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Warang PP, Shinde NS, Umare VD, Deshmukh PV, Ghosh K, Madkaikar MR, Colah RB, Mukherjee MB. Role of Oxidative Stress and the Protective Effect of Fermented Papaya Preparation in Sickle Cell Disease. Hemoglobin 2022; 46:260-264. [PMID: 36073153 DOI: 10.1080/03630269.2022.2118603] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
Fermented papaya preparation (FPP) is the source of antioxidants that may help in reducing the complications associated with oxidative stress and may improve the quality of life in sickle cell disease patients. In this study, we assessed the in vitro effect of FPP on sickled red blood cells (RBCs) using oxidative stress markers and observed that FPP has the potential to reduce the oxidative stress. Scanning electron microscopy (SEM) and eosin 5' malaemide (E5'M) dye test showed that FPP protects red cell morphology against the oxidative stress. Liquid chromatography mass spectrometry (LCMS) analysis of FPP suggests the presence of essential amino acids, vitamin D3, and its derivatives. Fermented papaya preparation can be of benefit either in reducing oxidative stress parameters or in preventing pathophysiological events in the sickle cell disease patients.
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Affiliation(s)
- Prashant P Warang
- Department of Haematogenetics, Indian Council of Medical Research, National Institute of Immunohaematology, Mumbai, Maharashtra, India
| | - Nikhil S Shinde
- Department of Haematogenetics, Indian Council of Medical Research, National Institute of Immunohaematology, Mumbai, Maharashtra, India
| | - Vinod D Umare
- Department of Haematogenetics, Indian Council of Medical Research, National Institute of Immunohaematology, Mumbai, Maharashtra, India
| | - Prajyot V Deshmukh
- Department of Haematogenetics, Indian Council of Medical Research, National Institute of Immunohaematology, Mumbai, Maharashtra, India
| | - Kanjaksha Ghosh
- Department of Haematogenetics, Indian Council of Medical Research, National Institute of Immunohaematology, Mumbai, Maharashtra, India
| | - Manisha R Madkaikar
- Department of Haematogenetics, Indian Council of Medical Research, National Institute of Immunohaematology, Mumbai, Maharashtra, India
| | - Roshan B Colah
- Department of Haematogenetics, Indian Council of Medical Research, National Institute of Immunohaematology, Mumbai, Maharashtra, India
| | - Malay B Mukherjee
- Department of Haematogenetics, Indian Council of Medical Research, National Institute of Immunohaematology, Mumbai, Maharashtra, India
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Sajgure AD, Dighe TA, Korpe JS, Bale CB, Sharma AO, Shinde NS, Goel AA, Mulay AV. The Relationship between Metabolic Acidosis and Nutritional Parameters in Patients on Hemodialysis. Indian J Nephrol 2017; 27:190-194. [PMID: 28553038 PMCID: PMC5434684 DOI: 10.4103/0971-4065.202404] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Abstract
The progressive loss of kidney function is accompanied by metabolic acidosis. The relationship between metabolic acidosis, nutritional status, and oral bicarbonate supplementation has not been assessed in the Indian chronic kidney disease (CKD) population who are on maintenance hemodialysis (MHD). This is a single-center prospective study conducted in the Western part of India. Thirty-five patients, who were receiving MHD were assessed for metabolic acidosis along with various nutritional parameters at the baseline and at the follow-up after 3 months, postcorrection of acidosis with oral sodium bicarbonate supplements. The relationship between the correction of metabolic acidosis with oral bicarbonate supplements and changes in dietary and various nutritional parameters were evaluated. Metabolic acidosis at the baseline evaluation was found in 62.86% cases of the cohort with a mean serum bicarbonate value of 20.18 ± 4.93 mmol/L. The correction of acidosis with increment in the mean dosage of oral sodium bicarbonate supplements from 0.69 ± 0.410 mmol/kg/day at baseline to 1.04 ± 0.612 mmol/kg/day, significantly reduced the prevalence of metabolic acidosis to 23.33% cases at the follow-up. Improvement in serum bicarbonate level showed significant dietary, anthropometric, and nutritional improvements in these patients. Hence, we conclude that correction of metabolic acidosis with optimal oral bicarbonate supplementation plays a pivotal role in the treatment of malnourished CKD patients on MHD.
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Affiliation(s)
- A D Sajgure
- Department of Nephrology, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Pune, Maharashtra, India
| | - T A Dighe
- Department of Nephrology, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Pune, Maharashtra, India
| | - J S Korpe
- Department of Nephrology, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Pune, Maharashtra, India
| | - C B Bale
- Department of Nephrology, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Pune, Maharashtra, India
| | - A O Sharma
- Department of Nephrology, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Pune, Maharashtra, India
| | - N S Shinde
- Department of Nephrology, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Pune, Maharashtra, India
| | - A A Goel
- Department of Nephrology, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Pune, Maharashtra, India
| | - A V Mulay
- Department of Nephrology, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Pune, Maharashtra, India
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