Haptoglobin Genotype Affects Inflammation after Aneurysmal Subarachnoid Hemorrhage

Title:Haptoglobin Genotype Affects Inflammation after Aneurysmal Subarachnoid Hemorrhage

Volume: 17 Issue: 5

Author(s): Aaron M. Gusdon, Jude Savarraj, Liang Zhu, Peeyush K. Thankamani Pandit, Sylvain Doré, Devin W. McBride, HuiMahn A. Choi and Spiros L. Blackburn*

Affiliation:

• Department of Neurosurgery, McGovern Medicine School, University of Texas Health Science Center at Houston, Houston, TX,United States

Keywords: Haptoglobin, genotype, cytokines, subarachnoid hemorrhage, inflammation, cerebral ischemia.

Abstract:

Background: Haptoglobin (Hp) binds to and facilitates clearance of heme. Compared with HP 1-1 and 1-2 genotypes, HP 2-2 has a weaker binding affinity and has been linked with increased inflammation and vasospasm after aneurysmal subarachnoid hemorrhage (SAH).

Objective: This study aims to assess levels of inflammatory cytokines in the context of different HP genotypes.

Methods: Patients were enrolled among those presenting with spontaneous aneurysmal SAH. Blood was drawn at four time points; <24 hours (T1), 24-48 hours (T2), 3-5 days (T3), and 6-8 days (T4). Blood was analyzed for levels of 41 cytokines at each time point, as well as for HP genotypes. These data were analyzed using mixed-effect models to assess the association between HP genotypes and cytokine levels. The modified Rankin Scale (mRS) score was obtained at discharge, 3 months, and 6 months.

Results: Fifty-seven patients were enrolled. Compared with HP 1-1 and 1-2, subjects encoding HP 2-2 had elevated levels of the following cytokines at all time points: FLT3L, IFNγ, IL-17A, TGFα, and VEGF-A. Elevations were also seen at some time points for IL-8, CSF2, FGF2, IL-7, IL-12p70, and TNFα. This study was not powered to detect differences in the functional outcome; however, there were no significant differences in dichotomized mRS scores between patients with HP 1-1/1-2 or HP 2-2.

Conclusion: Our findings indicate that HP 2-2 genotype leads to increased proinflammatory cytokine levels compared with HP 1-1/1-2 genotypes. These data may provide guidance for further studies seeking to identify testable markers for functional prognosis or targets for treatment.

Cite this article as:

Gusdon M. Aaron , Savarraj Jude , Zhu Liang , Pandit K. Thankamani Peeyush , Doré Sylvain , McBride W. Devin , Choi A. HuiMahn and Blackburn L. Spiros *, Haptoglobin Genotype Affects Inflammation after Aneurysmal Subarachnoid Hemorrhage, Current Neurovascular Research 2020; 17 (5) . https://dx.doi.org/10.2174/1567202617666201214104623