Systematic evaluation of the association between hemoglobin levels and metabolic profile implicates beneficial effects of hypoxia
Author(s)
Type
Journal Article
Abstract
Activation of the hypoxia-inducible factor (HIF) pathway reprograms energy metabolism. Hemoglobin (Hb) is the main carrier of oxygen. Using its normal variation as a surrogate measure for hypoxia, we explored whether lower Hb levels could lead to healthier metabolic profiles in mice and humans (n = 7175) and used Mendelian randomization (MR) to evaluate potential causality (n = 173,480). The results showed evidence for lower Hb levels being associated with lower body mass index, better glucose tolerance and other metabolic profiles, lower inflammatory load, and blood pressure. Expression of the key HIF target genes SLC2A4 and Slc2a1 in skeletal muscle and adipose tissue, respectively, associated with systolic blood pressure in MR analyses and body weight, liver weight, and adiposity in mice. Last, manipulation of murine Hb levels mediated changes to key metabolic parameters. In conclusion, low-end normal Hb levels may be favorable for metabolic health involving mild chronic activation of the HIF response.
Date Issued
2021-07-01
Date Acceptance
2021-06-01
Citation
Science Advances, 2021, 7 (29), pp.1-12
ISSN
2375-2548
Publisher
American Association for the Advancement of Science
Start Page
1
End Page
12
Journal / Book Title
Science Advances
Volume
7
Issue
29
Copyright Statement
© 2021 The Authors, some rights reserved; exclusive licensee American Association for the Advancement of Science. No claim to original U.S. Government Works. Distributed under a Creative Commons Attribution License 4.0 (CC BY).
License URL
Identifier
http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000672818200016&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=1ba7043ffcc86c417c072aa74d649202
Subjects
Science & Technology
Multidisciplinary Sciences
Science & Technology - Other Topics
MENDELIAN RANDOMIZATION ANALYSES
INSULIN-RESISTANCE
CARDIOVASCULAR RISK
NORTHERN FINLAND
BLOOD-PRESSURE
GLUCOSE
SERUM
HEMATOCRIT
OBESITY
HIF
Publication Status
Published
Article Number
ARTN eabi4822
Date Publish Online
2021-07-14