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Publication : Erythrocytosis and pulmonary hypertension in a mouse model of human HIF2A gain of function mutation.

First Author  Tan Q Year  2013
Journal  J Biol Chem Volume  288
Issue  24 Pages  17134-44
PubMed ID  23640890 Mgi Jnum  J:199595
Mgi Id  MGI:5503265 Doi  10.1074/jbc.M112.444059
Citation  Tan Q, et al. (2013) Erythrocytosis and pulmonary hypertension in a mouse model of human HIF2A gain of function mutation. J Biol Chem 288(24):17134-44
abstractText  The central pathway for oxygen-dependent control of red cell mass is the prolyl hydroxylase domain protein (PHD):hypoxia inducible factor (HIF) pathway. PHD site specifically prolyl hydroxylates the transcription factor HIF-alpha, thereby targeting the latter for degradation. Under hypoxia, this modification is attenuated, allowing stabilized HIF-alpha to activate target genes, including that for erythropoietin (EPO). Studies employing genetically modified mice point to Hif-2alpha, one of two main Hif-alpha isoforms, as being the critical regulator of Epo in the adult mouse. More recently, erythrocytosis patients with heterozygous point mutations in the HIF2A gene have been identified; whether these mutations were polymorphisms unrelated to the phenotype could not be ruled out. In the present report, we characterize a mouse line bearing a G536W missense mutation in the Hif2a gene that corresponds to the first such human mutation identified (G537W). We obtained mice bearing both heterozygous and homozygous mutations at this locus. We find that these mice display, in a mutation dose-dependent manner, erythrocytosis and pulmonary hypertension with a high degree of penetrance. These findings firmly establish missense mutations in HIF-2alpha as a cause of erythrocytosis, highlight the importance of this HIF-alpha isoform in erythropoiesis, and point to physiologic consequences of HIF-2alpha dysregulation.
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