Lack of the multidrug transporter MRP4/ABCC4 defines the PEL-negative blood group and impairs platelet aggregation

被引:24
作者
Azouzi, Slim [1 ,2 ,3 ,4 ]
Mikdar, Mahmoud [1 ,2 ,3 ,4 ]
Hermand, Patricia [1 ,2 ,4 ]
Gautier, Emilie-Fleur [4 ,5 ]
Salnot, Virginie [4 ,5 ]
Willemetz, Alexandra [1 ,2 ,3 ,4 ]
Nicolas, Gael [4 ,6 ]
Vrignaud, Cedric [1 ,2 ,3 ,4 ]
Raneri, Alexandre [2 ,3 ]
Mayeux, Patrick [4 ,5 ]
Bole-Feysot, Christine [7 ]
Nitschke, Patrick [8 ]
Cartron, Jean-Pierre [2 ]
Colin, Yves [1 ,2 ,4 ]
Hermine, Olivier [9 ]
Jedlitschky, Gabriele [10 ]
Cloutier, Marc [11 ]
Constanzo-Yanez, Jessica [12 ]
Ethier, Carole [11 ]
Robitaille, Nancy [12 ]
St-Louis, Maryse [11 ]
Kim, Caroline Le Van [1 ,2 ,4 ]
Peyrard, Thierry [1 ,2 ,3 ,4 ]
机构
[1] Univ Paris, Unite Mixte Rech UMR S1134, INSERM, Biol Integree Globule Rouge, Paris, France
[2] Inst Natl Transfus Sanguine, Paris, France
[3] Dept Ctr Natl Reference Grp Sanguins, Paris, France
[4] Lab Excellence GR Ex, Paris, France
[5] Univ Paris, CNRS, Inst Cochin, INSERM,UMR S1016,UMR 8104,Plateforme Prote, Paris, France
[6] Univ Paris, Ctr Rech Inflammat, CNRS, INSERM,UMR S1149,Equipe Rech Label Isee 8252, Paris, France
[7] Univ Paris, Inst Malad Genet IMAGINE, INSERM, Genom Platform,UMR 1163, Paris, France
[8] Univ Paris, IMAGINE, Bioinformat Platform, Paris, France
[9] Univ Paris, CNRS, UMR 8147, Paris, France
[10] Univ Med Greifswald, Ctr Drug Absorpt & Transport, Dept Pharmacol, Greifswald, Germany
[11] Hema Quebec, Quebec City, PQ, Canada
[12] Hema Quebec, Montreal, PQ, Canada
关键词
MAINTENANCE THERAPY; FUNCTIONAL-ANALYSIS; RESISTANCE; PROTEIN; MRP4; POLYMORPHISMS; ABCC4; GENE; CYTOTOXICITY; EXPRESSION;
D O I
10.1182/blood.2019002320
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The rare PEL-negative phenotype is one of the last blood groups with an unknown genetic basis. By combining whole-exome sequencing and comparative global proteomic investigations, we found a large deletion in the ABCC4/MRP4 gene encoding an ATP-binding cassette (ABC) transporter in PEL-negative individuals. The loss of PEL expression on ABCC4-CRISPR-Cas9 K562 cells and its overexpression in ABCC4-transfected cells provided evidence that ABCC4 is the gene underlying the PEL blood group antigen. Although ABCC4 is an important cyclic nucleotide exporter, red blood cells from ABCC4null/PELnegative individuals exhibited a normal guanosine 39,59-cyclic monophosphate level, suggesting a compensatory mechanism by other erythroid ABC transporters. Interestingly, PEL-negative individuals showed an impaired platelet aggregation, confirming a role for ABCC4 in platelet function. Finally, we showed that loss-of-function mutations in the ABCC4 gene, associated with leukemia outcome, altered the expression of the PEL antigen. In addition to ABCC4 genotyping, PEL phenotyping could open a new way toward drug dose adjustment for leukemia treatment.
引用
收藏
页码:441 / 448
页数:8
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