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The Determinants of Irreversibly Sickled Cells in Homozygous Sickle Cell Disease
Author(s) -
Serjeant G. R.,
Serjeant E.,
Desai P.,
Masona K. P.,
Sewelall A.,
England J. M.
Publication year - 1978
Publication title -
british journal of haematology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.907
H-Index - 186
eISSN - 1365-2141
pISSN - 0007-1048
DOI - 10.1111/j.1365-2141.1978.tb05814.x
Subject(s) - medicine , cell , disease , sickle cell anemia , immunology , pathology , biology , genetics
S ummary . The relationship between the irreversibly sickled cell (ISC) count and other haematological parameters has been investigated. Positive correlations occurred with the MCH, MCHC, and with two expressions of intracellular Hb S content. Since the ISC has a high MCHC, the positive correlations with MCHC and with factors derived from the MCHC may be difficult to evaluate. Negative correlations occurred with total haemoglobin and Hb F. The MCHC was found to affect the relationship between HbF and ISC count, a low MCHC being associated with, and probably determining, lower ISC counts at any level of Hb F. It is proposed that a low MCHC may inhibit ISC formation and the practical implicaions of this are discussed.