Two new mutations in the HIF2A gene associated with erythrocytosis

Melanie J. Percy, Yu Jin Chung, Claire Harrison, Jane Mercieca, A. Victor Hoffbrand, Carla L. Dinardo, Paulo C.J.L. Santos, Guilherme H.H. Fonseca, Sandra F.M. Gualandro, Alexandre C. Pereira, Terrance R.J. Lappin, Mary Frances Mcmullin, Frank S. Lee

Research output: Contribution to journalArticlepeer-review

30 Citations (Scopus)


Congenital or familial erythrocytosis/polycythemia can have many causes, and an emerging cause is genetic disruption of the oxygen-sensing pathway that regulates the Erythropoietin (EPO) gene. More specifically, recent studies have identified erythrocytosis-associated mutations in the HIF2A gene, which encodes for Hypoxia Inducible Factor-2a (HIF-2a), as well as in two genes that encode for proteins that regulate it, Prolyl Hydroxylase Domain protein 2 (PHD2) and the von Hippel Lindau tumor suppressor protein (VHL). We report here the identification of two new heterozygous HIF2A missense mutations, M535T, and F540L, both associated with erythrocytosis. Met-535 has previously been identified as a residue mutated in other patients with erythrocytosis; although, the mutation of this particular residue to Thr has not been reported. In contrast, Phe-540 has not been reported as a residue mutated in erythrocytosis, and we present evidence here that this mutation impairs interaction of HIF-2a with both VHL and PHD2.
Original languageEnglish
Pages (from-to)439-442
Number of pages4
JournalAmerican Journal of Hematology
Issue number4
Publication statusPublished - Apr 2012

ASJC Scopus subject areas

  • Hematology


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