Regulation of erythropoiesis in patients with suppressed hematopoiesis during mountain climatic treatment


如何引用文章

全文:

详细

Aim. to estimate the regulation of erythropoiesis and the coagulation system in patients with suppressed hematopoiesis in a mountain hospital (3200 m above sea level).
Subjects and methods. The investigation included 12 patients with aplastic anemia (AA) and 10 with idiopathic thrombocytopenic purpura (ITP). Blood was received at a Bishkek hospital, then on days 20 and 40 of stay in the mountains. The authors studied erythropoietin (EPO) by enzyme immunoassay (Protein Contour kit, Russia), serum ferritin (SF) by immunoradioassay (Immunotech kit, Czech Republic), hypoxia-inducible factor-1α (HIF-1α), homocysteine (HC), hepcidin, endothelin (ET), and thrombomodulin (TM) by sandwich enzyme immunoassay, by applying monospecific antisera and monoclonal antibodies against relevant antigens (IDG Int Inc, USA).
Results. On staying in the mountains, there was a gradual increase in the content of hemoglobin in patients with AA and ITP. On day 40, in keeping with higher hemoglobin (Hb) levels, both groups showed a decrease in HIF-1α concentrations to the normal values (from 8.2 to 4.5 pg/ml). Due to the anemic syndrome, baseline EPO was increased by 5-7 times in the patients from both groups. On days 20-40, the content of EPO showed a 1.3-2.5-fold increase. In AA, HC was almost 3 times greater than the normal values; in ITP, it was 1.5-fold increased. On day 20 and during the patients' stay in the mountains, the level of HC remained in the normal range in both groups.
Conclusion. Hypoxic hypoxia positively affects a number of hematological parameters, by normalizing erythropoiesis (Hb, EPO, and HIF-1α), iron metabolism (SF), and the coagulation system (HC, ET, and TM).

作者简介

Asel' Ismailova

Email: aselismailova@mail.ru

Aynura Makeshova

Email: ainuramak@mail.ru

Mepi Eralieva

Email: meeri.e@mail.ru

Alla Levina

Email: yullevina@yandex.ru

Yuliya Mamukova

Email: hloe6@rambler.ru

Abdukhalim Raimzhanov

A Ismailova

Kirghiz Hematology Research CenterHematology Research Center

Kirghiz Hematology Research CenterHematology Research Center

A Makeshova

Kirghiz Hematology Research Center

Kirghiz Hematology Research Center

M Eraliyeva

Kirghiz Hematology Research Center

Kirghiz Hematology Research Center

A Levina

Hematology Research Center

Hematology Research Center

Yu Mamukova

Hematology Research Center

Hematology Research Center

A Raimzhanov

Kirghiz Hematology Research Center

Kirghiz Hematology Research Center

参考

  1. Агаджанян Н. А., Марачев А. Г. Экологическая физиология человека. М., 1999.
  2. Раимжанов А. Р. Апластическая анемия и горный климат. Бишкек; 2005.
  3. Kemma N. E., Pikkers P., Nemeth E. et al. Time-course analysis of hepcidin, serum iron and plasma cytokine levels in human injected with LPS. Blood 2005; 106 (5): 1864-1866.
  4. Papanikolaou G., Tzilianos M. Hepcidin in iron overload disorders. Blood 2005; 105 (10): 4103-4105.
  5. Donghoon Yoon, Pastore Y. D. Hypoxia-inducible factor-1 deficiency results in dysregulated erythropoiesis signaling and iron homeostasis in mouse development. J. Biol. Chem. 2006; 281 (35): 25703-25711.
  6. Clarke R., Siansbie D. Assessment of homocysteine as a cardiovascular risk factor in clinical practice. Ann. Clin. Biochem. 2001; 38: 624-632.
  7. Nacone N. A. The peroxidase conjugates for immunoenzyme method. J. Biol. Chem 1965; 85: 585-587.
  8. Цветаева Н. В., Левина А. А. Иммуноферментный метод определения гомоцистеина. Патогенез 2005; 2: 48-51.
  9. Андреева А. П., Замчий А. А. и др. Особенности обмена железа в условиях горного климата. В кн.: II съезд гематологов и трансфузиологов. М., 1989: 356.

补充文件

附件文件
动作
1. JATS XML

版权所有 © Consilium Medicum, 2010

Creative Commons License
此作品已接受知识共享署名-非商业性使用-相同方式共享 4.0国际许可协议的许可。
 

Address of the Editorial Office:

  • Alabyan Street, 13/1, Moscow, 127055, Russian Federation

Correspondence address:

  • Alabyan Street, 13/1, Moscow, 127055, Russian Federation

Managing Editor:

  • Tel.: +7 (926) 905-41-26
  • E-mail: e.gorbacheva@ter-arkhiv.ru

 

© 2018-2021 "Consilium Medicum" Publishing house


##common.cookie##