Table 1.
Before HU Therapy | After 1 Year | Percentage of Changes | Control Healthy | P Valueb | P Valuec | P Valued | |
---|---|---|---|---|---|---|---|
N = 35 | N = 35 | N = 20 | |||||
Laboratory and hematological parameters | |||||||
Hb (g/dL) | 7.06 ± 0.87 | 10.04 ± 1.35 | 29.70% | 11.91 ± 0.64 | .0001 | .0001 | .0001 |
%Hb F | 7.11 ± 1.33 | 13.89 ± 3.57 | 48.80% | – | <.0001 | – | – |
%HbS | 80·9 | 74·6 | 7.80% | – | <.0001 | – | – |
RBCs (1012/L) | 2.45 ± 0.5 | 3.33 ± 0.73 | 26.40% | 4.43 ± 0.62 | .002 | .0001 | .0001 |
Hematocrit | 22.79 ± 4.66 | 33.13 ± 6.91 | 31.20% | 38.99 ± 5.8 | .0001 | .0001 | .011 |
Platelets (109/L) | 315.2 ± 91.6 | 290.9 ± 65.9 | 7.70% | 271.2 ± 65.2 | .649 | .243 | .669 |
WBCs (109/L) | 11.35 ± 2.72 | 8.92 ± 2.3 | 21.40% | 6.4 ± 2.34 | .028 | .0001 | .006 |
Monocytes (109/L) | 0.284 ± 0.082 | 0.234 ± 0.085 | 17.60% | 0.202 ± 0.099 | .313 | .049 | .514 |
Neutrophils (109/L) | 5.95 ± 2.78 | 4.44 ± 2.27 | 25.30% | 3.38 ± 1.67 | .171 | .008 | .293 |
Total lymphocytes (109/L) | 4.16 ± 0.18 | 3.16 ± 0.35 | 24% | 3.06 ± 0.29 | .0001 | .0001 | .570 |
Proinflammatory cytokines | |||||||
hs-CRP (mg/L) | 4.14 ± 1.29 | 3.61 ± 1.25 | 12.80% | 1.65 ± 0.82 | .15 | <.0001 | <.0001 |
IL-6 (pg/mL) | 14.45 ± 3.94 | 11.42 ± 5.03 | 21% | 6.67 ± 2.93 | .001 | <.0001 | .001 |
IL-8 (Pg/mL) | 18.43 ± 5.86 | 16.70 ± 4.52 | 9.30% | 6.24 ± 3.07 | .11 | <.0001 | <.0001 |
TNF-α (pg/mL) | 12.71 ± 4.22 | 9.20 ± 1.66 | 27.5% | 4.75 ± 2.53 | <.0001 | <.0001 | <.0001 |
Clinical variables | |||||||
VOC event/year | 1.84 ± 1.58 | 0.91 ± 1.47 | 50.5% | – | .0014 | – | – |
ACS event/year | 0.35 ± 0.48 | 0.08 ± 0.28 | 77% | – | .004 | – | – |
Abbreviations: ACS, acute chest syndrome; Hb, hemoglobin; HbF, fetal hemoglobin; HbS, hemoglobin S; hs-CRP, high-sensitivity C reactive protein; HU, hydroxyurea; RBCs, red blood cells; SCD, sickle cell disease; TNF-α, tumor necrosis factor α; VOC, vaso-occlusive crisis; WBCs, white blood cells.
a P values were calculated using the Mann-Whitney test.
b Baseline versus treated patients with SCD.
c Baseline versus healthy control
d Treated versus healthy control.