Cardiopulmonary function in two human disorders of the hypoxia‐inducible factor (HIF) pathway: von Hippel‐Lindau disease and HIF‐2α gain‐of‐function mutation
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The hypoxia‐inducible factors (HIFs; isoforms HIF‐1α, HIF‐2α, HIF‐3α) mediate many responses to hypoxia. Their regulation is principally by oxygen‐dependent degradation, which is initiated by hydroxylation of specific proline residues followed by binding of von Hippel‐Lindau (VHL) protein. Chuvash polycythe‐mia is a disorder with elevated HIF. It arises through germline homozygosity for hypomorphic VHL alleles and has a phenotype of hematological, cardiopulmonary, and metabolic abnormalities. This study explores the phenotype of two other HIF pathway diseases: classic VHL disease and HIF‐2α gain‐of‐function mutation. No cardiopulmonary abnormalities were detected in classic VHL disease. HIF‐2α gain‐of‐function mutations were associated with pulmonary hypertension, increased cardiac output, increased heart rate, and increased pulmonary ventilation relative to metabolism. Comparison of the HIF‐2α gain‐of‐function responses with data from studies of Chuvash polycythemia suggested that other aspects of the Chuvash phenotype were diminished or absent. In classic VHL disease, patients are germline heterozygous for mutations in VHL, and the present results suggest that a single wild‐type allele for VHL is sufficient to maintain normal cardiopulmonary function. The HIF‐2α gain‐of‐function phenotype may be more limited than the Chuvash phenotype either because HIF‐1α is not elevated in the former condition, or because other HIF‐independent functions of VHL are perturbed in Chuvash polycythemia.—Formenti, F., Beer, P. A., Croft, Q. P. P., Dorrington, K. L., Gale, D. P., Lappin, T. R J., Lucas, G. S., Maher, E. R, Maxwell, P. H., McMullin, M. F., O'Connor, D. F., Percy, M. J., Pugh, C. W., Ratcliffe, P. J., Smith, T. G., Talbot, N. P., Robbins, P. A. Cardiopulmonary function in two human disorders of the hypoxia‐inducible factor (HIF) pathway: von Hippel‐Lindau disease and HIF‐2α gain‐of‐function mutation. FASEB J. 25, 2001‐2011 (2011). www.fasebj.org
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Tight regulation of the VHL/HIF axis is required for normal cardiopulmonary physiology.
“indicating that tight regulation of the VHL/HIF axis is required for normal cardiopulmonary physiology. 141, 142”
From Regulation of erythropoiesis by hypoxia-inducible factors (2013) · cites this paper as [142]
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- Authors
- Formenti, F., Beer, P. A., Croft, Q. P. P., Dorrington, K. L., Gale, D. P., Lappin, T. R. J., Lucas, G. S., Maher, E. R., Maxwell, P. H., McMullin, M. F., O'Connor, D. F., Percy, M. J., Pugh, C. W., Ratcliffe, P. J., Smith, T. G., Talbot, N. P., & Robbins, P. A.
- Affiliations
- University of Oxford (GB)
- University of Cambridge (GB)
- University College London (GB)
- Centre for Cancer Research and Cell Biology Belfast UK
- Manchester Royal Infirmary (GB)
- University of Birmingham (GB)
- Queen's University Belfast (GB)
- Corresponding author
- Formenti, Federico
- Robbins, Peter A.
- ORCID
- Venue
- The FASEB Journal
- Publisher
- Wiley
- Published
- 2011-03-09
- Volume
- 25
- Issue
- 6
- Pages
- 2001-2011
- ISSN
- 0892-6638 (ISSN-L)
- 1530-6860
- PMC
- PMC3159892
- OpenAlex
- W1976560635
- Cited by
- 92
- References
- 52
- Citations by year
- 2025: 2 · 2024: 3 · 2023: 8 · 2022: 2 · 2021: 10 · 2020: 6 · 2019: 7 · 2018: 1 · 2017: 8 · 2016: 10 · 2015: 8 · 2014: 5 · 2013: 14 · 2012: 3
- FWCI
- 3.05
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- The FASEB Journal (publishedVersion, cc-by-nc)
- Europe PMC (PubMed Central) (publishedVersion, cc-by-nc)
- PubMed Central (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- UCL Discovery (University College London) (submittedVersion)
- Research Portal (King's College London) (submittedVersion, cc-by-nc)
- University of Birmingham Research Portal (University of Birmingham) (submittedVersion)
- Research Portal (Queen's University Belfast) (submittedVersion)
- Funders
- Wellcome Trust (075876)
- Dunhill Medical Trust
- Royal Society (TG092416)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cancer Research › Cancer, Hypoxia, and Metabolism
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Pulmonary Hypertension Research and Treatments
- Health Sciences › Medicine › Hematology › Erythropoietin and Anemia Treatment
- Keywords
- hypoxia-inducible factor, von Hippel-Lindau disease, Chuvash polycythemia, cardiopulmonary function, pulmonary hypertension, oxygen-dependent degradation, von Hippel-Lindau protein, HIF-1α, HIF-3α, oxygen sensing, pulmonary ventilation, cardiac output
- MeSH terms
- Endothelial PAS Domain-Containing Protein 1, Carbon Dioxide, Cardiovascular Physiological Phenomena, Exercise Test, Female, Gene Expression Regulation, von Hippel-Lindau Disease, Humans, Male, Mutation, Oxygen, Case-Control Studies, Basic Helix-Loop-Helix Proteins
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