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Published in: Respiratory Research 5/2001

Open Access 01-10-2001 | Review

Role of free radicals in the pathogenesis of acute chest syndrome in sickle cell disease

Authors: Elizabeth S Klings, Harrison W Farber

Published in: Respiratory Research | Issue 5/2001

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Abstract

Acute chest syndrome (ACS) of sickle cell disease (SCD) is characterized pathologically by vaso-occlusive processes that result from abnormal interactions between sickle red blood cells (RBCs), white blood cells (WBCs) and/or platelets, and the vascular endothelium. One potential mechanism of vascular damage in ACS is by generation of oxygen-related molecules, such as superoxide (O2-), hydrogen peroxide (H2O2), peroxynitrite (ONOO-), and the hydroxyl (•OH) radical. The present review summarizes the evidence for alterations in oxidant stress during ACS of SCD, and the potential contributions of RBCs, WBCs and the vascular endothelium to this process.
Literature
1.
go back to reference Johnson CS, Verdigem TD: Pulmonary complications of sickle cell disease. Semin Respir Med. 1988, 9: 287-296.CrossRef Johnson CS, Verdigem TD: Pulmonary complications of sickle cell disease. Semin Respir Med. 1988, 9: 287-296.CrossRef
2.
go back to reference Vichinsky EP, Neumayr LD, Earles AN, Williams R, Lennette ET, Dean D, Nickerson B, Orringer E, McKie V, Bellevue R, Daeschner C, Manci EA: Causes and outcomes of the acute chest syndrome in sickle cell disease. N Engl J Med. 2000, 342: 1855-1865. 10.1056/NEJM200006223422502.PubMedCrossRef Vichinsky EP, Neumayr LD, Earles AN, Williams R, Lennette ET, Dean D, Nickerson B, Orringer E, McKie V, Bellevue R, Daeschner C, Manci EA: Causes and outcomes of the acute chest syndrome in sickle cell disease. N Engl J Med. 2000, 342: 1855-1865. 10.1056/NEJM200006223422502.PubMedCrossRef
3.
go back to reference Dhalla NS, Elmoselhi AB, Hata T, Makino N: Status of myocardial antioxidants in ischemia-reperfusion injury. Cardiovasc Res. 2000, 47: 446-456. 10.1016/S0008-6363(00)00078-X.PubMedCrossRef Dhalla NS, Elmoselhi AB, Hata T, Makino N: Status of myocardial antioxidants in ischemia-reperfusion injury. Cardiovasc Res. 2000, 47: 446-456. 10.1016/S0008-6363(00)00078-X.PubMedCrossRef
4.
go back to reference Gee BE, Platt OS: Sickle erythrocytes adhere to VCAM-1. Blood. 1995, 85: 268-274.PubMed Gee BE, Platt OS: Sickle erythrocytes adhere to VCAM-1. Blood. 1995, 85: 268-274.PubMed
5.
go back to reference Kaul DK, Hebbel RP: Hypoxia/reoxygenation causes inflammatory response in transgenic sickle cell mice but not in normal mice. J Clin Invest. 2000, 106: 411-420.PubMedPubMedCentralCrossRef Kaul DK, Hebbel RP: Hypoxia/reoxygenation causes inflammatory response in transgenic sickle cell mice but not in normal mice. J Clin Invest. 2000, 106: 411-420.PubMedPubMedCentralCrossRef
6.
go back to reference Sultana C, Shen Y, Rattan V, Johnson C, Kalra VK: Interaction of sickle erythrocytes with endothelial cells in the presence of endothelial cell conditioned medium induces oxidant stress leading to transendothelial migration of monocytes. Blood. 1998, 92: 3924-3935.PubMed Sultana C, Shen Y, Rattan V, Johnson C, Kalra VK: Interaction of sickle erythrocytes with endothelial cells in the presence of endothelial cell conditioned medium induces oxidant stress leading to transendothelial migration of monocytes. Blood. 1998, 92: 3924-3935.PubMed
7.
go back to reference Marui N, Offermann MK, Swerlick R, Kunsch C, Rosen CA, Ahmad M, Alexander RW, Medford RM: Vascular cell adhesion molecule-1 (VCAM-1) gene transcription and expression are regulated through an antioxidant-sensitive mechanism in human vascular endothelial cells. J Clin Invest. 1993, 92: 1866-1874.PubMedPubMedCentralCrossRef Marui N, Offermann MK, Swerlick R, Kunsch C, Rosen CA, Ahmad M, Alexander RW, Medford RM: Vascular cell adhesion molecule-1 (VCAM-1) gene transcription and expression are regulated through an antioxidant-sensitive mechanism in human vascular endothelial cells. J Clin Invest. 1993, 92: 1866-1874.PubMedPubMedCentralCrossRef
8.
go back to reference Pohlman TH, Harlan JM: Adaptive responses of the endothelium to stress. J Surg Res. 2000, 89: 85-119. 10.1006/jsre.1999.5801.PubMedCrossRef Pohlman TH, Harlan JM: Adaptive responses of the endothelium to stress. J Surg Res. 2000, 89: 85-119. 10.1006/jsre.1999.5801.PubMedCrossRef
9.
go back to reference Radi R, Beckman JS, Bush KM, Freeman BA: Peroxynitrite-induced membrane lipid peroxidation: the cytotoxic potential of nitric oxide and superoxide. Arch Biochem Biophys. 1991, 288: 481-487.PubMedCrossRef Radi R, Beckman JS, Bush KM, Freeman BA: Peroxynitrite-induced membrane lipid peroxidation: the cytotoxic potential of nitric oxide and superoxide. Arch Biochem Biophys. 1991, 288: 481-487.PubMedCrossRef
10.
go back to reference Osarogiagbon UR, Choong S, Belcher JD, Vercellotti GM, Paller MS, Hebbel RP: Reperfusion injury pathophysiology in sickle transgenic mice. Blood. 2000, 96: 314-320.PubMed Osarogiagbon UR, Choong S, Belcher JD, Vercellotti GM, Paller MS, Hebbel RP: Reperfusion injury pathophysiology in sickle transgenic mice. Blood. 2000, 96: 314-320.PubMed
11.
go back to reference Bank N, Kiroycheva M, Ahmed F, Anthony GM, Fabry ME, Nagel RL, Singhal PC: Peroxynitrite formation and apoptosis in transgenic sickle cell mouse kidneys. Kidney Int. 1998, 54: 1520-1528. 10.1046/j.1523-1755.1998.00148.x.PubMedCrossRef Bank N, Kiroycheva M, Ahmed F, Anthony GM, Fabry ME, Nagel RL, Singhal PC: Peroxynitrite formation and apoptosis in transgenic sickle cell mouse kidneys. Kidney Int. 1998, 54: 1520-1528. 10.1046/j.1523-1755.1998.00148.x.PubMedCrossRef
12.
go back to reference Aslan M, Thornley-Brown D, Freeman BA: Reactive species in sickle cell disease. Ann NY Acad Sci. 2000, 899: 375-391.PubMedCrossRef Aslan M, Thornley-Brown D, Freeman BA: Reactive species in sickle cell disease. Ann NY Acad Sci. 2000, 899: 375-391.PubMedCrossRef
13.
go back to reference Jain SK, Shohet SB: A novel phospholipid in irreversibly sickled cells: evidence for in vivo peroxidative membrane damage in sickle cell disease. Blood. 1984, 63: 362-367.PubMed Jain SK, Shohet SB: A novel phospholipid in irreversibly sickled cells: evidence for in vivo peroxidative membrane damage in sickle cell disease. Blood. 1984, 63: 362-367.PubMed
14.
15.
go back to reference Carrell WR, Winterbourn CC, Rachmilewitz EA: Activated oxygen and haemolysis. Br J Haematol. 1975, 30: 259-264.PubMedCrossRef Carrell WR, Winterbourn CC, Rachmilewitz EA: Activated oxygen and haemolysis. Br J Haematol. 1975, 30: 259-264.PubMedCrossRef
16.
go back to reference Freeman BA, Crapo JD: Biology of disease: free radicals and tissue injury. Lab Invest. 1982, 47: 412-412.PubMed Freeman BA, Crapo JD: Biology of disease: free radicals and tissue injury. Lab Invest. 1982, 47: 412-412.PubMed
17.
go back to reference Chui D, Lubin B: Oxidative hemoglobin denaturation and RBC destruction: the effect of heme on red cell membranes. Semin Hematol. 1989, 26: 128-135. Chui D, Lubin B: Oxidative hemoglobin denaturation and RBC destruction: the effect of heme on red cell membranes. Semin Hematol. 1989, 26: 128-135.
18.
go back to reference Buettner GR: The pecking order of free radicals and anti-oxidants: lipid peroxidation, α-tocopherol, and ascorbate. Arch Biochem Biophys. 1993, 300: 535-543. 10.1006/abbi.1993.1074.PubMedCrossRef Buettner GR: The pecking order of free radicals and anti-oxidants: lipid peroxidation, α-tocopherol, and ascorbate. Arch Biochem Biophys. 1993, 300: 535-543. 10.1006/abbi.1993.1074.PubMedCrossRef
19.
go back to reference Evans CR, Omorphos SC, Baysal E: Sickle cell membranes and oxidative damage. Biochem J. 1986, 237: 265-269.CrossRef Evans CR, Omorphos SC, Baysal E: Sickle cell membranes and oxidative damage. Biochem J. 1986, 237: 265-269.CrossRef
20.
go back to reference Das SK, Nair RC: Superoxide dismutase, glutathione peroxidase, catalase and lipid peroxidation of normal and sickled erythrocytes. Br J Haematol. 1980, 44: 87-92.PubMedCrossRef Das SK, Nair RC: Superoxide dismutase, glutathione peroxidase, catalase and lipid peroxidation of normal and sickled erythrocytes. Br J Haematol. 1980, 44: 87-92.PubMedCrossRef
21.
22.
go back to reference Cohen G, Hochstein P: Glutathione peroxidase: the primary agent for the elimination of H2O2 in erythrocytes. Biochemistry. 1963, 2: 1420-1430.PubMedCrossRef Cohen G, Hochstein P: Glutathione peroxidase: the primary agent for the elimination of H2O2 in erythrocytes. Biochemistry. 1963, 2: 1420-1430.PubMedCrossRef
23.
go back to reference Schacter L, Warth JA, Gordon EM, Prasad A, Klein BL: Altered amount and activity of superoxide dismutase in sickle cell anemia. FASEB J. 1988, 2: 237-243.PubMed Schacter L, Warth JA, Gordon EM, Prasad A, Klein BL: Altered amount and activity of superoxide dismutase in sickle cell anemia. FASEB J. 1988, 2: 237-243.PubMed
24.
go back to reference Gryglewski RJ, Palmer RMJ, Moncada S: Superoxide anion is involved in the breakdown of endothelial derived relaxing factor. Nature. 1986, 320: 454-456.PubMedCrossRef Gryglewski RJ, Palmer RMJ, Moncada S: Superoxide anion is involved in the breakdown of endothelial derived relaxing factor. Nature. 1986, 320: 454-456.PubMedCrossRef
25.
go back to reference Chui D, Lubin B: Abnormal vitamin E and glutathione peroxidase levels in sickle cell anemia. J Clin Med. 1979, 94: 542-548. Chui D, Lubin B: Abnormal vitamin E and glutathione peroxidase levels in sickle cell anemia. J Clin Med. 1979, 94: 542-548.
26.
go back to reference Boggs DR, Hyde F, Srodes C: An unusual pattern of neutrophil kinetics in sickle cell anemia. Blood. 1973, 41: 59-65.PubMed Boggs DR, Hyde F, Srodes C: An unusual pattern of neutrophil kinetics in sickle cell anemia. Blood. 1973, 41: 59-65.PubMed
27.
go back to reference Platt OS, Brambilla DJ, Rosse WF, Milner PF, Castro O, Steinberg MH, Klug PP: Mortality in sickle cell disease: life expectancy and risk factors for early death. N Engl J Med. 1994, 330: 1639-1644. 10.1056/NEJM199406093302303.PubMedCrossRef Platt OS, Brambilla DJ, Rosse WF, Milner PF, Castro O, Steinberg MH, Klug PP: Mortality in sickle cell disease: life expectancy and risk factors for early death. N Engl J Med. 1994, 330: 1639-1644. 10.1056/NEJM199406093302303.PubMedCrossRef
28.
go back to reference Fadlon E, Vordermeier S, Pearson TC, Mire-Sluis AR, Dumonde DC, Phillips J, Fishlock K, Brown KA: Blood polymorphonuclear leukocytes from the majority of sickle cell patients in the crisis phase of the disease show enhanced adhesion to vascular endothelium and increased expression of CD64. Blood. 1998, 91: 266-274.PubMed Fadlon E, Vordermeier S, Pearson TC, Mire-Sluis AR, Dumonde DC, Phillips J, Fishlock K, Brown KA: Blood polymorphonuclear leukocytes from the majority of sickle cell patients in the crisis phase of the disease show enhanced adhesion to vascular endothelium and increased expression of CD64. Blood. 1998, 91: 266-274.PubMed
29.
go back to reference Lard LR, Mul FP, de Haas M, Roos D, Duits AJ: Neutrophil activation in sickle cell disease. J Leukoc Biol. 1999, 66: 411-415.PubMed Lard LR, Mul FP, de Haas M, Roos D, Duits AJ: Neutrophil activation in sickle cell disease. J Leukoc Biol. 1999, 66: 411-415.PubMed
30.
go back to reference Varani J, Ginsburg I, Schuger L, Gibbs DF, Bromberg J, Johnson KJ, Ryan US, Ward PA: Endothelial cell killing by neutrophils: synergistic interaction of oxygen products and proteases. Am J Pathol. 1989, 135: 435-438.PubMedPubMedCentral Varani J, Ginsburg I, Schuger L, Gibbs DF, Bromberg J, Johnson KJ, Ryan US, Ward PA: Endothelial cell killing by neutrophils: synergistic interaction of oxygen products and proteases. Am J Pathol. 1989, 135: 435-438.PubMedPubMedCentral
31.
go back to reference Hsu L, McDermott T, Brown L, Aguayo SM: Transgenic HbS mouse neutrophils in increased susceptibility to acute lung injury. Chest. 1999, 116: 92S-10.1378/chest.116.suppl_1.92S.PubMedCrossRef Hsu L, McDermott T, Brown L, Aguayo SM: Transgenic HbS mouse neutrophils in increased susceptibility to acute lung injury. Chest. 1999, 116: 92S-10.1378/chest.116.suppl_1.92S.PubMedCrossRef
32.
go back to reference Duits AJ, Schnog JB, Lard LR, Saleh AW, Rojer RA: Elevated IL-8 levels during sickle cell crisis. Eur J Haematol. 1998, 61: 302-305.PubMedCrossRef Duits AJ, Schnog JB, Lard LR, Saleh AW, Rojer RA: Elevated IL-8 levels during sickle cell crisis. Eur J Haematol. 1998, 61: 302-305.PubMedCrossRef
33.
go back to reference Mohamed AO, Hashim MS, Nilsson UR, Venge P: Increased in vivo activation of neutrophils and complement in sickle cell disease. Am J Trop Med Hyg. 1993, 49: 799-803.PubMed Mohamed AO, Hashim MS, Nilsson UR, Venge P: Increased in vivo activation of neutrophils and complement in sickle cell disease. Am J Trop Med Hyg. 1993, 49: 799-803.PubMed
34.
go back to reference Dias-Da-Motta P, Arruda VR, Muscara MN, Saad ST, De Nucci G, Costa FF, Condino-Neto A: The release of nitric oxide and superoxide anion by neutrophils and mononuclear cells from patients with sickle cell anemia. Br J Haematol. 1996, 93: 333-340. 10.1046/j.1365-2141.1996.4951036.x.PubMedCrossRef Dias-Da-Motta P, Arruda VR, Muscara MN, Saad ST, De Nucci G, Costa FF, Condino-Neto A: The release of nitric oxide and superoxide anion by neutrophils and mononuclear cells from patients with sickle cell anemia. Br J Haematol. 1996, 93: 333-340. 10.1046/j.1365-2141.1996.4951036.x.PubMedCrossRef
35.
go back to reference Hofstra TC, Kalra VK, Meiselman HJ, Coates TD: Sickle erythrocytes adhere to polymorphonuclear neutrophils and activate the neutrophil respiratory burst. Blood. 1996, 87: 4440-4447.PubMed Hofstra TC, Kalra VK, Meiselman HJ, Coates TD: Sickle erythrocytes adhere to polymorphonuclear neutrophils and activate the neutrophil respiratory burst. Blood. 1996, 87: 4440-4447.PubMed
36.
go back to reference Hammerman SI, Klings ES, Hendra KP, Upchurch GR, Rishikof DC, Loscalzo J, Farber HW: Endothelial cell nitric oxide production in acute chest syndrome. Am J Physiol. 1999, 277: H1579-H1592.PubMed Hammerman SI, Klings ES, Hendra KP, Upchurch GR, Rishikof DC, Loscalzo J, Farber HW: Endothelial cell nitric oxide production in acute chest syndrome. Am J Physiol. 1999, 277: H1579-H1592.PubMed
37.
go back to reference Morris CR, Kuypers FA, Larkin S, Vichinsky EP, Styles LA: Patterns of arginine and nitric oxide in sickle cell disease patients with vaso-occlusive crisis and acute chest syndrome. J Pediatr Hematol Oncol. 2000, 22: 515-520. 10.1097/00043426-200011000-00009.PubMedCrossRef Morris CR, Kuypers FA, Larkin S, Vichinsky EP, Styles LA: Patterns of arginine and nitric oxide in sickle cell disease patients with vaso-occlusive crisis and acute chest syndrome. J Pediatr Hematol Oncol. 2000, 22: 515-520. 10.1097/00043426-200011000-00009.PubMedCrossRef
38.
go back to reference Stuart MJ, Setty BN: Sickle cell acute chest syndrome: pathogenesis and rationale for treatment. Blood. 1999, 94: 1555-1560.PubMed Stuart MJ, Setty BN: Sickle cell acute chest syndrome: pathogenesis and rationale for treatment. Blood. 1999, 94: 1555-1560.PubMed
39.
go back to reference Rees DC, Cervi P, Grimwade D, O'Driscoll A, Hamilton M, Parker NE, Porter JB: The metabolites of nitric oxide in sickle cell disease. Br J Haematol. 1995, 91: 834-837.PubMedCrossRef Rees DC, Cervi P, Grimwade D, O'Driscoll A, Hamilton M, Parker NE, Porter JB: The metabolites of nitric oxide in sickle cell disease. Br J Haematol. 1995, 91: 834-837.PubMedCrossRef
40.
go back to reference Lopez BL, Barnett J, Ballas SK, Christopher TA, Davis-Moon L, Ma X: Nitric oxide metabolites in acute vasoocclusive crisis patients in the emergency department. Acad Emerg Med. 1996, 3: 1098-1103.PubMedCrossRef Lopez BL, Barnett J, Ballas SK, Christopher TA, Davis-Moon L, Ma X: Nitric oxide metabolites in acute vasoocclusive crisis patients in the emergency department. Acad Emerg Med. 1996, 3: 1098-1103.PubMedCrossRef
41.
go back to reference Lopez BL, Davis-Moon L, Ballas SK, Ma XL: Sequential nitric oxide measurements during the emergency room treatment of acute vasoocclusive sickle cell crisis. Am J Hematol. 2000, 64: 15-19. 10.1002/(SICI)1096-8652(200005)64:1<15::AID-AJH3>3.3.CO;2-G.PubMedCrossRef Lopez BL, Davis-Moon L, Ballas SK, Ma XL: Sequential nitric oxide measurements during the emergency room treatment of acute vasoocclusive sickle cell crisis. Am J Hematol. 2000, 64: 15-19. 10.1002/(SICI)1096-8652(200005)64:1<15::AID-AJH3>3.3.CO;2-G.PubMedCrossRef
42.
go back to reference Mosseri M, Bartlett-Pandite AN, Wenc K, Isner JM, Weinstein R: Inhibition of endothelium-dependent vasorelaxation by sickle erythrocytes. Am Heart J. 1993, 126: 338-346.PubMedCrossRef Mosseri M, Bartlett-Pandite AN, Wenc K, Isner JM, Weinstein R: Inhibition of endothelium-dependent vasorelaxation by sickle erythrocytes. Am Heart J. 1993, 126: 338-346.PubMedCrossRef
43.
go back to reference French JA, Kenny D, Scott JP, Hoffmann RG, Wood JD, Hudetz AG, Hillery CA: Mechanisms of stroke in sickle cell disease: sickle erythrocytes decrease cerebral blood flow in rats after nitric oxide inhibition. Blood. 1997, 89: 4591-4599.PubMed French JA, Kenny D, Scott JP, Hoffmann RG, Wood JD, Hudetz AG, Hillery CA: Mechanisms of stroke in sickle cell disease: sickle erythrocytes decrease cerebral blood flow in rats after nitric oxide inhibition. Blood. 1997, 89: 4591-4599.PubMed
44.
go back to reference Rubbo H, Darley-Usmar V, Freeman BA: Nitric oxide regulation of tissue free radical injury. Chem Res Toxicol. 1996, 9: 809-820. 10.1021/tx960037q.PubMedCrossRef Rubbo H, Darley-Usmar V, Freeman BA: Nitric oxide regulation of tissue free radical injury. Chem Res Toxicol. 1996, 9: 809-820. 10.1021/tx960037q.PubMedCrossRef
45.
go back to reference Moncada S, Higgs EA: Endogenous nitric oxide: physiology, pathology, and clinical relevance. Eur J Clin Invest. 1991, 21: 361-374.PubMedCrossRef Moncada S, Higgs EA: Endogenous nitric oxide: physiology, pathology, and clinical relevance. Eur J Clin Invest. 1991, 21: 361-374.PubMedCrossRef
46.
go back to reference Mayer B, Hemmens B: Biosynthesis and action of nitric oxide in mammalian cells. Trends Biochem Sci. 1997, 22: 477-481. 10.1016/S0968-0004(97)01147-X.PubMedCrossRef Mayer B, Hemmens B: Biosynthesis and action of nitric oxide in mammalian cells. Trends Biochem Sci. 1997, 22: 477-481. 10.1016/S0968-0004(97)01147-X.PubMedCrossRef
48.
go back to reference Stamler JS, Singel DJ, Loscalzo J: Biochemistry of nitric oxide and its redox-activated forms. Science. 1992, 258: 1898-1902.PubMedCrossRef Stamler JS, Singel DJ, Loscalzo J: Biochemistry of nitric oxide and its redox-activated forms. Science. 1992, 258: 1898-1902.PubMedCrossRef
49.
go back to reference Lewis RS, Tamir S, Tannebaum SR, Deen WM: Kinetic analysis of the fate of nitric oxide synthesized by macrophages in vitro. J Biol Chem. 1995, 270: 29350-29355. 10.1074/jbc.270.49.29350.PubMedCrossRef Lewis RS, Tamir S, Tannebaum SR, Deen WM: Kinetic analysis of the fate of nitric oxide synthesized by macrophages in vitro. J Biol Chem. 1995, 270: 29350-29355. 10.1074/jbc.270.49.29350.PubMedCrossRef
50.
go back to reference Beckman JS, Beckman TW, Chen J, Marshall PA, Freeman BA: Apparent hydroxyl radical production by peroxynitrite: implications for injury from nitric oxide and superoxide. Proc Natl Acad Sci USA. 1990, 87: 1620-1624.PubMedPubMedCentralCrossRef Beckman JS, Beckman TW, Chen J, Marshall PA, Freeman BA: Apparent hydroxyl radical production by peroxynitrite: implications for injury from nitric oxide and superoxide. Proc Natl Acad Sci USA. 1990, 87: 1620-1624.PubMedPubMedCentralCrossRef
51.
go back to reference Phelan M, Perrine SP, Brauer M, Faller DV: Sickle erythrocytes, after sickling, regulate the expression of the endothelin-1 gene and protein in human endothelial cells in culture. J Clin Invest. 1995, 96: 1145-1151.PubMedPubMedCentralCrossRef Phelan M, Perrine SP, Brauer M, Faller DV: Sickle erythrocytes, after sickling, regulate the expression of the endothelin-1 gene and protein in human endothelial cells in culture. J Clin Invest. 1995, 96: 1145-1151.PubMedPubMedCentralCrossRef
52.
go back to reference Hammerman SI, Kourembanas S, Conca TJ, Tucci M, Brauer M, Farber HW: Endothelin-1 production during the acute chest syndrome of sickle cell disease. Am J Respir Crit Care Med. 1997, 156: 280-285.PubMedCrossRef Hammerman SI, Kourembanas S, Conca TJ, Tucci M, Brauer M, Farber HW: Endothelin-1 production during the acute chest syndrome of sickle cell disease. Am J Respir Crit Care Med. 1997, 156: 280-285.PubMedCrossRef
53.
go back to reference Kunsch C, Medford RM: Oxidative stress as a regulator of gene expression in the vasculature. Circ Res. 1999, 85: 753-766.PubMedCrossRef Kunsch C, Medford RM: Oxidative stress as a regulator of gene expression in the vasculature. Circ Res. 1999, 85: 753-766.PubMedCrossRef
54.
go back to reference Tatum VL, Chow CK: Antioxidant status and susceptibility of sickle erythrocytes to oxidative and osmotic stress. Free Radic Res. 1996, 25: 133-139.PubMedCrossRef Tatum VL, Chow CK: Antioxidant status and susceptibility of sickle erythrocytes to oxidative and osmotic stress. Free Radic Res. 1996, 25: 133-139.PubMedCrossRef
55.
go back to reference Jain SK, Ross JD, Duett J, Herbst JJ: Low plasma pre-albumin and carotenoid levels in sickle cell disease patients. Am J Med Sci. 1990, 299: 13-15.PubMedCrossRef Jain SK, Ross JD, Duett J, Herbst JJ: Low plasma pre-albumin and carotenoid levels in sickle cell disease patients. Am J Med Sci. 1990, 299: 13-15.PubMedCrossRef
56.
go back to reference Ndombi IO, Kinoti SN: Serum vitamin E and the sickling status in children with sickle cell anaemia. East Afr Med J. 1990, 67: 720-725.PubMed Ndombi IO, Kinoti SN: Serum vitamin E and the sickling status in children with sickle cell anaemia. East Afr Med J. 1990, 67: 720-725.PubMed
57.
go back to reference Phillips G, Tangney CC: Relationship of plasma alpha tocopherol to index of clinical severity in individuals with sickle cell anemia. Am J Hematol. 1992, 41: 227-231.PubMedCrossRef Phillips G, Tangney CC: Relationship of plasma alpha tocopherol to index of clinical severity in individuals with sickle cell anemia. Am J Hematol. 1992, 41: 227-231.PubMedCrossRef
58.
go back to reference Natta C, Machlin L, Brin M: A decrease in irreversibly sickle erythrocytes in sickle cell anemia patients given vitamin E. Am J Clin Nutr. 1980, 33: 968-971.PubMed Natta C, Machlin L, Brin M: A decrease in irreversibly sickle erythrocytes in sickle cell anemia patients given vitamin E. Am J Clin Nutr. 1980, 33: 968-971.PubMed
59.
go back to reference Tangney CC, Phillips G, Bell RA, Fernandes P, Hopkins R, Wu SM: Selected indices of micronutrient status in adult patients with sickle cell anemia (SCA). Am J Hematol. 1989, 32: 161-166.PubMedCrossRef Tangney CC, Phillips G, Bell RA, Fernandes P, Hopkins R, Wu SM: Selected indices of micronutrient status in adult patients with sickle cell anemia (SCA). Am J Hematol. 1989, 32: 161-166.PubMedCrossRef
60.
go back to reference Essien EU: Plasma levels of retinol, ascorbic acid, and alpha-tocopherol in sickle cell anemia. Cent Afr J Med. 1995, 41: 48-50.PubMed Essien EU: Plasma levels of retinol, ascorbic acid, and alpha-tocopherol in sickle cell anemia. Cent Afr J Med. 1995, 41: 48-50.PubMed
61.
go back to reference Akinkugbe FM, Ette SI: Ascorbic acid in sickle cell disease: results of a pilot therapeutic trial. East Afr Med J. 1983, 60: 683-687.PubMed Akinkugbe FM, Ette SI: Ascorbic acid in sickle cell disease: results of a pilot therapeutic trial. East Afr Med J. 1983, 60: 683-687.PubMed
62.
go back to reference Delekan DA, Thurham DI, Adekile AD: Reduced antioxidant capacity in paediatric patients with homozygous sickle cell disease. Eur J Clin Nutr. 1989, 43: 609-614. Delekan DA, Thurham DI, Adekile AD: Reduced antioxidant capacity in paediatric patients with homozygous sickle cell disease. Eur J Clin Nutr. 1989, 43: 609-614.
63.
go back to reference Houston PE, Rana S, Sekhsaria S, Perlin E, Kim KS, Castro OL: Homocysteine in sickle cell disease: relationship to stroke. Am J Med. 1997, 103: 192-196. 10.1016/S0002-9343(97)00129-0.PubMedCrossRef Houston PE, Rana S, Sekhsaria S, Perlin E, Kim KS, Castro OL: Homocysteine in sickle cell disease: relationship to stroke. Am J Med. 1997, 103: 192-196. 10.1016/S0002-9343(97)00129-0.PubMedCrossRef
Metadata
Title
Role of free radicals in the pathogenesis of acute chest syndrome in sickle cell disease
Authors
Elizabeth S Klings
Harrison W Farber
Publication date
01-10-2001
Publisher
BioMed Central
Published in
Respiratory Research / Issue 5/2001
Electronic ISSN: 1465-993X
DOI
https://doi.org/10.1186/rr70

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