Thalassemic DNA-Containing Red Blood Cells Are under Oxidative Stress

We studied the nature of enucleated RBCs containing DNA remnants, Howell-Jolly (HJ) RBCs and reticulocytes (retics), that are characteristically present in the circulation of thalassemic patients, especially after splenectomy. Using flow cytometry methodology, we measured oxidative status parameters...

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Main Authors: Mutaz Dana, Eugenia Prus, Eitan Fibach
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Anemia
Online Access:http://dx.doi.org/10.1155/2012/943974
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author Mutaz Dana
Eugenia Prus
Eitan Fibach
author_facet Mutaz Dana
Eugenia Prus
Eitan Fibach
author_sort Mutaz Dana
collection DOAJ
description We studied the nature of enucleated RBCs containing DNA remnants, Howell-Jolly (HJ) RBCs and reticulocytes (retics), that are characteristically present in the circulation of thalassemic patients, especially after splenectomy. Using flow cytometry methodology, we measured oxidative status parameters of these cells in patients with β-thalassemia. In each patient studied, these cells had higher content of reactive oxygen species and exposed phosphatidylserine compared with their DNA-free counterparts. These results suggest that oxidative stress in thalassemic developing erythroid precursors might, through DNA-breakage, generate HJ-retics and HJ-RBCs and that oxidative stress-induced externalization of phosphatidylserine is involved in the removal of these cells from the circulation by the spleen, a mechanism similar to that of the removal of senescent RBCs.
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institution Kabale University
issn 2090-1267
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publishDate 2012-01-01
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series Anemia
spelling doaj-art-8166d64c440648c88f53ebb66c4d2c802025-02-03T01:10:43ZengWileyAnemia2090-12672090-12752012-01-01201210.1155/2012/943974943974Thalassemic DNA-Containing Red Blood Cells Are under Oxidative StressMutaz Dana0Eugenia Prus1Eitan Fibach2Department of Hematology, Hadassah-Hebrew University Medical Center, Ein-Kerem, P.O. Box 12000, Jerusalem 91120, IsraelDepartment of Hematology, Hadassah-Hebrew University Medical Center, Ein-Kerem, P.O. Box 12000, Jerusalem 91120, IsraelDepartment of Hematology, Hadassah-Hebrew University Medical Center, Ein-Kerem, P.O. Box 12000, Jerusalem 91120, IsraelWe studied the nature of enucleated RBCs containing DNA remnants, Howell-Jolly (HJ) RBCs and reticulocytes (retics), that are characteristically present in the circulation of thalassemic patients, especially after splenectomy. Using flow cytometry methodology, we measured oxidative status parameters of these cells in patients with β-thalassemia. In each patient studied, these cells had higher content of reactive oxygen species and exposed phosphatidylserine compared with their DNA-free counterparts. These results suggest that oxidative stress in thalassemic developing erythroid precursors might, through DNA-breakage, generate HJ-retics and HJ-RBCs and that oxidative stress-induced externalization of phosphatidylserine is involved in the removal of these cells from the circulation by the spleen, a mechanism similar to that of the removal of senescent RBCs.http://dx.doi.org/10.1155/2012/943974
spellingShingle Mutaz Dana
Eugenia Prus
Eitan Fibach
Thalassemic DNA-Containing Red Blood Cells Are under Oxidative Stress
Anemia
title Thalassemic DNA-Containing Red Blood Cells Are under Oxidative Stress
title_full Thalassemic DNA-Containing Red Blood Cells Are under Oxidative Stress
title_fullStr Thalassemic DNA-Containing Red Blood Cells Are under Oxidative Stress
title_full_unstemmed Thalassemic DNA-Containing Red Blood Cells Are under Oxidative Stress
title_short Thalassemic DNA-Containing Red Blood Cells Are under Oxidative Stress
title_sort thalassemic dna containing red blood cells are under oxidative stress
url http://dx.doi.org/10.1155/2012/943974
work_keys_str_mv AT mutazdana thalassemicdnacontainingredbloodcellsareunderoxidativestress
AT eugeniaprus thalassemicdnacontainingredbloodcellsareunderoxidativestress
AT eitanfibach thalassemicdnacontainingredbloodcellsareunderoxidativestress