1887
Volume 2015, Issue 2
  • ISSN: 0253-8253
  • E-ISSN: 2227-0426

ملخص

Sickle cell anemia (SCA) is an inherited blood disease with known complications as a result of certain pathophysiological dysfunctions. It has been suggested that an increase in oxidative stress contributes to the incidence of these changes. This study investigated the oxidant/antioxidant status of patients with SCA, and evaluated the effect of SCA on antioxidant enzymes and their cofactors. The study included 42 patients with SCA (in steady state), and a control group of 50 age-matched individuals without SCA. Serum malondialdehyde (MDA), copper, zinc, ferritin and iron levels, red blood cell (RBC) superoxide dismutase (SOD) and catalase levels were measured for the SCA and control groups. Significantly lower levels of antioxidant enzymes (RBC SOD and catalase) and higher serum MDA levels (biomarker of oxidative stress) were found in SCA patients compared to the control group (all p < 0.001). Increased levels of serum ferritin, iron and copper and decreased zinc concentrations were also found in the SCA patients compared to the control group (all p < 0.001). In the SCA group, there were significant negative correlations between MDA levels and RBC SOD, RBC catalase, and serum zinc levels (p < 0.01), while a significant positive correlation between MDA with serum copper and iron levels (p < 0.01) was observed. SCA is associated with alterations in markers of oxidative stress including an increased MDA level, decreased antioxidant enzyme levels, and altered levels of enzyme cofactors (zinc, copper, and iron). This suggests that these antioxidant enzymes could be used as effective therapeutic targets for the treatment of this disease and supplementation of patients with substances with antioxidant properties may reduce the complications of this disease.

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References

  1. Beutler E. Disorders of hemoglobin structure: Sickle cell anemia and related abnormalities: Overview. In: Lichtman MABeutler EKipps TJSeligsohn UKaushansky KPrchal J, eds. Williams Hematology. 7th ed. McCraw-Hill Medical Education: New York, NY 2006;:669684.
    [Google الباحث العلمي]
  2. Al-Allawi NA, Jalal SD, Nerwey FF, Al-Sayan GO, Al-Zebari SS, Alshingaly AA, Markous RD, Jubrael JM, Hamamy H. Sickle cell disease in the Kurdish population of northern Iraq. Hemoglobin. 2012; 36:4:333342.
    [Google الباحث العلمي]
  3. Hassan MK, Taha JY, Al-Naama LM, Widad NM, Jasim SN. Frequency of haemoglobinopathies and glucose-6-phosphate dehydrogenase deficiency in Basra. East Mediterr Health J. 2003; 9:1-2:4554.
    [Google الباحث العلمي]
  4. Amer J, Ghoti H, Rachmilewitz E, Koren A, Levin A, Fibach E. Red blood cells, platelets and polymorphonuclear neutrophils of patients with sickle cell disease exhibit oxidative stress that can be ameliorated by antioxidants. Br J Haematol. 2006; 132:1:108111.
    [Google الباحث العلمي]
  5. Fasola F, Adedapo K, Anetor J, Kuti M. Total antioxidants status and some hematological values in sickle cell disease patients in steady state. J Natl Med Assoc. 2007; 99:8:891894.
    [Google الباحث العلمي]
  6. Nur E, Biemond BJ, Otten HM, Brandjes DP, Schnog JJ, CURAMA Study Group . Oxidative stress in sickle cell disease; pathophysiology and potential implications for disease management. Am J Hematol. 2011; 86:6:484489.
    [Google الباحث العلمي]
  7. Voskou S, Aslan M, Fanis P, Phylactides M, Kleanthous M. Oxidative stress in β-thalassemia and sickle cell disease. Redox Biol. 2015; 6::226239.
    [Google الباحث العلمي]
  8. Klings ES, Farber HW. Role of free radicals in the pathogenesis of acute chest syndrome in sickle cell disease. Respir Res. 2001; 2:5:280285.
    [Google الباحث العلمي]
  9. Odièvre MH, Verger E, Silva-Pinto AC, Elion J. Pathophysiological insights in sickle cell disease. Indian J Med Res. 2011; 134:4:532537.
    [Google الباحث العلمي]
  10. Yoshikawa T, Toyokuni S, Yamamoto Y, Naito Y. Free Radicals in Chemistry, Biology and Medicine. London, UK: OICA International 2000:p.580.
    [Google الباحث العلمي]
  11. Lunec J. Free radicals: their involvement in disease processes. Ann Clin Biochem. 1990; 27::173182.
    [Google الباحث العلمي]
  12. Pham-Huy LA, He H, Pham-Huy C. Free radicals, antioxidants in disease and health. Int J Biomed Sci. 2008; 4::8996.
    [Google الباحث العلمي]
  13. Chirico EN, Pialoux V. Role of oxidative stress in the pathogenesis of sickle cell disease. IUBMB Life. 2012; 64:1:7280.
    [Google الباحث العلمي]
  14. Sheng K, Shariff M, Hebbel RP. Comparative oxidation of hemoglobins A and S. Blood. 1998; 91:9:34673470.
    [Google الباحث العلمي]
  15. Chan AC, Chow CK, Chiu D. Interaction of antioxidants and their implication in genetic anemia. Proc Soc Exp Biol Med. 1999; 222:3:274282.
    [Google الباحث العلمي]
  16. Vichinsky E. Emerging ‘A’ therapies in hemoglobinopathies: Agonists, antagonists, antioxidants, and arginine. Hematology Am Soc Hematol Educ Program. 2012; 2012::271275.
    [Google الباحث العلمي]
  17. Aslan M, Thornley-Brown D, Freeman BA. Reactive species in sickle cell disease. Ann New York Acad Sci. 2000; 899::375391.
    [Google الباحث العلمي]
  18. Dalle-Donne I, Rossi R, Colombo R, Giustarini D, Milzani A. Biomarkers of oxidative damage in human disease. Clin Chem. 2006; 52:4:601623.
    [Google الباحث العلمي]
  19. Bray TM, Bettger WJ. The physiological role of zinc as antioxidant. Free Radic Biol Med. 1990; 8::281291.
    [Google الباحث العلمي]
  20. Walter PB, Fung EB, Killilea DW, Jiang Q, Hudes M, Madden J, Porter J, Evans P, Vichinsky E, Harmatz P. Oxidative stress and inflammation in iron-overloaded patients with beta-thalassaemia or sickle cell disease. Br J Haematol. 2006; 135:2:254263.
    [Google الباحث العلمي]
  21. Animasahun BA, Temiye EO, Ogunkunle OO, Izuora AN, Njokanma OF. The influence of socioeconomic status on the hemoglobin level and anthropometry of sickle cell anemia patients in steady state at the Lagos University Teaching Hospital. Niger J Clin Pract. 2011; 14:4:422427.
    [Google الباحث العلمي]
  22. Winterbourn CC, Hawkins RE, Brian M, Carrell RW. The estimation of red cell superoxide dismutase activity. J Lab Clin Med. 1975; 85:2:337341.
    [Google الباحث العلمي]
  23. Aebi H. Catalase. In: Bergmeyer HU, ed. Methods of Enzymatic Analysis. New York: Academic Press 1974;:647683.
    [Google الباحث العلمي]
  24. Buege JA, Aust SD. Microsomal lipid peroxidation. In: Fleischer SPacker L, eds. Methods in Enzymology, Vol 52, Biomembranes, Part C, Biological Oxidations: Microsomal, Cytochrome P-450, and Other Homoprotein Systems . New York: Academic Press 1978;:302310.
    [Google الباحث العلمي]
  25. Whiteside PJ. Pye Unicam Atomic Absorption Data Book. 2nd ed. England: Pye Unicam Ltd 1976.
    [Google الباحث العلمي]
  26. Rogers SC, Ross JG, d'Avignon A, Gibbons LB, Gazit V, Hassan MN, McLaughlin D, Griffin S, Neumayr T, Debaun M, DeBaun MR, Doctor A. Sickle hemoglobin disturbs normal coupling among erythrocyte O2 content, glycolysis, and antioxidant capacity. Blood. 2013; 121:9:16511662.
    [Google الباحث العلمي]
  27. Wood KC, Granger DN. Sickle cell disease: Role of reactive oxygen and nitrogen metabolites. Clin Exp Pharmacol Physiol. 2007; 34:9:926932.
    [Google الباحث العلمي]
  28. Manfredini V, Lazzaretti LL, Griebeler IH, Santin AP, Brandão VD, Wagner S, Castro SM, Peralba Mdo C, Benfato MS. Blood antioxidant parameters in sickle cell anemia patients in steady state. J Natl Med Assoc. 2008; 100:8:897902.
    [Google الباحث العلمي]
  29. Hundekar P, Suryakar A, Karnik A, Ghone R, Vasaikar M. Antioxidant status and lipid peroxidation in sickle cell anemia. Biomed Res. 2010; 21:4:461464.
    [Google الباحث العلمي]
  30. Emokpae AM, Uadia PO, Kuliya-Gwarzo A. Antioxidant enzymes and acute phase proteins correlate with marker of lipid peroxide in adult Nigerian sickle disease patients. Iranian J of Basic Medical Science. 2010; 13:4:177182.
    [Google الباحث العلمي]
  31. Moore RB, Hulgan TM, Green JW, Jenkins LD. Increased susceptibility of the sickle cell membrane Ca2++ Mg2+ -ATPase to t-butylhydroperoxide: protective effects of ascorbate and desferal. Blood. 1992; 79:5:13341341.
    [Google الباحث العلمي]
  32. Kumerova A, Lece A, Skesters A, Silova A, Petuhovs V. Anemia and antioxidant defence of the red blood cells. Mater Med Pol. 1998; 30:1-2:1215.
    [Google الباحث العلمي]
  33. Tamer L, Polat G, Yücebilgiç G, Güvenç B, Bas¸lamıs¸lı F. The levels of sera malondialdehyde, erythrocyte membrane Na+-K+/Mg++ and Ca++/Mg++ adenosine 5’ triphosphatase in patients with sickle cell anemia. Turk J Haematol. 2000; 17::2326.
    [Google الباحث العلمي]
  34. Adelakun A, Ajani O, Ogunleye T, Disu E, Kosoko A, Arinola G. Respiratory burst enzymes and oxidant-antioxidant status in Nigerian children with sickle cell disease. Br Biotechnology J. 2014; 4:3:270278.
    [Google الباحث العلمي]
  35. Hundekar P, Suryakar AN, Karnik AC, Valvi R, Ghone RA, Bhagat SS. The effect of antioxidant supplementation on the oxidant and antioxidant status in sickle cell anemia. J Clin Diag Res. 2011; 5:7:13391342.
    [Google الباحث العلمي]
  36. Al-Sultan AI, Seif MA, Amin TT, Naboli M, Alsuliman AM. Relationship between oxidative stress, ferritin and insulin resistance in sickle cell disease. Eur Rev Med Pharmacol Sci. 2010; 14:6:527538.
    [Google الباحث العلمي]
  37. Gizi A, Papassotiriou I, Apostolakou F, Lazaropoulou C, Papastamataki M, Kanavaki I, Kalotychou V, Goussetis E, Kattamis A, Rombos I, Kanavakis E. Assessment of oxidative stress in patients with sickle cell disease: The glutathione system and the oxidant-antioxidant status. Blood Cells Mol Dis. 2011; 46:3:220225.
    [Google الباحث العلمي]
  38. Liu SC, Yi SJ, Mehta JR, Nichols PE, Ballas SK, Yacono PW, Golan DE, Palek J. Red cell membrane remodeling in sickle cell anemia. Sequestration of membrane lipids and proteins in Heinz bodies. J Clin Invest. 1996; 97:1:2936.
    [Google الباحث العلمي]
  39. Prasad AS. Zinc deficiency in patients with sickle cell disease. Am J Clin Nutr. 2002; 75:2:181182.
    [Google الباحث العلمي]
  40. Prasad AS. Discovery of human zinc deficiency: Its impact on human health and disease. Adv Nutr. 2013; 4::176190.
    [Google الباحث العلمي]
  41. Mahdi JK. Plasma zinc level in patients with sickle cell anemia. Tech Res J. 2001; 78::713.
    [Google الباحث العلمي]
  42. Akenami FO, Aken'Ova YA, Osifo BO. Serum zinc, copper and magnesium in sickle cell disease at Ibadan, South western Nigeria. Afr J Med Sci. 1999; 28:3–4:137139.
    [Google الباحث العلمي]
  43. Bashir NA. Serum zinc and copper levels in sickle cell anemia and beta-thalassemia in North Jordan. Ann Trop Paediatr. 1995; 15:4:291293.
    [Google الباحث العلمي]
  44. Osredkar J, Sustar N. Copper and zinc, biological role and significance of copper/zinc imbalance. J Clinic Toxicol. 2011; S3::001. doi: 10.4172/2161-0495.S3-001.
    [Google الباحث العلمي]
  45. Dos Santos TE, de Sousa GF, Barbosa MC, Gonçalves RP. The role of iron overload on oxidative stress in sickle cell anemia. Biomark Med. 2012; 6:6:813819.
    [Google الباحث العلمي]
  46. Abiodun EM, Aisha KG. The association of transfusion status with antioxidant enzymes and malondialdehyde level in Nigerians with sickle cell disease. Asian J Tranfus Sci. 2014; 8:1:4750.
    [Google الباحث العلمي]
  47. Canellas CG, Carvalho SM, Anjos MJ, Lopes RT. Determination of Cu/Zn and Fe in human serum of patients with sickle cell anemia using radiation synchrotron. Appl Radiat Isot. 2012; 70:7:12771280.
    [Google الباحث العلمي]
  48. Gabriel A, Przybylski J. Sickle-Cell anemia: A look at global haplotype distribution. Nature Education. 2010; 3:3:2.
    [Google الباحث العلمي]
  49. Loggetto SR. Sickle cell anemia: Clinical diversity and beta S-globin haplotypes. Rev Bras Hematol Hemoter. 2013; 35:3:155157.
    [Google الباحث العلمي]
  50. Flint J, Harding RM, Boyce AJ, Clegg JB. The population genetics of the haemoglobinopathies. Baillieres Clin Haematol. 1998; 11:1:151.
    [Google الباحث العلمي]
  51. Inati A, Taher A, Bou Alawi W, Koussa S, Kaspar H, Shbaklo H, Zalloua PA. Beta-globin gene cluster haplotypes and HbF levels are not the only modulators of sickle cell disease in Lebanon. Eur J Haematol. 2003; 70:2:7983.
    [Google الباحث العلمي]
  52. Hamamy HA, Al-Allawi NA. Epidemiological profile of common haemoglobinopathies in Arab countries. J Community Genet. 2013; 4:2:147167.
    [Google الباحث العلمي]
  53. Bao B, Prasad AS, Beck FWJ, Snell D, Suneja A, Sarkar FH, Doshi N, Fitzgerald JT, Swerdlow P. Zinc supplementation decreases oxidative stress, incidence of infection and generation of inflammatory cytokines in sickle cell disease patients. Transl Res. 2008; 152:2:6780.
    [Google الباحث العلمي]
  54. Arruda MM, Mecabo G, Rodrigues CA, Matsuda SS, Rabelo IB, Figueiredo MS. Antioxidant vitamins C and E supplementation increases markers of haemolysis in sickle cell anaemia patients: a randomized, double-blind, placebo-controlled trial. Br J Haematol. 2013; 160:5:688700.
    [Google الباحث العلمي]
  55. Wood KC, Hsu LL, Gladwin MT. Sickle cell disease vasculopathy: A state of nitric oxide resistance. Free Radic Biol Med. 2008; 44::15061528.
    [Google الباحث العلمي]
  56. Silva DG, Belini Junior E, de Almeida EA, Bonini-Domingos CR. Oxidative stress in sickle cell disease: An overview of erythrocyte redox metabolism and current antioxidant therapeutic strategies. Free Radic Biol Med. 2013; 65::11011109.
    [Google الباحث العلمي]
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  • نوع المستند: Research Article
الموضوعات الرئيسية catalase, sickle cell anemiaenzymes cofactorsmalondialdehydeoxidative stress and superoxide dismutase

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