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Natural Anticoagulant Protein Levels in Patients With Beta-Thalassemia Major: A Case-Control Study. | LitMetric

AI Article Synopsis

  • β-thalassemia major (β-TM) is a genetic blood disorder that leads to low production of β-globin chains, increasing the risk of complications like thrombosis in patients, especially those getting frequent blood transfusions.
  • * The study involved 118 β-TM patients who had received at least 20 blood transfusions and 120 healthy controls, measuring levels of natural anticoagulants.
  • * Results showed significantly lower levels of protein C and antithrombin in β-TM patients, suggesting that they are at a higher risk for thrombosis due to reduced levels of these anticoagulants.

Article Abstract

Background: β-thalassemia is a group of inherited blood disorders that affect the production of β-globin chains, leading to the reduction or absence of these chains. One of the complications observed in patients with β-thalassemia major (β-TM) is thrombosis, especially in those who receive frequent blood transfusions. This may be due to a decrease in the levels of the natural anticoagulants: protein C (PC), total protein S (PS), and antithrombin (AT).

Methods: In this case-control study, patients with β-TM, who had received at least 20 packed cell transfusions during their lifetime, were included. Patients with other underlying diseases like bleeding or thrombotic disorders were excluded. Totally, 118 patients with β-TM and 120 healthy individuals were included.

Results: The mean level of PC and AT was significantly lower in patients with β-TM (48.2 ± 65.4 and 57.42 ± 13.6, respectively) compared to the control group (97.1 ± 21.46 and 81.79 ± 14.3, respectively), with P value of 0.001 and 0.01, respectively. Although the difference was not statistically significant (P = 0.1), a similar trend was observed for total PS (61.12 ± 21.12 for patients versus 72.2 ± 35.2 for the control group). Of note, the decrease in PC, AT, and total PS levels compared to the control group was 50.36%, 27.5%, and 15.34%, respectively.

Conclusions: It seems that β-TM patients who receive prolonged blood transfusions frequently are at an increased risk of decreased in natural anticoagulants levels and therefore potentially are at risk of thrombosis.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11027775PMC
http://dx.doi.org/10.14740/jh1217DOI Listing

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