1
|
Arcanjo GS, Souza MB, Domingos IF, Pereira-Martins DA, Falcão DA, Batista JV, Hatzlhofer BL, Diniz MV, Silva AP, Guaraná WL, Hazin MF, Araujo AS, Cunha AF, Saad SO, Costa FF, Lucena-Araujo AR, Bezerra MAC. BMP6 and VDR gene polymorphisms are associated with osteonecrosis in a sickle cell anaemia cohort. Br J Haematol 2024; 204:1507-1514. [PMID: 38323352 DOI: 10.1111/bjh.19329] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/08/2023] [Revised: 01/18/2024] [Accepted: 01/24/2024] [Indexed: 02/08/2024]
Abstract
The occurrence and severity of osteonecrosis in sickle cell anaemia (SCA) vary due to risk factors, including genetic modifiers. Bone morphogenetic proteins (BMPs), particularly BMP6, and the vitamin D receptor (VDR) play key roles in cartilage and bone metabolism, making them potential contributors to orthopaedic outcomes in SCA. Here, we evaluated the association of polymorphisms in BMP6 (rs3812163, rs270393 and rs449853) and VDR (FokI rs2228570 and Cdx2 rs11568820) genes with osteonecrosis risk in a Brazilian SCA cohort. A total of 177 unrelated SCA patients were selected. The AA genotype of BMP6 rs3812163 was independently associated with a lower osteonecrosis risk (p = 0.015; odds ratio (OR): 0.38; 95% confidence interval (CI): 0.18-0.83) and with the long-term cumulative incidence of osteonecrosis (p = 0.029; hazard ratio: 0.56, 95% CI: 0.34-0.94). The VDR rs2228570 TT genotype was independently associated with a lower osteonecrosis risk (p = 0.039; OR: 0.14; 95% CI: 0.02-0.90). In summary, our results provide evidence that BMP6 rs3812163 and the VDR rs2228570 might be implicated in osteonecrosis pathophysiology in SCA and might help identify individuals at high risk.
Collapse
Affiliation(s)
- Gabriela S Arcanjo
- Genetics Postgraduate Program, Federal University of Pernambuco, Recife, Pernambuco, Brazil
| | - Mariana B Souza
- Genetics Postgraduate Program, Federal University of Pernambuco, Recife, Pernambuco, Brazil
| | - Igor F Domingos
- Pronto Socorro Cardiológico de Pernambuco, University of Pernambuco, Recife, Pernambuco, Brazil
| | - Diego A Pereira-Martins
- Department of Hematology, Cancer Research Centre Groningen, University Medical Centre Groningen, University of Groningen, Groningen, the Netherlands
| | - Diego A Falcão
- Genetics Postgraduate Program, Federal University of Pernambuco, Recife, Pernambuco, Brazil
| | - Jessica V Batista
- Genetics Postgraduate Program, Federal University of Pernambuco, Recife, Pernambuco, Brazil
| | - Betania L Hatzlhofer
- Department of Pharmaceutical Sciences, Federal University of Pernambuco, Recife, Pernambuco, Brazil
| | - Madi V Diniz
- Genetics Postgraduate Program, Federal University of Pernambuco, Recife, Pernambuco, Brazil
| | - Alexsandro P Silva
- Genetics Postgraduate Program, Federal University of Pernambuco, Recife, Pernambuco, Brazil
| | - Werbson L Guaraná
- Genetics Postgraduate Program, Federal University of Pernambuco, Recife, Pernambuco, Brazil
| | - Manuela F Hazin
- Department of Internal Medicine, Hematology and Hemotherapy Foundation of Pernambuco, Recife, Pernambuco, Brazil
| | - Aderson S Araujo
- Department of Internal Medicine, Hematology and Hemotherapy Foundation of Pernambuco, Recife, Pernambuco, Brazil
| | - Anderson F Cunha
- Department of Genetics and Evolution, Federal University of São Carlos, São Carlos, São Paulo, Brazil
| | - Sara O Saad
- Hematology and Hemotherapy Center, State University of Campinas, Campinas, São Paulo, Brazil
| | - Fernando F Costa
- Hematology and Hemotherapy Center, State University of Campinas, Campinas, São Paulo, Brazil
| | | | - Marcos André C Bezerra
- Genetics Postgraduate Program, Federal University of Pernambuco, Recife, Pernambuco, Brazil
| |
Collapse
|
2
|
Piellusch BF, Rodriguez-Osorio N, Albuquerque DM, Domingos IF, Pereira-Martins DA, Araújo AS, Bezerra MAC, Costa FF, Sonati MF, Santos MNND. PERFIL DE EXPRESSÃO DE MICRORNAS E DO FATOR DE CRESCIMENTO ENDOTELIAL VASCULAR A EM PACIENTES COM ANEMIA FALCIFORME COM E SEM ÚLCERA DE PERNA. Hematol Transfus Cell Ther 2022. [DOI: 10.1016/j.htct.2022.09.067] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022] Open
|
3
|
Arcanjo GS, Batista JVG, Oliveira JM, Domingos IF, Hatzlhofer BLD, Araújo AB, Anjos ACD, Araújo AS, Lucena-Araújo AR, Bezerra MAC. ASSOCIATION OF VITAMIN D RECEPTOR (VDR) VARIANTS, HYDROXYUREA THERAPY, AND CEREBROVASCULAR DISEASE STATUS ON 25-HYDROXYVITAMIN D (25(OH)D) LEVELS IN PATIENTS WITH SICKLE CELL ANEMIA. Hematol Transfus Cell Ther 2022. [DOI: 10.1016/j.htct.2022.09.065] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022] Open
|
4
|
Diniz MV, Silva AP, Silva DRC, Arcanjo GS, Brandão RA, Hatzlhofer BLD, Araújo ARL, Bezerra MAC. RELATO DE CASO: LEUCEMIA MIELOIDE CRÔNICA RESISTENTE AO TRATAMENTO. Hematol Transfus Cell Ther 2022. [DOI: 10.1016/j.htct.2022.09.384] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022] Open
|
5
|
Pereira MF, Lima MDBPLV, Ferreira AMMS, Pires BCFV, Santos DF, Lima VKA, Diniz MV, Silva AP, Bezerra MAC, Hatzlhofer BLD. COAGULOPATIAS RARAS: PERFIL CLÍNICO E LABORATORIAL NO ESTADO DE PERNAMBUCO. Hematol Transfus Cell Ther 2022. [DOI: 10.1016/j.htct.2022.09.470] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
|
6
|
Widmer R, Ferreira AIB, Monteiro GAF, Leite MCG, Fidelis RV, Feitosa LC, Brandão CA, Melo JPB, Arcanjo GS, Bezerra MAC. GRUPOS SANGUÍNEOS E ALOIMUNIZAÇÃO: DESAFIOS DA TESTAGEM EM PACIENTES COM DOENÇA FALCIFORME E β-TALASSEMIA. Hematol Transfus Cell Ther 2021. [DOI: 10.1016/j.htct.2021.10.831] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022] Open
|
7
|
Hounkpe BW, Chenou F, Domingos IDF, Cardoso EC, Costa Sobreira MJDV, Araujo AS, Lucena‐Araújo AR, da Silva Neto PV, Malheiro A, Fraiji NA, Costa FF, Bezerra MAC, Santos MNN, De Paula EV. Neutrophil extracellular trap regulators in sickle cell disease: Modulation of gene expression of PADI4, neutrophil elastase, and myeloperoxidase during vaso-occlusive crisis. Res Pract Thromb Haemost 2021; 5:204-210. [PMID: 33537545 PMCID: PMC7845058 DOI: 10.1002/rth2.12463] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/30/2020] [Revised: 10/28/2020] [Accepted: 10/31/2020] [Indexed: 12/13/2022] Open
Abstract
BACKGROUND Recent evidence suggests that generation of neutrophil extracellular traps (NETosis), one of the components of immunothrombosis, is associated with the pathogenesis of both venous thromboembolism and sickle cell disease (SCD). NETosis is a complex process regulated by several proteins such as peptidyl arginine deaminase 4 (PADI4), neutrophil elastase (ELANE), and myeloperoxidase (MPO). Among these regulators, PADI4 is responsible of histone citrullination, an essential step for NETosis. Accordingly, its inhibition has been recently cited as a promising therapeutic strategy for diseases such as SCD. Although attractive, this strategy requires supportive evidence of its role in the pathogenesis of SCD. PATIENTS AND METHODS Patients from two independent cohorts were enrolled in this study. Samples were obtained at steady state (53 patients) or during acute episodes of vaso-occlusive crisis (VOC; 28 patients) in patients from cohort 1. mRNA was extracted from granulocytes to analyze PADI4, ELANE, and MPO expression by qPCR. Furthermore, plasma activity of PADI4 was assessed from an independent cohort in 15 patients, within 24 hours from admission for VOC. Race-matched healthy individuals from the same geographic regions were used as controls for each cohort. RESULTS AND CONCLUSIONS Higher levels of gene expression of PADI4 and ELANE were observed during VOC. Furthermore, plasma activity of PADI4 was higher in acute VOC when compared to healthy individuals. These results demonstrate that NETosis regulators are modulated during acute VOC, and pave the way for studies of PADI4 inhibition as a therapeutic strategy for acute VOC in SCD.
Collapse
Affiliation(s)
| | - Francine Chenou
- School of Medical SciencesUniversity of CampinasCampinasBrazil
| | | | | | | | - Aderson S. Araujo
- Hematology and Hemotherapy Foundation of Pernambuco ‐ HEMOPERecifeBrazil
| | | | | | - Adriana Malheiro
- Hematology and Hemotherapy Foundation from Amazonas State (HEMOAM)ManausBrazil
| | | | - Fernando Ferreira Costa
- School of Medical SciencesUniversity of CampinasCampinasBrazil
- Hematology and Hemotherapy CenterUniversity of CampinasCampinasBrazil
| | | | | | - Erich Vinicius De Paula
- School of Medical SciencesUniversity of CampinasCampinasBrazil
- Hematology and Hemotherapy CenterUniversity of CampinasCampinasBrazil
| |
Collapse
|
8
|
Chenou F, Albuquerque DM, Leonardo DP, Domingos IF, Bezerra MAC, Araújo AS, Blotta MHSL, Costa FF, Sonati MF, Paula EV, Santos MNN. Endothelial Nitric Oxide Synthase (eNOS) Gene Polymorphisms and Markers of Hemolysis, Inflammation and Endothelial Dysfunction in Brazilian Sickle Cell Anemia Patients. Biochem Genet 2020; 58:580-594. [PMID: 32277314 DOI: 10.1007/s10528-020-09959-w] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/29/2019] [Accepted: 03/13/2020] [Indexed: 11/30/2022]
Abstract
The impaired bioavailability of endogenous nitric oxide (NO) in sickle cell anemia (SCA) may be influenced by polymorphisms in the endothelial nitric oxide synthase gene (eNOS). We compared allelic/genotypic frequencies of the eNOS polymorphisms T-786C, VNTR4a/b and G894T between 89 adult SCA patients and 100 healthy controls, and investigated the relationship between these SNPs and markers of hemolysis [lactate dehydrogenase (LDH), indirect bilirubin (IB) and reticulocyte counts], inflammation [interleukins IL-1β, IL-6, IL-8, Tumor Necrosis Factor (TNF-α) and C-reactive protein (CRP)] and endothelial dysfunction (ED) [soluble vascular cell adhesion molecule-1 (sVCAM-1), soluble intercellular adhesion molecule-1 (sICAM-1), soluble L-selectin (sL-selectin), von Willebrand Factor (vWF) antigen and D-dimers] in the patients. The frequencies of the mutant -786C allele and -786C/C genotype were significantly higher in patients (p = 0.02 and p = 0.04, respectively) but not significantly correlated with the markers. For VNTR4a/b and G894T, the allelic/genotypic frequencies did not statistically differ between patient and control groups. Patients carrying the 4a allele and those with the 894G/G genotype showed a significant decrease in IB (p = 0.02 and p = 0.04, respectively), and only patients with the 4a allele exhibited reduced IL-1β (p = 0.01). The correlation profiles between markers of inflammation and ED significantly differed between patients carrying the mutant alleles and those with wild-type genotypes. This appears to be the first report on the relationship between eNOS gene polymorphisms and markers of hemolysis, inflammation and ED in Brazilian SCA patients. Our results indicate that the SNPs analyzed may influence the phenotypic variability of these patients.
Collapse
Affiliation(s)
- F Chenou
- Department of Clinical Pathology - School of Medical Sciences, State University of Campinas (UNICAMP), Rua Vital Brasil 50, Campinas, SP, 13083-888, Brazil
| | - D M Albuquerque
- Hematology and Hemotherapy Center, State University of Campinas-UNICAMP, Campinas, São Paulo, Brazil
| | - D P Leonardo
- Hematology and Hemotherapy Center, State University of Campinas-UNICAMP, Campinas, São Paulo, Brazil
| | - I F Domingos
- Department of Genetics, Federal University of Pernambuco (UFPE), Recife, Pernambuco, Brazil
| | - M A C Bezerra
- Department of Genetics, Federal University of Pernambuco (UFPE), Recife, Pernambuco, Brazil
| | - A S Araújo
- Hematology and Hemotherapy Foundation of Pernambuco (HEMOPE), Recife, Pernambuco, Brazil
| | - M H S L Blotta
- Department of Clinical Pathology - School of Medical Sciences, State University of Campinas (UNICAMP), Rua Vital Brasil 50, Campinas, SP, 13083-888, Brazil
| | - F F Costa
- Hematology and Hemotherapy Center, State University of Campinas-UNICAMP, Campinas, São Paulo, Brazil
| | - M F Sonati
- Department of Clinical Pathology - School of Medical Sciences, State University of Campinas (UNICAMP), Rua Vital Brasil 50, Campinas, SP, 13083-888, Brazil
| | - E V Paula
- Hematology and Hemotherapy Center, State University of Campinas-UNICAMP, Campinas, São Paulo, Brazil
| | - M N N Santos
- Department of Clinical Pathology - School of Medical Sciences, State University of Campinas (UNICAMP), Rua Vital Brasil 50, Campinas, SP, 13083-888, Brazil.
| |
Collapse
|
9
|
Maia de Oliveira da Silva JP, Brugnerotto AF, S. Romanello K, K. L. Teixeira K, Lanaro C, S. Duarte A, G. L. Costa G, da Silva Araújo A, C. Bezerra MA, de Farias Domingos I, Pereira Martins DA, Malavazi I, F. Costa F, Cunha AF. Global gene expression reveals an increase of HMGB1 and APEX1 proteins and their involvement in oxidative stress, apoptosis and inflammation pathways among beta‐thalassaemia intermedia and major phenotypes. Br J Haematol 2019; 186:608-619. [DOI: 10.1111/bjh.16062] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/26/2019] [Accepted: 04/16/2019] [Indexed: 12/19/2022]
Affiliation(s)
| | - Ana Flávia Brugnerotto
- Centro de Hematologia e Hemoterapia Universidade Estadual de Campinas CampinasSão PauloBrazil
| | - Karen S. Romanello
- Departamento de Genética e Evolução, Centro de Ciências Biológicas e da Saúde Universidade Federal de São Carlos São CarlosSão PauloBrazil
| | - Karina K. L. Teixeira
- Departamento de Genética e Evolução, Centro de Ciências Biológicas e da Saúde Universidade Federal de São Carlos São CarlosSão PauloBrazil
| | - Carolina Lanaro
- Centro de Hematologia e Hemoterapia Universidade Estadual de Campinas CampinasSão PauloBrazil
| | - Adriana S. Duarte
- Centro de Hematologia e Hemoterapia Universidade Estadual de Campinas CampinasSão PauloBrazil
| | - Gustavo G. L. Costa
- Centro Nacional de Processamento de Alto Desempenho em São Paulo. CENAPAD‐SP Campinas São PauloBrazil
| | | | | | | | | | - Iran Malavazi
- Departamento de Genética e Evolução, Centro de Ciências Biológicas e da Saúde Universidade Federal de São Carlos São CarlosSão PauloBrazil
| | - Fernando F. Costa
- Centro de Hematologia e Hemoterapia Universidade Estadual de Campinas CampinasSão PauloBrazil
| | - Anderson F. Cunha
- Departamento de Genética e Evolução, Centro de Ciências Biológicas e da Saúde Universidade Federal de São Carlos São CarlosSão PauloBrazil
| |
Collapse
|
10
|
Romanello KS, Teixeira KKL, Silva JPMO, Nagamatsu ST, Bezerra MAC, Domingos IF, Martins DAP, Araujo AS, Lanaro C, Breyer CA, Ferreira RA, Franco-Penteado C, Costa FF, Malavazi I, Netto LES, de Oliveira MA, Cunha AF. Global analysis of erythroid cells redox status reveals the involvement of Prdx1 and Prdx2 in the severity of beta thalassemia. PLoS One 2018; 13:e0208316. [PMID: 30521599 PMCID: PMC6283586 DOI: 10.1371/journal.pone.0208316] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/12/2018] [Accepted: 11/15/2018] [Indexed: 12/30/2022] Open
Abstract
β-thalassemia is a worldwide distributed monogenic red cell disorder, characterized by an absent or reduced beta globin chain synthesis. The unbalance of alpha-gamma chain and the presence of pathological free iron promote severe oxidative damage, playing crucial a role in erythrocyte hemolysis, exacerbating ineffective erythropoiesis and decreasing the lifespan of red blood cells (RBC). Catalase, glutathione peroxidase and peroxiredoxins act together to protect RBCs from hydrogen peroxide insult. Among them, peroxiredoxins stand out for their overall abundance and reactivity. In RBCs, Prdx2 is the third most abundant protein, although Prdxs 1 and 6 isoforms are also found in lower amounts. Despite the importance of these enzymes, Prdx1 and Prdx2 may have their peroxidase activity inactivated by hyperoxidation at high hydroperoxide concentrations, which also promotes the molecular chaperone activity of these proteins. Some studies have demonstrated the importance of Prdx1 and Prdx2 for the development and maintenance of erythrocytes in hemolytic anemia. Now, we performed a global analysis comparatively evaluating the expression profile of several antioxidant enzymes and their physiological reducing agents in patients with beta thalassemia intermedia (BTI) and healthy individuals. Furthermore, increased levels of ROS were observed not only in RBC, but also in neutrophils and mononuclear cells of BTI patients. The level of transcripts and the protein content of Prx1 were increased in reticulocyte and RBCs of BTI patients and the protein content was also found to be higher when compared to beta thalassemia major (BTM), suggesting that this peroxidase could cooperate with Prx2 in the removal of H2O2. Furthermore, Prdx2 production is highly increased in RBCs of BTM patients that present high amounts of hyperoxidized species. A significant increase in the content of Trx1, Srx1 and Sod1 in RBCs of BTI patients suggested protective roles for these enzymes in BTI patients. Finally, the upregulation of Nrf2 and Keap1 transcription factors found in BTI patients may be involved in the regulation of the antioxidant enzymes analyzed in this work.
Collapse
Affiliation(s)
- Karen S. Romanello
- Universidade Federal de São Carlos (UFSCar), Departamento de Genética e Evolução, São Carlos, Brazil
| | - Karina K. L. Teixeira
- Universidade Federal de São Carlos (UFSCar), Departamento de Genética e Evolução, São Carlos, Brazil
| | - João Pedro M. O. Silva
- Universidade Federal de São Carlos (UFSCar), Departamento de Genética e Evolução, São Carlos, Brazil
| | - Sheila T. Nagamatsu
- Universidade de Campinas (UNICAMP), Departamento de Genética, Evolução e Bioagentes, Campinas, Brazil
| | | | - Igor F. Domingos
- Universidade Federal de Pernambuco (UFPE), Departamento de Genética, Pernambuco, Brazil
| | - Diego A. P. Martins
- Universidade Federal de Pernambuco (UFPE), Departamento de Genética, Pernambuco, Brazil
| | - Aderson S. Araujo
- Fundação de Hematologia e Hemoterapia do estado de Pernambuco (HEMOPE), Pernambuco, Brazil
| | - Carolina Lanaro
- Hemocentro da Universidade de Campinas (UNICAMP), Campinas, Brazil
| | - Carlos A. Breyer
- Universidade Estadual Paulista (UNESP)–Campus Litoral Paulista, São Vicente, Brazil
| | | | | | | | - Iran Malavazi
- Universidade Federal de São Carlos (UFSCar), Departamento de Genética e Evolução, São Carlos, Brazil
| | - Luis E. S. Netto
- Universidade de São Paulo (USP), Departamento de Genética, Biologia Evolutiva, São Paulo, Brazil
| | | | - Anderson F. Cunha
- Universidade Federal de São Carlos (UFSCar), Departamento de Genética e Evolução, São Carlos, Brazil
- * E-mail:
| |
Collapse
|
11
|
Soares ACN, Samico IC, Araújo AS, Bezerra MAC, Hatzlhofer BLD. Follow-up of children with hemoglobinopathies diagnosed by the Brazilian Neonatal Screening Program in the State of Pernambuco. Rev Bras Hematol Hemoter 2014; 36:250-5. [PMID: 25031163 PMCID: PMC4207915 DOI: 10.1016/j.bjhh.2014.05.001] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/27/2012] [Accepted: 03/14/2014] [Indexed: 11/26/2022] Open
Abstract
OBJECTIVE To determine the geographical distribution of hemoglobinopathies in the State of Pernambuco, to characterize the children with these diseases and to describe factors associated with their follow-up at the referral center during the period from 2003 to 2010. METHODS A retrospective, cross-sectional, descriptive study was carried out of 275 medical records from a total of 302 children with hemoglobinopathies diagnosed by the National Neonatal Screening Program in the State of Pernambuco in the study period. Microsoft Excel was used for data processing and analysis. The chi-square and the Fisher test were used for statistical analysis. The level of significance was set at 5%. Terra View software was used to analyze the geographical distribution of hemoglobinopathies in the State. RESULTS A total of 8.9% of the cases of hemoglobinopathies detected in the period were not followed up at the referral center. For the mothers of children with diseases, this was their second or third or more pregnancy in 64.2% and 30.2%, respectively. Regarding the influence of region of residence and regular medical appointments, the study demonstrated that children from the Zona da Mata, Sertão and Vale do São Francisco regions did not attend 45.2%, 50% and 55.6% of their appointments in the outpatient department, respectively. CONCLUSIONS This study shows that a significant number of children do not begin consultations in the outpatient clinic and even those who started treatment early and who have the most severe form of the disease, usually miss medical appointments.
Collapse
Affiliation(s)
| | | | - Aderson Silva Araújo
- Fundação de Hematologia e Hemoterapia de Pernambuco (HEMOPE), Recife, PE, Brazil
| | | | | |
Collapse
|
12
|
Malagrino PA, Sponton CHG, Esposti RD, Franco-Penteado CF, Fernandes RA, Bezerra MAC, Albuquerque DM, Rodovalho CM, Bacci M, Zanesco A. [Prevalence of dyslipidemia in middle-aged adults with NOS3 gene polymorphism and low cardiorespiratory fitness]. ACTA ACUST UNITED AC 2013; 57:33-43. [PMID: 23440097 DOI: 10.1590/s0004-27302013000100005] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/02/2012] [Accepted: 12/14/2012] [Indexed: 11/22/2022]
Abstract
OBJECTIVE To evaluate the influence of the interaction between endothelial nitric oxide synthase gene (NOS3) polymorphisms at positions -786T>C, Glu298Asp and intron 4b/a, and cardiorespiratory fitness on plasma nitrite/nitrate levels, blood pressure, lipid profile, and prevalence of cardiometabolic disorders. SUBJECTS AND METHODS Ninety-two volunteers were genotyped for NOS3 polymorphisms at positions (-786T>C and Glu298Asp) and (intron 4b/a) and divided according to the genotype: non-polymorphic (NP) and polymorphic (P). After that, they were subdivided according to the cardiorespiratory fitness associated with genotype: high (HNP and HP) and low (LNP and LP). RESULTS The subjects with polymorphism for the interactions at positions Glu298Asp + intron 4b/a, and Glu298Asp+-786T>C showed the highest values in total cholesterol, as well as dyslipidemia. CONCLUSION Our findings show that NOS3 gene polymorphisms at positions -786T>C, Glu298Asp, and intron 4b/a exert negative effects on the lipid profile compared with those who do not carry polymorphisms.
Collapse
Affiliation(s)
- Pamella A Malagrino
- Laboratório de Fisiologia Cardiovascular e Atividade Física, Instituto de Biociências, Universidade Estadual Paulista (Unesp), Rio Claro, SP, Brasil
| | | | | | | | | | | | | | | | | | | |
Collapse
|
13
|
D. Hatzlhofer BL, Bezerra MAC, Santos MN, Albuquerque DM, Freitas EM, Costa FF, Araújo AS, Muniz MTC. MTHFRPolymorphic Variant C677T Is Associated to Vascular Complications in Sickle-Cell Disease. Genet Test Mol Biomarkers 2012; 16:1038-43. [DOI: 10.1089/gtmb.2011.0361] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Affiliation(s)
- Betânia L. D. Hatzlhofer
- Centro de Hematologia e Hemoterapia de Pernambuco—HEMOPE, Recife, Pernambuco, Brasil
- Faculdade de Ciências Médicas, Universidade de Pernambuco, Recife, Pernambuco, Brasil
| | - Marcos André C. Bezerra
- Centro de Ciências Biológicas, Universidade Federal de Pernambuco, Recife, Pernambuco, Brasil
| | - Magnun N.N. Santos
- Departamento de Patologia Clínica, Faculdade de Ciências Médicas, Universidade Estadual de Campinas-UNICAMP, Campinas, São Paulo, Brasil
| | - Dulcinéia M. Albuquerque
- Hospital de Hematologia e Hemoterapia, Universidade Estadual de Campinas-UNICAMP, Campinas, São Paulo, Brasil
| | - Elizabete M. Freitas
- Instituto de Ciências Biológicas-ICB, Universidade de Pernambuco-UPE, Recife, Pernambuco, Brasil
| | - Fernando F. Costa
- Hospital de Hematologia e Hemoterapia, Universidade Estadual de Campinas-UNICAMP, Campinas, São Paulo, Brasil
| | - Aderson S. Araújo
- Centro de Hematologia e Hemoterapia de Pernambuco—HEMOPE, Recife, Pernambuco, Brasil
| | - Maria Tereza C. Muniz
- Instituto de Ciências Biológicas-ICB, Universidade de Pernambuco-UPE, Recife, Pernambuco, Brasil
- Centro de Oncohematologia Pediátrica-CEONHPE/UPE, Hospital Universitário Oswaldo Cruz, Recife, Pernambuco, Brasil
| |
Collapse
|
14
|
Mezzacappa MA, Facchini FP, Pinto AC, Cassone AEL, Souza DS, Bezerra MAC, Albuquerque DM, Saad STO, Costa FF. Clinical and genetic risk factors for moderate hyperbilirubinemia in Brazilian newborn infants. J Perinatol 2010; 30:819-26. [PMID: 20376058 DOI: 10.1038/jp.2010.48] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Abstract
OBJECTIVE To identify clinical and genetic risk factors for moderate hyperbilirubinemia during the first week of life. STUDY DESIGN Using univariate and multivariate multiple regression analyses, the RR for clinical factors, the African variant of glucose-6-phosphate dehydrogenase (G6PD) deficiency (G202A/A376G), and (TA)(n) UGT1A1 polymorphisms were established in a cohort of 608 Brazilian newborn infants. Hyperbilirubinemia was monitored until 134.5 ± 49.8 h of life (IQR, 111.0 to 156.7). The dependent variable was total bilirubinemia (TB) ≥12.9 mg per 100 ml estimated by transcutaneous or plasma bilirubin measurements. RESULT The African variant of G6PD deficiency and (TA)(7)/(TA)(7) and (TA)(7)/(TA)(8) polymorphisms present in 6.1 and 12.0% of newborns, respectively, were not risk factors for moderate hyperbilirubinemia. Coexpression of G6DP deficiency and UGT1A1 polymorphisms occurred in 0.49% of the subjects. Independent clinical predictors for TB≥ 12.9 mg per 100 ml were gestational age <38 weeks and reference curve percentiles >P40th. CONCLUSION In this study, G6PD deficiency and UGT1A1 gene promoter polymorphisms were not risk factors for moderate hyperbilirubinemia. Genetic factors may vary considerably in importance among different populations.
Collapse
Affiliation(s)
- M A Mezzacappa
- Division of Neonatology, Department of Pediatrics, School of Medical Sciences, Universidade Estadual de Campinas, Campinas, São Paulo, Brazil
| | | | | | | | | | | | | | | | | |
Collapse
|
15
|
Mendonça TF, Oliveira MCVC, Vasconcelos LRS, Pereira LMMB, Moura P, Bezerra MAC, Santos MNN, Araújo AS, Cavalcanti MSM. Association of variant alleles of MBL2 gene with vasoocclusive crisis in children with sickle cell anemia. Blood Cells Mol Dis 2010; 44:224-8. [PMID: 20172753 DOI: 10.1016/j.bcmd.2010.02.004] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/19/2009] [Revised: 11/26/2009] [Accepted: 01/20/2010] [Indexed: 11/17/2022]
Abstract
Vasoocclusive crisis (VOC) is the major cause of morbidity and mortality in sickle cell anemia (SCA), which is caused by the occlusion of blood vessels, followed by ischemia or infarct, resulting in progressive damage to organs. However, this clinical manifestation is variable, indicating that this process could be influenced by modifier genes. The gene MBL2 which codes for mannose-binding lectin (MBL) has been associated with modifications in the progression of infectious and inflammatory vascular diseases. The aim of this study was to determine the frequency of the polymorphisms of exon 1 (alleles A/O) and promoter region -221 (alleles Y/X) of MBL2 in children with SCA and to verify their association with VOC. The determination of the polymorphism of exon 1 and the promoter region of MBL2 was performed by SYBR GREEN((R)) and Taqman((R)) system, respectively. In the patients with SCA, the frequency of the genotype related to high production of MBL was 0.46 (YA/YA) and for intermediate/low production was 0.54 (YA/XA, XA/XA, YA/YO, XA/YO, YO/YO). The frequency of the genotypes and haplotypes of MBL2 in patients with SCA did not differ from control individuals. The populations were in Hardy-Weinberg equilibrium. The patients were divided into two groups. The groups were separated by the frequency of VOC, which was defined by the total of VOC episodes divided by the age of the children at the end of this study. Since, we choose a cut point in FVOC <1 (n=48) (which we considered of mild presentation of disease) and FVOC >or=1 (n=39) (higher severity). In children with SCA, the frequency of the genotypes of MBL2 of intermediate/low expression for MBL was associated with FVOC >or=1 (p=0.0188 OR=3.15 CI=1.19-8.50). The results suggest that MBL2 polymorphism at promoter and first exon of MBL2 associated with low serum levels and structural alterations of MBL could modify the phenotype of the child with SCA related to VOC.
Collapse
Affiliation(s)
- T F Mendonça
- Biological Science Institute and College of Medical Sciences, University of Pernambuco, Recife, Brazil
| | | | | | | | | | | | | | | | | |
Collapse
|
16
|
Oliveira MCVC, Mendonça TF, Vasconcelos LRS, Moura P, Bezerra MAC, Santos MNN, Araújo AS, Cavalcanti MSM. Association of the MBL2 gene EXON1 polymorphism and vasoocclusive crisis in patients with sickle cell anemia. Acta Haematol 2009; 121:212-5. [PMID: 19468207 DOI: 10.1159/000220335] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/19/2008] [Accepted: 03/03/2009] [Indexed: 11/19/2022]
Affiliation(s)
- M C V C Oliveira
- Hematology and Hemotherapy Foundation of Pernambuco, Recife, Brazil.
| | | | | | | | | | | | | | | |
Collapse
|
17
|
Bezerra MAC, Santos MNN, Araújo AS, Gomes YM, Abath FGC, Bandeira FMGC. Molecular variations linked to the grouping of beta- and alpha-globin genes in neonatal patients with sickle cell disease in the State of Pernambuco, Brazil. Hemoglobin 2007; 31:83-8. [PMID: 17365008 DOI: 10.1080/03630260601057153] [Citation(s) in RCA: 23] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
Various factors have been described as phenotypic modulators of sickle cell disease, such as levels of fetal hemoglobin (Hb F), presence of alpha-thalassemia (thal), and haplotypes of the beta-globin genes. In order to characterize and determine the frequency of the betaS and betaC mutations and the prevalence of -alpha3.7-thal, 74 patients with sickle cell disease detected during neonatal screening in the State of Pernambuco, Brazil, were studied. The haplotypes of the beta gene and -alpha3.7-thal were determined using polymerase chain reaction (PCR), and specific restriction endonucleases were used to establish the polymorphic sites of the haplotypes. The results showed the high frequency of the Central African Republic (CAR) or Bantu haplotype in the State of Pernambuco, Brazil. The low frequency of the Benin haplotype recorded in this study, in comparison with other states in northeast Brazil, suggests the diversity of origins of Afro-Brazilians in this region.
Collapse
|