Effect of Iron Overload on the Liver Enzymes of Thalassemia Patients in Dhi Qar province

  • Riam Yousfe Muttair Department of Biology, University of Thi-Qar
  • Qammar Shaker Hmood Department of Biology, University of Thi-Qar
  • Rawa Abdulkareem Abd Department of Biology, University of Thi-Qar
  • Mohammed Jabbar Mohammed Ministry of Education, Maysan Education Directorate
  • Muhammad Hakim Khuwaylid Department of Biology, University of Thi-Qar
Keywords: Thalassemia, Iron, Liver Enzymes, ALT, AST, ALP

Abstract

Hereditary hematologic diseases arise from hereditary factors that lead to disturbances in the balance of blood. The aim of this study was to assess the physiological characteristics of liver enzymes and investigate the impact of iron on these enzymes. For this investigation, a total of 150 blood samples were gathered. At the Thi-Qar Centre for Incendiary Disease in Nasiriyah City/Thi-Qar Province, fifty samples were taken from patients suffering from thalassemia, while twenty-five samples were taken from healthy individuals. Both the severity of the disease (thalassemia major and intermediate) and the gender of the patient are being taken into consideration while categorizing the patients into two groups. After receiving consent from the patients, samples were obtained between the months of January 2024 and February 2024. In this study, patients with thalassemia had substantially greater levels of ferritin, alanine transaminase, aspartate transaminase, and alkaline phosphatase compared to the control group. Liver enzyme levels did not differ significantly between thalassemia major and thalassemia intermediate, according to the study. In contrast, ferritin levels were much greater in thalassemia major than in thalassemia intermediate or minor. However, there was no statistically significant difference between the sexes when it came to ferritin and liver enzymes. Considering the study's conclusions , it was determined that the ferritin level brought about several difficulties and had a negative impact on the enzymes in the liver.

References

Okab HF, Saleh MB. Evaluation The Immune Status Of Blood Transfusion-Dependent Thalassemia In Thi-Qar Province/Iraq. Journal of Education for Pure Science. 2019 Jun 1;9(2).

Humphry E, Armstrong CE. Physiology of red and white blood cells. Anaesthesia & Intensive Care Medicine. 2022 Feb 1;23(2):118-22.

Das R, Sharma P. Disorders of abnormal hemoglobin. InClinical Molecular Medicine 2020 Jan 1 (pp. 327-339). Academic Press.

Ali S, Mumtaz S, Shakir HA, Khan M, Tahir HM, Mumtaz S, Mughal TA, Hassan A, Kazmi SA, Sadia, Irfan M. Current status of beta‐thalassemia and its treatment strategies. Molecular genetics & genomic medicine. 2021 Dec;9(12):e1788.

Tripathi P. Genetics of thalassemia. InThe Erythrocyte-A Unique Cell 2022 Oct 18. IntechOpen.

Wang Z, Sun W, Chen H, Zhang Y, Wang F, Chen H, Zhou Y, Huang Y, Zhou X, Li Q, Ma Y. Prevalence and molecular spectrum of α-and β-globin gene mutations in Hainan, China. International Journal of Hematology. 2021 Sep;114:307-18.

Gwozdzinski K, Pieniazek A, Gwozdzinski L. Reactive oxygen species and their involvement in red blood cell damage in chronic kidney disease. Oxidative medicine and cellular longevity. 2021;2021(1):6639199.

Boontem P, Yamashima T. Hydroxynonenal causes Langerhans cell degeneration in the pancreas of Japanese macaque monkeys. PLoS One. 2021 Nov 8;16(11):e0245702.

Yadav PK, Singh AK. A review of iron overload in beta-thalassemia major, and a discussion on alternative potent iron chelation targets. Plasmatology. 2022 May;16:26348535221103560.

SEYHANLI A. IRON HOMEOSTASIS AND OVERVIEW OF IRON DEFICIENCY ANEMIA. Research & Reviews in Health Sciences.:107.

Rishi G, Subramaniam VN. Biology of the iron efflux transporter, ferroportin. Advances in protein chemistry and structural biology. 2021 Jan 1;123:1-6.

Nemeth E, Ganz T. Hepcidin-ferroportin interaction controls systemic iron homeostasis. International journal of molecular sciences. 2021 Jun 17;22(12):6493.

Gammella E, Lomoriello IS, Conte A, Freddi S, Alberghini A, Poli M, Sigismund S, Cairo G, Recalcati S. Unconventional endocytosis and trafficking of transferrin receptor induced by iron. Molecular Biology of the Cell. 2021 Jan 15;32(2):98-108.

Al-Moshary M, Imtiaz N, Al-Mussaed E, Khan A, Ahmad S, Albqami S. Clinical and biochemical assessment of liver function test and its correlation with serum ferritin levels in transfusion-dependent thalassemia patients. Cureus. 2020 Apr;12(4).

Yan JX, Pan BJ, Zhao PP, Wang LT, Liu JF, Fu SB. Serum ferritin is correlated with non-alcoholic fatty liver disease in middle-aged and older patients with type 2 diabetes. Endocrine Connections. 2021 Dec 1;10(12):1560-9.

Salih, K. M.; & Al-mosawy, F. (2016). Influence of Blood Transfusion Rate on some Clinical Manifestations in β-thalassaemia Major Patients. Hematology/Oncology Clinics of North America, 2(5), 15–19.

Suman, R. L.; Sanadhya, A.; Meena, P.; & Goyal, S. (2016). Correlation of liver enzymes with serum ferritin levels in β -thalassemia major. International Journal of Research in Medical Sciences, 4(8), 3271– 3274.

Hindawi S, Badawi M, Hussein D, Al-Riyami AZ, Daghman NA, Rafie NI, Belgasm NM, Al Zaabi E, Oumeziane N. The impact of blood donation on blood counts and ferritin levels: A multi-center study from the Eastern Mediterranean region. Transfusion and Apheresis Science. 2021 Jun 1;60(3):103072.

Beverina I, Razionale G, Ranzini M, Aloni A, Finazzi S, Brando B. Early intravenous iron administration in the Emergency Department reduces red blood cell unit transfusion, hospitalisation, re-transfusion, length of stay and costs. Blood Transfusion. 2020 Mar;18(2):106.

Silva AM, Rangel M. The (bio) chemistry of non-transferrin-bound iron. Molecules. 2022 Mar 9;27(6):1784.

De Dreuzy, E.; Bhukhai, K.; Leboulch, P.; & Payen, E. (2016). Current and Future Alternative Therapies for Beta-thalassemia Major. Biomedical Journal, 39(1), 24–38.

Del Nonno F, Nardacci R, Colombo D, Visco-Comandini U, Cicalini S, Antinori A, Marchioni L, D’Offizi G, Piacentini M, Falasca L. Hepatic failure in COVID-19: is iron overload the dangerous trigger?. Cells. 2021 May 4;10(5):1103.

Heris HK, Nejati B, Rezazadeh K, Sate H, Dolatkhah R, Ghoreishi Z, Esfahani A. Evaluation of iron overload by cardiac and liver T2* in β-thalassemia: Correlation with serum ferritin, heart function and liver enzymes. Journal of cardiovascular and thoracic research. 2021;13(1):54.

Nairz M, Weiss G. Iron in infection and immunity. Molecular Aspects of Medicine. 2020 Oct 1;75:100864.

Published
2024-09-02
How to Cite
Muttair, R. Y., Hmood, Q. S., Abd, R. A., Mohammed, M. J., & Khuwaylid, M. H. (2024). Effect of Iron Overload on the Liver Enzymes of Thalassemia Patients in Dhi Qar province. Central Asian Journal of Medical and Natural Science, 5(4), 675-680. Retrieved from https://cajmns.centralasianstudies.org/index.php/CAJMNS/article/view/2596
Section
Articles