Abstract
Pregnant patients with β-thalassemia are more likely to have progressive anemia which expose them to risk of adverse pregnancy outcomes, blood transfusion, and iron overload. Results from our previous study indicated that Colla corii asini (CCA, E’jiao), a natural ingredient of traditional Chinese medicine, could significantly increase hemoglobin level of pregnant women with β- thalassemia, but the underlying molecular mechanism was unclear. Thus, we applied high-throughput transcriptome sequencing to study the transcriptomic change before and after the CCA treatment. Twenty eligible pregnant women were recruited and randomized to either the CCA treatment group or the blank control group in a 3:1 ratio. Patients in the treatment group orally received daily 15 g CCA powder for 4 weeks. We analyzed the therapeutic effect indexes and the transcriptomic change in subjects’ peripheral blood before and after treatment. We found that β CD 41-42(-TTCT)/βA was the main genotype of the subjects. The regulatory impact of CCA treatment became more evident among the subjects of genotype β CD 41-42(-TTCT)/βA. Gene ontogenesis analysis revealed that the top five molecular functions of differentially expressed genes were involved in membrane functionality and cellular structure. We further identified two consistent upregulated genes ZNF471 and THOC5 in the effective treatment group, which were engaged in Kruppel-associated box (KRAB) domain-containing zinc-finger protein pathway and THOC5 pathway, respectively. Based on our current findings, we hypothesize that the anti-anemia effect of CCA on pregnant women with β-thalassemia might be related to translation regulation of spectrin synthesis, membrane stability, and eventually prolonged the life span of erythrocytes.
Similar content being viewed by others
References
Yin A, Li B, Luo M, Xu L, Wu L, Zhang L, Ma Y, Chen T, Gao S, Liang J, Guo H, Qin D, Wang J, Yuan T, Wang Y, Huang WW, He WF, Zhang Y, Liu C, Xia S, Chen Q, Zhao Q, Zhang X (2014) The prevalence and molecular spectrum of alpha- and beta-globin gene mutations in 14,332 families of Guangdong Province, China. PLoS One 9(2):e89855
Rakhi PN, Sophie L (2012) Baby on board: what you need to know about pregnancy in the hemoglobinopathies. Hematology 208–213
Voskaridou E, Balassopoulou A, Boutou E, Komninaka V, Christoulas D, Dimopoulou M, Delaki EE, Loukopoulos D, Terpos E (2014) Pregnancy in beta-thalassemia intermedia: 20-year experience of a Greek thalassemia center. Eur J Haematol 93(6):492–499
Leung TY, Lao TT (2012) Thalassaemia in pregnancy. Best Pract Res Clin Obstet Gynaecol 26(1):37–51
Amooee S, Samsami A, Jahanbakhsh J (2011) The pregnancy outcome in patients with minor β-thalassemia. Iran J Reprod Med 9(1):9–14
Costa D, Capuano M, Sommese L, Napoli C (2015) Impact of epigenetic mechanisms on therapeutic approaches of hemoglobinopathies. Blood Cells Mol Dis 55(2):95–100
Li Y, He H, Yang L, Li X, Li D, Luo S (2016) Therapeutic effect of Colla corii asini on improving anemia and hemoglobin compositions in pregnant women with thalassemia. Int J Hematol 104(5):559–565
Cappellini MD, Cohen A, Eleftheriou A et al (2008) Guidelines for the clinical management of thalassaemia. Thalassaemia International Federation, Nicosia
Benoist BD, Mclean E, Egli I et al (2008) Worldwide prevalence of anaemia 1993–2005; WHO global database on anaemia. World Health Organization, Geneva
Langmead B, Salzberg SL (2012) Fast gapped-read alignment with bowtie 2. Nat Methods 9:357–359
Li B, Dewey CN (2011) RSEM: accurate transcript quantification from RNA-Seq data with or without a reference genome. BMC Bioinformatics 12:323
Love MI, Huber W, Anders S (2014) Moderated estimation of fold change and dispersion for RNA-seq data with DESeq2. Genome Biol 15(12):550
Muncie HJ, Campbell J (2009) Alpha and beta thalassemia. Am Fam Physician 80:339–344
Lichtman MA, Kipps TJ, Seligsohn U et al Williams hematology, 8th edn. http://www.accessmedicine.com. Accessed 12 May 2019
Koury MJ (2014) Abnormal erythropoiesis and the pathophysiology of chronic anemia. Blood Rev 28(2):49–66
Barminko J, Reinholt B, Baron MH (2016) Development and differentiation of the erythroid lineage in mammals. Dev Comp Immunol 58:18–29
Lupo A, Cesaro E, Montano G, Zurlo D, Izzo P, Costanzo P (2013) KRAB-zinc finger proteins: a repressor family displaying multiple biological functions. Curr Genomics 14(4):268–278
Yang P, Wang Y, Macfarlan TS (2017) The role of KRAB-ZFPs in transposable element repression and mammalian evolution. Trends Genet 33(11):871–881
Mouaikel J, Causse SZ, Rougemaille M et al (2013) High-frequency promoter firing links THO complex function to heavy chromatin formation. Cell Rep 5(4):1082–1094
Saran S, Tran DDH, Klebba-Färber S et al (2013) THOC5, a member of the mRNA export complex contributes to processing of a subset of wingless/integrated (Wnt) target mRNAs and integrity of the gut epithelial barrier. BMC Cell Biol 14:51
Mancini A, Niemann-Seyde SC, Pankow R, el Bounkari O, Klebba-Färber S, Koch A, Jaworska E, Spooncer E, Gruber AD, Whetton AD, Tamura T (2010) THOC5/FMIP, an mRNA export TREX complex protein, is essential for hematopoietic primitive cell survival in vivo. BMC Biol 8:1
Funding
This study was supported by the Science and Technology Project of Guangdong Province (grant no. 2017ZC0150) and by grants from the National Natural Science Foundation of China (grant no. 81704111).
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
The procedures performed in the study were approved by the local ethics committee and were conducted in accordance with the current version of the Declaration of Helsinki.
Conflict of interest
The authors declare that they have no conflict of interest.
Additional information
Publisher’s note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Electronic supplementary material
ESM 1
(DOCX 725 kb)
Rights and permissions
About this article
Cite this article
Li, Y., Zhang, Z., Yang, L. et al. Colla corii asini might upregulate ZNF471 and THOC5 by KRAB domain–containing zinc-finger protein pathway and THO complex subunit 5 pathway to improve anemia of pregnant women with β-thalassemia. Ann Hematol 98, 1813–1826 (2019). https://doi.org/10.1007/s00277-019-03710-1
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00277-019-03710-1