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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.
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.
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.
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