Revista Brasileira de Hematologia e Hemoterapia | |
Correlation of low levels of nitrite and high levels of fetal hemoglobin in patients with sickle cell disease at baseline | |
Darcielle Bruna Dias Elias1  Lilianne Brito Da Silva Rocha1  Maritza Barbosa Cavalcante1  Alano Martins Pedrosa1  Izabel Cristina Bandeira Justino1  Romélia Pinheiro Gonçalves1  | |
[1] ,Universidade Federal do CearáFortaleza CE ,Brazil | |
关键词: Lactate dehydrogenase; Malonaldehyde; Anemia; sickle cell; Nitrite; | |
DOI : 10.5581/1516-8484.20120069 | |
来源: SciELO | |
【 摘 要 】
BACKGROUND: Sickle cell disease is a hemoglobinopathy characterized by hemolytic anemia, increased susceptibility to infections and recurrent vaso-occlusive crises that reduces the quality of life of sufferers. OBJECTIVE: To evaluate the correlation of the levels of lactate dehydrogenase, malonaldehyde and nitrite to fetal hemoglobin in patients with sickle cell disease not under treatment with hydroxyurea in outpatients at a university hospital in Fortaleza, Ceará, Brazil. METHODS: Forty-four patients diagnosed with sickle cell disease were enrolled at baseline. Diagnosis was confirmed by evaluating the beta globin gene using polymerase chain reaction-restriction fragment length polymorphism. The concentration of fetal hemoglobin was obtained by high-performance liquid chromatography. Serum levels of nitrite, malonaldehyde and lactate dehydrogenase were measured by biochemical methods. RESULTS: Significantly higher levels of lactate dehydrogenase, nitrite and malonaldehyde were observed in patients with sickle cell disease compared to a control group. The study of the correlation between fetal hemoglobin levels and these variables showed a negative correlation with nitrite levels. No correlation was found between fetal hemoglobin and malonaldehyde or lactate dehydrogenase. When the study population was stratified according to fetal hemoglobin levels, a decrease in the levels of nitrite was observed with higher levels of fetal hemoglobin (p-value = 0.0415). CONCLUSION: The results show that, similar to fetal hemoglobin levels, the concentration of nitrite can predict the clinical course of the disease, but should not be used alone as a modulator of prognosis in patients with sickle cell disease.
【 授权许可】
CC BY-NC-ND
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