Influence of the Clinical Status on Stress Reticulocytes, CD 36 and CD 49d of SSFA2 Homozygous Sickle Cell Patients Followed in Abidjan

Background and Objectives. Interactions between sickle cells involving CD 49d, CD36, and the vascular endothelium may initiate vasoocclusion leading to acute painful episodes and multiple organ failure. Materials and Methods. We selected 60 SS patients who had never been treated by hydroxyurea. We p...

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Main Authors: Duni Sawadogo, Aïssata Tolo-Dilkébié, Mahawa Sangaré, Nelly Aguéhoundé, Hermance Kassi, Toussaint Latte
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:Advances in Hematology
Online Access:http://dx.doi.org/10.1155/2014/273860
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author Duni Sawadogo
Aïssata Tolo-Dilkébié
Mahawa Sangaré
Nelly Aguéhoundé
Hermance Kassi
Toussaint Latte
author_facet Duni Sawadogo
Aïssata Tolo-Dilkébié
Mahawa Sangaré
Nelly Aguéhoundé
Hermance Kassi
Toussaint Latte
author_sort Duni Sawadogo
collection DOAJ
description Background and Objectives. Interactions between sickle cells involving CD 49d, CD36, and the vascular endothelium may initiate vasoocclusion leading to acute painful episodes and multiple organ failure. Materials and Methods. We selected 60 SS patients who had never been treated by hydroxyurea. We performed a total blood count. We identified with immunophenotyping by flow cytometry total reticulocytes their distribution according to the degree of maturity (mature, intermediate, very immature) and CD 36+ and CD 49d+ antigens. Stress reticulocytes corresponded to the sum of intermediate and immature cells. Results. Subjects in crisis had more total reticulocytes and very immature reticulocytes than subjects in stationary phase (P<0.05). During the crisis, total CD 36+ reticulocytes (214 870 ± 107 584/μL versus 148 878 ± 115 024/μL; P<0.05) and the very immature CD 36+ reticulocytes (28.9 ± 7.9% versus 23.0 ± 6.4%; P<0.05) increased. The clinical status had no impact on CD 49d+ reticulocytes. Conclusion. The rates of stress reticulocytes in general and those expressing CD 49d and CD 36 were very high. The clinical status had an influence on CD 36+ reticulocytes. The expression of adhesion molecules is only one of the parameters involved in sickle cell disease crisis.
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spelling doaj-art-81d51dd977e14f86954a6675af2dc46c2025-02-03T05:49:56ZengWileyAdvances in Hematology1687-91041687-91122014-01-01201410.1155/2014/273860273860Influence of the Clinical Status on Stress Reticulocytes, CD 36 and CD 49d of SSFA2 Homozygous Sickle Cell Patients Followed in AbidjanDuni Sawadogo0Aïssata Tolo-Dilkébié1Mahawa Sangaré2Nelly Aguéhoundé3Hermance Kassi4Toussaint Latte5Department of Hematology, Faculty of Pharmacy, University Felix Houphouet Boigny, Cocody, BP 2308 Abidjan 08, Cote D'IvoireClinic Hematology Service, Teaching Hospital of Yopougon, BP 632 Abidjan 21, Cote D'IvoireDepartment of Hematology, Faculty of Pharmacy, University Felix Houphouet Boigny, Cocody, BP 2308 Abidjan 08, Cote D'IvoireDepartment of Hematology, Faculty of Pharmacy, University Felix Houphouet Boigny, Cocody, BP 2308 Abidjan 08, Cote D'IvoireAIDS Biological Unit, Central Laboratory, Teaching Hospital of Yopougon, BP 632 Abidjan 21, Cote D'IvoireAIDS Biological Unit, Central Laboratory, Teaching Hospital of Yopougon, BP 632 Abidjan 21, Cote D'IvoireBackground and Objectives. Interactions between sickle cells involving CD 49d, CD36, and the vascular endothelium may initiate vasoocclusion leading to acute painful episodes and multiple organ failure. Materials and Methods. We selected 60 SS patients who had never been treated by hydroxyurea. We performed a total blood count. We identified with immunophenotyping by flow cytometry total reticulocytes their distribution according to the degree of maturity (mature, intermediate, very immature) and CD 36+ and CD 49d+ antigens. Stress reticulocytes corresponded to the sum of intermediate and immature cells. Results. Subjects in crisis had more total reticulocytes and very immature reticulocytes than subjects in stationary phase (P<0.05). During the crisis, total CD 36+ reticulocytes (214 870 ± 107 584/μL versus 148 878 ± 115 024/μL; P<0.05) and the very immature CD 36+ reticulocytes (28.9 ± 7.9% versus 23.0 ± 6.4%; P<0.05) increased. The clinical status had no impact on CD 49d+ reticulocytes. Conclusion. The rates of stress reticulocytes in general and those expressing CD 49d and CD 36 were very high. The clinical status had an influence on CD 36+ reticulocytes. The expression of adhesion molecules is only one of the parameters involved in sickle cell disease crisis.http://dx.doi.org/10.1155/2014/273860
spellingShingle Duni Sawadogo
Aïssata Tolo-Dilkébié
Mahawa Sangaré
Nelly Aguéhoundé
Hermance Kassi
Toussaint Latte
Influence of the Clinical Status on Stress Reticulocytes, CD 36 and CD 49d of SSFA2 Homozygous Sickle Cell Patients Followed in Abidjan
Advances in Hematology
title Influence of the Clinical Status on Stress Reticulocytes, CD 36 and CD 49d of SSFA2 Homozygous Sickle Cell Patients Followed in Abidjan
title_full Influence of the Clinical Status on Stress Reticulocytes, CD 36 and CD 49d of SSFA2 Homozygous Sickle Cell Patients Followed in Abidjan
title_fullStr Influence of the Clinical Status on Stress Reticulocytes, CD 36 and CD 49d of SSFA2 Homozygous Sickle Cell Patients Followed in Abidjan
title_full_unstemmed Influence of the Clinical Status on Stress Reticulocytes, CD 36 and CD 49d of SSFA2 Homozygous Sickle Cell Patients Followed in Abidjan
title_short Influence of the Clinical Status on Stress Reticulocytes, CD 36 and CD 49d of SSFA2 Homozygous Sickle Cell Patients Followed in Abidjan
title_sort influence of the clinical status on stress reticulocytes cd 36 and cd 49d of ssfa2 homozygous sickle cell patients followed in abidjan
url http://dx.doi.org/10.1155/2014/273860
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