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TGFBR3 Polymorphisms (rs1805110 and rs7526590) Are Associated with Laboratory Biomarkers and Clinical Manifestations in Sickle Cell Anemia

Individuals with sickle cell anemia (SCA) present chronic anemia, hemolysis, an exacerbated inflammatory response, and heterogeneous clinical complications, which may be modulated by the transforming growth factor beta (TGF-β) pathway. Thus, we aimed to investigate polymorphisms (rs1805110 and rs7526590) of the transforming growth factor beta receptor III gene (TGFBR3) with regard to laboratory biomarkers and clinical manifestations in individuals with SCA. Hematological, biochemical, immunological, and genetic analyses were carried out, as well as serum endothelin-1 measurements. The minor allele (A) of the TGFBR3 rs1805110 polymorphism was associated with increased hemoglobin, hematocrit, reticulocyte counts, total cholesterol, low-density lipoprotein, uric acid, and endothelin levels, as well as decreased platelet distribution width (PDW) and the occurrence of bone alterations. The minor allele (T) of TGFBR3 rs7526590 was associated with increased red cell distribution width, PDW, alkaline phosphatase, aspartate aminotransferase, total and indirect bilirubin, and lactate dehydrogenase levels, as well as lower ferritin levels and the occurrence of leg ulcers. Our data suggest that the minor allele (A) of TGFBR3 rs1805110 is associated with inflammation and bone alterations, while the minor allele (T) of TGFBR3 rs7526590 is related to hemolysis and the occurrence of leg ulcers.


Introduction
Sickle cell anemia (SCA) is an inherited hematological disorder characterized by the presence of the beta allele S (β S ) in homozygosis. SCA, the most common and severe form of sickle cell disease (SCD), is associated with more prominent hemolytic anemia, vaso-occlusive events (VOE), and a broad spectrum of clinical complications [1,2].
Clinical manifestations in SCA are closely related to two main pathophysiological mechanisms: hemolysis and vasoocclusion. Hemolysis reduces the bioavailability of nitric oxide (NO), which alters the homeostasis of vascular functions, triggering several clinical manifestations, such as pulmonary hypertension (PH), priapism, and stroke. Sickle erythrocyte adherence can also occur due to decreased NO bioavailability, leading to VOE, acute chest syndrome (ACS), and osteonecrosis [3][4][5].
In accordance with the heterogeneity and complexity of SCD, three subphenotypes have been established: viscosity vaso-occlusive, hemolysis-endothelial dysfunction, and dyslipidemic [3,4]. The former subphenotype refers to individuals with high hemoglobin levels and an elevated frequency of clinical manifestations associated with the sickling of red blood cells (RBC), such as osteonecrosis, ACS, VOE, and pain crisis [3]. Differently, the hemolysis-endothelial dysfunction subphenotype characterizes individuals with more intense anemia and hemolysis who present clinical manifestations including stroke, leg ulcers, priapism, and PH [3,6]. In the dyslipidemic subphenotype, individuals present an inflammatory profile decreased levels of low-density lipoproteins (LDL-C), high-density lipoprotein (HDL-C), and NO [4].
The influence of an individual's genetic background on the spectrum of clinical manifestations in SCD has prompted the search for novel biomarkers of disease severity. In this context, the transforming growth factor beta receptor III (TGFBR3) gene, also known as betaglycan, which is expressed in endothelial and hematopoietic cells, fibroblasts, and other cell types, is thought to be a candidate genetic factor that modulates SCA severity [7]. TGFBR3 encodes a receptor of the transforming growth factor beta (TGF-β) family, TGF-β type III receptor (TβRIII), which presents affinity to all three TGF-β isoforms [8]. Polymorphisms in TGFBR3 have been previously associated with clinical manifestations in SCD, such as pain crisis, ACS, infection, stroke, leg ulcers, priapism, osteonecrosis, and PH [7,[9][10][11][12][13][14][15]. A previous report suggested the association of TGFBR3 rs7526590 with priapism in individuals with SCD [9]. Another polymorphism, TGFBR3 rs1805110, despite not being previously investigated in the context of SCD, was associated with Behcet's disease, an inflammatory disorder in the Chinese population characterized by blood vessel inflammation [16]. Carvalho et al. described lower TGF-β levels in individuals with SCD in crisis state in comparison to those in steady state or healthy volunteers [17]. The TGF-β pathway, which consists of TGF-β, activins, and bone morphogenetic proteins (BMP), has been implicated in a shortened life expectancy in individuals with SCD [18]. Moreover, inflammation, hematopoiesis, immune response, angiogenesis, and other cellular processes are known to be regulated by the TGF-β pathway [11]. Considering that these processes are also related to the pathogenesis of SCA, we endeavored to investigate polymorphisms TGFBR3 rs1805110 and rs7526590 with respect to associations between laboratory biomarkers and clinical manifestations in individuals with SCA.

Material and Methods
2.1. Subjects. The present cross-sectional study included 120 individuals with SCA, 54 (45%) females, all seen at the Bahia State Hematology and Hemotherapy Foundation (HEMOBA) from 2016 to 2017. All SCA patients were in steady state, defined as the absence of acute episodes as well as any significant medical support within the three months prior to inclusion. Median participant age was 15 years (IQR 12-17).
The research protocol was approved by the Institutional Research Board of the São Rafael Hospital (HSR protocol number 1400535) and was conducted in accordance with the Declaration of Helsinki (1964) and its subsequent revisions. All individuals or their legal guardians agreed to the biological sample collection procedures and provided signed terms of informed consent. Data pertaining to clinical manifestations was collected from patient medical records.

Hematological and Biochemical
Parameters. Blood samples were collected by HEMOBA staff following a fasting period of no less than 12 hours. Hematological and biochemical parameter analysis was performed at the Clinical Analyses Laboratory of the College of Pharmaceutical Sciences, Federal University of Bahia (FACFAR-UFBA), while genetic and immunological analyses were performed at the Laboratory of Genetic Investigation and Translational Hematology at the Gonçalo Moniz Institute-FIOCRUZ (LIGHT-IGM/FIO-CRUZ), both located in Salvador, Bahia-Brazil.
A Beckman Coulter LH 780 Hematology Analyzer (Beckman Coulter, Brea, California, USA) was used to quantify hematological parameters. Hemoglobin profiles were determined by high-performance liquid chromatography using an HPLC/Variant-II hemoglobin testing system (Bio-Rad, Hercules, California, USA).
Serum endothelin-1 levels were measured using an Endothelin-1 Quantikine ELISA Kit (R&D Systems, Minneapolis, MN, USA) in accordance with the manufacturer's protocol.

Genetic and Linkage Disequilibrium Analyses.
Genomic DNA was extracted from peripheral blood using a QIAamp DNA Blood Mini Kit (QIAGEN, Hilden, Westphalia, Germany) following the manufacturer's recommendations. TGFBR3 polymorphisms (rs1805110 and rs7526590) were detected, and genotyping was performed using TaqMan SNP Genotyping Assays (Applied Biosystems, Foster City, CA) on a 7500 Fast Real-Time PCR System (Applied Biosystems, Foster City, CA).

Disease Markers
Linkage disequilibrium between these two SNPs was determined using the SNPStats web tool, considering D 2 and r values. [19] 2.4. Statistical Analysis. All analyses were performed using the Statistical Package for the Social Sciences (SPSS) v. 20.0 software (IBM, Armonk, New York, USA) and GraphPad Prism version 6.0 (GraphPad Software, San Diego, California, USA).
Significance was considered when p < 0:05. The Shapiro-Wilk test was used to determine the distribution of quantitative variables. The Mann-Whitney U test or independent t-test was used to compare two numerical variables depending on distribution. Hardy-Weinberg equilibrium (HWE) was assessed using the chi-squared test (χ 2 test). Associations between polymorphisms and clinical data were performed using Fisher's exact test or the χ 2 test with Yates correction.  Disease Markers

Results
3.1. Individual Characteristics. S1 Table lists the hematological and biochemical laboratory parameters of SCA patients, with results expressed as means ± standard deviation and median (IQR).

Associations between Clinical Manifestations and
Polymorphisms TGFBR3 rs1805110 and rs7526590. The dominant genetic model was used to investigate associations between the minor alleles of the investigated polymorphisms and clinical manifestations.
The minor allele (A/G+A/A) of the TGFBR3 rs1805110 polymorphism was found to be associated with a previous history of bone alterations (p = 0:006) (Figure 3) ( Table 2).
The minor allele of TGFBR3 rs7526590 was associated with a history of leg ulcers (p = 0:037) ( Table 2). We also observed that individuals with a previous history of leg ulcers (LU+) presented higher AST (p = 0:006) and LDH levels (p = 0:004) (Figure 4) than those without leg ulcers (LU-). Importantly, all individuals with a history of leg ulcers who were carriers of the T allele presented increased AST levels (p = 0:024).

Discussion
It has been previously described that TGFBR3 encodes TβRIII, which is able to bind to all three isoforms of TGF-β [8]. The TGF-β pathway is involved in the regulation of inflammation, hematopoiesis, immune response, angiogenesis, and other cellular processes, which are relevant in the context of SCD [11]. Thus, we chose to investigate associations between the TGFBR3 rs1805110 and rs7526590 polymorphisms with laboratory biomarkers and clinical manifestations in a group of steady-state SCA patients.
We identified that individuals who carried the minor allele (A/G+A/A) of the TGFBR3 rs1805110 polymorphism presented increased Hb, Ht, reticulocyte counts, LDL-C, uric acid, and endothelin levels, as well as decreased PDW. In addition, individuals with the minor allele A presented milder anemia when compared with the GG genotype. Our results suggest that inflammation was more prominent in these individuals than in carriers of the GG genotype. LDL-C plays an important proinflammatory role in vascular disease [20]. LDL-C attaches to the walls of blood vessels and becomes oxidized by reactive oxygen species (ROS), resulting in oxidized LDL. In SCA, LDL-C is more susceptible to oxidation and is considered an important marker of oxidative stress and vasculopathy [21]. Additionally, uric acid can accelerate the oxidative process in mildly oxidized LDL-C, contributing to endothelial activation and oxidative stress [22]. A previous study demonstrated the role of uric acid in activating the inflammasome pathway in individuals with SCA, leading to a proinflammatory state. These authors also demonstrated the participation of this biomarker in inflammatory events associated with SCD [23].
Carriers of the minor allele (A/G+A/A) of the TGFBR3 rs1805110 polymorphism also had higher endothelin levels, which suggests a greater propensity of presenting vasoconstriction events and endothelial dysfunction. TGF-β is one of the factors that induces endothelin-1 expression by way of the overexpression of Smad3 [24]. Endothelin is a mediator produced by endothelial and immune cells, as well as neurons. This molecule acts as a vasoconstrictor by activating  [25,26]. In addition, these individuals also presented decreased PDW, indicating better platelet uniformity than in individuals with the GG genotype [27]. An in vitro evaluation showed that TGF-β1 can inhibit erythropoiesis, consequently affecting thrombopoiesis, by blocking the proliferation of erythroid progenitors and accelerating differentiation in these cells [28].
The minor allele (A) of the TGFBR3 rs1805110 polymorphism was also associated with the occurrence of bone alterations, such as osteonecrosis of the femoral head and osteomyelitis, both clinical complications commonly seen in individuals with SCD [29]. A previous study demonstrated that other polymorphisms in TGFBR3 were associated with osteonecrosis in individuals with SCD [15]. Furthermore, the TGFBR3 rs1805110 polymorphism was also found to be  6 Disease Markers associated with Behcet's disease in both Caucasians and the Chinese Han population [16,30]. Behcet's disease is a multisystem inflammatory disease, which can lead to the development of osteonecrosis and bone infarction in some cases [30,31]. Our association analysis further identified high PDW in SCA patients who carried the minor allele (T) of the TGFBR3 rs7526590 polymorphism. A previous study found that individuals with SCD presented increased PDW, suggesting bone marrow hyperplasia with the release of subfunctional platelets [27]. In addition, another study demonstrated the involvement of TGF-β in hematopoiesis through the control of behavior, quiescence, and the renewal of hematopoietic stem cells [32].
High levels of alkaline phosphatase, an indicator of tissue injury, were identified in SCA individuals who carried the minor allele (T) of the TGFBR3 rs7526590 polymorphism. Previous studies have also observed high alkaline phosphatase levels in individuals with SCA [33,34], and the literature attributes these high levels to intrahepatic sinusoidal sickling capable of damaging liver tissue [34].
The SCA individuals who carried the minor allele (T) of the TGFBR3 rs7526590 polymorphism also presented increased RDW and higher indirect markers of intravascular hemolysis, such as AST, IB, and LDH, as well as decreased ferritin levels, which is suggestive of an association with hemolysis. During intravascular hemolysis, RBCs release LDH and AST simultaneously with hemoglobin and arginase into the bloodstream [6,35]. In extravascular hemolysis, macrophages in the spleen and liver remove senescent and damaged RBCs, leading to the release of the heme group of hemoglobin, which is converted into unconjugated bilirubin [5]. Individuals with SCA present the most severe form of SCD due to more pronounced hemolysis have more intensive anemia and frequently present complications arising from hemolysis [1,36].
The minor allele (T) of the TGFBR3 rs7526590 polymorphism was found to be associated with the occurrence of leg ulcers. A recent study demonstrated that this polymorphism was associated with priapism in individuals with SCD [9]. Leg ulcers and priapism were classified by Kato et al. [3] as part of the hemolytic subphenotype, which is reinforced by Taylor et al. [37] who reported that PH, leg ulcers, and priapism were more prevalent in individuals with SCD and hyperhemolysis syndrome. Our results indicate that SCA individuals with a prior history of leg ulcers present higher levels of hemolytic markers, AST, and LDH than individuals who did not report this condition. Indeed, several studies have associated high AST and LDH levels with leg ulcers and priapism in individuals with SCD [3,6,38,39]. A further analysis of the SCA individuals with a previous history of leg ulcers identified that those who carried the minor allele of the TGFBR3 rs7526590 polymorphism presented increased AST levels. This finding serves to reinforce the association of the minor allele in this polymorphism with a hemolytic subphenotype and the occurrence of hemolysis in SCA.
Our findings suggest that rs1805110 seems to be related to inflammation, and rs7526590 appeared to be linked to hemolysis and clinical manifestations, especially the occur-rence of leg ulcers arising from a hemolytic process. Collectively, our results corroborate the role of hemolytic parameters in addition to clinical manifestations associated with TGBR3 polymorphism, highlighting the relevance investigating novel biomarkers of disease severity in the clinical management of individuals with SCA. To the best of our knowledge, the present study is the first attempt to demonstrate associations between these polymorphisms and hematological and biochemical parameters in SCD.

Conclusion
The results presented herein suggest that the minor allele (A) of TGFBR3 rs1805110 is associated with an inflammatory state and the occurrence of bone alterations in SCA, while the minor allele (T) of TGFBR3 rs7526590 is associated with a hemolytic subphenotype and related clinical manifestations, such as leg ulcers. Thus, we suggest that gene TGFBR3 plays an important role in the physiopathology of SCA. Further studies are essential to evaluate TGFBR3 as a prognostic marker and identify possible therapeutic targets in individuals suffering from SCD. It is important to emphasize that although this study focused on pediatric individuals, disease complications tend to worsen with increasing age.

Data Availability
All relevant data used to support the findings of this study are included within the article and the supplementary information file.

Disclosure
The sponsors of this study, who played no role in gathering, analyzing, or interpreting the data presented herein, are public organizations whose role is to support science in general.

Conflicts of Interest
The authors declare that there is no conflict of interest regarding the publication of this paper.