Genetic and nongenetic drivers of platelet reactivity in healthy Tanzanian individuals

Copyright © 2023 The Author(s). Published by Elsevier Inc. All rights reserved..

BACKGROUND: Platelets play a key role in hemostasis, inflammation, and cardiovascular diseases. Platelet reactivity is highly variable between individuals. The drivers of this variability in populations from Sub-Saharan Africa remain largely unknown.

OBJECTIVES: We aimed to investigate the nongenetic and genetic determinants of platelet reactivity in healthy adults living in a rapidly urbanizing area in Northern Tanzania.

METHODS: Platelet activation and reactivity were measured by platelet P-selectin expression and the binding of fibrinogen in unstimulated blood and after ex vivo stimulation with adenosine diphosphate and PAR-1 and PAR-4 ligands. We then analyzed the associations of platelet parameters with host genetic and nongenetic factors, environmental factors, plasma inflammatory markers, and plasma metabolites.

RESULTS: Only a few associations were found between platelet reactivity parameters and plasma inflammatory markers and nongenetic host and environmental factors. In contrast, untargeted plasma metabolomics revealed a large number of associations with food-derived metabolites, including phytochemicals that were previously reported to inhibit platelet reactivity. Genome-wide single-nucleotide polymorphism genotyping identified 2 novel single-nucleotide polymorphisms (rs903650 and rs4789332) that were associated with platelet reactivity at the genome-wide level (P < 5 × 10-8) as well as a number of variants in the PAR4 gene (F2RL3) that were associated with PAR4-induced reactivity.

CONCLUSION: Our study uncovered factors that determine variation in platelet reactivity in a population in East Africa that is rapidly transitioning to an urban lifestyle, including the importance of genetic ancestry and the gradual abandoning of the traditional East African diet.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:22

Enthalten in:

Journal of thrombosis and haemostasis : JTH - 22(2024), 3 vom: 29. März, Seite 805-817

Sprache:

Englisch

Beteiligte Personen:

Kullaya, Vesla I [VerfasserIn]
Temba, Godfrey S [VerfasserIn]
Vadaq, Nadira [VerfasserIn]
Njau, Judith [VerfasserIn]
Boahen, Collins K [VerfasserIn]
Nkambule, Bongani B [VerfasserIn]
Thibord, Florian [VerfasserIn]
Chen, Ming-Huei [VerfasserIn]
Pecht, Tal [VerfasserIn]
Lyamuya, Furaha [VerfasserIn]
Kumar, Vinod [VerfasserIn]
Netea, Mihai G [VerfasserIn]
Mmbaga, Blandina T [VerfasserIn]
van der Ven, Andre [VerfasserIn]
Johnson, Andrew D [VerfasserIn]
de Mast, Quirijn [VerfasserIn]

Links:

Volltext

Themen:

Genetics
Journal Article
P-selectin
Platelet activation
Platelets
Protease-activated receptors
Receptor, PAR-1

Anmerkungen:

Date Completed 01.03.2024

Date Revised 01.03.2024

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.jtha.2023.11.014

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM365209988