Altered erythroid-related miRNA levels as a possible novel biomarker for detection of autologous blood transfusion misuse in sport.


Journal

Transfusion
ISSN: 1537-2995
Titre abrégé: Transfusion
Pays: United States
ID NLM: 0417360

Informations de publication

Date de publication:
08 2019
Historique:
received: 09 07 2018
revised: 01 04 2019
accepted: 11 04 2019
pubmed: 31 5 2019
medline: 2 6 2020
entrez: 1 6 2019
Statut: ppublish

Résumé

Autologous blood transfusion (ABT) is a performance-enhancing method prohibited in sport; its detection is a key issue in the field of anti-doping. Among novel markers enabling ABT detection, microRNAs (miRNAs) might be considered a promising analytical tool. We studied the changes of erythroid-related microRNAs following ABT, to identify novel biomarkers. Fifteen healthy trained males were studied from a population of 24 subjects, enrolled and randomized into a Transfusion (T) and a Control (C) group. Seriated blood samples were obtained in the T group before and after the two ABT procedures (withdrawal, with blood refrigerated or cryopreserved, and reinfusion), and in the C group at the same time points. Traditional hematological parameters were assessed. Samples were tested by microarray analysis of a pre-identified set of erythroid-related miRNAs. Hematological parameters showed moderate changes only in the T group, particularly following blood withdrawal. Among erythroid-related miRNAs tested, following ABT a pool of 7 miRNAs associated with fetal hemoglobin and regulating transcriptional repressors of gamma-globin gene was found stable in C and differently expressed in three out of six T subjects in the completed phase of ABT, independently from blood conservation. Particularly, two or more erythropoiesis-related miRNAs within the shortlist constituted of miR-126-3p, miR-144-3p, miR-191-3p, miR-197-3p, miR-486-3p, miR-486-5p, and miR-92a-3p were significantly upregulated in T subjects after reinfusion, with a person-to-person variability but with congruent changes. This study describes a signature of potential interest for ABT detection in sports, based on the analysis of miRNAs associated with erythroid features.

Sections du résumé

BACKGROUND
Autologous blood transfusion (ABT) is a performance-enhancing method prohibited in sport; its detection is a key issue in the field of anti-doping. Among novel markers enabling ABT detection, microRNAs (miRNAs) might be considered a promising analytical tool.
STUDY DESIGN AND METHODS
We studied the changes of erythroid-related microRNAs following ABT, to identify novel biomarkers. Fifteen healthy trained males were studied from a population of 24 subjects, enrolled and randomized into a Transfusion (T) and a Control (C) group. Seriated blood samples were obtained in the T group before and after the two ABT procedures (withdrawal, with blood refrigerated or cryopreserved, and reinfusion), and in the C group at the same time points. Traditional hematological parameters were assessed. Samples were tested by microarray analysis of a pre-identified set of erythroid-related miRNAs.
RESULTS
Hematological parameters showed moderate changes only in the T group, particularly following blood withdrawal. Among erythroid-related miRNAs tested, following ABT a pool of 7 miRNAs associated with fetal hemoglobin and regulating transcriptional repressors of gamma-globin gene was found stable in C and differently expressed in three out of six T subjects in the completed phase of ABT, independently from blood conservation. Particularly, two or more erythropoiesis-related miRNAs within the shortlist constituted of miR-126-3p, miR-144-3p, miR-191-3p, miR-197-3p, miR-486-3p, miR-486-5p, and miR-92a-3p were significantly upregulated in T subjects after reinfusion, with a person-to-person variability but with congruent changes.
CONCLUSIONS
This study describes a signature of potential interest for ABT detection in sports, based on the analysis of miRNAs associated with erythroid features.

Identifiants

pubmed: 31148196
doi: 10.1111/trf.15383
doi:

Substances chimiques

Biomarkers 0
MicroRNAs 0

Types de publication

Clinical Trial Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

2709-2721

Informations de copyright

© 2019 AABB.

Références

World Anti-Doping Agency 2018 list of prohibited substances and methods. [cited 2018 Feb 14]. Available from: https://www.wada-ama.org/en/content/what-is-prohibited.
Jelkmann W, Lundby C. Blood doping and its detection. Blood 2011;118:2395-404.
Mørkeberg J. Detection of autologous blood transfusions in athletes: a historical perspective. Transfus Med Rev 2012;26:199-208.
Segura J, Lundby C. Blood doping: potential of blood and urine sampling to detect autologous transfusion. Br J Sports Med 2014;48:837-41.
Segura J, Monfort N, Ventura R. Detection methods for autologous blood doping. Drug Test Anal 2012;4:876-81.
Gore CJ, Parisotto R, Ashenden MJ, et al. Second-generation blood tests to detect erythropoietin abuse by athletes. Haematologica 2003;88:333-44.
Pottgiesser T, Sottas PE, Echteler T, et al. Detection of autologous blood doping with adaptively evaluated biomarkers of doping: a longitudinal blinded study. Transfusion 2011;51:1707-15.
Schumacher YO, Saugy M, Pottgiesser T, et al. Detection of EPO doping and blood doping: the haematological module of the Athlete Biological Passport. Drug Test Anal 2012;4:846-53.
Salamin O, De Angelis S, Tissot JD, et al. Autologous blood transfusion in sports: emerging biomarkers. Transfus Med Rev 2016;30:109-15.
Malm CB, Khoo NS, Granlund I, et al. Autologous doping with cryopreserved red blood cells - effects on physical performance and detection by multivariate statistics. PLoS One 2016;11:e0156157.
Damsgaard R, Munch T, Mørkeberg J, et al. Effects of blood withdrawal and reinfusion on biomarkers of erythropoiesis in humans: implications for antidoping strategies. Haematologica 2006;91:1006-8.
Leuenberger N, Barras L, Nicoli R, et al. Hepcidin as a new biomarker for detecting autologous blood transfusion. Am J Hematol 2016;91:467-72.
Leuenberger N, Barras L, Nicoli R, et al. Urinary di-(2-ethylhexyl) phthalate metabolites for detecting transfusion of autologous blood stored in plasticizer-free bags. Transfusion 2016;56:571-8.
Nikolovski Z, De La Torre C, Chiva C, et al. Alterations of the erythrocyte membrane proteome and cytoskeleton network during storage-a possible tool to identify autologous blood transfusion. Drug Test Anal 2012;4:882-90.
Reichel C. OMICS-strategies and methods in the fight against doping. Forensic Sci Int 2011;213:20-34.
Donati F, Boccia F, De La Torre X, et al. MicroRNA analysis for the detection of autologous blood transfusion in doping control. Agilent Application Note 2015; 25 March:5991-5717EN.
Leuenberger N, Schumacher YO, Pradervand S, et al. Circulating microRNAs as biomarkers for detection of autologous blood transfusion. PLoS One 2013;8:e66309.
He L, Hannon GJ. MicroRNAs: small RNAs with a big role in gene regulation. Nat Rev Genet 2004;5:522-31.
Gasparello J, Fabbri E, Bianchi N, et al. BCL11A mRNA targeting by miR-210: a possible network regulating γ-globin gene expression. Int J Mol Sci 2017;18:E2530.
Ferrari D, Bianchi N, Eltzschig HK, et al. MicroRNAs modulate the purinergic signaling network. Trends Mol Med 2016;22:905-18.
Brognara E, Fabbri E, Bazzoli E, et al. Uptake by human glioma cell lines and biological effects of a peptide-nucleic acids targeting miR-221. J Neurooncol 2014;11:19-28.
Kroh EM, Parkin RK, Mitchell PS, et al. Analysis of circulating microRNA biomarkers in plasma and serum using quantitative reverse transcription-PCR (qRT-PCR). Methods 2010;50:298-301.
Costa MC, Leitão AL, Enguita FJ. MicroRNA profiling in plasma or serum using quantitative RT-PCR. Methods Mol Biol 2014;1182:121-9.
Watier T, Mj Sanchez A. Micro-RNAs, exercise and cellular plasticity in humans: the impact of dietary factors and hypoxia. Microrna 2017;6:110-24.
Correia CN, Nalpas NC, McLoughlin KE, et al. Circulating microRNAs as potential biomarkers of infectious disease. Front Immunol 2017;8:118.
Zhao Y, Song Y, Yao L, et al. Circulating microRNAs: promising biomarkers involved in several cancers and other diseases. DNA Cell Biol 2017;36:77-94.
Lamberti N, Finotti A, Gasparello J, et al. Changes in hemoglobin profile reflect autologous blood transfusion misuse in sports. Intern Emerg Med 2018;13:517-26.
Finotti A, Bianchi N, Fabbri E, et al. Erythroid induction of K562 cells treated with mithramycin is associated with inhibition of raptor gene transcription and mammalian target of rapamycin complex 1 (mTORC1) functions. Pharmacol Res 2015;91:57-68.
Bianchi N, Finotti A, Ferracin M, et al. Increase of microRNA-210, decrease of raptor gene expression and alteration of mammalian target of rapamycin regulated proteins following mithramycin treatment of human erythroid cells. PLoS One 2015;10:e0121567.
El-Khoury V, Pierson S, Kaoma T, et al. Assessing cellular and circulating miRNA recovery: the impact of the RNA isolation method and the quantity of input material. Sci Rep 2016;6:19529.
Duy J, Koehler JW, Honko AN, et al. Optimized microRNA purification from TRIzol-treated plasma. BMC Genomics 2015;16:95.
Rice J, Roberts H, Burton J, et al. Assay reproducibility in clinical studies of plasma miRNA. PLoS One 2015;10:e0121948.
Brzobohatá K, Drozdová E, Smutný J, et al. Comparison of suitability of the most common ancient DNA quantification methods. Genet Test Mol Biomarkers 2017;21:265-71.
Bolstad BM, Irizarry RA, Astrand M, et al. A comparison of normalization methods for high density oligonucleotide array data based on variance and bias. Bioinformatics 2003;19:185-93.
Gasparello J, Allegretti M, Tremante E, et al. Liquid biopsy in mice bearing colorectal carcinoma xenografts: gateways regulating the levels of circulating tumor DNA (ctDNA) and miRNA (ctmiRNA). J Exp Clin Cancer Res 2018;37:124.
Risso A, Fabbro D, Damante G, et al. Expression of fetal hemoglobin in adult humans exposed to high altitude hypoxia. Blood Cells Mol Dis 2012;48:147-53.
Seeley TW, Sternlicht MD, Klaus SJ, et al. Induction of erythropoiesis by hypoxia-inducible factor prolyl hydroxylase inhibitors without promotion of tumor initiation, progression, or metastasis in a VEGF-sensitive model of spontaneous breast cancer. Hypoxia (Auckl) 2017;5:1-9.
Noh SJ, Miller SH, Lee YT, et al. Let-7 microRNAs are developmentally regulated in circulating human erythroid cells. J Transl Med 2009;7:98.
Ruan J, Liu X, Xiong X, et al. miR-107 promotes the erythroid differentiation of leukemia cells via the downregulation of Cacna2d1. Mol Med Rep 2015;11:1334-9.
Xiao S, Liao S, Zhou Y, et al. High expression of octamer transcription factor 1 in cervical cancer. Oncol Lett 2014;7:1889-94.
Gañán-Gómez I, Wei Y, Yang H, et al. Overexpression of miR-125a in myelodysplastic syndrome CD34+ cells modulates NF-κB activation and enhances erythroid differentiation arrest. PLoS One 2014;9:e93404.
Huang X, Gschweng E, Van Handel B, et al. Regulated expression of microRNAs-126/126* inhibits erythropoiesis from human embryonic stem cells. Blood 2011;117:2157-65.
Pase L, Layton JE, Kloosterman WP, et al. miR-451 regulates zebrafish erythroid maturation in vivo via its target gata2. Blood 2009;113:1794-804.
Fu YF, Du TT, Dong M, et al. Mir-144 selectively regulates embryonic alpha-hemoglobin synthesis during primitive erythropoiesis. Blood 2009;113:1340-9.
Zhai PF, Wang F, Su R, et al. The regulatory roles of microRNA-146b-5p and its target platelet-derived growth factor receptor α (PDGFRA) in erythropoiesis and megakaryocytopoiesis. PLoS One 2014;9:e93404.
Sun Z, Wang Y, Han X, et al. miR-150 inhibits terminal erythroid proliferation and differentiation. Blood 2015;125:1302-13.
Xiao C, Calado DP, Galler G, et al. MiR-150 controls B cell differentiation by targeting the transcription factor c-Myb. Cell 2007;131:146-59.
Pule GD, Mowla S, Novitzky N, et al. Hydroxyurea down-regulates BCL11A, KLF-1 and MYB through miRNA-mediated actions to induce γ-globin expression: implications for new therapeutic approaches of sickle cell disease. Clin Transl Med 2016;5:15.
Finotti A, Gambari R. Recent trends for novel options in experimental biological therapy of β-thalassemia. Expert Opin Biol Ther 2014;14:1443-54.
O'Connell RM, Rao DS, Chaudhuri AA, et al. Sustained expression of microRNA-155 in hematopoietic stem cells causes a myeloproliferative disorder. J Exp Med 2008;205:585-94.
Xie Q, Chen X, Lu F, et al. Aberrant expression of microRNA 155 may accelerate cell proliferation by targeting sex-determining region Y box 6 in hepatocellular carcinoma. Cancer 2012;118:2431-42.
Sankaran VG, Menne TF, Šćepanović D, et al. MicroRNA-15a and −16-1 act via MYB to elevate fetal hemoglobin expression in human trisomy 13. Proc Natl Acad Sci U S A 2011;108:1519-24.
Zhang L, Flygare J, Wong P, et al. miR-191 regulates mouse erythroblast enucleation by down-regulating Riok3 and Mxi1. Genes Dev 2011;25:119-24.
Li Y, Bai H, Zhang Z, et al. The up-regulation of miR-199b-5p in erythroid differentiation is associated with GATA-1 and NF-E2. Mol Cells 2014;37:213-9.
Ding J, Chen J, Wang Y, et al. Trbp regulates heart function through microRNA-mediated Sox6 repression. Nat Genet 2015;47:776-83.
Kim JM, Lim KS, Hong JS, et al. A polymorphism in the porcine miR-208b is associated with microRNA biogenesis and expressions of SOX-6 and MYH7 with effects on muscle fibre characteristics and meat quality. Anim Genet 2015;46:73-7.
Bianchi N, Zuccato C, Lampronti I, et al. Expression of miR-210 during erythroid differentiation and induction of gamma-globin gene expression. BMB Rep 2009;42:493-9.
Li Y, Liu S, Sun H, et al. MiR-218 inhibits erythroid differentiation and alters iron metabolism by targeting ALAS2 in K562 cells. Int J Mol Sci 2015;16:28156-68.
Gabbianelli M, Testa U, Morsilli O, et al. Mechanism of human Hb switching: a possible role of the kit receptor/miR 221-222 complex. Haematologica 2010;95:1253-60.
Felli N, Pedini F, Romania P, et al. MicroRNA 223-dependent expression of LMO2 regulates normal erythropoiesis. Int J Biochem Cell Biol 2013;45:2519-29.
Zhu Y, Wang D, Wang F, et al. A comprehensive analysis of GATA-1-regulated miRNAs reveals miR-23a to be a positive modulator of erythropoiesis. Nucleic Acids Res 2013;41:4129-43.
Wang F, Zhu Y, Guo L, et al. A regulatory circuit comprising GATA1/2 switch and microRNA-27a/24 promotes erythropoiesis. Nucleic Acids Res 2014;42:442-57.
Alijani S, Alizadeh S, Kazemi A, et al. Evaluation of the effect of miR-26b up-regulation on HbF expression in erythroleukemic K-562 cell line. Avicenna J Med Biotechnol 2014;6:53-6.
Jiang BY, Zhang XC, Su J, et al. BCL11A overexpression predicts survival and relapse in non-small cell lung cancer and is modulated by microRNA-30a and gene amplification. Mol Cancer 2013;12:61.
Mittal SP, Mathai J, Kulkarni AP, et al. miR-320a regulates erythroid differentiation through MAR binding protein SMAR1. Cell Res 2011;21:1196-209.
Navarro F, Gutman D, Meire E, et al. miR-34a contributes to megakaryocytic differentiation of K562 cells independently of p53. Blood 2009;114:2181-92.
Wang F, Yu J, Yang GH, et al. Regulation of erythroid differentiation by miR-376a and its targets. Cell Res 2011;21:1196-209.
Liu Y, Wang Y, Sun X, et al. miR-449a promotes liver cancer cell apoptosis by downregulation of Calpain 6 and POU2F1. Oncotarget 2016;7:13491-501.
Lulli V, Romania P, Morsilli O, et al. MicroRNA-486-3p regulates γ-globin expression in human erythroid cells by directly modulating BCL11A. PLoS One 2013;8:e60436.
Wang F, Yu J, Yang GH, et al. Regulation of erythroid differentiation by miR-376a and its targets. Blood 2009;113:1794-804.
Hojjati MT, Azarkeivan A, Pourfathollah AA, et al. Comparison of microRNAs mediated in reactivation of the γ-globin in β-thalassemia patients, responders and non-responders to hydroxyurea. Hemoglobin 2017;41:110-5.
Yoo JK, Kim J, Choi SJ, et al. Discovery and characterization of novel microRNAs during endothelial differentiation of human embryonic stem cells. Stem Cells Dev 2012;21:2049-57.
Li YC, Li CF, Chen LB, et al. MicroRNA-766 targeting regulation of SOX6 expression promoted cell proliferation of human colorectal cancer. Onco Targets Ther 2015;8:2981-8.
Li Y, Vecchiarelli-Federico LM, Li YJ, et al. The miR-17-92 cluster expands multipotent hematopoietic progenitors whereas imbalanced expression of its individual oncogenic miRNAs promotes leukemia in mice. Blood 2012;119:4486-98.
Azzouzi I, Moest H, Winkler J, et al. MicroRNA-96 directly inhibits γ-globin expression in human erythropoiesis. PLoS One 2011;6:e22838.
Emmrich S, Rasche M, Schöning J, et al. miR-99a/100~125b tricistrons regulate hematopoietic stem and progenitor cell homeostasis by shifting the balance between TGFβ and Wnt signaling. Genes Dev 2014;28:858-74.
Willinger CM, Rong J, Tanriverdi K, et al. MicroRNA signature of cigarette smoking and evidence for a putative causal role of microRNAs in smoking-related inflammation and target organ damage. Circ Cardiovasc Genet 2017;10:e001678.
Zhao J, Qiao CR, Ding Z, et al. A novel pathway in NSCLC cells: miR 191, targeting NFIA, is induced by chronic hypoxia, and promotes cell proliferation and migration. Mol Med Rep 2017;15:1319-25.
Nagpal N, Ahmad HM, Chameettachal S, et al. HIF-inducible miR-191 promotes migration in breast cancer through complex regulation of TGFβ-signaling in hypoxic microenvironment. Sci Rep 2015;5:9650.
Song Z, Ren H, Gao S, et al. The clinical significance and regulation mechanism of hypoxia-inducible factor-1 and miR-191expression in pancreatic cancer. Tumour Biol 2014;35:11319-28.
Manfredini AF, Malagoni AM, Litmanen H, et al. Performance and blood monitoring in sports: the artificial intelligence evoking target testing in antidoping (AR.I.E.T.T.A.) project. J Sports Med Phys Fitness 2011;51:153-9.

Auteurs

Jessica Gasparello (J)

Department of Life Sciences and Biotechnologies, Section of Biochemistry and Molecular Biology, University of Ferrara, Ferrara, Italy.

Nicola Lamberti (N)

Department of Biomedical and Surgical Specialties Sciences, Section of Sport Sciences, University of Ferrara, Ferrara, Italy.

Chiara Papi (C)

Department of Life Sciences and Biotechnologies, Section of Biochemistry and Molecular Biology, University of Ferrara, Ferrara, Italy.

Ilaria Lampronti (I)

Department of Life Sciences and Biotechnologies, Section of Biochemistry and Molecular Biology, University of Ferrara, Ferrara, Italy.

Lucia Carmela Cosenza (LC)

Department of Life Sciences and Biotechnologies, Section of Biochemistry and Molecular Biology, University of Ferrara, Ferrara, Italy.

Enrica Fabbri (E)

Department of Life Sciences and Biotechnologies, Section of Biochemistry and Molecular Biology, University of Ferrara, Ferrara, Italy.

Nicoletta Bianchi (N)

Department of Life Sciences and Biotechnologies, Section of Biochemistry and Molecular Biology, University of Ferrara, Ferrara, Italy.

Christel Zambon (C)

Department of Biomedical and Surgical Specialties Sciences, Section of Sport Sciences, University of Ferrara, Ferrara, Italy.

Francesca Dalla Corte (F)

Immunohematological and Transfusional Service, University Hospital of Ferrara, Ferrara, Italy.

Maurizio Govoni (M)

Immunohematological and Transfusional Service, University Hospital of Ferrara, Ferrara, Italy.

Roberto Reverberi (R)

Immunohematological and Transfusional Service, University Hospital of Ferrara, Ferrara, Italy.

Fabio Manfredini (F)

Department of Biomedical and Surgical Specialties Sciences, Section of Sport Sciences, University of Ferrara, Ferrara, Italy.

Roberto Gambari (R)

Department of Life Sciences and Biotechnologies, Section of Biochemistry and Molecular Biology, University of Ferrara, Ferrara, Italy.

Alessia Finotti (A)

Department of Life Sciences and Biotechnologies, Section of Biochemistry and Molecular Biology, University of Ferrara, Ferrara, Italy.

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