Quantitative evaluation of the mechanisms of the anaemia in heterozygous beta-thalassaemia

Scand J Haematol. 1979 Aug;23(2):107-14. doi: 10.1111/j.1600-0609.1979.tb02680.x.

Abstract

Ferrokinetic studies were carried out in 8 patients with heterozygous beta-thalassaemia with anaemia of varying severity. Effective and ineffective erythropoiesis, mean red cell lifespan and non-erythroid iron turnover were estimated from the experimental data through a mathematical model of iron kinetics. Erythropoietic activity was markedly increased in all patients, but was variably ineffective (from 10 to 74%). A negative correlation (r = 0.855, P less than 0.01) was found between the amount of ineffective erythropoiesis and Hb level. Red cell lifespan was variably shortened and there was a negative correlation between the degree of daily peripheral haemolysis and Hb level (r = 0.733, P less than 0.05). Non-erythroid iron turnover was increased in most patients. The results provide quantitative measurements of the mechanisms responsible for the wide variation of the Hb level in heterozygous beta-thalaeeaemia. Ineffective erythropoiesis seems to be the major reason for the anaemia. Peripheral haemolysis contributes to it, especially in the most severely affected patients. The increased non-erythroid iron turnover may be responsible for the pathology which characterizes heterozygotes in the adult life.

MeSH terms

  • Adolescent
  • Adult
  • Anemia / blood
  • Child
  • Erythrocyte Aging*
  • Erythrocytes / metabolism
  • Erythropoiesis*
  • Female
  • Hemoglobins* / analysis
  • Hemolysis
  • Heterozygote
  • Humans
  • Iron / blood*
  • Male
  • Middle Aged
  • Thalassemia / blood*

Substances

  • Hemoglobins
  • Iron