Silva Natalia Menezes, Lopes Mirella de Paiva, Schincaglia Raquel Machado, Coelho Alexandre Siqueira Guedes, Cominetti Cristiane, Hadler Maria Claret Costa Monteiro
Graduate Program in Health Sciences, School of Medicine, Federal University of Goiás, Goiânia, GO, Brazil.
Graduate Program in Nutrition and Health, School of Nutrition, Federal University of Goiás, Goiânia, GO74605-080, Brazil.
Br J Nutr. 2024 Jan 28;131(2):193-201. doi: 10.1017/S0007114523001848. Epub 2023 Aug 22.
Fe-deficiency anaemia is a major public health concern in children under 5 years of age. gene, encoding matriptase-2 protein, is implicated in Fe homoeostasis and has been associated with anaemia and Fe status in various populations. The aim of this cross-sectional study was to investigate the associations between the single nucleotide polymorphism (SNP) rs855791 and biomarkers of anaemia and Fe deficiency in Brazilian children attending day care centres. A total of 163 children aged 6-42 months were evaluated. Socio-economic, demographic, biochemical, haematological, immunological and genotype data were collected. Multiple logistic and linear regressions with hierarchical selection were used to assess the effects of independent variables on categorised outcomes and blood marker concentrations. Minor allele (T) frequency of rs855791 was 0·399. Each copy of the T allele was associated with a 4·49-fold increased risk of developing anaemia ( = 0·005) and a 4·23-fold increased risk of Fe deficiency assessed by serum soluble transferrin receptor (sTfR) ( < 0·001). The dose of the T allele was associated with an increase of 0·18 mg/l in sTfR concentrations and reductions of 1·41 fl and 0·52 pg in mean corpuscular volume (MCV) and mean corpuscular haemoglobin (MCH), respectively. In conclusion, the T allele of SNP rs855791 was significantly associated with anaemia and Fe deficiency assessed by sTfR in Brazilian children attending day care centres. The effect was dose dependent, with each copy of the T allele being associated with lower MCV and MCH and higher concentrations of sTfR.
缺铁性贫血是5岁以下儿童的一个主要公共卫生问题。编码matriptase-2蛋白的基因与铁稳态有关,并且在不同人群中与贫血和铁状态相关。这项横断面研究的目的是调查单核苷酸多态性(SNP)rs855791与在日托中心的巴西儿童贫血和铁缺乏生物标志物之间的关联。总共对163名6至42个月大的儿童进行了评估。收集了社会经济、人口统计学、生化、血液学、免疫学和基因型数据。采用分层选择的多重逻辑回归和线性回归来评估自变量对分类结局和血液标志物浓度的影响。rs855791的次要等位基因(T)频率为0·399。T等位基因的每一个拷贝与患贫血风险增加4·49倍相关(P = 0·005),并且与通过血清可溶性转铁蛋白受体(sTfR)评估的铁缺乏风险增加4·23倍相关(P < 0·001)。T等位基因的剂量与sTfR浓度增加0·18 mg/l以及平均红细胞体积(MCV)和平均红细胞血红蛋白(MCH)分别降低1·41 fl和0·52 pg相关。总之,SNP rs855791的T等位基因与在日托中心的巴西儿童中通过sTfR评估的贫血和铁缺乏显著相关。这种效应是剂量依赖性的,T等位基因的每一个拷贝与较低的MCV和MCH以及较高的sTfR浓度相关。