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Pro-oxidant and anti-oxidant status in patients of sickle cell anaemia

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Abstract

The role of oxidant damage to red cells in sickle cell anaemia has been of interest in recent years. Although, available reports suggest that sickle cell erythrocytes are susceptible to endogenous free radical mediated oxidant damage there remains discrepancy in the status of antioxidant enzymes and antioxidant vitamins in these patients. In view of this, 107 cases of sickle cell anaemia (36 ‘SS’ and 71 ‘AS’ pattern—as confirmed by haemoglobin electrophoresis) were subjected to analysis of malondialdehyde, ascorbic acid, superoxide dismutase and albumin. The results were compared with 54 age and sex matched healthy controls. The results indicate a marked increase in lipid peroxidation and superoxide dismutase levels in both ‘SS’ and ‘AS’ types of sickle cell anaemia as compared to controls. Although no difference was observed in the levels of albumin in these groups the levels of ascorbic acid were significantly depleted in sickle cell anaemia patients. The results are indicative of enhanced lipid peroxidation along with imbalance in the pro-oxidant and antioxidant status in patients of sickle cell anaemia.

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References

  1. Ghai, O.P. (1966)Haematological Disorders. Essential Paediatrics. 4th edition. Pages 73–74. Interprint, Mehta Offset works, New Delhi.

  2. Mukherjee, M.B.,et al. (1994) Incidence of sickle cell disease in Nagpur. Indian Journal of Haematology and Blood Transfusion, 12, 219–224.

    Google Scholar 

  3. Essien, E.U. (1994). Increased susceptability of erythrocyte membrane lipids to peroxidation in sickle cell disease. Central African Journal of Medicine 40 (8), 217–220.

    PubMed  CAS  Google Scholar 

  4. Arthur, J.R. and Boyne, R. (1985) Superoxide dismutase and Glutathione peroxidase activities in neutrophils from selenium deficient and copper deficient cattle. Life sciences, 36, 1569–1575.

    Article  PubMed  CAS  Google Scholar 

  5. Kyaw, A. (1978) A simple colorimetric method for ascorbic acid determination in blood plasma. Clinica. Chimica. Acta. 86, 153–157.

    Article  CAS  Google Scholar 

  6. Davidson, I. and Henry, J.B. (1969)Todd-Sanford's Clinical diagnosis by laboratory methods. 14th edition, pp. 128–129. W.B. Saunders Company.

  7. Doumas, B.T.,et al. (1972)Standard methods of clinical chemistry. 176–189. Academic Press, Chicago.

    Google Scholar 

  8. Sess, E.D., Carbonneau, M.A., Meite, M., Peuchant, E.,et al. (1998) Markers of lipid peroxidation, inflammatory proteins and plasma tocopherol in homozygotic and heterozygotic sickle cell anaemia. Bull. Soc. Pathol. Exot. 91 (3), 238–241.

    PubMed  CAS  Google Scholar 

  9. Sess, E.D., Carbonneau, M.A., Thomas, M.J., Dunnol, M.F.,et al. (1992) First observations on the main plasma parameters of oxidative stress in homozygous sickle cell disease. Bull. Soc. Pathol. Exot. 85 (2), 174–179.

    PubMed  CAS  Google Scholar 

  10. Preoteasa, E.A. and Ionescu, I. (1995) Fatty acid peroxidation in relation to trace elements in serum of patients with homozygous sickle-cell anaemia and beta-thalassemia: a gas chromatographic study. Nutrition Sep–Oct., 11 (5 Suppl), 546–550.

    CAS  Google Scholar 

  11. Hebbel, R.P. (1990) The sickle erythroyte in double jeopardy: autoxidation and iron decompartmentalisation. Seminars in Haematology, 27 (1), 51–69.

    CAS  Google Scholar 

  12. Moore, R.B., Brummitt, M.L. and Mankad, V.N. (1989) Hydroperoxides selectivity inhibit human erythrocyte membrane enzymes. Archives of Biochemistry and Biophysics 273 (2), 527–534.

    Article  PubMed  CAS  Google Scholar 

  13. Leclerc, L., Girard, F., Galacteros, F.,et al. (1987). The calmodulin stimulated (Ca2+-Mg2+)—ATPase in hemoglobin S erythrocyte membranes: Effects of sickling and oxidative agents. Biochim. Biophys. Acta. 897, 33–40.

    Article  PubMed  CAS  Google Scholar 

  14. Jain, S.K., Ross, J.D., Levy, G.J.,et al. (1990) The effect of malonyldialdehyde on viscosity of normal and sickle red blood cells. Biochem. Med. Metab. Biol. Aug. 44 (1), 37–41.

    Article  CAS  Google Scholar 

  15. Rice-Evans, C., Omorphos, S.C. and Baysal, E. (1986) Sickle cell membranes and oxidative damage. Biochem. J. 237, 265–269.

    PubMed  CAS  Google Scholar 

  16. Das, S.K. and Nair, R.C. (1980) Superoxide dismutase, glutathione peroxidase, catalase, catalase and lipid peroxide of normal and sickled erythrocytes. Br. J. Haematol. 44, 87–92.

    Article  PubMed  CAS  Google Scholar 

  17. Beretta, L., Gerli, G.C., Ferraresi, R.et al. (1983) Antioxidant system in sickle red cells. Acta. haematol. 70, 194–197.

    Article  PubMed  CAS  Google Scholar 

  18. Chiu, D., Vichinsky, E., Ho, S.L.,et al. (1990) Vitamin C deficiency in patients with sickle cell anemia. Am. J. Pediatr. Haematol. Oncol., Fall, 12 (3), 262–267.

    Article  CAS  Google Scholar 

  19. Jain, S. and Williams, D.M. (1985) Reduced levels of ascorbic acid (vitamin C) in sickle cell disease patients: Its possible role in the oxidant damage to sickle cellsin vivo. Clin. Chim. Acta. 149, 257–261.

    Article  PubMed  CAS  Google Scholar 

  20. Adelekan, D.A., Thurham, D.I., Adekile, A.D. (1989) Reduced anti-oxidant capacity in paediatric patients with homozygous sickle cell disease. European Journal of Clinical Nutrition 43, 609–614.

    PubMed  CAS  Google Scholar 

  21. Chow, P.T. and Khan, A.U. (1983) L-Ascorbic acid quenching of singlet delta molecular oxygen in aqueous media: generalised antioxidant property of vitamin C. Biochem. Biophys. Res. Commun. 115, 932–937.

    Article  Google Scholar 

  22. Jaja, S.L., Ikotun, A.R., Gbenebitse, S.,et al. (2002) Blood pressure, haematologic and erythrocyte fragility changes in children suffering from sickle cell anemia following ascorbic acid supplementation. J. Trop. Pediatr. Dec. 48 (6). 366–370.

    Article  CAS  Google Scholar 

  23. Rana, S.R., Sekhsaria, S. and Castro, O.L. (1993) Haemoglobin S and C traits: Contributing causes for decreased mean haematocrit in African-American children. Paediatrics 91, 800.

    CAS  Google Scholar 

  24. Humphries, J.E. and Wheby, M.S. (1992) Case report: Sickle cell trait and recurrent deep vein thrombosis. Am. J. Med. Sci. 303, 112.

    Article  PubMed  CAS  Google Scholar 

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Titus, J., Chari, S., Gupta, M. et al. Pro-oxidant and anti-oxidant status in patients of sickle cell anaemia. Indian J Clin Biochem 19, 168–172 (2004). https://doi.org/10.1007/BF02894279

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