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Association between ABO and Duffy blood types and circulating chemokines and cytokines

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Abstract

Blood group antigens are inherited traits that may play a role in immune and inflammatory processes. We investigated associations between blood groups and circulating inflammation-related molecules in 3537 non-Hispanic white participants selected from the Prostate, Lung, Colorectal, and Ovarian Cancer Screening Trial. Whole-genome scans were used to infer blood types for 12 common antigen systems based on well-characterized single-nucleotide polymorphisms. Serum levels of 96 biomarkers were measured on multiplex fluorescent bead-based panels. We estimated marker associations with blood type using weighted linear or logistic regression models adjusted for age, sex, smoking status, and principal components of population substructure. Bonferroni correction was used to control for multiple comparisons, with two-sided p values < 0.05 considered statistically significant. Among the 1152 associations tested, 10 were statistically significant. Duffy blood type was associated with levels of CXCL6/GCP2, CXCL5/ENA78, CCL11/EOTAXIN, CXCL1/GRO, CCL2/MCP1, CCL13/MCP4, and CCL17/TARC, whereas ABO blood type was associated with levels of sVEGFR2, sVEGFR3, and sGP130. Post hoc pairwise t-tests showed that individuals with type Fy(a+b−) had the lowest mean levels of all Duffy-associated markers, while individuals with type A blood had the lowest mean levels of all ABO-associated markers. Additional work is warranted to explore potential clinical implications of these differences.

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Fig. 1: Observed versus expected distribution of p values for associations between circulating inflammatory markers and blood antigen groups.
Fig. 2: Estimated marginal mean (EMM) concentrations of circulating biomarkers among individuals with different Duffy phenotypes, adjusting for age (5-year categories), sex, study, smoking status (never/former/current), and the first-five principal components of population substructure.
Fig. 3: Estimated marginal mean (EMM) concentrations of circulating biomarkers among individuals with different ABO phenotypes, adjusting for age (5-year categories), sex, study, smoking status (never/former/current), and the first-five principal components of population substructure.

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Code availability

Code used for analyses can be accessed at https://github.com/sarahVanAlsten/blood_type_inflammation.

Change history

  • 16 August 2021

    The names of Sarah C. Van Alsten and M. Constanza Camargo were given incorrect in HTML version of the article. Correct is by Sarah C. Van Alsten : Given name: Sarah C. Family name: Van Alsten and by M. Constanza Camargo Given name: M. Constanza Family name: Camargo.

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Acknowledgements

The authors would like to thank Michael Furr, Information Management Systems (Rockville MD) and Lei Song, National Cancer Institute (Bethesda MD), who helped with data handling, and Minkyo Song, National Cancer Institute (Bethesda MD), who advised on the analysis.

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This work was supported by the Intramural Research Program of the National Cancer Institute.

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Van Alsten, S.C., Aversa, J.G., Santo, L. et al. Association between ABO and Duffy blood types and circulating chemokines and cytokines. Genes Immun 22, 161–171 (2021). https://doi.org/10.1038/s41435-021-00137-5

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