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A genetic mechanism for Tibetan high-altitude adaptation
Journal article   Peer reviewed

A genetic mechanism for Tibetan high-altitude adaptation

Felipe R Lorenzo, Chad Huff, Mikko Myllymäki, Benjamin Olenchock, Sabina Swierczek, Tsewang Tashi, Victor Gordeuk, Tana Wuren, Ge Ri-Li, Donald A McClain, …
Nature genetics, Vol.46(9), pp.951-956
09/01/2014
DOI: 10.1038/ng.3067
PMCID: PMC4473257
PMID: 25129147

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Abstract

Tibetans do not exhibit increased hemoglobin concentration at high altitude. We describe a high-frequency missense mutation in the EGLN1 gene, which encodes prolyl hydroxylase 2 (PHD2), that contributes to this adaptive response. We show that a variant in EGLN1, c.[12C>G; 380G>C], contributes functionally to the Tibetan high-altitude phenotype. PHD2 triggers the degradation of hypoxia-inducible factors (HIFs), which mediate many physiological responses to hypoxia, including erythropoiesis. The PHD2 p.[Asp4Glu; Cys127Ser] variant exhibits a lower K(m) value for oxygen, suggesting that it promotes increased HIF degradation under hypoxic conditions. Whereas hypoxia stimulates the proliferation of wild-type erythroid progenitors, the proliferation of progenitors with the c.[12C>G; 380G>C] mutation in EGLN1 is significantly impaired under hypoxic culture conditions. We show that the c.[12C>G; 380G>C] mutation originated ∼8,000 years ago on the same haplotype previously associated with adaptation to high altitude. The c.[12C>G; 380G>C] mutation abrogates hypoxia-induced and HIF-mediated augmentation of erythropoiesis, which provides a molecular mechanism for the observed protection of Tibetans from polycythemia at high altitude.
Phenotype Acclimatization - genetics Adaptation, Physiological - genetics Adult Altitude Asian People - genetics Erythropoiesis - genetics Female Humans Hypoxia - genetics Hypoxia-Inducible Factor-Proline Dioxygenases - genetics Male Middle Aged Polycythemia - genetics Polymorphism, Single Nucleotide Young Adult

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