PMID- 37533140 OWN - NLM STAT- MEDLINE DCOM- 20231109 LR - 20240410 IS - 1555-905X (Electronic) IS - 1555-9041 (Print) IS - 1555-9041 (Linking) VI - 18 IP - 11 DP - 2023 Nov 1 TI - Differences in the Circulating Proteome in Individuals with versus without Sickle Cell Trait. PG - 1416-1425 LID - 10.2215/CJN.0000000000000257 [doi] AB - BACKGROUND: Sickle cell trait affects approximately 8% of Black individuals in the United States, along with many other individuals with ancestry from malaria-endemic regions worldwide. While traditionally considered a benign condition, recent evidence suggests that sickle cell trait is associated with lower eGFR and higher risk of kidney diseases, including kidney failure. The mechanisms underlying these associations remain poorly understood. We used proteomic profiling to gain insight into the pathobiology of sickle cell trait. METHODS: We measured proteomics ( N =1285 proteins assayed by Olink Explore) using baseline plasma samples from 592 Black participants with sickle cell trait and 1:1 age-matched Black participants without sickle cell trait from the prospective Women's Health Initiative cohort. Age-adjusted linear regression was used to assess the association between protein levels and sickle cell trait. RESULTS: In age-adjusted models, 35 proteins were significantly associated with sickle cell trait after correction for multiple testing. Several of the sickle cell trait-protein associations were replicated in Black participants from two independent cohorts (Atherosclerosis Risk in Communities study and Jackson Heart Study) assayed using an orthogonal aptamer-based proteomic platform (SomaScan). Many of the validated sickle cell trait-associated proteins are known biomarkers of kidney function or injury ( e.g. , hepatitis A virus cellular receptor 1 [HAVCR1]/kidney injury molecule-1 [KIM-1], uromodulin [UMOD], ephrins), related to red cell physiology or hemolysis (erythropoietin [EPO], heme oxygenase 1 [HMOX1], and alpha -hemoglobin stabilizing protein) and/or inflammation (fractalkine, C-C motif chemokine ligand 2/monocyte chemoattractant protein-1 [MCP-1], and urokinase plasminogen activator surface receptor [PLAUR]). A protein risk score constructed from the top sickle cell trait-associated biomarkers was associated with incident kidney failure among those with sickle cell trait during Women's Health Initiative follow-up (odds ratio, 1.32; 95% confidence interval, 1.10 to 1.58). CONCLUSIONS: We identified and replicated the association of sickle cell trait with a number of plasma proteins related to hemolysis, kidney injury, and inflammation. CI - Copyright (c) 2023 by the American Society of Nephrology. FAU - Cai, Yanwei AU - Cai Y AUID- ORCID: 0000-0002-3950-3794 AD - Division of Public Health Sciences, Fred Hutchinson Cancer Center, Seattle, Washington. FAU - Franceschini, Nora AU - Franceschini N AD - Department of Epidemiology, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, North Carolina. FAU - Surapaneni, Aditya AU - Surapaneni A AUID- ORCID: 0000-0003-4978-5980 AD - Department of Epidemiology and Welch Center for Prevention, Epidemiology, & Clinical Research, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland. AD - Welch Center for Prevention, Epidemiology, & Clinical Research, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland. FAU - Garrett, Melanie E AU - Garrett ME AUID- ORCID: 0000-0003-2302-6150 AD - Duke Molecular Physiology Institute, Duke University Medical Center, Durham, North Carolina. FAU - Tahir, Usman A AU - Tahir UA AD - Division of Cardiovascular Medicine, Beth Israel Deaconess Medical Center, Boston, Massachusetts. AD - Broad Institute of Harvard University and Massachusetts Institute of Technology, Cambridge, Massachusetts. FAU - Hsu, Li AU - Hsu L AUID- ORCID: 0000-0001-8168-4712 AD - Division of Public Health Sciences, Fred Hutchinson Cancer Center, Seattle, Washington. FAU - Telen, Marilyn J AU - Telen MJ AUID- ORCID: 0000-0003-3809-1780 AD - Duke Molecular Physiology Institute, Duke University Medical Center, Durham, North Carolina. AD - Division of Hematology, Department of Medicine, Duke University Medical Center, Durham, North Carolina. FAU - Yu, Bing AU - Yu B AUID- ORCID: 0000-0003-4818-1077 AD - School of Public Health, The University of Texas Health Science Center at Houston, Houston, Texas. FAU - Tang, Hua AU - Tang H AD - Department of Genetics, Stanford University School of Medicine, Stanford, California. FAU - Li, Yun AU - Li Y AUID- ORCID: 0000-0002-9275-4189 AD - Department of Genetics, University of North Carolina, Chapel Hill, North Carolina. FAU - Liu, Simin AU - Liu S AUID- ORCID: 0000-0003-2098-3844 AD - Center for Global Cardiometabolic Health, Departments of Epidemiology, Medicine, and Surgery, Brown University, Providence, Rhode Island. FAU - Gerszten, Robert E AU - Gerszten RE AUID- ORCID: 0000-0002-6767-7687 AD - Division of Cardiovascular Medicine, Beth Israel Deaconess Medical Center, Boston, Massachusetts. AD - Broad Institute of Harvard University and Massachusetts Institute of Technology, Cambridge, Massachusetts. FAU - Coresh, Josef AU - Coresh J AUID- ORCID: 0000-0002-4598-0669 AD - Department of Epidemiology and Welch Center for Prevention, Epidemiology, & Clinical Research, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland. AD - Welch Center for Prevention, Epidemiology, & Clinical Research, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland. FAU - Manson, JoAnn E AU - Manson JE AUID- ORCID: 0000-0002-9426-7595 AD - Brigham and Women's Hospital, Harvard Medical School, Harvard T.H. Chan School of Public Health, Boston, Massachusetts. FAU - Wojcik, Genevieve L AU - Wojcik GL AUID- ORCID: 0000-0001-7206-8088 AD - Department of Epidemiology and Welch Center for Prevention, Epidemiology, & Clinical Research, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland. FAU - Kooperberg, Charles AU - Kooperberg C AD - Department of Epidemiology, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, North Carolina. FAU - Auer, Paul L AU - Auer PL AUID- ORCID: 0000-0003-1735-8044 AD - Division of Biostatistics, Institute for Health and Equity, and Cancer Center, Medical College of Wisconsin, Milwaukee, Wisconsin. FAU - Foster, Matthew W AU - Foster MW AUID- ORCID: 0000-0003-0212-2346 AD - Division of Pulmonary, Allergy and Critical Care, Department of Medicine, Duke University Medical Center, Durham, North Carolina. FAU - Grams, Morgan E AU - Grams ME AUID- ORCID: 0000-0002-4430-6023 AD - Division of Precision Medicine, New York University Grossman School of Medicine, New York, New York. FAU - Ashley-Koch, Allison E AU - Ashley-Koch AE AUID- ORCID: 0000-0001-5409-9155 AD - Duke Molecular Physiology Institute, Duke University Medical Center, Durham, North Carolina. FAU - Raffield, Laura M AU - Raffield LM AUID- ORCID: 0000-0002-7892-193 AD - Department of Genetics, University of North Carolina, Chapel Hill, North Carolina. FAU - Reiner, Alex P AU - Reiner AP AD - Division of Public Health Sciences, Fred Hutchinson Cancer Center, Seattle, Washington. AD - Department of Epidemiology, University of Washington, Seattle, Washington. LA - eng GR - HHSN268201100037C/HL/NHLBI NIH HHS/United States GR - 75N92021D00002/HL/NHLBI NIH HHS/United States GR - 75N92021D00005/WH/WHI NIH HHS/United States GR - HHSN268201800014I/HB/NHLBI NIH HHS/United States GR - U01-HG011720/HG/NHGRI NIH HHS/United States GR - HHSN268201800014C/HL/NHLBI NIH HHS/United States GR - 75N92021D00001/HL/NHLBI NIH HHS/United States GR - 75N92021D00003/WH/WHI NIH HHS/United States GR - R01-MD012765/MD/NIMHD NIH HHS/United States GR - HHSN268201800015I/HB/NHLBI NIH HHS/United States GR - R01 MD012765/MD/NIMHD NIH HHS/United States GR - HHSN268201800010I/HB/NHLBI NIH HHS/United States GR - R01 HL117626/HL/NHLBI NIH HHS/United States GR - HHSN268201800011I/HB/NHLBI NIH HHS/United States GR - 75N92021D00004/WH/WHI NIH HHS/United States GR - HHSN268201800012I/HB/NHLBI NIH HHS/United States GR - HHSN268201800012C/HL/NHLBI NIH HHS/United States GR - R01 HL120393/HL/NHLBI NIH HHS/United States GR - R01 HL152439/HL/NHLBI NIH HHS/United States GR - U01 HL120393/HL/NHLBI NIH HHS/United States GR - R01 DK117445/DK/NIDDK NIH HHS/United States GR - HHSN268201800001C/HL/NHLBI NIH HHS/United States GR - U01 HG011720/HG/NHGRI NIH HHS/United States GR - HHSN268201800013I/MD/NIMHD NIH HHS/United States GR - R01-DK117445/DK/NIDDK NIH HHS/United States GR - HHSN268201800011C/HL/NHLBI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural DEP - 20230803 PL - United States TA - Clin J Am Soc Nephrol JT - Clinical journal of the American Society of Nephrology : CJASN JID - 101271570 RN - 0 (Proteome) RN - 0 (Biomarkers) SB - IM CIN - Clin J Am Soc Nephrol. 2023 Nov 1;18(11):1391-1392. PMID: 37783470 MH - Humans MH - Female MH - United States MH - *Sickle Cell Trait MH - Proteome MH - Prospective Studies MH - Hemolysis MH - Proteomics MH - Biomarkers MH - *Renal Insufficiency MH - Inflammation PMC - PMC10637465 COIS- J. Coresh consultancy for Healthy.io and SomaLogic, ownership interest in Healthy.io, research funding from the National Institute of Health and National Kidney Foundation, and an advisory or leadership role for SomaLogic. M.W. Foster reports research funding from Biomilq, Circumvent Pharmaceuticals, and Oerth Bio. N. Franceschini reports advisory or leadership roles for Women's Health Initiative Chair of Ancillary Committee and Women's Health Initiative Publication and Presentation Committee. M.E. Grams reports advisory or leadership roles for the American Journal of Kidney Diseases, ASN Publication Committee, CJASN, JASN Editorial Fellowship Committee, KDIGO Executive Committee (co-chair elect), NKF Scientific Advisory Board, and USRDS Scientific Advisory Board; grant funding from NKF, which receives funding from multiple pharmaceutical companies; grant funding from NIH; payment from academic institutions for grand rounds; and payment from NephSAP. S. Liu reports consultancy for Novo Nordisk and TwinHealth. J.E. Manson reports research funding from Mars Edge. L.M. Raffield reports consultancy for TOPMed Administrative Coordinating Center (through Westat). M.J. Telen reports consultancy from Novartis and Pfizer, Inc.; research funding from BioMedomics, CSL Behring, NIH, Novartis, Novo Nordisk, and Pfizer; and honoraria from Novartis and Pfizer. All remaining authors have nothing to disclose. EDAT- 2023/08/03 06:42 MHDA- 2023/11/09 06:42 PMCR- 2024/11/01 CRDT- 2023/08/03 00:03 PHST- 2023/03/25 00:00 [received] PHST- 2023/07/26 00:00 [accepted] PHST- 2024/11/01 00:00 [pmc-release] PHST- 2023/11/09 06:42 [medline] PHST- 2023/08/03 06:42 [pubmed] PHST- 2023/08/03 00:03 [entrez] AID - 01277230-202311000-00008 [pii] AID - CJASN-2023-000404 [pii] AID - 10.2215/CJN.0000000000000257 [doi] PST - ppublish SO - Clin J Am Soc Nephrol. 2023 Nov 1;18(11):1416-1425. doi: 10.2215/CJN.0000000000000257. Epub 2023 Aug 3.