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GWAS Study

Biological and genetic determinants of glycolysis: Phosphofructokinase isoforms boost energy status of stored red blood cells and transfusion outcomes.

Nemkov T, Stephenson D, Earley EJ et al.

38964323 PubMed ID
GWAS Study Type
11334 Participants
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Chapter I

Publication Details

Comprehensive information about this research publication

Authors

NT
Nemkov T
SD
Stephenson D
EE
Earley EJ
KG
Keele GR
HA
Hay A
KA
Key A
HZ
Haiman ZB
EC
Erickson C
DM
Dzieciatkowska M
RJ
Reisz JA
MA
Moore A
SM
Stone M
DX
Deng X
KS
Kleinman S
SS
Spitalnik SL
HE
Hod EA
HK
Hudson KE
HK
Hansen KC
PB
Palsson BO
CG
Churchill GA
RN
Roubinian N
NP
Norris PJ
BM
Busch MP
ZJ
Zimring JC
PG
Page GP
DA
D'Alessandro A
Chapter II

Abstract

Summary of the research findings

Mature red blood cells (RBCs) lack mitochondria and thus exclusively rely on glycolysis to generate adenosine triphosphate (ATP) during aging in vivo or storage in blood banks. Here, we leveraged 13,029 volunteers from the Recipient Epidemiology and Donor Evaluation Study to identify associations between end-of-storage levels of glycolytic metabolites and donor age, sex, and ancestry-specific genetic polymorphisms in regions encoding phosphofructokinase 1, platelet (detected in mature RBCs); hexokinase 1 (HK1); and ADP-ribosyl cyclase 1 and 2 (CD38/BST1). Gene-metabolite associations were validated in fresh and stored RBCs from 525 Diversity Outbred mice and via multi-omics characterization of 1,929 samples from 643 human RBC units during storage. ATP and hypoxanthine (HYPX) levels-and the genetic traits linked to them-were associated with hemolysis in vitro and in vivo, both in healthy autologous transfusion recipients and in 5,816 critically ill patients receiving heterologous transfusions, suggesting their potential as markers to improve transfusion outcomes.

1,542 African American or Afro-Caribbean individuals, 1,602 Asian ancestry individuals, 7,037 European ancestry individuals, 1,153 Hispanic or Latin American individuals

Chapter III

Study Statistics

Key metrics and study information

11334
Total Participants
GWAS
Study Type
No
Replicated
African American or Afro-Caribbean, Hispanic or Latin American, Asian unspecified, European
Ancestry
U.S.
Recruitment Country
Chapter IV

Analysis

Comprehensive review of health and genetic findings

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