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Genetic modifiers of the intermediate phenotypes in sickle cell anemia

dc.contributor.authorAguiar, Laura
dc.contributor.authorMatos, Ângela
dc.contributor.authorGil, Ângela
dc.contributor.authorFerreira, Joana
dc.contributor.authorBraga, Lígia
dc.contributor.authorAlmeida, Salomé
dc.contributor.authorKjollerstrom, Paula
dc.contributor.authorFaustino, Paula
dc.contributor.authorBicho, Manuel
dc.contributor.authorInácio, Ângela
dc.date.accessioned2017-11-28T14:42:10Z
dc.date.available2017-11-28T14:42:10Z
dc.date.issued2017-11-16
dc.description21ª Reunião da Sociedade Portuguesa de Genética Humana, 16-18 nov 2017
dc.description.abstractSickle cell anemia (SCA) is an inherited blood disorder characterized by the presence of hemoglobin S (HbS). This disease is caused by a single point mutation in the beta-globin gene with a corresponding amino acid substitution at the sixth position of the beta-globin chain. Vaso-occlusion and hemolytic anemia are the major features of this disease, however, SCA patients present clinical and hematologic variability that cannot be only explained by the single mutation. Others genetic modifiers and environmental factors are important for the clinical phenotype. We studied the association between several hematological and biochemical parameters and a set of genetic variants in 26 pediatric SCA patients. Myeloperoxidase (MPO) and placental growth factor (PlGF) were determined by ELISA (R&D Systems Inc.). Amplification of DNA samples for the rs1050829 characterization, in the glucose-6-phosphate dehydrogenase (G6PD) gene, was performed by PCR followed by restriction fragment length analysis. A multiplex PCR assay was used for simultaneous amplification of glutathione S-transferases mu (GSTM1) and theta (GSTT1). All statistical tests were performed with SPSS 24.0 software. Our results show higher levels of MPO (p<0.001) and PlGF (p=0.048) in SCA patients, compared with healthy adult controls. Moreover, in these patients we found associations between: 1) lower levels of total hemoglobin and the GSTM1 null genotype (p=0.044); 2) higher levels of HbS with the rs1050829_G genotype (hemizygous males) in the G6PD gene (p=0.026). We suggest that the mentioned polymorphisms in GSTM1 and G6PD genes may act as genetic modifiers in SCA, which could be useful for the prediction of increased susceptibility to complications. Furthermore, our results reinforce the importance to study biochemical parameters for a better understanding of the clinical outcome of this disease.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.urihttp://hdl.handle.net/10400.18/4838
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/pt_PT
dc.subjectSickle Cell Anemiapt_PT
dc.subjectDoenças Genéticaspt_PT
dc.subjectDrepanocitosept_PT
dc.subjectFactores genéticos modificadorespt_PT
dc.subjectDoença das Células Falciformespt_PT
dc.subjectDoenças Raraspt_PT
dc.titleGenetic modifiers of the intermediate phenotypes in sickle cell anemiapt_PT
dc.typeconference object
dspace.entity.typePublication
oaire.citation.conferencePlaceCaparica, Portugalpt_PT
oaire.citation.title21ª Reunião da Sociedade Portuguesa de Genética Humana, 16-18 nov 2017pt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typeconferenceObjectpt_PT

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