1.
Regulation of erythropoiesis by hypoxia-inducible factors.
Haase, VH
Blood reviews. 2013;(1):41-53
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Abstract
A classic physiologic response to systemic hypoxia is the increase in red blood cell production. Hypoxia-inducible factors (HIFs) orchestrate this response by inducing cell-type specific gene expression changes that result in increased erythropoietin (EPO) production in kidney and liver, in enhanced iron uptake and utilization and in adjustments of the bone marrow microenvironment that facilitate erythroid progenitor maturation and proliferation. In particular HIF-2 has emerged as the transcription factor that regulates EPO synthesis in the kidney and liver and plays a critical role in the regulation of intestinal iron uptake. Its key function in the hypoxic regulation of erythropoiesis is underscored by genetic studies in human populations that live at high-altitude and by mutational analysis of patients with familial erythrocytosis. This review provides a perspective on recent insights into HIF-controlled erythropoiesis and iron metabolism, and examines cell types that have EPO-producing capability. Furthermore, the review summarizes clinical syndromes associated with mutations in the O(2)-sensing pathway and the genetic changes that occur in high altitude natives. The therapeutic potential of pharmacologic HIF activation for the treatment of anemia is discussed.
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Fetal fatty acid oxidation disorders, their effect on maternal health and neonatal outcome: impact of expanded newborn screening on their diagnosis and management.
Shekhawat, PS, Matern, D, Strauss, AW
Pediatric research. 2005;(5 Pt 2):78R-86R
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Abstract
Mitochondrial fatty acid oxidation disorders (FAOD) are recessively inherited errors of metabolism. Newborns with FAOD typically present with hypoketotic hypoglycemia, metabolic acidosis, hepatic failure, and cardiomyopathy. Late presentations include episodic myopathy, neuropathy, retinopathy, and arrhythmias. Sudden unexpected death can occur at any age and can be confused with sudden infant death syndrome. Some FAOD are associated with intrauterine growth restriction, prematurity, and pregnancy complications in the heterozygous mother, such as severe preeclampsia, acute fatty liver of pregnancy (AFLP), or hemolysis, elevated liver enzymes, and low platelets (HELLP) syndrome. Maternal pregnancy complications occur primarily in mothers carrying a fetus with long-chain l-3-hydroxyacyl CoA dehydrogenase deficiency or general trifunctional protein deficiencies. FAOD as a group represent the most common inborn errors of metabolism, and presymptomatic diagnosis of FAOD is the key to reduce morbidity and avoid mortality. The application of tandem mass spectrometry to newborn screening provides an effective means to identify most FAOD patients presymptomatically. At the beginning of 2005, 36 state newborn screening programs have mandated or adopted this technology resulting in a marked increase in the number of asymptomatic neonates with FAOD diagnosed. To ensure the long-term benefits of such screening programs, pediatricians and other health care providers must be educated about these disorders and their treatment.
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Functional electron microscopy in studies of plant response and adaptation to anaerobic stress.
Vartapetian, BB, Andreeva, IN, Generozova, IP, Polyakova, LI, Maslova, IP, Dolgikh, YI, Stepanova, AY
Annals of botany. 2003;(2):155-72
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Abstract
This article reviews the contribution made by functional electron microscopy towards identifying and understanding the reactions of plant roots and shoots to anaerobic stress. Topics examined include: (1) unexpected hypersensitivity, rather than hyper-resistance, to anoxia of root tips of flooding-tolerant plants; (2) protective, rather than damaging, effects of a stimulated energy metabolism (glycolysis and fermentation) under anaerobic conditions; (3) the concept of two main strategies of plant adaptation to anaerobic environments, namely avoidance of anaerobiosis on the whole plant level, termed 'apparent' tolerance, and metabolic adaptation at the cellular and molecular levels, termed 'true' tolerance; (4) the importance of protein synthesis during hypoxia and anoxia for enhanced energy production and metabolic adaptation; (5) a general adaptive syndrome in plants to stress at the ultrastructural level and a possible molecular mechanism for its realization under anoxia; (6) the physiological role of anaerobically synthesized lipids and nitrate as alternative electron acceptors in an oxygen-free medium; and (7) the selection of cell lines derived from callus cultures that possess enhanced tolerance to anoxia and can regenerate whole plants with improved tolerance of soil waterlogging.