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An acetate switch regulates stress erythropoiesis.

Nature medicine | 2014

The hormone erythropoietin (EPO), which is synthesized in the kidney or liver of adult mammals, controls erythrocyte production and is regulated by the stress-responsive transcription factor hypoxia-inducible factor-2 (HIF-2). We previously reported that the lysine acetyltransferase CREB-binding protein (CBP) is required for HIF-2α acetylation and efficient HIF-2-dependent EPO induction during hypoxia. We now show that these processes require acetate-dependent acetyl CoA synthetase 2 (ACSS2). In human Hep3B hepatoma cells and in EPO-generating organs of hypoxic or acutely anemic mice, acetate levels rise and ACSS2 is required for HIF-2α acetylation, CBP-HIF-2α complex formation, CBP-HIF-2α recruitment to the EPO enhancer and efficient induction of EPO gene expression. In acutely anemic mice, acetate supplementation augments stress erythropoiesis in an ACSS2-dependent manner. Moreover, in acquired and inherited chronic anemia mouse models, acetate supplementation increases EPO expression and the resting hematocrit. Thus, a mammalian stress-responsive acetate switch controls HIF-2 signaling and EPO induction during pathophysiological states marked by tissue hypoxia.

Pubmed ID: 25108527 RIS Download

Research resources used in this publication

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Associated grants

  • Agency: NHLBI NIH HHS, United States
    Id: P01 HL020948
  • Agency: NHLBI NIH HHS, United States
    Id: HL20948
  • Agency: NHLBI NIH HHS, United States
    Id: HL108104
  • Agency: BLRD VA, United States
    Id: I01 BX000446
  • Agency: NIDDK NIH HHS, United States
    Id: P30 DK079328
  • Agency: NIDDK NIH HHS, United States
    Id: DK79328
  • Agency: NHLBI NIH HHS, United States
    Id: R01 HL108104

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