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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
1
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pubmed:dateCreated |
1996-3-1
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pubmed:abstractText |
A compensated haemolytic state is defined by decreased red cell life-span without anaemia, i.e. by increased erythropoiesis in the absence of the physiological stimulus for erythropoietin (Epo) production. We evaluated s-Epo levels and the expansion of erythropoiesis (as measured by circulating transferrin receptor, s-TfR) in 32 patients with hereditary spherocytosis (HS) with the aim of verifying whether the enhanced erythropoiesis of compensated haemolysis was Epo-dependent. 20 of the patients (62.5%) had normal Hb values (> 12 g/dl in females and > 13 g/dl in males). Their compensated haemolytic state was the result of up to 8.2 times normal s-Epo and up to 3.9 times normal s-TfR levels, which were maintained by physiological regulation of erythropoiesis, as documented by the inverse dependence of Hb on s-Epo levels. Considering that patients with iron-deficiency anaemia represented the predicted physiological Epo response to anaemia, the observed/predicted in s-Epo ratio (O/P ratio) was calculated in HS patients with anaemia and was used as an index of the adequateness of Epo production. All the anaemic HS patients had an O/P ratio > 1, documenting inappropriately high s-Epo levels. This work demonstrates that the compensated haemolytic state of HS patients is produced by an inappropriately high s-Epo level, and that the pattern of Epo overproduction is a biological characteristic of the disease.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Jan
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pubmed:issn |
0007-1048
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
92
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
150-4
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:8562388-Adolescent,
pubmed-meshheading:8562388-Adult,
pubmed-meshheading:8562388-Anemia, Iron-Deficiency,
pubmed-meshheading:8562388-Child,
pubmed-meshheading:8562388-Erythropoiesis,
pubmed-meshheading:8562388-Erythropoietin,
pubmed-meshheading:8562388-Female,
pubmed-meshheading:8562388-Hemolysis,
pubmed-meshheading:8562388-Humans,
pubmed-meshheading:8562388-Male,
pubmed-meshheading:8562388-Middle Aged,
pubmed-meshheading:8562388-Receptors, Transferrin,
pubmed-meshheading:8562388-Reference Values,
pubmed-meshheading:8562388-Spherocytosis, Hereditary
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pubmed:year |
1996
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pubmed:articleTitle |
Erythropoietin production and erythropoiesis in compensated and anaemic states of hereditary spherocytosis.
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pubmed:affiliation |
Istituto di Medicina Interna e Oncologia Medica, IRCCS Policlinico S. Matteo, Pavia, Italy.
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pubmed:publicationType |
Journal Article,
Research Support, Non-U.S. Gov't
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