2021
DOI: 10.1007/s12288-021-01474-1
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Targeted Sequencing Identifies the Genetic Variants Associated with High-altitude Polycythemia in the Tibetan Population

Abstract: High-altitude polycythemia (HAPC) is characterized by excessive proliferation of erythrocytes, resulting from the hypobaric hypoxia condition in high altitude. The genetic variants and molecular mechanisms of HAPC remain unclear in highlanders. We recruited 141 Tibetan dwellers, including 70 HAPC patients and 71 healthy controls, to detect the possible genetic variants associated with the disease; and performed targeted sequencing on 529 genes associated with the oxygen metabolism and erythrocyte regulation, u… Show more

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Cited by 6 publications
(4 citation statements)
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“…The mRNA of AKT1 was higher in the CMS group than in the non-CMS group (Zhao et al 2017). Furthermore, the PI3K-AKT signaling pathway appears to be involved in the mechanism of reduced erythrocyte apoptosis (Zhang et al 2022), resulting in increased erythrocyte accumulation and promoting HAPC. VEGFR was higher in participants with versus without excessive erythrocytosis in high-altitude Peru (Painschab et al 2015).…”
Section: Introductionmentioning
confidence: 90%
“…The mRNA of AKT1 was higher in the CMS group than in the non-CMS group (Zhao et al 2017). Furthermore, the PI3K-AKT signaling pathway appears to be involved in the mechanism of reduced erythrocyte apoptosis (Zhang et al 2022), resulting in increased erythrocyte accumulation and promoting HAPC. VEGFR was higher in participants with versus without excessive erythrocytosis in high-altitude Peru (Painschab et al 2015).…”
Section: Introductionmentioning
confidence: 90%
“…Our selection signature analyses for Arsi-Bale and Keffa goats revealed several strong signatures that spanned genes such as RUNDC3B , TIGAR , PTPMT1 , STXBP4, and ALOX5AP relating to hypoxia adaptation. It has been shown that RUNDC3B is amongst genes with variants associated with increased risk of high-altitude polycythemia (HAPC) in Tibetan dwellers 72 . HAPC is characterized by excessive proliferation of circulating erythrocytes due to high-altitude hypobaric hypoxia.…”
Section: Discussionmentioning
confidence: 99%
“…Our results showed that GALNT13 interacts with multiple miR targets related to histamine secretion and hypoxia-induced activities in erythrocytes and T cells, suggesting its potential effects in pulmonary vascular and ventricular injuries. More importantly, as miR products of RHEBL1 (a member of Ras superfamily) 48 , both hsa-miR-19a-3p and hsa-miR-19b-3p were indicated as mediators of HIF1A 49 , 50 , suggesting important roles in hypoxia-related biological processes. Furthermore, the EPHB3 (a proliferation suppressor in ambient and hypoxic environments) 51 -(hsa-miR-149-5p)-IL6 pathway was also believed to be essential for hypoxic responses as the underlying association between hypoxia and inflammation.…”
Section: Discussionmentioning
confidence: 99%