Abstract:
:The benefits of combined deferoxamine (DFO) and deferiprone (L1) chelation therapy, focusing on reducing myocardial iron loading, have been widely reported. Herein, we present the efficacy of combined chelation and its effects on iron load indices. Five thalassemia major (TM) patients who were undergoing chelation monotherapy with DFO were enrolled. Inclusion criteria were magnetic resonance imaging (MRI) T2* values, indicating serious heart and/or liver transfusional hemosiderosis. Combined therapy was started with the same dose of DFO and the addition of L1. The MRI T2* studies were repeated 18 months later. An Echo-Doppler study was performed in order to further evaluate the left ventricular (LV) systolic function. Within the 18 months' follow-up period, there was a significant statical decrease in mean serum ferritin levels. All patients increased their MRI T2* liver values, while two patients with very low MRI T2* also increased their myocardial values. The MRI ejection fraction (EF) and Echo-Doppler study measurements confirmed the improvement of systolic function. No adverse effects were reported. Combined L1 and DFO therapy seems to be effective in reducing iron excess in organ iron overloaded thalassemic patients. Magnetic resonance imaging can accurately quantify iron load, while echocardiography remains a reliable monitoring technology.
journal_name
Hemoglobinjournal_title
Hemoglobinauthors
Tsironi M,Assimakopoulos G,Polonofi K,Rigaki K,Aessopos Adoi
10.1080/03630260701680474subject
Has Abstractpub_date
2008-01-01 00:00:00pages
29-34issue
1-2eissn
0363-0269issn
1532-432Xpii
790613136journal_volume
32pub_type
杂志文章相关文献
HEMOGLOBIN文献大全abstract::The high performance liquid chromatograms of the hemoglobins in a hemolysate show minor peaks on reversed phase columns in addition to the expected major peaks of the alpha, beta, and gamma chains. One of these had previously been identified as the delta chain. The material in the most prominent minor peak which is te...
journal_title:Hemoglobin
pub_type: 杂志文章
doi:10.3109/03630268609042845
更新日期:1986-01-01 00:00:00
abstract::Hb Rancho Mirage was detected in a 17-year-old male in association with a mild anemia. Hemoglobin electrophoresis revealed the variant had a mobility between Hbs A and J on cellulose acetate (pH 8.6) and a mobility like Hb F on citrate agar (pH 6.4). A substitution of His----Asp was found at position 143 in the beta c...
journal_title:Hemoglobin
pub_type: 杂志文章
doi:10.3109/03630269209005674
更新日期:1992-01-01 00:00:00
abstract::Hb Hammersmith [β42(CD1)Phe → Ser; HBB: c.128T > C] is a rare, unstable hemoglobin (Hb) variant. In this case report, we describe another male case of Hb Hammersmith. A 39-year-old male had hemolytic anemia, cyanosis and splenomegaly since 6 months after birth. He passed the disease allele to his daughter, a 3-year-ol...
journal_title:Hemoglobin
pub_type: 杂志文章
doi:10.3109/03630269.2014.880352
更新日期:2014-01-01 00:00:00
abstract::We have used the diaminofluorene stain to detect hemoglobin production in J2E cells following erythropoietin-induced differentiation. The pseudo-peroxidase activity of hemoglobin produces a colored product, fluorene blue, which can be measured spectrophotometrically. We found that the absorbance varied with time and c...
journal_title:Hemoglobin
pub_type: 杂志文章
doi:10.3109/03630269509069725
更新日期:1995-01-01 00:00:00
abstract::Unstable hemoglobin (Hb) variants represent a rare etiology of congenital hemolytic anemia. Correct diagnosis can be a challenge due to the relative rarity or lack of awareness of this disorder. We report an 18-month-old girl, who presented with a long-standing hemolytic anemia. Her diagnosis of unstable Hb Perth [β32...
journal_title:Hemoglobin
pub_type: 杂志文章
doi:10.3109/03630269.2016.1169423
更新日期:2016-06-01 00:00:00
abstract::Despite estimated high prevalence of inherited hemoglobin (Hb) disorders among tribal populations in Madhya Pradesh State, India, the burden of disease is unknown, leading to high morbidity and associated mortality. Our aim was to screen tribal populations in designated tribal districts of Madhya Pradesh State for var...
journal_title:Hemoglobin
pub_type: 杂志文章
doi:10.1080/03630269.2020.1848859
更新日期:2020-11-01 00:00:00
abstract::Two kinds of 3-hydroxypyridine-2(1H)-thiones were synthesized. The visible (VIS) spectroscopic analysis indicated that 3-hydroxy-1-methylpyridine-2(1H)-thione (4a) and 3-hydroxy-1-(2-hydroxyethyl)pyridine-2(1H)-thione (4b) formed stable 3:1 Fe(III) complexes. The stability constant of the 4b-Fe(III) complex was estima...
journal_title:Hemoglobin
pub_type: 杂志文章
doi:10.1080/03630260500455342
更新日期:2006-01-01 00:00:00
abstract::Acquired α-thalassemia (α-thal) myelodysplastic syndrome (ATMDS) is a rare acquired syndrome characterized by a somatic point mutation in the ATRX gene in patients with chronic myeloid disorders. We describe the case of a 78-year-old man with myelodysplastic syndrome (MDS) and striking microcytic, hypochromic anemia. ...
journal_title:Hemoglobin
pub_type: 杂志文章
doi:10.3109/03630269.2012.724040
更新日期:2012-01-01 00:00:00
abstract::Over many years, cases of suspected α-globin chain variants were collected from different parts of the UK. The suspicion was based on the clinical picture, high performance liquid chromatography (HPLC) variant percentage, retention time (RT) and isoelectric focusing (IEF). DNA sequencing and the restriction enzyme Eae...
journal_title:Hemoglobin
pub_type: 杂志文章
doi:10.1080/03630269.2020.1783288
更新日期:2020-05-01 00:00:00
abstract::A new electrophoretically silent, unstable hemoglobin was discovered in a Japanese family. Isolation of the abnormal chain and chemical analyses demonstrated a previously unreported amino acid substitution, alpha 59[E8] glycine replaced by Valine. The new variant has been named Hb Tottori. ...
journal_title:Hemoglobin
pub_type: 杂志文章
doi:10.3109/03630268108991818
更新日期:1981-01-01 00:00:00
abstract::Tyr35β is located at the convergence of the α1β1, α1β2 and α1α2 interfaces of Hb A. We here report a Chinese family in whom the codon 35 (A > G) (HBB: c.107A > G) mutation of the β-globin gene was not associated with the thalassemic phenotype previously described. ...
journal_title:Hemoglobin
pub_type: 杂志文章
doi:10.3109/03630269.2015.1099547
更新日期:2016-01-01 00:00:00
abstract::α-Thalassemia (α-thal) is a very common single gene hereditary disease caused by large deletions or point mutations of the α-globin gene cluster in tropical and subtropical regions of the world. Here, we report for the first time, a novel large α-thal deletion in a Chinese family from Jiangsu Province, People's Republ...
journal_title:Hemoglobin
pub_type: 杂志文章
doi:10.1080/03630269.2017.1374968
更新日期:2017-01-01 00:00:00
abstract::The use of rivaroxaban in patients with hemoglobinopathies and thrombotic events has not been studied extensively. Here we present eight cases of such patients, five receiving rivaroxaban for stroke and systemic embolism prevention due to non-valvular atrial fibrillation and three for deep vein thrombosis treatment. T...
journal_title:Hemoglobin
pub_type: 杂志文章
doi:10.1080/03630269.2017.1374969
更新日期:2017-05-01 00:00:00
abstract::A third case of Hb J Iran is reported. The propositus is of Russian-Armenian origin and was investigated for hematuria. The electrophoretic behavior and the characterization of primary structure are described. Hb J Iran is stable and has normal functional properties. High resolution Nuclear Magnetic Resonance spectra ...
journal_title:Hemoglobin
pub_type: 杂志文章
doi:10.3109/03630268608996868
更新日期:1986-01-01 00:00:00
abstract::The restriction endonuclease map of the alpha and beta globin genomic region of the new human erythroleukemia line, HEL, was compared with that of normal human DNA. The HEL line, which produces mainly fetal (G gamma and A gamma) but no adult (delta and beta) globin chains, was shown to have the same pattern of DNA fra...
journal_title:Hemoglobin
pub_type: 杂志文章
doi:10.3109/03630268309048653
更新日期:1983-01-01 00:00:00
abstract::We report a novel hemoglobin (Hb) variant that we named Hb Fulton-Georgia, caused by a point mutation in exon 1/codon 20 of the α-globin gene [α20(B1)His→Pro; HBA1: c.62A>C]. This α chain variant was identified in an adult African-American female with Hb SC disease who was also heterozygous for the α-thalassemia-2 (α-...
journal_title:Hemoglobin
pub_type: 杂志文章
doi:10.3109/03630269.2013.810640
更新日期:2013-01-01 00:00:00
abstract::Hb Mont Saint-Aignan [beta128(H6)Ala-->Pro] is a mildly unstable variant, associated with hemolytic anemia, marked microcytosis and increased alpha/beta biosynthetic ratio (1.55 versus 1.1 +/- 0.1 in the control). The abnormal chain was isolated by selective precipitation with isopropanol and the structural modificati...
journal_title:Hemoglobin
pub_type: 杂志文章
doi:10.1081/hem-100103070
更新日期:2001-02-01 00:00:00
abstract::We report a case of a 43-year-old woman, affected by human immunodeficiency virus (HIV) and beta-thalassemia major (beta-TM), adequately treated with antiretroviral and transfusion-chelation therapy, that develops progressive right ventricular dysfunction due to severe pulmonary arterial hypertension (PAH), in absence...
journal_title:Hemoglobin
pub_type: 杂志文章,评审
doi:10.3109/03630260903547765
更新日期:2010-01-01 00:00:00
abstract::The effects of 2, 3-diphosphoglyceric acid (2, 3-DPG), adenosine triphosphate (ATP), inositol tetraphosphate (ITP), inositol pentaphosphate (IPP), and inositol hexaphosphate (IHP) on oxygen affinity of whole stripped hemoglobin (WSH), hemoglobin H (Hb-H; hatching hemoglobin), hemoglobin A (Hb-A), and hemoglobin D (Hb-...
journal_title:Hemoglobin
pub_type: 杂志文章
doi:10.3109/03630267709003422
更新日期:1977-01-01 00:00:00
abstract::Hemoglobin Brisbane is a new hemoglobin variant which produces a mile erythrocytosis. It is not detectable by electrophoresis at pH 8.6 or by isoelectric focusing but it is mildly unstable and gives a positive result with standard stability tests. The new hemoglobin has increased oxygen affinity and reduced co-operati...
journal_title:Hemoglobin
pub_type: 杂志文章
doi:10.3109/03630268108991807
更新日期:1981-01-01 00:00:00
abstract::Hb Iowa is a rare hemoglobin (Hb) variant with a Gly --> Ala substitution at position 119 of beta-globin. It was previously reported only in an African American infant who was also heterozygous for Hb S [beta6(A3)Glu --> Val] and her mother (Hb A/Iowa). Here we describe the second report of Hb Iowa, the first in conju...
journal_title:Hemoglobin
pub_type: 杂志文章
doi:10.1081/hem-120028882
更新日期:2004-02-01 00:00:00
abstract::The Ggamma:Agamma ratio is around 70:30 at the time of birth and usually 40:60 in the trace amounts of Hb F found in the adult. Changes in this ratio are observed in several hemoglobin disorders providing insights on the genetics and molecular pathophysiology of these diseases. Several techniques have been proposed to...
journal_title:Hemoglobin
pub_type: 杂志文章
doi:10.3109/03630269809071544
更新日期:1998-09-01 00:00:00
abstract::We describe a novel compound heterozygous genotype which consists of two point mutations named Hb Adana (HBA1: c.179G>A) and codon 127 (HBA2: c.382A>T) in a Kurdish family with two girls affected with severe α-thalassemia (α-thal). Both patients (the proband and her sister) had a history of splenectomy during childhoo...
journal_title:Hemoglobin
pub_type: 杂志文章
doi:10.1080/03630269.2020.1766485
更新日期:2020-03-01 00:00:00
abstract::We describe a Chinese patient who was heterozygous for both Hb Q-Thailand [alpha74(EF3)Asp-->His] and Hb E [beta26(B7)Gly-->Asp, GAG-->GTG]. Interaction of the alpha(Q-Thailand) and beta(E) chains leads to a hemoglobin (Hb) variant, namely Hb QE, which differs in electrophoretic mobility and high performance liquid ch...
journal_title:Hemoglobin
pub_type: 杂志文章
doi:10.1080/03630260802004483
更新日期:2008-01-01 00:00:00
abstract::Major advances were presented at the 19th International Conference on Chelation (ICOC) in London, UK including changes in iron chelation therapy that led to the complete treatment of transfusional iron overload. The first oral iron chelation results in animals using deferiprone (L1) were published in 1985, and effecti...
journal_title:Hemoglobin
pub_type:
doi:10.3109/03630269.2011.575663
更新日期:2011-01-01 00:00:00
abstract::We report the spectrum of β-thalassemia (β-thal) mutations observed in a cohort of at-risk couples, who presented for prenatal diagnosis at the Thalassemia, Hemophilia and Prenatal Diagnosis Genetic Research Center, Shiraz Medical University, Fars, Iran, from March 2001 to April 2002. Using polymerase chain reaction-a...
journal_title:Hemoglobin
pub_type: 杂志文章
doi:10.3109/03630269.2011.601385
更新日期:2011-01-01 00:00:00
abstract::We report a newborn with a compound heterozygosity for Hb O-Arab (HBB: 364G>A) and Hb D-Los Angeles (HBB: 364G>C). To the best of our knowledge, the combination of these two hemoglobin (Hb) variants has not been identified and reported before. The variants of the proband and parents were identified by high-performance...
journal_title:Hemoglobin
pub_type: 杂志文章
doi:10.1080/03630269.2019.1710530
更新日期:2020-01-01 00:00:00
abstract::We report a large novel α-globin cluster deletion that we named - -PG (NG_000006.1: g.93628_542759del450131), in a Chinese family. This large deletion is approximately 450 kb long, spanning from upstream of the PolR3k gene at the 5' end to the RAB11FIP3 gene at the 3' end of chromosome 16p13.3. This deletion removes a...
journal_title:Hemoglobin
pub_type: 杂志文章
doi:10.1080/03630269.2017.1366919
更新日期:2017-01-01 00:00:00
abstract::High oxygen affinity hemoglobins (Hbs), characterized by a decreased ability to release oxygen to the tissues and a left-shifted oxygen dissociation curve, are a rare cause of secondary erythrocytosis. Here, we report a base substitution in the β-globin gene at codon 89 (AGT>AGG) in a kindred with familial erythrocyto...
journal_title:Hemoglobin
pub_type: 杂志文章
doi:10.1080/03630269.2019.1680382
更新日期:2019-01-01 00:00:00
abstract::This study concerns the determination of beta-thalassemia alleles and other hemoglobin variants in 82 patients from Syria. We have characterized 146 chromosomes and found 17 different beta-thalassemia mutations, and one beta-globin chain variant that gives rise to the abnormal Hb S. The eight most common beta-thalasse...
journal_title:Hemoglobin
pub_type: 杂志文章
doi:10.3109/03630260009002268
更新日期:2000-02-01 00:00:00