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Anaemia and iron deficiency associate with polymorphism TMPRSS6 rs855791 in Brazilian children attending day care
Natalia Menezes Silva1, Mirella de Paiva Lopes2, Raquel Machado Schincaglia3
1Graduate Program in Health Sciences, School of Medicine, Federal University of Goiás, Goiânia, GO, Brazil.
Insights
The T allele of the TMPRSS6 rs855791 gene variant significantly increases the risk of iron-deficiency anaemia and iron deficiency in young Brazilian children. This association is dose-dependent, impacting key blood markers.
Area of Science:
- Genetics and Human Health
- Nutritional Biochemistry
- Pediatric Public Health
Background:
- Iron-deficiency anaemia is a critical global health issue affecting young children.
- The TMPRSS6 gene, encoding matriptase-2, plays a role in iron homeostasis and has been linked to anaemia and iron status.
- Genetic variations in TMPRSS6 may influence susceptibility to iron-related disorders.
Purpose of the Study:
- To examine the association between the TMPRSS6 rs855791 single nucleotide polymorphism (SNP) and biomarkers of anaemia and iron deficiency.
- To investigate these associations in Brazilian children attending day care centers.
- To determine if the T allele of rs855791 impacts iron status and red blood cell indices.
Main Methods:
- Cross-sectional study involving 163 children aged 6-42 months.
- Collection of socio-economic, demographic, biochemical, haematological, immunological, and genotype data.
- Application of multiple logistic and linear regressions to analyze associations between the SNP and health outcomes.
Main Results:
- The minor allele (T) frequency for rs855791 was 0.399.
- Each copy of the T allele correlated with a 4.49-fold increased risk of anaemia (P=0.005) and a 4.23-fold increased risk of iron deficiency (P<0.001).
- The T allele dose was linked to higher serum soluble transferrin receptor (sTfR) levels and reduced mean corpuscular volume (MCV) and mean corpuscular haemoglobin (MCH).
Conclusions:
- The T allele of the TMPRSS6 rs855791 SNP is significantly associated with increased risk of anaemia and iron deficiency in Brazilian children.
- The observed effects are dose-dependent, with increasing copies of the T allele linked to poorer iron status biomarkers.
- This finding highlights the role of TMPRSS6 genetics in pediatric iron metabolism and deficiency risk.
Abstract:
Fe-deficiency anaemia is a major public health concern in children under 5 years of age. TMPRSS6 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) TMPRSS6 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 (P = 0·005) and a 4·23-fold increased risk of Fe deficiency assessed by serum soluble transferrin receptor (sTfR) (P < 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 TMPRSS6 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.
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