The effect of quercetin on iron overload and inflammation in β-thalassemia major patients: A double-blind randomized clinical trial

•42 patients received a 500 mg/day quercetin and 42 others took a 500 mg/day placebo for 12 w.•Quercetin could significantly reduce ferritin and other serum iron factors (P > 0.05).•Quercetin significantly reduced hs-CRP (P = 0.046), but not TNF-α (p = 0.310).•According to our results, quercetin...

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Veröffentlicht in:Complementary therapies in medicine 2019-10, Vol.46, p.24-28
Hauptverfasser: Sajadi Hezaveh, Zohreh, Azarkeivan, Azita, Janani, Leila, Hosseini, Sharieh, Shidfar, Farzad
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container_start_page 24
container_title Complementary therapies in medicine
container_volume 46
creator Sajadi Hezaveh, Zohreh
Azarkeivan, Azita
Janani, Leila
Hosseini, Sharieh
Shidfar, Farzad
description •42 patients received a 500 mg/day quercetin and 42 others took a 500 mg/day placebo for 12 w.•Quercetin could significantly reduce ferritin and other serum iron factors (P > 0.05).•Quercetin significantly reduced hs-CRP (P = 0.046), but not TNF-α (p = 0.310).•According to our results, quercetin may be useful to reduce ferritin and inflammation in thalassemia major patients. The aim of this study was to determine whether quercetin can reduce iron overload and inflammation in thalassemic patients. Eighty four patients were recruited to this study and randomly assigned to two groups: 42 patients received a 500 mg/day quercetin tablet and 42 others took a 500 mg/day starch placebo for 12 weeks. Demographic, anthropometric and biochemical evaluation were performed. ANCOVA analysis revealed that compared to the control group, quercetin could reduce high sensitivity C-reactive protein (hs-CRP) (P = 0.046), iron (p = 0.036), ferritin (p = 0.043), and transferrin saturation (TS) (p = 0.008) and increase transferrin (p = 0.045) significantly, but it had no significant effect on total iron binding capacity (TIBC) (p = 0.734) and tumor necrosis factor α (TNF-α) (p = 0.310). Quercetin could ameliorate the iron status in thalassemia major, but its effect on inflammation is indistinctive.
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The aim of this study was to determine whether quercetin can reduce iron overload and inflammation in thalassemic patients. Eighty four patients were recruited to this study and randomly assigned to two groups: 42 patients received a 500 mg/day quercetin tablet and 42 others took a 500 mg/day starch placebo for 12 weeks. Demographic, anthropometric and biochemical evaluation were performed. ANCOVA analysis revealed that compared to the control group, quercetin could reduce high sensitivity C-reactive protein (hs-CRP) (P = 0.046), iron (p = 0.036), ferritin (p = 0.043), and transferrin saturation (TS) (p = 0.008) and increase transferrin (p = 0.045) significantly, but it had no significant effect on total iron binding capacity (TIBC) (p = 0.734) and tumor necrosis factor α (TNF-α) (p = 0.310). Quercetin could ameliorate the iron status in thalassemia major, but its effect on inflammation is indistinctive.</description><identifier>ISSN: 0965-2299</identifier><identifier>EISSN: 1873-6963</identifier><identifier>DOI: 10.1016/j.ctim.2019.02.017</identifier><identifier>PMID: 31519283</identifier><language>eng</language><publisher>Scotland: Elsevier Ltd</publisher><subject>Adult ; Age ; Anthropometry ; beta-Thalassemia - drug therapy ; beta-Thalassemia - metabolism ; Binding sites ; Blood transfusions ; C-reactive protein ; C-Reactive Protein - metabolism ; Chelation therapy ; Clinical trial ; Clinical trials ; Demographics ; Diabetes ; Diet ; Disease ; Double-Blind Method ; Double-blind studies ; Evidence-based medicine ; Female ; Ferritin ; Ferritins - metabolism ; Hemoglobin ; Humans ; Inflammation ; Inflammation - chemically induced ; Inflammation - drug therapy ; Inflammation - metabolism ; Iron ; Iron - adverse effects ; Iron - therapeutic use ; Iron Overload - chemically induced ; Iron Overload - drug therapy ; Iron Overload - metabolism ; Liver ; Male ; Metabolism ; Pediatrics ; Quercetin ; Quercetin - therapeutic use ; Research centers ; Starch ; Thalassemia ; Thalassemia major ; Transferrin ; Transferrin - metabolism ; Transferrins ; Tumor necrosis factor-α</subject><ispartof>Complementary therapies in medicine, 2019-10, Vol.46, p.24-28</ispartof><rights>2019 Elsevier Ltd</rights><rights>Copyright © 2019 Elsevier Ltd. 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The aim of this study was to determine whether quercetin can reduce iron overload and inflammation in thalassemic patients. Eighty four patients were recruited to this study and randomly assigned to two groups: 42 patients received a 500 mg/day quercetin tablet and 42 others took a 500 mg/day starch placebo for 12 weeks. Demographic, anthropometric and biochemical evaluation were performed. ANCOVA analysis revealed that compared to the control group, quercetin could reduce high sensitivity C-reactive protein (hs-CRP) (P = 0.046), iron (p = 0.036), ferritin (p = 0.043), and transferrin saturation (TS) (p = 0.008) and increase transferrin (p = 0.045) significantly, but it had no significant effect on total iron binding capacity (TIBC) (p = 0.734) and tumor necrosis factor α (TNF-α) (p = 0.310). Quercetin could ameliorate the iron status in thalassemia major, but its effect on inflammation is indistinctive.</description><subject>Adult</subject><subject>Age</subject><subject>Anthropometry</subject><subject>beta-Thalassemia - drug therapy</subject><subject>beta-Thalassemia - metabolism</subject><subject>Binding sites</subject><subject>Blood transfusions</subject><subject>C-reactive protein</subject><subject>C-Reactive Protein - metabolism</subject><subject>Chelation therapy</subject><subject>Clinical trial</subject><subject>Clinical trials</subject><subject>Demographics</subject><subject>Diabetes</subject><subject>Diet</subject><subject>Disease</subject><subject>Double-Blind Method</subject><subject>Double-blind studies</subject><subject>Evidence-based medicine</subject><subject>Female</subject><subject>Ferritin</subject><subject>Ferritins - metabolism</subject><subject>Hemoglobin</subject><subject>Humans</subject><subject>Inflammation</subject><subject>Inflammation - chemically induced</subject><subject>Inflammation - drug therapy</subject><subject>Inflammation - metabolism</subject><subject>Iron</subject><subject>Iron - adverse effects</subject><subject>Iron - therapeutic use</subject><subject>Iron Overload - chemically induced</subject><subject>Iron Overload - drug therapy</subject><subject>Iron Overload - metabolism</subject><subject>Liver</subject><subject>Male</subject><subject>Metabolism</subject><subject>Pediatrics</subject><subject>Quercetin</subject><subject>Quercetin - therapeutic use</subject><subject>Research centers</subject><subject>Starch</subject><subject>Thalassemia</subject><subject>Thalassemia major</subject><subject>Transferrin</subject><subject>Transferrin - metabolism</subject><subject>Transferrins</subject><subject>Tumor necrosis factor-α</subject><issn>0965-2299</issn><issn>1873-6963</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>BENPR</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp9kc-K1TAYxYMozvXqC7iQgBs3rfnTNo24GQb_wYCbcR3S5AuTkjTXpB3QtU_kg_hMptzRhQs3CeQ755Dv_BB6TklLCR1ez61ZfWwZobIlrCVUPEAHOgreDHLgD9GByKFvGJPyAj0pZSaESC74Y3TBaU8lG_kB_bi5BQzOgVlxcvjrBtnA6hecFuxzPdId5JC0xXqx2C8u6Bj16vfxgn_9bNZbHXQpEL3GUc8p41Mdw7KWN_gS27RNAZop-OrONSJF_x0sNvXBGx3wmr0OT9Ejp0OBZ_f3EX15_-7m6mNz_fnDp6vL68bwsVsbyydBeM8MlcDFNEy866WzpnNyMsZKBsyOTFDW8cE5LWRvQWoJohO9qzvyI3p1zj3lVDctq4q-GAhBL5C2ompVZOQ9IbRKX_4jndOWl_q7qhpFR-Re9BGxs8rkVEoGp07ZR52_KUrUzkjNamekdkaKMFUZVdOL--htimD_Wv5AqYK3ZwHULu48ZFVMbdSA9blyUjb5_-X_BiZfpSo</recordid><startdate>201910</startdate><enddate>201910</enddate><creator>Sajadi Hezaveh, Zohreh</creator><creator>Azarkeivan, Azita</creator><creator>Janani, Leila</creator><creator>Hosseini, Sharieh</creator><creator>Shidfar, Farzad</creator><general>Elsevier Ltd</general><general>Elsevier Limited</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7TS</scope><scope>7X7</scope><scope>7XB</scope><scope>88C</scope><scope>88E</scope><scope>88G</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AN0</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0R</scope><scope>M0S</scope><scope>M0T</scope><scope>M1P</scope><scope>M2M</scope><scope>M2O</scope><scope>M7N</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PHGZM</scope><scope>PHGZT</scope><scope>PJZUB</scope><scope>PKEHL</scope><scope>PPXIY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>201910</creationdate><title>The effect of quercetin on iron overload and inflammation in β-thalassemia major patients: A double-blind randomized clinical trial</title><author>Sajadi Hezaveh, Zohreh ; 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The aim of this study was to determine whether quercetin can reduce iron overload and inflammation in thalassemic patients. Eighty four patients were recruited to this study and randomly assigned to two groups: 42 patients received a 500 mg/day quercetin tablet and 42 others took a 500 mg/day starch placebo for 12 weeks. Demographic, anthropometric and biochemical evaluation were performed. ANCOVA analysis revealed that compared to the control group, quercetin could reduce high sensitivity C-reactive protein (hs-CRP) (P = 0.046), iron (p = 0.036), ferritin (p = 0.043), and transferrin saturation (TS) (p = 0.008) and increase transferrin (p = 0.045) significantly, but it had no significant effect on total iron binding capacity (TIBC) (p = 0.734) and tumor necrosis factor α (TNF-α) (p = 0.310). Quercetin could ameliorate the iron status in thalassemia major, but its effect on inflammation is indistinctive.</abstract><cop>Scotland</cop><pub>Elsevier Ltd</pub><pmid>31519283</pmid><doi>10.1016/j.ctim.2019.02.017</doi><tpages>5</tpages></addata></record>
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subjects Adult
Age
Anthropometry
beta-Thalassemia - drug therapy
beta-Thalassemia - metabolism
Binding sites
Blood transfusions
C-reactive protein
C-Reactive Protein - metabolism
Chelation therapy
Clinical trial
Clinical trials
Demographics
Diabetes
Diet
Disease
Double-Blind Method
Double-blind studies
Evidence-based medicine
Female
Ferritin
Ferritins - metabolism
Hemoglobin
Humans
Inflammation
Inflammation - chemically induced
Inflammation - drug therapy
Inflammation - metabolism
Iron
Iron - adverse effects
Iron - therapeutic use
Iron Overload - chemically induced
Iron Overload - drug therapy
Iron Overload - metabolism
Liver
Male
Metabolism
Pediatrics
Quercetin
Quercetin - therapeutic use
Research centers
Starch
Thalassemia
Thalassemia major
Transferrin
Transferrin - metabolism
Transferrins
Tumor necrosis factor-α
title The effect of quercetin on iron overload and inflammation in β-thalassemia major patients: A double-blind randomized clinical trial
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