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Published on: June 28, 2024
Oxidative stress and disturbance in antioxidant balance in beta thalassemia major
Rahul A Ghone1, K M Kumbar, A N Suryakar
1Department of Biochemistry, Dr.V.M.Govt. Medical College, Solapur, India.
Insights
Children with beta thalassemia major exhibit increased oxidative stress due to iron overload from blood transfusions. Their bodies show higher lipid peroxides and lower antioxidant defenses, impacting disease progression.
Area of Science:
- Biochemistry
- Pediatrics
- Hematology
Background:
- Beta thalassemia major requires frequent blood transfusions.
- Secondary iron overload from transfusions can cause tissue damage.
- Understanding oxidative stress in these patients is crucial.
Purpose of the Study:
- To investigate oxidative stress markers in children with beta thalassemia major.
- To compare antioxidant status between patients and healthy controls.
- To elucidate the role of oxidative stress in beta thalassemia major pathogenesis.
Main Methods:
- Studied 72 children with beta thalassemia major and 72 healthy controls.
- Measured serum levels of lipid peroxides, iron, TIBC, copper, zinc, and vitamin E.
- Assessed plasma total antioxidant capacity and erythrocyte superoxide dismutase activity.
Main Results:
- Patients showed significantly higher lipid peroxide and iron levels (p<0.001).
- Significantly decreased levels of vitamin E, total antioxidant capacity, and TIBC were observed (p<0.001).
- Serum zinc was significantly increased (p<0.001), while copper decreased (p<0.001). Erythrocyte superoxide dismutase activity showed no significant change (p>0.05).
Conclusions:
- Beta thalassemia major patients experience significant oxidative stress.
- Reduced antioxidant defense mechanisms are implicated in the disease.
- Iron overload contributes to peroxidative tissue injury in these patients.
Abstract:
Repeated blood transfusion in beta thalassemia major patients may lead to peroxidative tissue injury by secondary iron overload. In the present study, 72 children with beta thalassemia major were included. Serum levels of total lipid peroxides, Iron, Total Iron Binding Capacity, Copper, Zinc, Vitamin E, plasma Total Antioxidant Capacity, activity of Erythrocyte Superoxide Dismutase, were measured. The findings were compared with 72 age matched healthy controls irrespective of sex. A significant increase in the levels of lipid peroxide and Iron (p<0.001), whereas, significant decrease in the levels of vitamin-E, Total Antioxidant Capacity and Total Iron Binding Capacity (p<0.001) was observed. Serum Zinc was significantly increased (p<0.001) with significant decrease in the levels of copper (p<0.001). Non Significant increase in the activity of Erythrocyte Superoxide Dismutase (p>0.05) was found in the patients when compared with controls. This suggest that oxidative stress and reduced antioxidant defense mechanism play an important role in pathogenesis of beta thalassemia major.
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