Abstract |
Alpha thalassemia is a hemoglobinopathy due to decreased production of the α- globin protein from loss of up to four α- globin genes, with one or two missing in the trait phenotype. Individuals with sickle cell disease who co-inherit the loss of one or two α- globin genes have been known to have reduced risk of morbid outcomes, but the underlying mechanism is unknown. While α- globin gene deletions affect sickle red cell deformability, the α- globin genes and protein are also present in the endothelial wall of human arterioles and participate in nitric oxide scavenging during vasoconstriction. Decreased production of α- globin due to α- thalassemia trait may thereby limit nitric oxide scavenging and promote vasodilation. To evaluate this potential mechanism, we performed flow-mediated dilation and microvascular post-occlusive reactive hyperemia in 27 human subjects (15 missing one or two α- globin genes and 12 healthy controls). Flow-mediated dilation was significantly higher in subjects with α-trait after controlling for age (P = .0357), but microvascular perfusion was not different between groups. As none of the subjects had anemia or hemolysis, the improvement in vascular function could be attributed to the difference in α- globin gene status. This may explain the beneficial effect of α- globin gene loss in sickle cell disease and suggests that α- globin gene status may play a role in other vascular diseases.
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Authors | Christopher C Denton, Payal Shah, Silvie Suriany, Honglei Liu, Wanwara Thuptimdang, John Sunwoo, Patjanaporn Chalacheva, Saranya Veluswamy, Roberta Kato, John C Wood, Jon A Detterich, Michael C K Khoo, Thomas D Coates |
Journal | American journal of hematology
(Am J Hematol)
Vol. 96
Issue 3
Pg. 277-281
(03 01 2021)
ISSN: 1096-8652 [Electronic] United States |
PMID | 33247606
(Publication Type: Journal Article, Research Support, N.I.H., Extramural, Research Support, Non-U.S. Gov't)
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Copyright | © 2020 Wiley Periodicals LLC. |
Chemical References |
- alpha-Globins
- Nitric Oxide
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Topics |
- Adolescent
- Adult
- Anthropometry
- Blood Pressure
- Brachial Artery
(pathology, physiopathology)
- Ethnicity
(genetics)
- Female
- Genotype
- Hemorheology
- Humans
- Hyperemia
(genetics, physiopathology)
- Laser-Doppler Flowmetry
- Male
- Microcirculation
(physiology)
- Middle Aged
- Nitric Oxide
(physiology)
- Vasodilation
(physiology)
- Young Adult
- alpha-Globins
(deficiency, genetics)
- alpha-Thalassemia
(genetics, physiopathology)
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