Table I.
Endothelial dysfunction | Oxidative stress | Inflammation | ||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
Variable | Parameter | Beta coeff. | SE | P value | Parameter | Beta coeff. | SE | P value | Parameter | Beta coeff. | SE | P value |
β‐thal Major | ||||||||||||
Serum Heme | (Intercept) | 12·27 | 20·22 | 0·547 | (Intercept) | 86·72 | 15·48 | <0·001 | (Intercept) | 77·779 | 26·28 | 0·0045 |
sVCAM1 | 0·012 | 0·01 | 0·249 | MDA | 5·33 | 5·184 | 0·309 | IL‐6 | 1·0611 | 0·565 | 0·066 | |
sE‐selectin | 2·601 | 0·945 | 0·009** | oxLDL | −0·004 | 0·002 | 0·104 | |||||
Ntyr | −0·432 | 0·272 | 0·12 | |||||||||
Haemopexin | (Intercept) | 254·89 | 90·61 | 0·007 | (Intercept) | 11·31 | 50·183 | 0·8227 | (Intercept) | 189·23 | 94·23 | 0·05 |
sVCAM1 | −0·118 | 0·047 | 0·015* | MDA | −23·697 | 15·36 | 0·13 | IL‐6 | −2·523 | 1·956 | 0·203 | |
sE‐selectin | −11·17 | 4·233 | 0·012* | oxLDL | 0·021 | 0·008 | 0·013* | |||||
Ntyr | 6·71 | 1·22 | <0·001*** | AOPP | −0·383 | 0·196 | 0·057 | |||||
Serum Iron | (Intercept) | 3·23 | 5·49 | 0·56 | (Intercept) | 18·31 | 3·22 | <0·001 | (Intercept) | 13·71 | 6·084 | 0·028 |
sVCAM1 | 0·0066 | 0·003 | 0·025* | MDA | 3·429 | 1·09 | 0·003** | VEGF | 0·008 | 0·003 | 0·002** | |
sE‐selectin | 0·399 | 0·257 | 0·128 | AOPP | 0·04 | 0·014 | 0·012* | |||||
Ntyr | −0·171 | 0·074 | 0·026* | |||||||||
Serum Ferritin | (Intercept) | −396·92 | 1217·83 | 0·746 | (Intercept) | 644·8 | 698·4 | 0·3598 | (Intercept) | −399·4 | 1277·69 | 0·756 |
sVCAM1 | 1·746 | 0·625 | 0·008** | MDA | 1440 | 236·1 | <0·001*** | TNF | −90·286 | 67·44 | 0·186 | |
sICAM1 | 12·33 | 4·025 | 0·004** | AOPP | 8·184 | 3·017 | 0·009** | IL‐6 | 110·52 | 27·251 | 0·0002*** | |
Ntyr | −25·48 | 16·384 | 0·127 | |||||||||
NTBI | (Intercept) | 0·443 | 1·77 | 0·804 | (Intercept) | 3·262 | 0·978 | 0·002 | (Intercept) | 0·177 | 1·81 | 0·922 |
sVCAM1 | 0·001 | 0·001 | 0·182 | MDA | 0·51 | 0·33 | 0·132 | TNF | 0·107 | 0·092 | 0·25 | |
oxLDL | −0·00002 | 0·0001 | 0·191 | VEGF | 0·002 | 0·001 | 0·015* | |||||
Tf Saturation | (Intercept) | 48·15 | 13·35 | <0·001 | (Intercept) | 73·15 | 8·77 | <0·001 | (Intercept) | 32·69 | 16·38 | 0·051 |
sVCAM1 | 0·019 | 0·007 | 0·008** | MDA | 8·43 | 2·93 | 0·006** | VEGF | 0·011 | 0·007 | 0·102 | |
sE‐selectin | 1·205 | 0·624 | 0·06 | oxLDL | −0·003 | 0·001 | 0·046* | |||||
Ntyr | −0·645 | 0·178 | 0·0008*** | AOPP | 0·051 | 0·037 | 0·176 | |||||
sP‐selectin | −0·087 | 0·078 | 0·272 | |||||||||
Sickle cell disease | ||||||||||||
Serum Heme | (Intercept) | 33·2 | 19·21 | 0·092 | (Intercept) | 50·15 | 6·41 | <0·001 | ||||
sE‐selectin | 1·53 | 0·61 | 0·017* | MDA | 0·7 | 0·38 | 0·07 | |||||
Haemopexin | (Intercept) | 538·21 | 151·78 | 0·001 | (Intercept) | 487·61 | 74·54 | <0·001 | (Intercept) | 510·966 | 118·464 | <0·001 |
sE‐selectin | −11·75 | 4·96 | 0·024* | MDA | −12·14 | 4·35 | 0·007** | TNF | −4·31 | 1·52 | 0·008** | |
Ntyr | 4·28 | 3 | 0·163 | |||||||||
Serum Iron | (Intercept) | 22·3 | 17·11 | 0·202 | (Intercept) | 31·97 | 4·93 | <0·001 | (Intercept) | 17·276 | 12·4505 | 0·175 |
sE‐_selectin | 0·78 | 0·51 | 0·132 | MDA | 0·33 | 0·26 | 0·204 | IL_6 | 0·19 | 0·15 | 0·207 | |
Tf Saturation | (Intercept) | 37·4 | 12·01 | 0·004 | (Intercept) | 39·97 | 3·87 | <0·001 | (Intercept) | 37·2726 | 9·382 | <0·001 |
sVCAM1 | −0·006 | 0·005 | 0·212 | MDA | 0·54 | 0·21 | 0·012* | TNF | 0·2 | 0·12 | 0·107 | |
sE‐_selectin | 0·77 | 0·36 | 0·038* | |||||||||
NTBI | (Intercept) | 2·53 | 0·4 | <0·001 | (Intercept) | 2 | 0·84 | 0·029 | ||||
MDA | 0·03 | 0·02 | 0·198 | TNF | 0·01 | 0·01 | 0·276 | |||||
Spherocytosis | ||||||||||||
Serum Heme | (Intercept) | 25·57 | 21·58 | 0·251 | (Intercept) | 37·93 | 5·96 | <0·001 | (Intercept) | 22·01 | 10·19 | 0·045 |
sE‐_selectin | 1·04 | 0·82 | 0·223 | MDA | 0·89 | 0·44 | 0·050* | TNF | 0·42 | 0·12 | 0·003** | |
Haemopexin | (Intercept) | 692·51 | 220·29 | 0·006 | (Intercept) | 631·28 | 91·319 | <0·001 | (Intercept) | 712·05 | 125·07 | <0·001 |
sE‐_selectin | −13·37 | 8·64 | 0·14 | MDA | −14·44 | 6·62 | 0·035* | TNF | −3·19 | 1·54 | 0·055 | |
Ntyr | 4·01 | 2·53 | 0·132 | IL_6 | −1·209 | 0·9928 | 0·241 | |||||
Serum Iron | (Intercept) | 18·65 | 2·6 | <0·001 | ||||||||
MDA | 0·76 | 0·16 | <0·001*** | |||||||||
Tf Saturation | (Intercept) | 26·32 | 3·43 | <0·001 | ||||||||
MDA | 0·633 | 0·22 | 0·008** | |||||||||
NTBI | (Intercept) | 1·76 | 0·3018 | <0·001 | (Intercept) | 0·94 | 0·57 | 0·123 | ||||
MDA | 0·04 | 0·018 | 0·032* | IL_6 | 0·01 | 0·004 | 0·111 |
Complete case regression analysis for β‐thal, SCD and SPH patients with models generated for each domain of variables: endothelial dysfunction, oxidative stress and inflammation. Significant positive and negative associations between haem and iron parameters (serum haem, haemopexin, iron, Tf saturation, NTBI) and markers of endothelial dysfunction(soluble adhesion molecules, nytotyrosine), oxidative stress (MDA, oxLDL, AOPP) and inflammation (IL‐1β, TNFα, IL‐6, VEGF) are shown. Analysis includes parameters of patients’ group and corresponding healthy donors.
The beta estimates, standard errors and parameter P‐values are reported for variables with a P‐value
P < 0·05;
P < 0·01;
P < 0·001.