A novel method for calculating mean erythrocyte age using erythrocyte creatine

Masashi Kameyama1, Masafumi Koga2, Toshika Okumiya3

  • 1Department of Diagnostic Radiology, Tokyo Metropolitan Geriatric Hospital and Institute of Gerontology, Tokyo, Japan.

Aging
|May 12, 2020
PubMed

Estimating the lifespan of erythrocytes is useful for the differential diagnosis of anemia. However, measuring the lifespan of erythrocytes was very difficult; therefore, it was seldom measured. Erythrocyte creatine (EC) decreases reflecting erythrocyte age. We developed a method to obtain mean erythrocyte age (M) from EC.We reanalyzed the previously published data from 21 patients with hemolytic anemia, which included EC and the half-life of 51Cr.M and log EC showed excellent significant linearity (r = -0.9475, p < 0.001), proving that it could be treated as a mono-exponential relationship within the studied range (EC: 1.45 - 11.76 μmol/g Hb). We established an equation to obtain M (days) from EC (μmol/g Hb): M = -22.84log EC + 65.83.This equation allowed calculation of M based on EC which has practical applications such as the diagnosis of anemia.