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510            Part VI:  The Erythrocyte                                                                                                  Chapter 34:  Clinical Manifestations and Classification of Erythrocyte Disorders         511




                                                                      loss-of-function PHD2 variants (encoded by EGLN1 gene) have normal
                             O  transport (Cardiac output x Hct)      EPO levels.
                               2
                                                                          Because of the rarity of HIF2a and PHD2 mutations, their non-
                                                                      erythroid phenotype is not well defined; however, some HIF2a muta-
                                                Severe                tions, possibly associated with genetic mosaicism, are associated with
                                              hypervolemia
                                            4                         congenital polycythemia and later development of pheochromocytoma/
                                                                      paraganglioma and somatistatinoma tumors. In these instances, in most
                                                                      patients, the HIF2a mutation is present in the tumors, which frequently
                            Oxygen transport  1  3  hypervolemia      recur, but not in leukocytes. 44,45
                                    2

                                               Moderate
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                                                                                                2
               movolemia, mild hypervolemia, and severe hypervolemia. Oxygen     7.  Jaakkola P, Mole DR, Tian YM, et al: Targeting of HIF-alpha to the von Hippel-Lindau
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                                                                                        2
               put. (1) Optimal oxygen transport for normovolemic subjects is at a     8.  Epstein AC, Gleadle JM, McNeill LA, et al: C. elegans EGL-9 and mammalian homo-
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                                                                                  2
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          Kaushansky_chapter 34_p0503-0512.indd   510                                                                   9/17/15   6:12 PM
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