Publication: Treatment of β -thalassemia/hemoglobin e with antioxidant cocktails results in decreased oxidative stress, increased hemoglobin concentration, and improvement of the hypercoagulable state
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Issued Date
2015-01-01
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ISSN
19420994
19420900
19420900
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2-s2.0-84930958570
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Mahidol University
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SCOPUS
Bibliographic Citation
Oxidative Medicine and Cellular Longevity. Vol.2015, (2015)
Suggested Citation
Orn Uma Yanpanitch, Suneerat Hatairaktham, Ratiya Charoensakdi, Narumol Panichkul, Suthat Fucharoen, Somdet Srichairatanakool, Noppadol Siritanaratkul, Ruchaneekorn W. Kalpravidh Treatment of β -thalassemia/hemoglobin e with antioxidant cocktails results in decreased oxidative stress, increased hemoglobin concentration, and improvement of the hypercoagulable state. Oxidative Medicine and Cellular Longevity. Vol.2015, (2015). doi:10.1155/2015/537954 Retrieved from: https://repository.li.mahidol.ac.th/handle/123456789/35587
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Title
Treatment of β -thalassemia/hemoglobin e with antioxidant cocktails results in decreased oxidative stress, increased hemoglobin concentration, and improvement of the hypercoagulable state
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Abstract
© 2015 Orn-uma Yanpanitch et al. Studies on the antioxidant treatment for thalassemia have reported variable outcomes. However, treatment of thalassemia with a combination of hydrophobic and hydrophilic antioxidants and an iron chelator has not been studied. This study investigated the effects of antioxidant cocktails for the treatment of β-thalassemia/hemoglobin E (HbE), which is the most common form of β-thalassemia in Southeast Asia. Sixty patients were divided into two groups receiving N-acetylcysteine, deferiprone, and either curcuminoids (CUR) or vitamin E (Vit-E), and their hematological parameters, iron load, oxidative stress, and blood coagulation potential were evaluated. Patients were classified as responders if they showed the improvements of the markers of iron load and oxidative stress, otherwise as nonresponders. During treatment, the responders in both groups had significantly decreased iron load, oxidative stress, and coagulation potential and significantly increased antioxidant capacity and hemoglobin concentration. The significantly maximum increase (P < 0.01) in hemoglobin concentration was 11% at month 4 in CUR group responders and 10% at month 10 in Vit-E group responders. In conclusion, the two antioxidant cocktails can improve anemia, iron overload, oxidative stress, and hypercoagulable state in β-thalassemia/HbE.