Genome-Wide Association Study Links Receptor Tyrosine Kinase Inhibitor Sprouty 2 to Thrombocytopenia After Coronary Artery Bypass Surgery

Overview

Journal Thromb Haemost

Publisher Thieme

Specialties Cardiology & Vascular Diseases
Hematology

Date 2018 Aug 14

PMID 30103242

Citations 1

Authors

Jorn A Karhausen

Wenjing Qi

Alan M Smeltz

Yi-Ju Li

Svati H Shah

William E Kraus

Joseph P Mathew

Mihai V Podgoreanu

Miklos D Kertai

Affiliations

Soon will be listed here.

Abstract

Introduction: Thrombocytopenia after cardiac surgery independently predicts stroke, acute kidney injury and death. To understand the underlying risks and mechanisms, we analysed genetic variations associated with thrombocytopenia in patients undergoing coronary artery bypass grafting (CABG) surgery.

Materials And Methods: Study subjects underwent isolated on-pump CABG surgery at Duke University Medical Center. Post-operative thrombocytopenia was defined as platelet count < 100 × 10/L. Using a logistic regression model adjusted for clinical risk factors, we performed a genome-wide association study in a discovery cohort ( = 860) and validated significant findings in a replication cohort ( = 296). Protein expression was assessed in isolated platelets by immunoblot.

Results: A total of 63 single-nucleotide polymorphisms met a priori discovery thresholds for replication, but only 1 (rs9574547) in the intergenic region upstream of sprouty 2 () met nominal significance in the replication cohort. The minor allele of rs9574547 was associated with a lower risk for thrombocytopenia (discovery cohort, odds ratio, 0.45, 95% confidence interval, 0.30-0.67, = 9.76 × 10) with the overall association confirmed by meta-analysis (meta- = 7.88 × 10). Immunoblotting demonstrated expression of SPRY2 and its dynamic regulation during platelet activation. Treatment with a functional SPRY2 peptide blunted platelet extracellular signal-regulated kinase (ERK) phosphorylation after agonist stimulation.

Conclusion: We identified the association of a genetic polymorphism in the intergenic region of with a decreased incidence of thrombocytopenia after CABG surgery. Because -an endogenous receptor tyrosine kinase inhibitor-is present in platelets and modulates essential signalling pathways, these findings support a role for as a novel modulator of platelet responses after cardiac surgery.

Citing Articles

Risk factors and prediction model for thrombocytopenia following coronary artery bypass graft surgery in elderly Chinese population.

Zhao H, Zhang W, Liu Y, Peng W J Thorac Dis. 2024; 16(1):273-284.

PMID: 38410552 PMC: 10894372. DOI: 10.21037/jtd-23-1396.

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