Iron stores in autologous blood donors.

Depletion of body iron stores is a major factor limiting regular blood donation in volunteer donors. Autologous blood donors are requested to donate more frequently. To determine iron stores in autologous donors, 9 men and 10 women studied gave a total of 24 donations before their elective surgery (range 1-2 donations). All donors were tested for serum ferritin (SF) and hemoglobin (Hb) level. Iron supplements were taken by 88.89 per cent of men and 90 per cent of women. Mean SF before donations was 147.75 ng/mL in men and 53.19 ng/mL in women. After donations, mean SF decreased to 124.26 ng/mL in men and 38.81 ng/mL in women. None of them had depleted iron stores (SF < or = 15 ng/mL). In conclusion, iron supplementation was beneficial in maintaining body iron stores in autologous blood donors.

Serum C-reactive protein level in postsplenectomized thalassemic patients.

C-reactive protein is an established marker for the detection of acute and chronic inflammatory processes. The most potent stimulator for the hepatic synthesis of this protein is interleukin 6. Previous studies have shown that inflammatory cells and inflammatory cytokines, such as interleukin 6, interferon gamma, etc were elevated in postsplenectomized thalassemic patients. The aim of this study was to determine serum C-reactive protein concentration in postsplenectomized beta thalassemic patients (beta thal/HbE postsplenec), and to compare them with those in nonsplenectomized beta thalassemic patients (beta thal/HbE), postsplenectomized non thalassemic patients (postsplenec), reactive thrombocytosis (RT), chronic myeloproliferative disorders (MPD) and normal adult volunteers. Serum C-reactive protein concentration as determined by an automatic Behring Nephelometer was carried out in 28 beta thal/HbE postsplenec, 22 beta thal/HbE, 12 postsplenec, 23 RT, 21 MPD, and 26 healthy adult volunteers. The values of CRP in beta thal/HbE postsplenec were significantly higher when compared with beta thal/HbE, and normal volunteers (4.1 +/- 0.7 vs 1.6 +/- 0.4 mg/L P = 0.006, and 4.1 +/- 0.7 vs 0.45 +/- 0.09 mg/L, P < 0.001). CRP levels in beta thal/HbE postsplenec were also higher than the postsplenec group (4.1 +/- 0.7 vs 0.19 +/- 0.7 mg/L P = 0.095). On the contrary, they were significantly lower than those in RT (4.1 +/- 0.7 vs 55.4 +/- 14.8 mg/L, P = 0.002). However, when compared to those with MPD, the values were not statistically different (4.1 +/- 0.7 vs 17.1 +/- 12.3 mg/L, P = 0.871). Interestingly, there was a trend towards increasing C-reactive protein levels in beta thal/HbE postsplenec patients with higher platelet count, although no correlation was observed. Besides the inflammatory process, platelet and/or factor(s) that control(s) thrombopoiesis seem(s) to play a role in the high serum C-reactive protein levels in the studied population.

Iron stores in Thai blood donors.

A high number of blood donations may cause iron depletion. In order to evaluate iron stores in volunteer Thai blood donors, 82 male and 72 female donors were studied. All were tested for serum ferritin (SF), hemoglobin (Hb) level and asked for detailed histories of donations and iron supplementation. Mean SF in first-time donors was 161.12 ng/mL in men (n = 16) and 53.92 ng/mL in women (n = 23). Mean SF in multiple-time donors was 52.72 ng/mL in men (n = 66) and 25.72 ng/mL in women (n = 49). Depleted iron stores (SF < or = 15 ng/mL) were found in 8.7 per cent of first-time female donors, 21.21 per cent and 32.65 per cent of multiple-time male and female donors, respectively. The mean numbers of total donation were 51.42 +/- 30.8 in men and 8.22 +/- 6.97 in women. The estimation of depleted iron stores from Hb level could be determined in 57.14 per cent of male and 88.89 per cent of female donors. In conclusion, iron supplementation will benefit female donors and multiple-time male donors. The frequency of donations per year was more predictive of decreased iron stores than the number of total donations.

Effect of dialyzer membranes on beta-2 microglobulin production in Thai hemodialysis patients.

Responses to different types of dialyzer membranes in an Asian population may differ from those of a Caucasian population. Comparative studies on the effects of different dialyzer membranes on beta-2 microglobulin production are also limited. Therefore, we conducted this study to determine the effects of different dialyzer membranes on in vitro mononuclear cell production of beta-2 microglobulin in 9 Thai hemodialysis patients. Each patient was dialysed with 4 different types of dialyzer, including cuprophane (CUP), cellulose diacetate (CD), polysulphone (PS), and polyacrylonitrile membrane (PAN), each for a 1-month period in a randomized sequence. Mononuclear cell culture was done by taking an immediate post-dialysis blood sample at the end of the 1-month period. Beta-2 microglobulin production from cell culture was determined 24 hours later. Mononuclear cell culture and determination of beta-2 microglobulin production from the culture were also done in 10 normal controls and 10 predialysis ESRD patients. The beta-2 microglobulin productions (microgram/L) were shown as follows; Control CUP CD PS PAN [table: see text] (*p < 0.05 compared to cuprophane membrane). Conclusion: polysulphone and polyacrylonitrile membrane induced significantly less beta-2 microglobulin production compared to cuprophane and slightly less compared to cellulose diacetate membrane.