A gain-of-function mutation in the HIF2A gene in familial erythrocytosis

被引:253
作者
Percy, Melanie J. [1 ]
Furlow, Paul W. [3 ]
Lucas, Guy S. [4 ]
Li, Xiping [3 ]
Lappin, Terence R. J. [2 ]
McMullin, Mary Frances [2 ]
Lee, Frank S. [3 ]
机构
[1] Belfast City Hosp, Dept Haematol, Belfast BT9 7AB, Antrim, North Ireland
[2] Queens Univ Belfast, Ctr Canc Res & Cell Biol, Belfast, Antrim, North Ireland
[3] Univ Penn, Sch Med, Dept Pathol & Lab Med, Stellar Chance Labs 605, Philadelphia, PA 19104 USA
[4] Manchester Royal Infirm, Manchester M13 9WL, Lancs, England
关键词
D O I
10.1056/NEJMoa073123
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Hypoxia-inducible factor (HIF) alpha, which has three isoforms, is central to the continuous balancing of the supply and demand of oxygen throughout the body. HIF-alpha is a transcription factor that modulates a wide range of processes, including erythropoiesis, angiogenesis, and cellular metabolism. We describe a family with erythrocytosis and a mutation in the HIF2A gene, which encodes the HIF-2 alpha protein. Our functional studies indicate that this mutation leads to stabilization of the HIF-2 alpha protein and suggest what wild-type HIF-2 alpha regulates erythropoietin production in adults.
引用
收藏
页码:162 / 168
页数:7
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