Relationships Between Markers of Iron Status and Hematological Parameters in Patients With Sickle Cell Disease.

Autor: Parrow NL; Department of Pediatrics, Saint Louis University School of Medicine, St. Louis, Missouri, USA., Doherty JM; Advanced HEAlth Data (AHEAD) Research Institute, Saint Louis University School of Medicine, St. Louis, Missouri, USA., Conrey A; Sickle Cell Branch, National Heart, Lung and Blood Institute, National Institutes of Health, Bethesda, Maryland, USA., Thein SL; Sickle Cell Branch, National Heart, Lung and Blood Institute, National Institutes of Health, Bethesda, Maryland, USA., Fleming RE; Department of Pediatrics, Saint Louis University School of Medicine, St. Louis, Missouri, USA.; Edward A. Doisy Department of Biochemistry and Molecular Biology, Saint Louis University School of Medicine, St. Louis, Missouri, USA.
Jazyk: angličtina
Zdroj: Advances in hematology [Adv Hematol] 2024 Dec 03; Vol. 2024, pp. 9872440. Date of Electronic Publication: 2024 Dec 03 (Print Publication: 2024).
DOI: 10.1155/ah/9872440
Abstrakt: Based on the relationship between the intracellular concentration of sickle hemoglobin S (HbS) and the delay that occurs prior to the onset of sickling following deoxygenation, targeting the intracellular HbS concentration is a recognized therapeutic approach for sickle cell disease (SCD). We and others have shown that restricting iron by dietary or pharmacologic means improves hematologic parameters, inflammation, and organ damage in mouse models of SCD. Clinical evidence corroborating these findings is confined to case reports and small case series studies, none of which account for treatment or α -thalassemia. We hypothesize that increased transferrin saturation is associated with increased mean cellular hemoglobin concentration (MCHC) which in turn is associated with decreased red cell counts and worsening anemia. To investigate this hypothesis, we examined the relationships between transferrin saturation and MCHC with each of the parameters that define MCHC in sickle patients (HbSS without α -thalassemia) and healthy volunteers (HVs). Results indicate that transferrin saturation and MCHC are positively correlated with each other in sickle patients and HV. In patients with SCD, MCHC and transferrin saturation are negatively correlated with RBC count and are not correlated with hemoglobin, whereas each is positively associated with HV. Transferrin saturation and MCHC are each positively correlated with the hemolysis marker, lactate dehydrogenase. These observations support a model where increased transferrin saturation contributes to higher intracellular HbS concentrations with subsequent increases in sickling and hemolysis in sickle patients, suggesting that pharmacologic approaches to decrease serum iron may provide a therapeutic approach for patients with SCD. Trial Registration: This study was registered with ClinicalTrials.gov identifiers: NCT00011648, NCT00081523, and NCT04817670.
Competing Interests: R.E.F. is a member of the Scientific Advisory Board of Silence Therapeutics and receives research funding from Ultragenyx, N.L.P. and R.E.F. serve as consultants for Protagonist Therapeutics.
(Copyright © 2024 Nermi L. Parrow et al.)
Databáze: MEDLINE
Externí odkaz:
Nepřihlášeným uživatelům se plný text nezobrazuje