NEOPTERIN AND INTERFERON-GAMMA AS IMMUNE RESPONSE MARKERS IN BETATHALASSEMIA MAJOR PATIENTS

Authors

  • Shahad F Obeid Department of Biochemistry, College Science for Women, University of Baghdad, Baghdad, Iraq.
  • Sanad B Al-a'araji Department of Biochemistry, College Science for Women, University of Baghdad, Baghdad, Iraq.
  • Bassam F Matti Haematology Specialist, Medical City Complex, Baghdad Teaching Hospital, Baghdad, Iraq.
  • Hayder Adnan Fawzi Clinical Pharmacist, Medical City Complex, Baghdad Teaching Hospital, Baghdad, Iraq. http://orcid.org/0000-0001-9970-0119

DOI:

https://doi.org/10.22159/ajpcr.2018.v11i9.26661

Keywords:

Thalassemia major, Interferon-gamma, Neopterin

Abstract

Objective: The assessment of neopterin and interferon-gamma (IFN-γ) levels as a part of immune system response about serum iron status in β-thalassemia (TM) major patients.

Methods: Spectrophotometry applied for the estimation of iron status including serum iron level, total iron-binding capacity, and unsaturated iron-binding capacity. Enzyme-linked immunosorbent assay (ELISA) applied for the estimation of the serum cytokines included neopterin and IFN-γ also serum ferritin estimation by ELISA from 130 β-TM major patients where they divided according to serum ferritin level (< and ≥2500 ng/mL).

Results: The neopterin and IFN-γ concentration showed significantly increased with direct correlation among TM patient group when compared to the normal healthy control group. However, there was no significant difference between different levels of serum ferritin.

Conclusion: The increased serum level of neopterin and IFN-γ found in patients with β-TM may be due to the direct effect of iron on cellular immune cells beside of immune system response to the effect of iron toxicity on different body organs. There was a direct moderate relationship between neopterin and IFN-γ.

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Author Biographies

Shahad F Obeid, Department of Biochemistry, College Science for Women, University of Baghdad, Baghdad, Iraq.

MSC. Biochemistry

Sanad B Al-a'araji, Department of Biochemistry, College Science for Women, University of Baghdad, Baghdad, Iraq.

PhD, Biochemistry

Bassam F Matti, Haematology Specialist, Medical City Complex, Baghdad Teaching Hospital, Baghdad, Iraq.

MBChB, FICMS, Haematology specialist

Hayder Adnan Fawzi, Clinical Pharmacist, Medical City Complex, Baghdad Teaching Hospital, Baghdad, Iraq.

B.Sc, FICMS

Clinical pharmacist, Baghdad Medical City Hospital

 

References

Thakur S, Raw SN, Sharma R. Study the level of awareness among sindhi families of durg, chhattisgarh (India): A questionnaire based statistical study. Int J Parm Pharm Sci 2015;7:341-6.

Gharagozloo M, Karimi M, Amirghofran Z. Double-faced cell-mediated immunity in beta-thalassemia major: Stimulated phenotype versus suppressed activity. Ann Hematol 2009;88:21-7.

Devarshi S, James S, Najafzadeh E, Pawar S, Kalrao V, Bafna V. Assessment of quality of life, complications and post-transfusion adverse reactions in thalassemia pediatric in tertiary care hospital. Int J Parm Pharm Sci 2016;8:317-23.

Eisenhut M. Neopterin in diagnosis and monitoring of infectious diseases. J Biomark 2013;2013:1-10.

Elbakry KA, Malak CA, Howas MM. Immunomodulatory role of honey and propolis on carbon tetrachloride (CCl4) injected rats. Int J Parm Pharm Sci 2015;7:282-8.

Wietlicka-Kokoszanek I, Jablecka A, Smolarek I, Bogdanski P, Korzeniowska K, Kazmierczak M, et al. Neopterin as a prognostic marker in patients with chronic heart failure. Med Sci Mon 2010;16:CR232-7.

Thakur S, Raw SN, Sharma R. Design of a fuzzy model for thalassemia disease diagnosis: Using mamdani type fuzzy inference system (FIS). Int J Parm Pharm Sci 2016;8:356-61.

Farmakis D, Giakoumis A, Aessopos A, Polymeropoulos E. Pathogenetic aspects of immune deficiency associated with ß thalassemia. Med Sci Mon 2003;9:RA19-22.

Fadhil RK, Mohammed HQ, Faraj SA. Evaluation of cellular immunity for β-thalassemia major patients in wasit thalassemia center. Int J Micro Gen Monocular Res 2017;3:1-8.

Amin A, Jalali S, Amin R, Aale-Yasin S, Jamalian N, Karimi M. Evaluation of the serum levels of immunoglobulin and complement factors in b-thalassemia major patients in Southern Iran. IJI 2005;2:220-5.

Fuchs D, Avanzas P, Arroyo-Espliguero R, Jenny M, Consuegra- Sanchez L, Kaski J. The role of neopterin in atherogenesis and cardiovascular risk assessment. Curr Med Chem 2009;16:4644-53.

Radtke AL, O’Riordan MX. Intracellular innate resistance to bacterial pathogens. Cell Micro 2006;8:1720-9.

Weinberg ED. Iron withholding as a defense strategy. In: Hershko R, Gordeuk V and Weiss G , editors. Anemia of Chronic Disease. Boca Raton: Taylor and Francis Group; 2005. p. 255-80.

Ayoub N, Khaleed JK, Mohammed II. Hypothyroidism in transfusion-dependent Genetics β-thalassemia. Iraqi J Can and Med 2016;9:36-40.

Hadeed WA, Alhially YA, Bashi AY. Comparison of thyroid function tests between splenectomised and non-splenectomised β-thalassemia major patients. Tik J of Pure Sci 2015;20:61-6.

Abdulzahra MS, Al-Hakeim HK, Ridha MM. Study of the effect of iron overload on the function of endocrine glands in male thalassemia patients. Asian J Transfus Sci 2011;5:127-31

Maurya SK, Bisht P, Semwal M, Gandhi S. An updates on the sepsis causing multiple organ dysfunctions. J Crit Rev 2016;3:31-40.

Salsaa B, Zoumbos NC. A distinct pattern of cytokine production from blood mononuclear cells in multi-transfused patients with β-thalassaemia. Clin Exp Immunol 1997;107:589-92.

Abo Shanab AM, El-Desouky MA, Kholoussi N, El-Kamah G, Fahmi A. Evaluation of neopterin as a prognostic factor in relation to cytokines and immunoglobulins in patients with β-mediated anemia. Arch El Med 2015;32:60-5.

Berdowska A, Zwirska-Korczala K. Neopterin measurement in clinical diagnosis. J Clin Pharm Ther 2001;26:319-29.

Murr C, Widner B, Wirleitner B, Fuchs D. Neopterin as a marker for immune system activation. Curr Drug Meta 2002;3:175-87.

Published

07-09-2018

How to Cite

Obeid, S. F., S. B. Al-a’araji, B. F. Matti, and H. A. Fawzi. “NEOPTERIN AND INTERFERON-GAMMA AS IMMUNE RESPONSE MARKERS IN BETATHALASSEMIA MAJOR PATIENTS”. Asian Journal of Pharmaceutical and Clinical Research, vol. 11, no. 9, Sept. 2018, pp. 192-4, doi:10.22159/ajpcr.2018.v11i9.26661.

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Original Article(s)