Bashiru Shola Oseni, Olatunde Olugbenga Fakoya
Department of Biomedical Sciences, Faculty of Basic Medical Sciences, College of Health Sciences, Ladoke Akintola University of Technology, Ogbomosho 210214, Oyo State, Nigeria.
Anemia. 2015;2015:848921. doi: 10.1155/2015/848921. Epub 2015 Nov 30.
Background. Diabetes mellitus characterized by hyperglycaemia presents with various complications amongst which anaemia is common particularly in those with overt nephropathy or renal impairment. The present study has examined the contribution of the hyperglycaemic environment in diabetic rats to the anaemia associated with diabetes mellitus.
Sixty male albino rats weighing 175-250 g were selected for this study and divided equally into control and test groups. Hyperglycaemia was induced with 170 kgbwt(-1) alloxan intraperitoneally in the test group while control group received sterile normal saline. Blood samples obtained from the control and test rats were assayed for packed cell volume (PCV), haemoglobin (Hb), red blood cell count (RBC), reticulocyte count, glucose, plasma haemoglobin, potassium, and bilirubin. Result. Significant reduction (P < 0.01) in PCV (24.40 ± 3.87 versus 40.45 ± 3.93) and haemoglobin (7.81 ± 1.45 versus 13.39 ± 0.40) with significant increase (P < 0.01) in reticulocyte count (12.4 ± 1.87 versus 3.69 ± 0.47), plasma haemoglobin (67.50 ± 10.85 versus 34.20 ± 3.83), and potassium (7.04 ± 0.75 versus 4.52 ± 0.63) was obtained in the test while plasma bilirubin showed nonsignificant increase (0.41 ± 0.04 versus 0.24 ± 0.06). Conclusion. The increased plasma haemoglobin and potassium levels indicate an intravascular haemolytic event while the nonsignificant increased bilirubin showed extravascular haemolysis. These play contributory roles in the anaemia associated with diabetes mellitus.
背景。以高血糖为特征的糖尿病会出现各种并发症,其中贫血很常见,尤其是在那些有明显肾病或肾功能损害的患者中。本研究探讨了糖尿病大鼠高血糖环境对与糖尿病相关贫血的影响。
选取60只体重175 - 250克的雄性白化大鼠进行本研究,将其平均分为对照组和试验组。试验组腹腔注射170毫克/千克体重的四氧嘧啶诱导高血糖,而对照组注射无菌生理盐水。对从对照大鼠和试验大鼠采集的血样进行血细胞比容(PCV)、血红蛋白(Hb)、红细胞计数(RBC)、网织红细胞计数、葡萄糖、血浆血红蛋白、钾和胆红素检测。结果。试验组的血细胞比容(24.40 ± 3.87对40.45 ± 3.93)和血红蛋白(7.81 ± 1.45对13.39 ± 0.40)显著降低(P < 0.01),网织红细胞计数(12.4 ± 1.87对3.69 ± 0.47)、血浆血红蛋白(67.50 ± 10.85对34.20 ± 3.83)和钾(7.04 ± 0.75对4.52 ± 0.63)显著升高(P < 0.01),而血浆胆红素呈非显著升高(0.41 ± 0.04对0.24 ± 0.06)。结论。血浆血红蛋白和钾水平升高表明发生了血管内溶血事件,而胆红素非显著升高表明发生了血管外溶血。这些在与糖尿病相关的贫血中起作用。