression of infantile hemangioma through hemangioma stem cell fate decisions. J Invest Dermatol. 144:1850–1864.e9. 2024.PubMed/NCBI View Article : Google Scholar

58 

Kong M, Li Y, Wang K, Zhang S and Ji Y: Infantile hemangioma models: Is the needle in a haystack? J Transl Med. 21(308)2023.PubMed/NCBI View Article : Google Scholar

59 

Holm A, Graus MS, Wylie-Sears J, Tan JWH, Alvarez-Harmon M, Borgelt L, Nasim S, Chung L, Jain A, Sun M, et al: An endothelial SOX18-mevalonate pathway axis enables repurposing of statins for infantile hemangioma. J Clin Invest. 135(e179782)2025.PubMed/NCBI View Article : Google Scholar

60 

Yang E, Wang X, Huang S, Li M, Li Y, Geng Y, Liu X, Chen Z, Zhang D and Wu H: Shikonin reverses pyruvate kinase isoform M2-mediated propranolol resistance in infantile hemangioma through reactive oxygen species-induced autophagic dysfunction. Cancer Sci. 114:806–821. 2023.PubMed/NCBI View Article : Google Scholar

61 

Shah SD, Baselga E, McCuaig C, Pope E, Coulie J, Boon LM, Garzon MC, Haggstrom AN, Adams D, Drolet BA, et al: Rebound growth of infantile hemangiomas after propranolol therapy. Pediatrics. 137(e20151754)2016.PubMed/NCBI View Article : Google Scholar

62 

Mitra R, Hale TK, Fitzsimons HL, Gray C and White MPJ: A novel three-dimensional model of infantile haemangioma. Br J Dermatol. 192:874–882. 2025.PubMed/NCBI View Article : Google Scholar

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Zheng X, Zeng Y, Liu J, Wang Y, Wen X, Peng W, Fu W, Liu H, Li Q, Chen F, Chen F, et al: Mechanisms of infantile hemangioma involution (Review). Exp Ther Med 32: 341, 2026.
APA
Zheng, X., Zeng, Y., Liu, J., Wang, Y., Wen, X., Peng, W. ... Chen, F. (2026). Mechanisms of infantile hemangioma involution (Review). Experimental and Therapeutic Medicine, 32, 341. https://doi.org/10.3892/etm.2026.13336
MLA
Zheng, X., Zeng, Y., Liu, J., Wang, Y., Wen, X., Peng, W., Fu, W., Liu, H., Li, Q., Chen, F."Mechanisms of infantile hemangioma involution (Review)". Experimental and Therapeutic Medicine 32.6 (2026): 341.
Chicago
Zheng, X., Zeng, Y., Liu, J., Wang, Y., Wen, X., Peng, W., Fu, W., Liu, H., Li, Q., Chen, F."Mechanisms of infantile hemangioma involution (Review)". Experimental and Therapeutic Medicine 32, no. 6 (2026): 341. https://doi.org/10.3892/etm.2026.13336
Copy and paste a formatted citation
x
Spandidos Publications style
Zheng X, Zeng Y, Liu J, Wang Y, Wen X, Peng W, Fu W, Liu H, Li Q, Chen F, Chen F, et al: Mechanisms of infantile hemangioma involution (Review). Exp Ther Med 32: 341, 2026.
APA
Zheng, X., Zeng, Y., Liu, J., Wang, Y., Wen, X., Peng, W. ... Chen, F. (2026). Mechanisms of infantile hemangioma involution (Review). Experimental and Therapeutic Medicine, 32, 341. https://doi.org/10.3892/etm.2026.13336
MLA
Zheng, X., Zeng, Y., Liu, J., Wang, Y., Wen, X., Peng, W., Fu, W., Liu, H., Li, Q., Chen, F."Mechanisms of infantile hemangioma involution (Review)". Experimental and Therapeutic Medicine 32.6 (2026): 341.
Chicago
Zheng, X., Zeng, Y., Liu, J., Wang, Y., Wen, X., Peng, W., Fu, W., Liu, H., Li, Q., Chen, F."Mechanisms of infantile hemangioma involution (Review)". Experimental and Therapeutic Medicine 32, no. 6 (2026): 341. https://doi.org/10.3892/etm.2026.13336
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