Zappia Katherine J, Guo Yihe, Retherford Dawn, Wandersee Nancy J, Stucky Cheryl L, Hillery Cheryl A
Department of Cell Biology, Neurobiology & Anatomy, Medical College of Wisconsin, Milwaukee, WI, USA.
Department of Biology, UNC Fayetteville State University, Fayetteville, NC, USA.
Br J Haematol. 2017 Nov;179(4):657-666. doi: 10.1111/bjh.14948. Epub 2017 Oct 12.
Sickle cell trait (SCT) has classically been categorized as a benign condition except in rare cases or upon exposure to severe physical conditions. However, several lines of evidence indicate that individuals with SCT are not always asymptomatic, and additional physiological changes and risks may remain unexplored. Here, we utilized mice harbouring one copy of normal human β globin and one copy of sickle human β globin as a model of SCT to assess haematological, histopathological and somatosensory outcomes. We observed that SCT mice displayed renal and hepatic vascular congestion after exposure to hypoxia. Further, we observed that SCT mice displayed increased cold aversion as well as mechanical and heat sensitivity, though to a lesser degree than homozygous sickle cell disease mice. Notably, mechanical hypersensitivity increased following hypoxia and reoxygenation. Overall our findings suggest that SCT is not entirely benign, and further assessment of pain and cutaneous sensitization is warranted both in animal models and in clinical populations.
镰状细胞性状(SCT)传统上被归类为一种良性状况,除非在罕见情况下或暴露于严重身体状况时。然而,有几条证据表明,患有SCT的个体并非总是无症状,可能仍有其他生理变化和风险未被探索。在这里,我们利用携带一份正常人β珠蛋白和一份镰状人β珠蛋白的小鼠作为SCT模型,以评估血液学、组织病理学和体感结果。我们观察到,SCT小鼠在暴露于低氧环境后出现肾和肝血管充血。此外,我们观察到SCT小鼠表现出对寒冷的厌恶增加以及机械和热敏感性增加,尽管程度低于纯合镰状细胞病小鼠。值得注意的是,低氧和复氧后机械超敏反应增加。总体而言,我们的研究结果表明SCT并非完全良性,有必要在动物模型和临床人群中进一步评估疼痛和皮肤致敏情况。