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Vona R, Sposi NM, Mattia L, Gambardella L, Straface E, Pietraforte D. Sickle Cell Disease: Role of Oxidative Stress and Antioxidant Therapy. Antioxidants (Basel) 2021; 10:antiox10020296. [PMID: 33669171 PMCID: PMC7919654 DOI: 10.3390/antiox10020296] [Citation(s) in RCA: 34] [Impact Index Per Article: 11.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/19/2020] [Revised: 02/08/2021] [Accepted: 02/12/2021] [Indexed: 12/11/2022] Open
Abstract
Sickle cell disease (SCD) is the most common hereditary disorder of hemoglobin (Hb), which affects approximately a million people worldwide. It is characterized by a single nucleotide substitution in the β-globin gene, leading to the production of abnormal sickle hemoglobin (HbS) with multi-system consequences. HbS polymerization is the primary event in SCD. Repeated polymerization and depolymerization of Hb causes oxidative stress that plays a key role in the pathophysiology of hemolysis, vessel occlusion and the following organ damage in sickle cell patients. For this reason, reactive oxidizing species and the (end)-products of their oxidative reactions have been proposed as markers of both tissue pro-oxidant status and disease severity. Although more studies are needed to clarify their role, antioxidant agents have been shown to be effective in reducing pathological consequences of the disease by preventing oxidative damage in SCD, i.e., by decreasing the oxidant formation or repairing the induced damage. An improved understanding of oxidative stress will lead to targeted antioxidant therapies that should prevent or delay the development of organ complications in this patient population.
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Affiliation(s)
- Rosa Vona
- Biomarkers Unit, Center for Gender-Specific Medicine, Istituto Superiore di Sanità, Viale Regina Elena 299, 00161 Rome, Italy; (R.V.); (N.M.S.); (L.G.)
| | - Nadia Maria Sposi
- Biomarkers Unit, Center for Gender-Specific Medicine, Istituto Superiore di Sanità, Viale Regina Elena 299, 00161 Rome, Italy; (R.V.); (N.M.S.); (L.G.)
| | - Lorenza Mattia
- Department of Clinical and Molecular Medicine, “La Sapienza” University, 00161 Rome, Italy;
- Endocrine-Metabolic Unit, Sant’Andrea University Hospital, 00189 Rome, Italy
| | - Lucrezia Gambardella
- Biomarkers Unit, Center for Gender-Specific Medicine, Istituto Superiore di Sanità, Viale Regina Elena 299, 00161 Rome, Italy; (R.V.); (N.M.S.); (L.G.)
| | - Elisabetta Straface
- Biomarkers Unit, Center for Gender-Specific Medicine, Istituto Superiore di Sanità, Viale Regina Elena 299, 00161 Rome, Italy; (R.V.); (N.M.S.); (L.G.)
- Correspondence: ; Tel.: +39-064-990-2443; Fax: +39-064-990-3690
| | - Donatella Pietraforte
- Core Facilities, Istituto Superiore di Sanità, Viale Regina Elena 299, 00161 Rome, Italy;
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Contreras N, Alvíz A. Human red blood cell polymorphisms prevalent in Colombian population and its protective role against malaria. Transfus Clin Biol 2019; 26:60-68. [DOI: 10.1016/j.tracli.2018.08.001] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/30/2018] [Accepted: 08/02/2018] [Indexed: 01/03/2023]
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Hierso R, Lemonne N, Villaescusa R, Lalanne-Mistrih ML, Charlot K, Etienne-Julan M, Tressières B, Lamarre Y, Tarer V, Garnier Y, Hernandez AA, Ferracci S, Connes P, Romana M, Hardy-Dessources MD. Exacerbation of oxidative stress during sickle vaso-occlusive crisis is associated with decreased anti-band 3 autoantibodies rate and increased red blood cell-derived microparticle level: a prospective study. Br J Haematol 2016; 176:805-813. [DOI: 10.1111/bjh.14476] [Citation(s) in RCA: 28] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/12/2016] [Accepted: 09/27/2016] [Indexed: 01/12/2023]
Affiliation(s)
- Régine Hierso
- Unité Biologie Intégrée du Globule Rouge, laboratoire d'Excellence GR-Ex; Université des Antilles; Inserm; U 1134 Pointe-à-Pitre Guadeloupe
| | - Nathalie Lemonne
- CHU de Pointe-à-Pitre; Unité Transversale de la Drépanocytose; Pointe-à-Pitre Guadeloupe
| | | | - Marie-Laure Lalanne-Mistrih
- Unité Biologie Intégrée du Globule Rouge, laboratoire d'Excellence GR-Ex; Université des Antilles; Inserm; U 1134 Pointe-à-Pitre Guadeloupe
- Centre d'Investigation Clinique Antilles Guyane; Inserm/DGOS CIC 1424; Pointe-à-Pitre Guadeloupe
| | - Keyne Charlot
- Unité Biologie Intégrée du Globule Rouge, laboratoire d'Excellence GR-Ex; Université des Antilles; Inserm; U 1134 Pointe-à-Pitre Guadeloupe
| | - Maryse Etienne-Julan
- Unité Biologie Intégrée du Globule Rouge, laboratoire d'Excellence GR-Ex; Université des Antilles; Inserm; U 1134 Pointe-à-Pitre Guadeloupe
- CHU de Pointe-à-Pitre; Unité Transversale de la Drépanocytose; Pointe-à-Pitre Guadeloupe
| | - Benoit Tressières
- Centre d'Investigation Clinique Antilles Guyane; Inserm/DGOS CIC 1424; Pointe-à-Pitre Guadeloupe
| | - Yann Lamarre
- Unité Biologie Intégrée du Globule Rouge, laboratoire d'Excellence GR-Ex; Université des Antilles; Inserm; U 1134 Pointe-à-Pitre Guadeloupe
| | - Vanessa Tarer
- CHU de Pointe-à-Pitre; Unité Transversale de la Drépanocytose; Pointe-à-Pitre Guadeloupe
| | - Yohann Garnier
- Unité Biologie Intégrée du Globule Rouge, laboratoire d'Excellence GR-Ex; Université des Antilles; Inserm; U 1134 Pointe-à-Pitre Guadeloupe
| | | | - Serge Ferracci
- CHU de Pointe-à-Pitre; Service d'accueil des Urgences; Pointe-à-Pitre Guadeloupe
| | - Philippe Connes
- Unité Biologie Intégrée du Globule Rouge, laboratoire d'Excellence GR-Ex; Université des Antilles; Inserm; U 1134 Pointe-à-Pitre Guadeloupe
- Institut Universitaire de France; Paris France
| | - Marc Romana
- Unité Biologie Intégrée du Globule Rouge, laboratoire d'Excellence GR-Ex; Université des Antilles; Inserm; U 1134 Pointe-à-Pitre Guadeloupe
| | - Marie-Dominique Hardy-Dessources
- Unité Biologie Intégrée du Globule Rouge, laboratoire d'Excellence GR-Ex; Université des Antilles; Inserm; U 1134 Pointe-à-Pitre Guadeloupe
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Knight-Madden J, Romana M, Villaescusa R, Reid M, Etienne-Julan M, Boutin L, Elana G, Elenga N, Wheeler G, Lee K, Nieves R, Jones Lecointe A, Lalanne-Mistrih ML, Loko G, Keclard-Christophe L, Hardy-Dessources MD. CAREST--Multilingual Regional Integration for Health Promotion and Research on Sickle Cell Disease and Thalassemia. Am J Public Health 2016; 106:851-3. [PMID: 26999505 DOI: 10.2105/ajph.2016.303078] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
Sickle cell disease (SCD) is a significant problem in the Caribbean, where many individuals have African and Asian forebears. However, reliable prevalence data and specific health care programs for SCD are often missing in this region. Closer collaboration between Caribbean territories initiated in 2006 to set up strategies to promote better equity in the health care system for SCD patients led to the formation of CAREST: the Caribbean Network of Researchers on Sickle Cell Disease and Thalassemia. We present the effectiveness of collaborations established by CAREST to promote SCD newborn screening programs and early childhood care, to facilitate health worker training and approaches for prevention and treatment of SCD complications, and to carry out inter-Caribbean research studies.
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Affiliation(s)
- Jennifer Knight-Madden
- All of the authors are with the Caribbean Network of Researchers on Sickle Cell Disease and Thalassemia, Pointe-à-Pitre, Guadeloupe
| | - Marc Romana
- All of the authors are with the Caribbean Network of Researchers on Sickle Cell Disease and Thalassemia, Pointe-à-Pitre, Guadeloupe
| | - Rinaldo Villaescusa
- All of the authors are with the Caribbean Network of Researchers on Sickle Cell Disease and Thalassemia, Pointe-à-Pitre, Guadeloupe
| | - Marvin Reid
- All of the authors are with the Caribbean Network of Researchers on Sickle Cell Disease and Thalassemia, Pointe-à-Pitre, Guadeloupe
| | - Maryse Etienne-Julan
- All of the authors are with the Caribbean Network of Researchers on Sickle Cell Disease and Thalassemia, Pointe-à-Pitre, Guadeloupe
| | - Laurence Boutin
- All of the authors are with the Caribbean Network of Researchers on Sickle Cell Disease and Thalassemia, Pointe-à-Pitre, Guadeloupe
| | - Gisèle Elana
- All of the authors are with the Caribbean Network of Researchers on Sickle Cell Disease and Thalassemia, Pointe-à-Pitre, Guadeloupe
| | - Narcisse Elenga
- All of the authors are with the Caribbean Network of Researchers on Sickle Cell Disease and Thalassemia, Pointe-à-Pitre, Guadeloupe
| | - Gillian Wheeler
- All of the authors are with the Caribbean Network of Researchers on Sickle Cell Disease and Thalassemia, Pointe-à-Pitre, Guadeloupe
| | - Ketty Lee
- All of the authors are with the Caribbean Network of Researchers on Sickle Cell Disease and Thalassemia, Pointe-à-Pitre, Guadeloupe
| | - Rosa Nieves
- All of the authors are with the Caribbean Network of Researchers on Sickle Cell Disease and Thalassemia, Pointe-à-Pitre, Guadeloupe
| | - Althea Jones Lecointe
- All of the authors are with the Caribbean Network of Researchers on Sickle Cell Disease and Thalassemia, Pointe-à-Pitre, Guadeloupe
| | - Marie-Laure Lalanne-Mistrih
- All of the authors are with the Caribbean Network of Researchers on Sickle Cell Disease and Thalassemia, Pointe-à-Pitre, Guadeloupe
| | - Gylna Loko
- All of the authors are with the Caribbean Network of Researchers on Sickle Cell Disease and Thalassemia, Pointe-à-Pitre, Guadeloupe
| | - Lisiane Keclard-Christophe
- All of the authors are with the Caribbean Network of Researchers on Sickle Cell Disease and Thalassemia, Pointe-à-Pitre, Guadeloupe
| | - Marie-Dominique Hardy-Dessources
- All of the authors are with the Caribbean Network of Researchers on Sickle Cell Disease and Thalassemia, Pointe-à-Pitre, Guadeloupe
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Kuypers FA. Hemoglobin S Polymerization and Red Cell Membrane Changes. Hematol Oncol Clin North Am 2014; 28:155-79. [DOI: 10.1016/j.hoc.2013.12.002] [Citation(s) in RCA: 25] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/28/2022]
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