Hashemian Z, Hashemi A, Fateminasab M
Department of Pediatrics, Hematology, Oncology and Genetics Research Center, Shahid Sadoughi University of Medical Sciences and Health Services, Yazd, Iran.
Shahid Sadoughi University of Medical Sciences and Health Services, Yazd, Iran.
Iran J Ped Hematol Oncol. 2012;2(4):153-8. Epub 2012 Sep 22.
β-Thalassemic children have oxidative stress and antioxidant deficiency even without iron overload status. In these patients, tissue damage due to oxidative stress may be occurred. Also, it seems that thalassemic patients have higher levels of ALT, AST therefore, the main aim of the present study was to determine the benefits of vitamin E as an antioxidant supplements in β-Thalassemia children.
This clinical trial was carried out on 45 beta-thalassemic patients undergoing occasional transfusions (24 males, 21 females), mean age 16± 8 years, admitted to Yazd and Shahid Sadoughi hospital in 2011. Fallowing three months treatment of vitaminE (vitamin E 400-600 unit/day),liver function test and hemopoitic system parameters were measured.
Fourty five patients with laboratory confirmation of β-Thalassemia were recruited following three months vitamin E supplementation, liver function test had higher improvement compared to hemopoitic system parameters , and also serum SGOT was significantly reduced (P-value<0.004 ).
It seems clear that treatments of β-thalassemic patients with vitamins E have benefits in promoting antioxidant status and may improve liver function test, as AST and ALT to decrease but this supplement is not effective for hemopoietic system variables.
β地中海贫血患儿即使没有铁过载状态,也存在氧化应激和抗氧化剂缺乏的情况。在这些患者中,可能会发生因氧化应激导致的组织损伤。此外,地中海贫血患者的谷丙转氨酶(ALT)和谷草转氨酶(AST)水平似乎较高。因此,本研究的主要目的是确定维生素E作为抗氧化剂补充剂对β地中海贫血患儿的益处。
本临床试验对2011年入住亚兹德和沙希德·萨杜基医院的45例偶尔接受输血的β地中海贫血患者(24例男性,21例女性)进行,平均年龄16±8岁。在接受三个月维生素E治疗(维生素E 400 - 600单位/天)后,测量肝功能测试和造血系统参数。
在对45例经实验室确诊的β地中海贫血患者进行三个月维生素E补充后,与造血系统参数相比,肝功能测试有更大改善,血清谷草转氨酶(SGOT)也显著降低(P值<0.004)。
显然,用维生素E治疗β地中海贫血患者有助于提高抗氧化状态,并可能改善肝功能测试结果,使AST和ALT降低,但这种补充剂对造血系统变量无效。