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

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Karhausen, JA; Qi, W; Smeltz, AM; Li, Y-J; Shah, SH; Kraus, WE; Mathew, JP; Podgoreanu, MV; Kertai, MD ...
Published in: Thromb Haemost
September 2018

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 × 109/L. Using a logistic regression model adjusted for clinical risk factors, we performed a genome-wide association study in a discovery cohort (n = 860) and validated significant findings in a replication cohort (n = 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 (SPRY2) 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, p = 9.76 × 10-5) with the overall association confirmed by meta-analysis (meta-p = 7.88 × 10-6). 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 SPRY2 with a decreased incidence of thrombocytopenia after CABG surgery. Because SPRY2-an endogenous receptor tyrosine kinase inhibitor-is present in platelets and modulates essential signalling pathways, these findings support a role for SPRY2 as a novel modulator of platelet responses after cardiac surgery.

Duke Scholars

Published In

Thromb Haemost

DOI

EISSN

2567-689X

Publication Date

September 2018

Volume

118

Issue

9

Start / End Page

1572 / 1585

Location

Germany

Related Subject Headings

  • Thrombocytopenia
  • Signal Transduction
  • Prospective Studies
  • Postoperative Complications
  • Polymorphism, Single Nucleotide
  • Middle Aged
  • Membrane Proteins
  • Male
  • Intracellular Signaling Peptides and Proteins
  • Incidence
 

Citation

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Karhausen, J. A., Qi, W., Smeltz, A. M., Li, Y.-J., Shah, S. H., Kraus, W. E., … Duke Perioperative Genetics Safety Outcomes (PEGASUS) Investigative Team, . (2018). Genome-Wide Association Study Links Receptor Tyrosine Kinase Inhibitor Sprouty 2 to Thrombocytopenia after Coronary Artery Bypass Surgery. In Thromb Haemost (Vol. 118, pp. 1572–1585). Germany. https://doi.org/10.1055/s-0038-1667199
Karhausen, Jörn A., Wenjing Qi, Alan M. Smeltz, Yi-Ju Li, Svati H. Shah, William E. Kraus, Joseph P. Mathew, Mihai V. Podgoreanu, Miklos D. Kertai, and Miklos D. Duke Perioperative Genetics Safety Outcomes (PEGASUS) Investigative Team. “Genome-Wide Association Study Links Receptor Tyrosine Kinase Inhibitor Sprouty 2 to Thrombocytopenia after Coronary Artery Bypass Surgery.” In Thromb Haemost, 118:1572–85, 2018. https://doi.org/10.1055/s-0038-1667199.
Karhausen JA, Qi W, Smeltz AM, Li Y-J, Shah SH, Kraus WE, et al. Genome-Wide Association Study Links Receptor Tyrosine Kinase Inhibitor Sprouty 2 to Thrombocytopenia after Coronary Artery Bypass Surgery. In: Thromb Haemost. 2018. p. 1572–85.
Karhausen, Jörn A., et al. “Genome-Wide Association Study Links Receptor Tyrosine Kinase Inhibitor Sprouty 2 to Thrombocytopenia after Coronary Artery Bypass Surgery.Thromb Haemost, vol. 118, no. 9, 2018, pp. 1572–85. Pubmed, doi:10.1055/s-0038-1667199.
Karhausen JA, Qi W, Smeltz AM, Li Y-J, Shah SH, Kraus WE, Mathew JP, Podgoreanu MV, Kertai MD, Duke Perioperative Genetics Safety Outcomes (PEGASUS) Investigative Team. Genome-Wide Association Study Links Receptor Tyrosine Kinase Inhibitor Sprouty 2 to Thrombocytopenia after Coronary Artery Bypass Surgery. Thromb Haemost. 2018. p. 1572–1585.
Journal cover image

Published In

Thromb Haemost

DOI

EISSN

2567-689X

Publication Date

September 2018

Volume

118

Issue

9

Start / End Page

1572 / 1585

Location

Germany

Related Subject Headings

  • Thrombocytopenia
  • Signal Transduction
  • Prospective Studies
  • Postoperative Complications
  • Polymorphism, Single Nucleotide
  • Middle Aged
  • Membrane Proteins
  • Male
  • Intracellular Signaling Peptides and Proteins
  • Incidence