Zinc Status in Beta-Thalassemia Major

Authors

  • Khalaf Hussein Hasan Department of Pediatrics, College of Medicine, University of Duhok, Duhok, Iraq
  • Hasan Abdulla Aswad Jin Oncology and hematology Center, Directorate of Health, Duhok, Iraq
  • Aspazija Sofijanova University Children’s Hospital, Ss Cyril and Methodius University, Skopje, Republic of Macedonia

DOI:

https://doi.org/10.3889/oamjms.2021.5688

Keywords:

β-thalassemia major, serum zinc, serum ferritin, children

Abstract

BACKGROUND: Zinc is one of the most important minerals incorporated in the enzymes of the human body. Zinc may be deficient in patients with the β-thalassemia major with possible adverse outcomes.

AIM: The purpose of this study was to assess the serum zinc status in β-thalassemia major patients in Duhok city.

PATIENTS, MATERIAL, AND METHODS: In this case–control study, 70 children with β-thalassemia major (2–12 years) of both genders were enrolled and were matched with 70 apparently healthy children for age and sex. A venous blood sample was obtained from each child for the measurement of serum zinc and serum ferritin levels at Jin Center in Duhok City between January 1 and June 30, 2017.

RESULTS: The mean serum zinc in the thalassemia patients (74.79 [±25.14] μg/dl) was significantly lower compared to the control group (93.61 [±15.12] μg/dl), (p = 0.0001). The serum zinc was not significantly different in thalassemia patients in terms of age, disease onset, gender, height, weight, body mass index, amount of blood transfusion, and type of chelation. There was a statistically significant correlation between serum zinc levels with a serum ferritin level of patients.

CONCLUSION: The study showed that thalassemia patients have significantly lower serum levels of zinc with no relation to medical factors.

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...

Plum Analytics Artifact Widget Block

References

Weatherall DJ. Thalassaemia: The long road from bedside to genome. Nat Rev Genet. 2004;5(8):625-31. https://doi.org/10.1038/nrg1406 PMid:15266345

Khan WA. Prevention is the only way to combat thalassemia. Daily Star. 2006;5(576):1-2.

Muncie HL, Campbell JS. Alpha and beta thalassemia. Am Fam Physician. 2009;80(4):339-44. PMid:19678601

Merat A, Haghshenas M. The spectrum of beta – thalassemia mutations in Iran. Med J Islam Repub Iran. 2000;14(1):103-6.

Al-Samarrai AH, Adaay MH, Al-Tikriti KA, Al-Anzy MM. Evaluation of some essential element levels in thalassemia major patients in Mosul district, Iraq. Saudi Med J. 2008;29(1):94-7. PMid:18176681

Habibzadeh F, Yadollahie M, Merat A, Haghshenas M. Thalassemia in Iran; an overview. Arch Iran Med. 1998;1(1):27-33.

MacDonald RS. The role of zinc in growth and cell proliferation. J Nutr. 2000;130(5):1500S-8. PMid:10801966

Keikhaei B, Badavi M, Pedram M, Zandian K, Rahim F. Serum zinc level in thalassemia major. Pak J Med Sci. 2010;26(4):942-5.

Akar N, Tekin M, Uysal Z, Uzunali Ö. Effect of desferrioxamine on urinary copper and zinc excretion in β‐thalassemia major patients. J Trace Elem Exp Med. 2000;13(2):195-8. https://doi.org/10.1002/ (sici)1520-670x(2000)13:2<195::aid-jtra2>3.0.co;2-9

Claster S, Wood JC, Noetzli L, Carson SM, Hofstra TC, Khanna R, et al. Nutritional deficiencies in iron overloaded patients with hemoglobinopathies. Am J Hematol. 2009;84(6):344-8. https://doi.org/10.1002/ajh.21416 PMid:19415722

Prasad AS. Zinc in human health: Effect of zinc on immune cells. Mol Med. 2008;14(5-6):353-7. https://doi.org/10.2119/2008-00033.prasad PMid:18385818

Tupe RS, Tupe SG, Tarwadi KV, Agte VV. Effect of different dietary zinc levels on hepatic antioxidant and micronutrients indices under oxidative stress conditions. Metabolism. 2010;59(11):1603-11. https://doi.org/10.1016/j.metabol.2010.02.020 PMid:20359724

Shamshirsaz AA, Bekheirnia MR, Kamgar M, Pourzahedgilani N, Bouzari N, Habibzadeh M, et al. Metabolic and endocrinologic complications in beta-thalassemia major: A multicenter study in Tehran. BMC Endocr Disord. 2003;3(1):4. https://doi.org/10.1186/1472-6823-3-4 PMid:12914670

Yazdideha M, Faranosh M. Evaluation of serum zinc in children affected with beta-thalassemic patients. Res Med. 2004;24(1):7-9.

Brown KH, Wuehler SE, Peerson JM. The importance of zinc in human nutrition and estimation of the global prevalence of zinc deficiency. Food Nutr Bull. 2001;22(2):113-25. https://doi.org/10.1177/156482650102200201

Nidumuru S, Boddula V, Vadakedath S, Kolanu BR, Kandi V. Evaluating the role of zinc in beta thalassemia major: A prospective case-control study from a tertiary care teaching hospital in India. Cureus. 2017;9(7):e1495. https://doi. rg/10.7759/cureus.1495 PMid:28948115

Karunaratna AM, Ranasingha JG, Mudiyanse RM. Zinc status in beta thalassemia major patients. Biol Trace Elem Res. 2018;184(1):1-6. https://doi.org/10.1007/s12011-017-1158-0 PMid:28940159

Erdoğan E, Canatan D, Örmeci AR, Vural H, Aylak F. The effects of chelators on zinc levels in patients with thalassemia major. J Trace Elem Med Biol. 2013;27(2):109-11. https://doi.org/10.1016/j.jtemb.2012.10.002 PMid:23164519

Jansen J, Karges W, Rink L. Zinc and diabetes--clinical links and molecular mechanisms. J Nutr Biochem. 2009;20(6):399- 417. https://doi.org/10.1016/j.jnutbio.2009.01.009

Fung EB, Gildengorin G, Talwar S, Hagar L, Lal A. Zinc status affects glucose homeostasis and insulin secretion in patients with thalassemia. Nutrients. 2015;7(6):4296-307. https://doi.org/10.3390/nu7064296 PMid:26043030

Hettiarachchi M, Liyanage C, Wickremasinghe R, Hilmers DC, Abrams SA. Prevalence and severity of micronutrient deficiency: A cross-sectional study among adolescents in Sri Lanka. Asia Pac J Clin Nutr. 2006;15(1):56. https://doi.org/10.1038/sj.ejcn.1602791 PMid:16500879

Marasinghe E, Chackrewarthy S, Abeysena C, Rajindrajith S. Micronutrient status and its relationship with nutritional status in preschool children in urban Sri Lanka. Asia Pac J Clin Nutr. 2015;24(1):144-51. PMid:25740753

Mahyar A, Ayazi P, Pahlevan AA, Mojabi H, Sehhat MR, Javadi A. Zinc and copper status in children with Beta-thalassemia major. Iran J Pediatr. 2010;20(3):297-302. PMid:23056720

Kawchak DA, Schall JI, Zemel BS, Ohene-Frempong K, Stallings VA. Adequacy of dietary intake declines with age in children with sickle cell disease. J Am Diet Assoc. 2007;107(5):843-8. https://doi.org/10.1016/j.jada.2007.02.015 PMid:17467383

Mashhadi MA, Sepehri Z, Heidari Z, Shirzaee E, Kiani Z. The prevalence of zinc deficiency in patients with thalassemia in South East of iran, sistan and baluchistan province. Iran Red Crescent Med J. 2014;16(8):e6243. https://doi.org/10.5812/ircmj.6243 PMid:25389495

Wood JC, Tyszka JM, Carson S, Nelson MD, Coates TD. Myocardial iron loading in transfusion-dependent thalassemia and sickle cell disease. Blood. 2004;103(5):1934-6. https://doi.org/10.1182/blood-2003-06-1919 PMid:14630822

Mehdizadeh M, Zamani G, Tabatabaee S. Zinc status in patients with major beta-thalassemia. Pediatr Hematol Oncol. 2008;25(1):49-54. https://doi.org/10.1080/08880010701773738 PMid:18231954

El Missiry M, Hamed Hussein M, Khalid S, Yaqub N, Khan S, Itrat F, et al. Assessment of serum zinc levels of patients with thalassemia compared to their siblings. Anemia. 2014;2014:125452. https://doi.org/10.1155/2014/125452 PMid:25197566

Sherief LM, El-Salam A, Sanaa M, Kamal NM, Almalky MA, Azab SF, et al. Nutritional biomarkers in children and adolescents with beta-thalassemia-major: An Egyptian center experience. Biomed Res Int. 2014;2014:261761. https://doi.org/10.1155/2014/261761 PMid:24812610

Galanello R, Campus S. Deferiprone chelation therapy for thalassemia major. Acta Haematol. 2009;122(2-3):155-64. https://doi.org/10.1159/000243800 PMid:19907153

Sultan S, Irfan SM, Kakar J, Zeeshan R. Effect of iron chelator desferrioxamine on serum zinc levels in patients with beta thalassemia major. Malays J Pathol. 2015;37(1):35-8. PMid:25890611

Downloads

Published

2021-02-19

How to Cite

1.
Hasan KH, Aswad HA, Sofijanova A. Zinc Status in Beta-Thalassemia Major. Open Access Maced J Med Sci [Internet]. 2021 Feb. 19 [cited 2024 Apr. 18];9(B):149-53. Available from: https://oamjms.eu/index.php/mjms/article/view/5688