A pleiotropic EPAS1 enhancer mediating Tibetan adaptation to hypoxia is active in adipocytes
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eLife Assessment
The observations in this study related to a pleiotropic EPAS1 enhancer that mediates adaptation to hypoxia in adipocytes of Tibetans are a valuable contribution. The data are solid, but additional experiments would strengthen the claims.
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Abstract
In response to hypoxic stress at high altitudes, variation at the EPAS1 locus has experienced strong selection in Tibetans. Functional dissection of the selection signals at this locus identified ENH5, an enhancer within the adaptive haplotype that has a blunted response to hypoxic stress in Tibetans. ENH5 was shown to be pleiotropic in several tissues related to hypoxia response, suggesting that a possible mechanism behind the strong selection signatures could be adaptive pleiotropy. Tibetans not only experience hypoxic conditions, but also cold temperatures due to the altitude and climate of the Tibetan Plateau. However, it is unclear whether cold temperatures affect ENH5 activity possibly contributing to the selective pressure at this locus. Here, we further characterized the role of ENH5 in subcutaneous white adipose tissue, an important tissue type that regulates body temperature in response to cold temperatures by releasing stored fat as heat through a process called thermogenesis. In this work, we investigated the role of ENH5 in adipocytes using ENH5 knockout mice (ENH5 KO), which phenocopy the reduced activity of the Tibetan allele. We show that ENH5 KO mice at normoxia and room temperature do not have significant differences in organismal phenotypes related to adiposity and metabolism compared to WT mice on a high fat diet. However, we detected effects of ENH5 conditional on thermogenic stimulation and hypoxia exposure, independently, in adipocytes cultured in vitro . Under either of these conditions, ENH5 KO has stronger differential expression of key genes involved in thermogenesis activity and adipocyte differentiation compared to WT. This differential response to thermogenic stimulation expands on the pleiotropic effects of the Tibetan ENH5 allele(s), in addition to those previously shown in well-established hypoxia-responsive tissues. Our results raise the possibility that pleiotropic effects of ENH5 may implicate unforeseen mechanisms, such as cellular energetics and thermogenesis, possibly contributing to the phenotypic adaptation to high altitude in Tibetans.
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eLife Assessment
The observations in this study related to a pleiotropic EPAS1 enhancer that mediates adaptation to hypoxia in adipocytes of Tibetans are a valuable contribution. The data are solid, but additional experiments would strengthen the claims.
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Reviewer #1 (Public review):
In the article, the authors set out to characterize in adipocytes an enhancer, ENH5, of the gene EPAS1, a gene that was found to show strong selection in Tibetan populations. They investigate whether this enhancer contributes to adipocyte response to environmental stress. The authors show that ENH5 is active in preadipocytes and that the Tibetan high-altitude allele confers reduced activity. They then use a mouse ENH5 knockout model to show a hypoxia/thermogenesis responsive phenotype of stronger transcriptional downregulation of aerobic respiration, electron transport chain, and adipogenesis pathways. The authors interpret these findings as evidence that ENH5 conditionally regulates adipocyte energetics and thermogenic response, potentially favoring energy conservation in Tibetans exposed to the demands of …
Reviewer #1 (Public review):
In the article, the authors set out to characterize in adipocytes an enhancer, ENH5, of the gene EPAS1, a gene that was found to show strong selection in Tibetan populations. They investigate whether this enhancer contributes to adipocyte response to environmental stress. The authors show that ENH5 is active in preadipocytes and that the Tibetan high-altitude allele confers reduced activity. They then use a mouse ENH5 knockout model to show a hypoxia/thermogenesis responsive phenotype of stronger transcriptional downregulation of aerobic respiration, electron transport chain, and adipogenesis pathways. The authors interpret these findings as evidence that ENH5 conditionally regulates adipocyte energetics and thermogenic response, potentially favoring energy conservation in Tibetans exposed to the demands of high-altitude hypoxia and cold. Overall, the paper presents an interesting potential connection between EPAS1-mediated high-altitude tolerance and energy metabolism; however, more work needs to be done to establish this connection.
Major comments
(1) The authors use mouse ENH5 enhancer knockout (ENH5-KO) as the model of the Tibetan EPAS1 locus because the high-altitude allele of human ENH5 has lower transcriptional activity than the low-altitude allele (Figure 1A) and mouse ENH5 (musENH5) has enhancer activity (Figure 1D) in mouse preadipocytes. However, it is an overstatement to claim the functional role of Tibetan ENH5 haplotype only based on these data because musENH5 is neither identical to human ENH5 nor the murine high-altitude haplotype. The title should also be revised to better reflect the function of ENH5, like "An EPAS1 enhancer mediates hypoxic and cold response in mouse adipocytes". The authors should consider in some way to actually show that the Tibetan haplotype in ENH5-KO leads to expression changes. This could be done by inserting the haplotype into preadipocytes via CRISPR (realize this is a tough one) or if they have available cells from Tibetans or some eQTL or other similar datasets. The more closely they can connect this haplotype to EPAS1 expression, the more beneficial it would be for the article. As it stands, they currently have episomal luciferase assays showing reduction of enhancer activity in mouse preadipocytes of a human allele and a complete knockout of the mouse enhancer that doesn't recapitulate the Tibetan haplotype. A bit more work is needed to connect all of these to the Tibetan adaptation. As it stands now, this is all very circumstantial.
(2) In Figure 2A, the body weight of ENH5-KO normal diet is significantly lower until four weeks in male, and until 11 weeks and 18 and 19 weeks in female than that of WT. These are slight but significant differences between ENH5-KO and WT; therefore, the authors should describe and discuss this and how it could affect their results.
(3) For the mouse work, it is not clear why the authors did not do cold-exposure or some type of hypoxia experiment for the mice themselves. This will be helpful to support their claim, and if not done, or done without significant differences in the results, the authors should add and mention this. The RNA-seq work, while substantial, again provides circumstantial support.
(4) The authors used CL316243 as a β3-AR selective agonist to mimic thermogenesis in vitro. In humans, it is not β3-AR but β2-AR that mainly drives thermogenesis (Blondin et al., Cell Metabolism, 32, 287-300. e7). Therefore, the authors should describe the limitation due to the difference in mechanisms of action of thermogenesis between humans and mice, as they use the mouse cells as a human model.
(5) The authors note in the discussion that Figure 3's CL316243 stimulation intended to simulate a thermogenic reaction to cold temperatures also generated a change in OXPHOS pathways associated with hypoxia, thus making it difficult to separate the contribution of β3-adrenergic/thermogenic effect from an indirect local hypoxia response. The authors could further interrogate this effect by measuring canonical hypoxia-responsive genes, oxygen consumption, or performing an in vivo cold challenge.
(6) Figure 4: The authors mention that reduced aerobic respiration pathways are evidence for reduced thermogenesis, but it does not directly demonstrate altered thermogenesis correlates. They do not measure heat synthesis, oxygen consumption/respiration, uncoupled respiration, UCP1 protein levels or activity, mitochondrial changes, etc. Their evidence for changed thermogenesis stems from transcriptional changes in energy consumption pathways shared with hypoxia changes. They should tone down their findings.
(7) In the Discussion, the authors should interpret and discuss their data carefully. For example, in the GSEA analysis, the authors identified enriched gene sets in ENH5-KO. Therefore, the authors should discuss which genes might contribute to each pathway, since some genes show large logFC changes. In the current discussion, there is little mention of their results, and it mostly focuses on prospects.
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Reviewer #2 (Public review):
Summary:
This study extends previous work on the adaptive EPAS1 locus by examining the pleiotropic activity of the ENH5 enhancer in adipocytes and its potential role in metabolic and thermogenic responses. The authors progress from demonstrating enhancer activity and evolutionary conservation to in vivo phenotyping and environmentally dependent transcriptional responses in primary adipocytes. The work provides an interesting example of how pleiotropic regulatory effects can contribute to the complexity of adaptation, with a single adaptive regulatory locus influencing multiple biological processes in an environmentally dependent manner.
Strengths:
The study is well executed and is clearly presented, with a logical experimental progression. A particular strength is the genotype-by-treatment interaction …
Reviewer #2 (Public review):
Summary:
This study extends previous work on the adaptive EPAS1 locus by examining the pleiotropic activity of the ENH5 enhancer in adipocytes and its potential role in metabolic and thermogenic responses. The authors progress from demonstrating enhancer activity and evolutionary conservation to in vivo phenotyping and environmentally dependent transcriptional responses in primary adipocytes. The work provides an interesting example of how pleiotropic regulatory effects can contribute to the complexity of adaptation, with a single adaptive regulatory locus influencing multiple biological processes in an environmentally dependent manner.
Strengths:
The study is well executed and is clearly presented, with a logical experimental progression. A particular strength is the genotype-by-treatment interaction analysis demonstrating that ENH5 loss alters metabolic and adipocyte-associated transcriptional programs following both hypoxia and beta-3-adrenergic stimulation. The convergence of these responses is particularly interesting in the context of regulatory pleiotropy and suggests that selection at the EPAS1 locus may have consequences extending beyond the canonical hypoxia response. The inclusion of negative findings, including the absence of an overt baseline metabolic phenotype and the lack of an additive response to combined stimulation, also provides a balanced presentation of the results.
Weaknesses:
The principal conclusions are generally supported by the data, and the weaknesses are relatively minor and primarily relate to the scope of interpretation. The study assesses transcriptional programs associated with thermogenic signaling using CL316243 rather than directly measuring physiological thermogenesis. Nonetheless, CL316243 is a rational and well-established approach for experimentally inducting beta-3-adrenergic thermogenic signaling. In addition, the murine ENH5 knockout is a useful model of reduced enhancer activity that phenocopies the Tibetan ENH5 haplotype, but it is not genetically equivalent to the naturally occurring Tibetan ENH5 haplotype. The authors generally recognize these limitations, and they do not substantially detract from the central findings.
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