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The heritability of metabolite concentrations in stored human red blood cells
Journal article   Open access   Peer reviewed

The heritability of metabolite concentrations in stored human red blood cells

Thomas J van 't Erve, Brett A Wagner, Sean M Martin, C Michael Knudson, Robyn Blendowski, Mignon Keaton, Tracy Holt, John R Hess, Garry R Buettner, Kelli K Ryckman, …
Transfusion (Philadelphia, Pa.), Vol.54(8), pp.2055-2063
08/2014
DOI: 10.1111/trf.12605
PMCID: PMC4138246
PMID: 24601981
url
https://doi.org/10.1111/trf.12605View
Published (Version of record) Open Access

Abstract

The degeneration of red blood cells (RBCs) during storage is a major issue in transfusion medicine. Family studies in the 1960s established the heritability of the RBC storage lesion based on poststorage adenosine triphosphate (ATP) concentrations. However, this critical discovery has not been further explored. In a classic twin study we confirmed the heritability of poststorage ATP concentrations and established the heritability of many other RBC metabolites. ATP concentrations and metabolomic profiles were analyzed in RBC samples from 18 twin pairs. On samples stored for 28 days, the heritability of poststorage ATP concentrations were 64 and 53% in CP2D- and AS-3-stored RBCs, respectively. Metabolomic analyses identified 87 metabolites with an estimated heritability of 20% or greater. Thirty-six metabolites were significantly correlated with ATP concentrations (p ≤ 0.05) and 16 correlated with borderline significance (0.05 ≤ p ≤ 0.10). Of the 52 metabolites that correlated significantly with ATP, 24 demonstrated 20% or more heritability. Pathways represented by heritable metabolites included glycolysis, membrane remodeling, redox homeostasis, and synthetic and degradation pathways. We conclude that many RBC metabolite concentrations are genetically influenced during storage. Future studies of key metabolic pathways and genetic modifiers of RBC storage could lead to major advances in RBC storage and transfusion therapy.
Metabolomics Sodium Chloride - pharmacology Blood Preservation Humans Male Adenosine Triphosphate - blood Erythrocytes - chemistry Glycolysis - genetics Young Adult Leukocyte Reduction Procedures Time Factors Adult Female Phosphates - pharmacology Metabolism - genetics Body Mass Index Oxidation-Reduction Quantitative Trait, Heritable Adenine - pharmacology Glucose - pharmacology Twins, Monozygotic Erythrocytes - drug effects Solutions - pharmacology Citrates - pharmacology Homeostasis - genetics ISRP Project 1 2015-2020

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