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Updated: Jun 28, 2025

A Precision Medicine Tool for Measurement and Monitoring of Hemoglobin S in Sickle Cell Disease Patients Receiving Transfusion Therapy
Clinical Biomarkers of Acute Vaso-Occlusive Sickle Cell Crisis
Kashish Khurana1, Satish Mahajan1, Sourya Acharya1
1Department of Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.
Insights
Sickle cell disease (SCD) management is complex due to its phenotype. This review highlights the importance of validated blood and urine biomarkers for accurate diagnosis and personalized treatment strategies in SCD patients.
Area of Science:
- Hematology
- Genetics
- Biochemistry
Background:
- Sickle cell disease (SCD) is an inherited blood disorder caused by a single gene.
- Numerous interacting pathways, including hemolysis, inflammation, and oxidative stress, are associated with SCD.
- Current biomarkers have limitations in diagnosing SCD severity and acute events like sickle cell crisis.
Purpose of the Study:
- To review the significance of biochemical indicators in relation to clinical manifestations and sub-phenotype identification in SCD.
- To emphasize the need for a comprehensive panel of validated blood and urine biomarkers for SCD management.
- To explore how advancements in diagnostics support precision medicine approaches for SCD.
Main Methods:
- Literature review of existing studies on SCD biomarkers.
- Analysis of biochemical indicators linked to clinical SCD phenotypes.
- Examination of advancements in molecular and imaging diagnostics for SCD.
Main Results:
- Biomarkers have identified various SCD-associated pathways like endothelial dysfunction and hypercoagulability.
- Despite monogenic inheritance, the complex SCD phenotype complicates treatment progress.
- Existing biomarkers struggle with accurate diagnosis of illness severity and sickle cell crisis.
Conclusions:
- Establishing a comprehensive panel of validated blood and urine biomarkers is crucial for effective SCD management.
- Recent diagnostic advancements are enabling personalized treatment strategies and precision medicine in SCD.
- Biochemical indicators are vital for identifying SCD sub-phenotypes and guiding clinical decisions.
Abstract:
It is known that an inherited blood condition called sickle cell disease (SCD) is a result of one gene. A number of blood and urine biomarkers have been determined in association with lab and clinical history for SCD patients. SCD has numerous interacting pathways associated with it, which have been identified by biomarkers. These mechanisms consist of some examples, such as endothelial vasodilation response, hypercoagulability, hemolysis, inflammation, oxidative stress, vascular dysfunction, and reperfusion injury among others. To effectively manage SCD, a comprehensive panel of validated blood and urine biomarkers must be established. Despite its monogenic inheritance, the complex nature of the SCD phenotype has impeded progress in its treatment. However, significant strides have been made in clinical biotechnology, paving the way for potential breakthroughs. In SCD, a panel of verified blood and urine biomarkers must be established, however. Despite monogenic inheritance, the great complexity of the SCD phenotype has hindered progress in its management. With few exceptions, clinical biomarkers of illness severity have been found through epidemiological investigations; nevertheless, systematic integration of these biomarkers into clinical treatment algorithms has not occurred. Furthermore, sickle cell crisis, the primary acute consequence of SCD, has been difficult to diagnose with the biomarkers now in use. Inadequate care and a lack of appropriate outcome measures for clinical research are the consequences of these diagnostic constraints. A new chapter in SCD customized treatment has begun with recent advancements in molecular and imaging diagnostics. Strategies in precision medicine are especially relevant now that molecular therapies are within reach. The significance of biochemical indicators linked to clinical manifestation and sub-phenotype identification in SCD is reviewed in this research.
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