Zinc improved erythrocyte deformability and aggregation in patients with beta-thalassemia: An in vitro study.

IF 2.1 4区 医学 Q3 HEMATOLOGY Clinical hemorheology and microcirculation Pub Date : 2023-01-01 DOI:10.3233/CH-221452
Mukaddes Sinan, Ozlem Yalcin, Zeynep Karakas, Evrim Goksel, Nesrin Zeynep Ertan
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Abstract

Background: Thalassemia patients have reduced red cell deformability and decreased plasma zinc levels in their blood.

Objective: This study aimed to evaluate the effects of zinc (Zn) on the hemorheological parameters and antioxidant enzyme activities in β-thalassemia major (TM) and healthy volunteers (HV).

Methods: Hemorheological parameters were measured using LORCA (laser-assisted optical rotational cell analyzer) after adjusting the hematocrit to 40%. Zinc sulfate (ZnSO4.7H2O) was used for Zn incubation with a concentration of 0.5μg/dl. Oxidative stress and antioxidant status were determined using commercial kits.

Results: Data showed that after Zn incubation, EImax, the area under the EI-osmolarity curve (Area), and Omax decreased in TM. However, no significant difference was observed in the osmotic deformability parameters of HV. The increased elongation index was obtained at different shear stresses for TM and HV, and SS1/2 decreased in both groups. The AMP and aggregation index (AI) decreased in TM, and the required time for half of the maximum aggregation (t1/2) increased in HV. However, Zn did not affect oxidative parameters in both groups.

Conclusions: This study showed that Zn incubation increased deformability and decreased aggregation in thalassemic erythrocytes. It means that Zn supplementation will contribute to microcirculation in thalassemia patients.

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锌改善β地中海贫血患者红细胞变形能力和聚集性:一项体外研究。
背景:地中海贫血患者的红细胞变形能力降低,血浆锌水平降低。目的:探讨锌对大β地中海贫血(TM)和健康志愿者(HV)血液流变学参数和抗氧化酶活性的影响。硫酸锌(ZnSO4.7H2O)用于锌培养,浓度为0.5μg/dl。使用商业试剂盒测定氧化应激和抗氧化状态。结果:Zn孵育后,TM的EImax、EI渗透压曲线下面积(area)和Omax均降低。但HV的渗透变形性参数没有显著差异。TM和HV在不同剪切应力下的伸长率增加,而SS1/2在两组中都有所下降。TM中的AMP和聚集指数(AI)降低,HV中达到最大聚集一半所需的时间(t1/2)增加。然而,锌对两组的氧化参数没有影响。结论:本研究表明,锌孵育可增加地中海贫血红细胞的变形能力,降低聚集性。这意味着补充锌将有助于地中海贫血患者的微循环。
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来源期刊
CiteScore
4.30
自引率
33.30%
发文量
170
期刊介绍: Clinical Hemorheology and Microcirculation, a peer-reviewed international scientific journal, serves as an aid to understanding the flow properties of blood and the relationship to normal and abnormal physiology. The rapidly expanding science of hemorheology concerns blood, its components and the blood vessels with which blood interacts. It includes perihemorheology, i.e., the rheology of fluid and structures in the perivascular and interstitial spaces as well as the lymphatic system. The clinical aspects include pathogenesis, symptomatology and diagnostic methods, and the fields of prophylaxis and therapy in all branches of medicine and surgery, pharmacology and drug research. The endeavour of the Editors-in-Chief and publishers of Clinical Hemorheology and Microcirculation is to bring together contributions from those working in various fields related to blood flow all over the world. The editors of Clinical Hemorheology and Microcirculation are from those countries in Europe, Asia, Australia and America where appreciable work in clinical hemorheology and microcirculation is being carried out. Each editor takes responsibility to decide on the acceptance of a manuscript. He is required to have the manuscript appraised by two referees and may be one of them himself. The executive editorial office, to which the manuscripts have been submitted, is responsible for rapid handling of the reviewing process. Clinical Hemorheology and Microcirculation accepts original papers, brief communications, mini-reports and letters to the Editors-in-Chief. Review articles, providing general views and new insights into related subjects, are regularly invited by the Editors-in-Chief. Proceedings of international and national conferences on clinical hemorheology (in original form or as abstracts) complete the range of editorial features.
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