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Updated: Dec 21, 2025

In Vivo Functional Study of Disease-associated Rare Human Variants Using Drosophila
Published on: August 20, 2019
Tibetan PHD2, an allele with loss-of-function properties
Daisheng Song1, Bradleigh E Navalsky1, Wei Guan1,2,3
1Department of Pathology and Laboratory Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA 19104.
Tibetan high-altitude adaptation involves genetic changes in PHD2, a loss-of-function allele that enhances hypoxic ventilatory response but not pulmonary hypertension, suggesting a dual role in adaptation.
Area of Science:
- Human adaptation to extreme environments
- Molecular genetics and physiology
- High-altitude biology
Background:
- Tibetans exhibit unique physiological adaptations to high-altitude chronic hypoxia.
- Genetic studies pinpoint natural selection in Hypoxia Inducible Factor (HIF) pathway genes, specifically PHD2 and HIF2A.
- The functional impact of Tibetan PHD2 variants on high-altitude adaptation remains unclear.
Purpose of the Study:
- To determine if Tibetan PHD2 is a gain-of-function or loss-of-function allele.
- To investigate the role of Tibetan PHD2 in high-altitude physiological adaptations.
- To elucidate the interaction between PHD2, p23, and the HIF pathway in adaptation.
Main Methods:
- In vitro analysis of Tibetan PHD2 interaction with p23 cochaperone.
- Generation and physiological assessment of mice with the Tibetan Phd2 allele.
- Phenotypic comparison of mice with Tibetan Phd2 allele, p23 mutation, and Hif2a haploinsufficiency.
Main Results:
- Tibetan PHD2 variants, including D4E and C127S, impair interaction with p23 in vitro.
- Mice with the Tibetan Phd2 allele show an augmented hypoxic ventilatory response, supporting loss-of-function.
- Tibetan Phd2 allele does not affect hypoxia-induced pulmonary hypertension or hemoglobin levels in mice.
Conclusions:
- Tibetan PHD2 functions as a loss-of-function allele, contributing to enhanced hypoxic ventilatory response.
- The Tibetan Phd2 allele's effect on pulmonary hypertension differs from Hif2a haploinsufficiency.
- Tibetans may utilize coordinated genetic modifications in the HIF pathway for successful high-altitude adaptation.
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