A new trauma frontier: Exploratory pilot study of platelet transcriptomics in trauma patients

Autor: Alexander T. Fields, Nasima Mayer, Lucy Z. Kornblith, Joseph Cuschieri, Yale A. Santos, Zachary A. Matthay, Rachael A. Callcut, Kord M. Kober, Man-Cheung Lee, Cedric M.V. Bainton, Roland J. Bainton, Fahima Mayer
Rok vydání: 2021
Předmět:
Zdroj: The Journal of Trauma and Acute Care Surgery
The journal of trauma and acute care surgery, vol 92, iss 2
ISSN: 2163-0763
Popis: Supplemental digital content is available in the text.
BACKGROUND The earliest measurable changes to postinjury platelet biology may be in the platelet transcriptome, as platelets are known to carry messenger ribonucleic acids (RNAs), and there is evidence in other inflammatory and infectious disease states of differential and alternative platelet RNA splicing in response to changing physiology. Thus, the aim of this exploratory pilot study was to examine the platelet transcriptome and platelet RNA splicing signatures in trauma patients compared with healthy donors. METHODS Preresuscitation platelets purified from trauma patients (n = 9) and healthy donors (n = 5) were assayed using deep RNA sequencing. Differential gene expression analysis, weighted gene coexpression network analysis, and differential alternative splicing analyses were performed. In parallel samples, platelet function was measured with platelet aggregometry, and clot formation was measured with thromboelastography. RESULTS Differential gene expression analysis identified 49 platelet RNAs to have differing abundance between trauma patients and healthy donors. Weighted gene coexpression network analysis identified coexpressed platelet RNAs that correlated with platelet aggregation. Differential alternative splicing analyses revealed 1,188 splicing events across 462 platelet RNAs that were highly statistically significant (false discovery rate
Databáze: OpenAIRE