Hypoxic response contributes to altered gene expression and precapillary pulmonary hypertension in patients with sickle cell disease

Xu Zhang, Wei Zhang, Shwu Fan Ma, Ankit A. Desai, Santosh Saraf, Galina Miasniakova, Adelina Sergueeva, Tatiana Ammosova, Min Xu, Sergei Nekhai, Taimur Abbasi, Nancy G. Casanova, Martin H. Steinberg, Clinton T. Baldwin, Paola Sebastiani, Josef T. Prchal, Rick Kittles, Joe G.N. Garcia, Roberto F. MacHado, Victor R. Gordeuk

Research output: Contribution to journalArticlepeer-review

34 Scopus citations


BACKGROUND-: We postulated that the hypoxic response in sickle cell disease (SCD) contributes to altered gene expression and pulmonary hypertension, a complication associated with early mortality. METHODS AND RESULTS-: To identify genes regulated by the hypoxic response and not other effects of chronic anemia, we compared expression variation in peripheral blood mononuclear cells from 13 subjects with SCD with hemoglobin SS genotype and 15 subjects with Chuvash polycythemia (VHL homozygotes with constitutive upregulation of hypoxia-inducible factors in the absence of anemia or hypoxia). At a 5% false discovery rate, 1040 genes exhibited >1.15-fold change in both conditions; 297 were upregulated and 743 downregulated including MAPK8 encoding a mitogen-activated protein kinase important for apoptosis, T-cell differentiation, and inflammatory responses. Association mapping with a focus on local regulatory polymorphisms in 61 patients with SCD identified expression quantitative trait loci for 103 of these hypoxia response genes. In a University of Illinois SCD cohort, the A allele of a MAPK8 expression quantitative trait locus, rs10857560, was associated with precapillary pulmonary hypertension defined as mean pulmonary artery pressure ≥ 25 mm Hg and pulmonary capillary wedge pressure ≤15 mm Hg at right heart catheterization (allele frequency, 0.66; odds ratio, 13.8; n=238). This association was confirmed in an independent Walk-Treatment of Pulmonary Hypertension and Sickle Cell Disease With Sildenafil Therapy cohort (allele frequency, 0.65; odds ratio, 11.3; n=519). The homozygous AA genotype of rs10857560 was associated with decreased MAPK8 expression and present in all 14 of the identified precapillary pulmonary hypertension cases among the combined 757 patients. CONCLUSIONS-: Our study demonstrates a prominent hypoxic transcription component in SCD and a MAPK8 expression quantitative trait locus associated with precapillary pulmonary hypertension.

Original languageEnglish (US)
Pages (from-to)1650-1658
Number of pages9
Issue number16
StatePublished - Apr 22 2014


  • anemia
  • anoxia
  • gene expression
  • genetic association studies
  • hypertension
  • mitogen-activated protein kinase 8
  • pulmonary
  • quantitative trait loci
  • sickle cell

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Physiology (medical)


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