Evidence map›Paper›PMID 23716564›Full record

ArticleHaematologica2013

Congenital erythrocytosis associated with gain-of-function HIF2A gene mutations and erythropoietin levels in the normal range.

Silverio Perrotta, Daniel P Stiehl, Francesca Punzo, Saverio Scianguetta, Adriana Borriello, Debora Bencivenga, Maddalena Casale, Bruno Nobili, Silvia Fasoli, Adriana Balduzzi and 4 more

Open access · goldAbstract readCase Reports
In one paragraph

Article in Haematologica, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
1.4field-weighted citation impact, top 19% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 28 citations in OpenAlex.

  1. Article
  2. Article
  3. Association of theDiagnostics (Basel, Switzerland) · 2023
    Article
  4. ComprehensiveHaematologica · 2023
    Article
  5. Fount, fate, features, and function of renal erythropoietin-producing cells.Pflugers Archiv : European journal of physiology · 2022
    Review
  6. Article
  7. Review
  8. Article
  9. Article
  10. Review
  11. Article
  12. Article
  13. Review
  14. Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 6 institutions in 2 countries.

Silverio Perrottasilverio.perrotta@unina2.it or fulvio.dellaragione@unina2.it.
Daniel P Stiehl
Francesca Punzo
Saverio Scianguetta
Adriana Borriello
Debora Bencivenga
Maddalena Casale
Bruno Nobili
Silvia Fasoli
Adriana Balduzzi
Lilla Cro
Katarzyna J Nytko
Roland H Wenger
Fulvio Della Ragione
University of Campania "Luigi Vanvitelli" · ITUniversity of Naples Federico II · ITUniversity of Zurich · CHAzienda Ospedaliera Carlo Poma · ITFondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico · ITUniversity of Milano-Bicocca · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Hypoxia-inducible factor 2α (HIF-2α) plays a pivotal role in the balancing of oxygen requirements throughout the body. The protein is a transcription factor that modulates the expression of a wide array of genes and, in turn, controls several key processes including energy metabolism, erythropoiesis and angiogenesis. We describe here the identification of two cases of familial erythrocytosis associated with heterozygous HIF2A missense mutations, namely Ile533Val and Gly537Arg. Ile533Val is a novel mutation and represents the genetic HIF2A change nearest to Pro-531, the primary hydroxyl acceptor residue, so far identified. The Gly537Arg missense mutation has already been described in familial erythrocytosis. However, our patient is the only described case of a de novo HIF2A mutation associated with the development of congenital polycythemia. Functional in vivo studies, based on exogenous expression of hybrid HIF-2α transcription factors, indicated that these genetic alterations lead to the stabilization of HIF-2α protein. All the identified polycythemic subjects with HIF2A mutations show serum erythropoietin in the normal range, independently of the hematocrit values and phlebotomy frequency. The erythroid precursors obtained from the peripheral blood of patients showed an altered phenotype, including an increased rate of growth and a modified expression of some HIF-2α target genes. These results suggest the novel proposal that polycythemia observed in subjects with HIF2A mutations might also be due to primary changes in hematopoietic cells and not only secondary to increased erythropoietin levels.

Indexed as

AdolescentAdultAmino Acid SequenceBasic Helix-Loop-Helix ProteinsBiomarkersCohort StudiesEndothelial PAS Domain-Containing Protein 1ErythropoietinHumansMaleMolecular Sequence DataMutation, MissensePolycythemiaReference ValuesBasic Helix-Loop-Helix ProteinsBiomarkersEndothelial PAS Domain-Containing Protein 1Erythropoietin

Identifiers

PMID23716564
PMCPMC3789469
OpenAlexW2039960982

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.