“…Given the pleiotropic effects of the HIF-signaling cascade, however, it is unclear whether Hb concentration is the direct phenotypic target of natural selection or whether it simply represents a pleiotropic phenotypic effect of selection on another physiological trait that is regulated by the HIF-signaling cascade (Storz, 2010;Storz and Cheviron, 2011). Indeed, EGLN1 was also identified as an outlier in genome scans of high-altitude Andeans (Quechua and Amayra), who exhibit a vigorous erythropoietic response to hypobaric hypoxia (Bigham et al, 2009(Bigham et al, , 2010, and variation in both EGLN1 and EPAS1 has been implicated in susceptibility to high-altitude pulmonary edema, suggesting another potential phenotypic target of selection (Lorenzo et al, 2009;Aggarwal et al, 2010).…”