Laboratory and Genetic Biomarkers Associated with Cerebral Blood Flow Velocity in Hemoglobin SC Disease

Reference values for cerebral blood flow velocity (CBFV) in hemoglobin SC disease (HbSC) have not been established. We aimed to investigate associations between laboratory and genetic biomarkers associated with CBFV in HbSC children. Sixty-eight HbSC children were included; CBFV was analyzed by tran...

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Veröffentlicht in:Disease markers 2017-01, Vol.2017 (2017), p.1-11
Hauptverfasser: Ferreira, Junia Raquel Dutra, Oliveira, Rodrigo Mota, Zanette, Dalila Luciola, Lyra, Isa Menezes, Goncalves, Marilda Souza, Pitanga, Thassila Nogueira, Fiuza, Luciana Magalhães, Figueiredo, Camylla Vilas Boas, Guarda, Caroline Conceição, Santana, Sânzio Silva, Adanho, Corynne Stephanie Ahouefa, Vieira, Camilo, Santiago, Rayra Pereira, Aleluia, Milena Magalhães
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container_end_page 11
container_issue 2017
container_start_page 1
container_title Disease markers
container_volume 2017
creator Ferreira, Junia Raquel Dutra
Oliveira, Rodrigo Mota
Zanette, Dalila Luciola
Lyra, Isa Menezes
Goncalves, Marilda Souza
Pitanga, Thassila Nogueira
Fiuza, Luciana Magalhães
Figueiredo, Camylla Vilas Boas
Guarda, Caroline Conceição
Santana, Sânzio Silva
Adanho, Corynne Stephanie Ahouefa
Vieira, Camilo
Santiago, Rayra Pereira
Aleluia, Milena Magalhães
description Reference values for cerebral blood flow velocity (CBFV) in hemoglobin SC disease (HbSC) have not been established. We aimed to investigate associations between laboratory and genetic biomarkers associated with CBFV in HbSC children. Sixty-eight HbSC children were included; CBFV was analyzed by transcranial Doppler, and the time-averaged maximum mean velocity (TAMMV) was estimated. Hematological, biochemical, immunological, and genetic analyses were performed. TAMMV was negatively correlated with red blood cell count (RBC) count, hemoglobin, hematocrit, and direct bilirubin (DB), yet positively correlated with monocytes and ferritin. We found that children with TAMMV ≥ 128 cm/s had decreased red blood cell distribution width (RDW) and nitric oxide metabolite (NOx) concentration. Children with TAMMV ≥ 143.50 cm/s had decreased hemoglobin and hematocrit, as well as increased ferritin levels. Decreased hemoglobin, hematocrit, RDW, and NOx and increased ferritin were detected in children with TAMMV ≥ 125.75 cm/s. The CAR haplotype was associated with higher TAMMV. In association analyses, RBC, hemoglobin, hematocrit, RDW, monocyte, DB, NOx, and ferritin, as well as the CAR haplotype, were found to be associated with higher TAMMV in HbSC children. Multivariate analysis suggested that high TAMMV was independently associated with hematocrit, RDW, and NOx. Additional studies are warranted to validate the establishment of a cutoff value of 125.75 cm/s associated with elevated TAMMV in HbSC children.
doi_str_mv 10.1155/2017/6359871
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T. ; Dennis W T Nilsen</contributor><creatorcontrib>Ferreira, Junia Raquel Dutra ; Oliveira, Rodrigo Mota ; Zanette, Dalila Luciola ; Lyra, Isa Menezes ; Goncalves, Marilda Souza ; Pitanga, Thassila Nogueira ; Fiuza, Luciana Magalhães ; Figueiredo, Camylla Vilas Boas ; Guarda, Caroline Conceição ; Santana, Sânzio Silva ; Adanho, Corynne Stephanie Ahouefa ; Vieira, Camilo ; Santiago, Rayra Pereira ; Aleluia, Milena Magalhães ; Nilsen, Dennis W. T. ; Dennis W T Nilsen</creatorcontrib><description>Reference values for cerebral blood flow velocity (CBFV) in hemoglobin SC disease (HbSC) have not been established. We aimed to investigate associations between laboratory and genetic biomarkers associated with CBFV in HbSC children. Sixty-eight HbSC children were included; CBFV was analyzed by transcranial Doppler, and the time-averaged maximum mean velocity (TAMMV) was estimated. Hematological, biochemical, immunological, and genetic analyses were performed. TAMMV was negatively correlated with red blood cell count (RBC) count, hemoglobin, hematocrit, and direct bilirubin (DB), yet positively correlated with monocytes and ferritin. We found that children with TAMMV ≥ 128 cm/s had decreased red blood cell distribution width (RDW) and nitric oxide metabolite (NOx) concentration. Children with TAMMV ≥ 143.50 cm/s had decreased hemoglobin and hematocrit, as well as increased ferritin levels. Decreased hemoglobin, hematocrit, RDW, and NOx and increased ferritin were detected in children with TAMMV ≥ 125.75 cm/s. The CAR haplotype was associated with higher TAMMV. In association analyses, RBC, hemoglobin, hematocrit, RDW, monocyte, DB, NOx, and ferritin, as well as the CAR haplotype, were found to be associated with higher TAMMV in HbSC children. Multivariate analysis suggested that high TAMMV was independently associated with hematocrit, RDW, and NOx. 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T.</contributor><contributor>Dennis W T Nilsen</contributor><creatorcontrib>Ferreira, Junia Raquel Dutra</creatorcontrib><creatorcontrib>Oliveira, Rodrigo Mota</creatorcontrib><creatorcontrib>Zanette, Dalila Luciola</creatorcontrib><creatorcontrib>Lyra, Isa Menezes</creatorcontrib><creatorcontrib>Goncalves, Marilda Souza</creatorcontrib><creatorcontrib>Pitanga, Thassila Nogueira</creatorcontrib><creatorcontrib>Fiuza, Luciana Magalhães</creatorcontrib><creatorcontrib>Figueiredo, Camylla Vilas Boas</creatorcontrib><creatorcontrib>Guarda, Caroline Conceição</creatorcontrib><creatorcontrib>Santana, Sânzio Silva</creatorcontrib><creatorcontrib>Adanho, Corynne Stephanie Ahouefa</creatorcontrib><creatorcontrib>Vieira, Camilo</creatorcontrib><creatorcontrib>Santiago, Rayra Pereira</creatorcontrib><creatorcontrib>Aleluia, Milena Magalhães</creatorcontrib><title>Laboratory and Genetic Biomarkers Associated with Cerebral Blood Flow Velocity in Hemoglobin SC Disease</title><title>Disease markers</title><addtitle>Dis Markers</addtitle><description>Reference values for cerebral blood flow velocity (CBFV) in hemoglobin SC disease (HbSC) have not been established. 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Additional studies are warranted to validate the establishment of a cutoff value of 125.75 cm/s associated with elevated TAMMV in HbSC children.</description><subject>Adolescent</subject><subject>Analysis</subject><subject>Anemia, Sickle Cell - blood</subject><subject>Anemia, Sickle Cell - genetics</subject><subject>Anemia, Sickle Cell - physiopathology</subject><subject>Bilirubin</subject><subject>Bilirubin - blood</subject><subject>Biological markers</subject><subject>Biomarkers</subject><subject>Biomarkers - blood</subject><subject>Blood</subject><subject>Blood Cell Count</subject><subject>Blood flow</subject><subject>Blood Flow Velocity</subject><subject>Case-Control Studies</subject><subject>Cerebral blood flow</subject><subject>Cerebral circulation</subject><subject>Cerebrovascular Circulation</subject><subject>Child</subject><subject>Children</subject><subject>Circulatory system</subject><subject>Erythrocytes</subject><subject>Female</subject><subject>Ferritin</subject><subject>Ferritins - blood</subject><subject>Flow velocity</subject><subject>Genetic analysis</subject><subject>Genetic aspects</subject><subject>Haplotypes</subject><subject>Hematocrit</subject><subject>Hematology</subject><subject>Hemoglobin</subject><subject>Hemoglobin, Sickle - genetics</subject><subject>Hemoglobin, Sickle - metabolism</subject><subject>Humans</subject><subject>Immunology</subject><subject>Infant</subject><subject>Laboratories</subject><subject>Male</subject><subject>Monocytes</subject><subject>Multivariate analysis</subject><subject>Nitric oxide</subject><subject>Nitric Oxide - blood</subject><subject>Nitrogen oxides</subject><subject>Pediatric research</subject><subject>Sickle cell anemia</subject><subject>Ultrasound</subject><issn>0278-0240</issn><issn>1875-8630</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>RHX</sourceid><sourceid>EIF</sourceid><recordid>eNqNkUtvEzEURi0EoiGwY40ssUGCUD_H9gYpDbRFisSCx9byeK4Tl8m42BOi_HscJbTAipUt-ejc-_lD6DklbymV8pwRqs4bLo1W9AGaUK3kTDecPEQTwpSeESbIGXpSyg0hlBlhHqMzppUhkosJWi1dm7IbU95jN3T4CgYYo8cXMW1c_g654HkpyUc3Qod3cVzjBWRos-vxRZ9Shy_7tMPfoK_MuMdxwNewSas-tfX6eYHfxwKuwFP0KLi-wLPTOUVfLz98WVzPlp-uPi7my5kXxoyzhokQdEuZUIoa1TnhlSCccM2NDMaIoBwXWgnmeODMq-BaYVrT-EBVwzmfondH7-223UDnYRjrqvY2xxpnb5OL9u-XIa7tKv20sn4H06IKXp0EOf3YQhntJhYPfe8GSNtiqWGqIbRhuqIv_0Fv0jYPNZ6tpRCtGiP4PbVyPdg4hFTn-oPUzqWsnUhSZ0_RmyPlcyolQ7hbmRJ76PmgVPbUc8Vf_BnzDv5dbAVeH4F1HDq3i_-pg8pAcPc0lUxwxX8BSra3yA</recordid><startdate>20170101</startdate><enddate>20170101</enddate><creator>Ferreira, Junia Raquel Dutra</creator><creator>Oliveira, Rodrigo Mota</creator><creator>Zanette, Dalila Luciola</creator><creator>Lyra, Isa Menezes</creator><creator>Goncalves, Marilda Souza</creator><creator>Pitanga, Thassila Nogueira</creator><creator>Fiuza, Luciana Magalhães</creator><creator>Figueiredo, Camylla Vilas Boas</creator><creator>Guarda, Caroline Conceição</creator><creator>Santana, Sânzio Silva</creator><creator>Adanho, Corynne Stephanie Ahouefa</creator><creator>Vieira, Camilo</creator><creator>Santiago, Rayra Pereira</creator><creator>Aleluia, Milena Magalhães</creator><general>Hindawi Publishing Corporation</general><general>Hindawi</general><general>John Wiley &amp; 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T.</au><au>Dennis W T Nilsen</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Laboratory and Genetic Biomarkers Associated with Cerebral Blood Flow Velocity in Hemoglobin SC Disease</atitle><jtitle>Disease markers</jtitle><addtitle>Dis Markers</addtitle><date>2017-01-01</date><risdate>2017</risdate><volume>2017</volume><issue>2017</issue><spage>1</spage><epage>11</epage><pages>1-11</pages><issn>0278-0240</issn><eissn>1875-8630</eissn><abstract>Reference values for cerebral blood flow velocity (CBFV) in hemoglobin SC disease (HbSC) have not been established. We aimed to investigate associations between laboratory and genetic biomarkers associated with CBFV in HbSC children. Sixty-eight HbSC children were included; CBFV was analyzed by transcranial Doppler, and the time-averaged maximum mean velocity (TAMMV) was estimated. Hematological, biochemical, immunological, and genetic analyses were performed. TAMMV was negatively correlated with red blood cell count (RBC) count, hemoglobin, hematocrit, and direct bilirubin (DB), yet positively correlated with monocytes and ferritin. We found that children with TAMMV ≥ 128 cm/s had decreased red blood cell distribution width (RDW) and nitric oxide metabolite (NOx) concentration. Children with TAMMV ≥ 143.50 cm/s had decreased hemoglobin and hematocrit, as well as increased ferritin levels. Decreased hemoglobin, hematocrit, RDW, and NOx and increased ferritin were detected in children with TAMMV ≥ 125.75 cm/s. The CAR haplotype was associated with higher TAMMV. In association analyses, RBC, hemoglobin, hematocrit, RDW, monocyte, DB, NOx, and ferritin, as well as the CAR haplotype, were found to be associated with higher TAMMV in HbSC children. Multivariate analysis suggested that high TAMMV was independently associated with hematocrit, RDW, and NOx. Additional studies are warranted to validate the establishment of a cutoff value of 125.75 cm/s associated with elevated TAMMV in HbSC children.</abstract><cop>Cairo, Egypt</cop><pub>Hindawi Publishing Corporation</pub><pmid>28790534</pmid><doi>10.1155/2017/6359871</doi><tpages>11</tpages><orcidid>https://orcid.org/0000-0003-3000-1437</orcidid><oa>free_for_read</oa></addata></record>
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subjects Adolescent
Analysis
Anemia, Sickle Cell - blood
Anemia, Sickle Cell - genetics
Anemia, Sickle Cell - physiopathology
Bilirubin
Bilirubin - blood
Biological markers
Biomarkers
Biomarkers - blood
Blood
Blood Cell Count
Blood flow
Blood Flow Velocity
Case-Control Studies
Cerebral blood flow
Cerebral circulation
Cerebrovascular Circulation
Child
Children
Circulatory system
Erythrocytes
Female
Ferritin
Ferritins - blood
Flow velocity
Genetic analysis
Genetic aspects
Haplotypes
Hematocrit
Hematology
Hemoglobin
Hemoglobin, Sickle - genetics
Hemoglobin, Sickle - metabolism
Humans
Immunology
Infant
Laboratories
Male
Monocytes
Multivariate analysis
Nitric oxide
Nitric Oxide - blood
Nitrogen oxides
Pediatric research
Sickle cell anemia
Ultrasound
title Laboratory and Genetic Biomarkers Associated with Cerebral Blood Flow Velocity in Hemoglobin SC Disease
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