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A Gain-of-Function Mutation in the HIF2A Gene in Familial Erythrocytosis.

N Engl J Med.. 2008-01;  358(2):162 - 168
Melanie J. Percy, Paul W. Furlow, Guy S. Lucas, Xiping Li, Terence R.J. Lappin, Mary Frances McMullin, and Frank S. Lee. Belfast City Hospital, Northern Ireland, United Kingdom.
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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-2alpha protein. Our functional studies indicate that this mutation leads to stabilization of the HIF-2alpha protein and suggest that wild-type HIF-2alpha regulates erythropoietin production in adults.

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