Abstract
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Prooxidant-Antioxidant Balance and hs-CRP in Patients with β-Thalassemia Major
by Hassan Ehteram, Mehrnoosh Shanaki Bavarsad, Mehdi Mokhtari, Najmaldin Saki, Masuod Soleimani, Seyed Mohammad Reza Parizadeh, Naser Mobarra
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Background: Beta-thalassemia major is one of the most frequent hemoglobinopathies in the world. This is a study on the levels of prooxidant-antioxidant balance (PAB) that can measure the pro-oxidant burden and the anti-oxidant capacity simultaneously in one assay, giving a redox index, as well as an assessment of high-sensitivity C-reactive protein (hs-CRP) in patients with β-thalassemia major. It also determines the impact both on kidney function tests.
Methods: Ninety subjects with β-thalassemia major (βTM) and 90 more healthy subjects as the control group were enrolled in the study. Laboratory parameters, serum hs-CRP, and the novel assay of prooxidant-antioxidant balance were measured.
Results: Biochemical and hematological variables, except MCHC, were significantly decreased in patients. Ferritin (p < 0.001) and PAB (p < 0.001) values were statistically increased in patients, whereas hs-CRP (p > 0.05) did not significantly increase in patients. Spearman’s correlation univariate analysis showed no significant correlation between PAB with hs-CRP or ferritin. However, there was a significant statistical correlation between hs-CRP with creatinine and triglycerides. Also we found a slight and negative correlation between high-density lipoprotein cholesterol, hemoglobin, and hemotocrit with inflammatory factor.
Conclusions: Briefly, we found higher levels of PAB values and a slight increase in hs-CRP concentration in patients, which may be involved in the pathological consequences of β-thalassemia major and contribute to the gradual development of injury to the organs.
DOI: 10.7754/Clin.Lab.2013.130132
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