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A Gain-of-Function Mutation in the HIF2A Gene in Familial Erythrocytosis
Ist Teil von
The New England journal of medicine, 2008-01, Vol.358 (2), p.162-168
Ort / Verlag
Boston, MA: Massachusetts Medical Society
Erscheinungsjahr
2008
Quelle
MEDLINE
Beschreibungen/Notizen
Hypoxia-inducible factor (HIF) α is a transcription factor that modulates erythropoiesis, angiogenesis, and cellular metabolism. This study of a family with isolated erythrocytosis revealed a mutation in the gene for the HIF-2α isoform,
HIF2A,
that prevents the hydroxylation of the protein by prolyl hydroxylase–domain protein 2 under normoxic conditions and hence blocks the normal step of degradation by the von Hippel–Lindau protein.
This study of a family with isolated erythrocytosis revealed a mutation in the gene for the HIF-2α isoform,
HIF2A,
that prevents the hydroxylation of the protein by prolyl hydroxylase–domain protein 2 under normoxic conditions and hence blocks the normal step of degradation by the von Hippel–Lindau protein.
A widely recognized example of an oxygen-regulated pathway is the erythropoietin system, in which the kidney senses decreased tissue oxygenation and, in turn, produces erythropoietin, thereby increasing the red-cell mass.
1
Studies of the regulation of the
EPO
gene led to the discovery of HIF, which consists of a labile α subunit and a constitutively expressed β subunit.
2
Under normoxic conditions, the α subunit, which consists of three isoforms — HIF-1α, HIF-2α, and HIF-3α — is hydroxylated on two specific prolyl residues.
3
This hydroxylation targets HIF-α for degradation by the von Hippel–Lindau (VHL) tumor-suppressor protein.
4
Under hypoxic conditions, the hydroxylation is . . .