BACKGROUND: Autologous blood transfusion (ABT) is a performance-enhancing method prohibited in sport; its detection is a key issue in the field of anti-doping. Among novel markers enabling ABT detection, microRNAs (miRNAs) might be considered a promising analytical tool.
STUDY DESIGN AND METHODS:We studied the changes of erythroid-related microRNAs following ABT, to identify novel biomarkers. Fifteen healthy trained males were studied from a population of 24 subjects, enrolled and randomized into a Transfusion (T) and a Control (C) group. Seriated blood samples were obtained in the T group before and after the two ABT procedures (withdrawal, with blood refrigerated or cryopreserved, and reinfusion), and in the C group at the same time points. Traditional hematological parameters were assessed. Samples were tested by microarray analysis of a pre-identified set of erythroid-related miRNAs.
RESULTS:Hematological parameters showed moderate changes only in the T group, particularly following blood withdrawal. Among erythroid-related miRNAs tested, following ABT a pool of 7 miRNAs associated with fetal hemoglobin and regulating transcriptional repressors of gamma-globin gene was found stable in C and differently expressed in three out of six T subjects in the completed phase of ABT, independently from blood conservation. Particularly, two or more erythropoiesis-related miRNAs within the shortlist constituted of miR- 126-3p, miR-144-3p, miR-191-3p, miR-197-3p, miR-486-3p, miR-486-5p, and miR-92a-3p were significantly upregulated in T subjects after reinfusion, with a person-to-person variability but with congruent changes.
CONCLUSIONS:This study describes a signature of potential interest for ABT detection in sports, based on the analysis of miRNAs associated with erythroid features.A utologous blood transfusion (ABT) is a performance-enhancing method prohibited in sport, 1 with its detection a key issue in the anti-doping field. Given the lack of a method for its direct detection, 2-5 an approach to the indirect detection of ABT has been considered. The athlete biological passport (ABP) hematological module 6-8 has been adopted by the World Anti-Doping Agency (WADA) to identify and, when necessary, sanction athletes showing abnormal changes in hematological parameters. Novel markers enabling ABT indirect detection have also been proposed, [2][3][4][9][10][11][12][13] including those derived from genomics applied to microRNAs (miRNAs), and are considered a promising analytical tool. [14][15][16][17] In this respect, miRNAs are short non-coding RNA molecules, which act as gene regulators by repressing translation or by inducing the cleavage of target RNA transcripts. [18][19][20][21] Recent evidence suggests that miRNAs (including miRNAs present as extracellular molecules in plasma) can be considered a From the