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.

Cureus
|April 18, 2024
PubMed

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.