Hemolysis Clinical Trial
Official title:
Oxidative Stress Contributes to Hemolysis in Patients With Hereditary Spherocytosis (HS) and Can be Ameliorated by Fermented Papaya Preparation (FPP)
In the present study the investigators are going to explore the oxidative status of HS-RBC and its contribution to hemolysis
The oxidative status of cells, which is determined by the balance between pro-oxidants, such
as the reactive oxygen species (ROS), and antioxidants, is a major regulator of cellular
functions. Impaired balance between pro- and antioxidants causes oxidative stress which may
result in oxidation of proteins, lipids and DNA with the final outcome of premature cell
aging and apoptosis [1,2]. Oxidatively stressed red blood cell (RBC) have been observed in
various congenital and acquired hemolytic anemias, including thalassemia, sickle cell
anemia, congenital dyserythropoietic anemia, G6PD deficiency and paroxysmal nocturnal
hemoglobinuria (PNH) as well as in myelodysplastic syndrome (MDS). Although the primary
etiology is different in these anemias, oxidative stress mediates several of their
pathologies, mainly hemolysis [3].
Hereditary Spherocytosis (HS) is a genetic disorder of the RBC skeleton with primary
deficiency in spectrin, ankyrin-1, band 3 or protein 4.2 associated with chronic hemolytic
anemia [4]. Secondary protein deficiencies resulting from oxidative stress are often
observed and may be involved in the clinical manifestations of the disease [5].
;
Allocation: Non-Randomized, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Diagnostic
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