Hematological responses to hydroxyurea therapy in multitransfused thalassemic children

被引:13
作者
Choudhry V.P. [1 ,2 ]
Lal A. [1 ]
Pati H.P. [1 ]
Arya L.S. [1 ]
机构
[1] Depts. of Hematology and Pediatrics, All India Inst. of Medical Sciences, Ansari Nagar
[2] Department of Hematology, All India Inst. of Medical Sciences, Ansari Nagar
关键词
Hydroxyurea therapy; Multi transfused thalassemic;
D O I
10.1007/BF02845212
中图分类号
学科分类号
摘要
Fifteen multi-transfused thalassemic children between 3-6 years of age (seven boys and eight girls) were administered hydroxyurea for 5 days and three such cycles were repeated at 15 days interval. Rise in hemoglobin levels was observed in 13, 8 and 7 cases, while rise in mean hemoglobin F was seen in 8, 11 and 10 cases following 1st, 2nd and 3rd course of hydroxyurea therapy respectively. Rise in hemoglobin level was associated with transient rise in fetal hemoglobin level. Though the changes in mean hemoglobin levels and hemoglobin F levels were statistically insignificant, a definite trend of rise in hemoglobin and hemoglobin F was observed.
引用
收藏
页码:395 / 398
页数:3
相关论文
共 14 条
[1]  
Wood W.G., Weatherall D.J., Developmental genetics of the human hemoglobins, Biochem J, 215, pp. 1-10, (1983)
[2]  
Karlsson S., Nienhuis A.W., Developmental regulation of human globin genes, Annu Rev Biochem, 54, pp. 1071-1108, (1985)
[3]  
LuCarelli G., Angelucci E., Giardini C., Baronciani D., Galimberts M., Palchi P., Erer B., Bone marrow transplantation in thalassemia, Ind J Pediatr, 60, pp. 517-523, (1993)
[4]  
Gallo E., Massaro P., Miniero R., David D., Tarella C., The importance of the genetic picture and globin synthesis in determining the clinical and hematological features of thalassemia intermedia, Br J Hematol, 41, pp. 211-221, (1979)
[5]  
Ley T.J., DeSimone J., Anagnou N.P., Et al., 5-Azacytidine selectively increases Y-globin synthesis in a patient with β-thalassemia, N Engl J Med, 307, pp. 1469-1475, (1982)
[6]  
Platt O.S., Orkin S.H., Dover G., Beardsley G.P., Miller B., Nathan D.G., Hydroxyurea enhances fetal hemoglobin production in sickle cell anemia, J Clin Invest, 74, pp. 652-656, (1984)
[7]  
Charalhe S., Dover D.G., Moyer M.A., Moore J.W., Hydroxyurea induced augmentation of fetal hemoglobin production in patients with sickle cell anemia, Blood, 69, pp. 109-116, (1987)
[8]  
Rodgers G.P., Dover G.J., Noguchi C.T., Schechter A.N., Niehuis A.W., Hematologic responses of patients with sickle cell disease to treatment with Hydroxyurea, N Engl J Med, 322, pp. 1037-1045, (1980)
[9]  
Perrine S.P., Cinder G.D., Faller D.V., Et al., A short term trial of butyrate to stimulate fetal globin gene expression in the beta globin disorders, N Eng J Med, 328, pp. 81-86, (1993)
[10]  
Cleg J.B., Weatherhall D., Bodmer W.F., 5-Azacytidine for beta thalassemia, Lancet, 1, pp. 536-541, (1983)