Objective:The present study was designed to investigate the protection of astragaloside Ⅳ(AS-Ⅳ)on human aortic endothelial cells(HAECs)after hypoxia injury and underlying mechanism. Methods:HAECs were cultured in 8% O2 to form hypoxic injury models. The cells were divided into control group(C),hypoxic group(H)and AS-IV treatment group(AS-Ⅳ,50 μg/mL). The protective effect of AS-Ⅳ on HAECs after hypoxia was observed,and the migration,proliferation and tube formation of the cells were analyzed. Autophagy related proteins were also identified. Results:Compared with the C group,the cells with hypoxia presented increased supernatant lactic dehydrogenase(LDH)concentration(25.33 ± 1.70 U/L vs. 5.33 ± 1.25 U/L),decreased cell viability(81.12% ± 0.72% vs. 100.00% ± 3.07%),cellular migration and proliferation ability and tube formation(30.91 ± 3.78 vs. 62.1 ± 7.56). Furthermore,the protein expression of Beclin and LC3-II of the injured cells were decreased. After AS-Ⅳ treatment,compared with the H group,decreased LDH release(18.33 ± 1.25 U/L),increased cell viability(85.71% ± 2.48%),cellular migration and proliferation ability,and tube formation(48.64 ± 4.80)were observed. And the protein expression of Beclin and LC3-II increased. Conclusion:AS-Ⅳ can alleviate hypoxia-induced damage and may promote angiogenesis of HAECs by the autophagy signaling pathway.