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RED BLOOD CELL’S RHEOLOGICAL PROPERTIES IN PATIENTS WITH CHOREA-ACANTHOCYTOSIS.
Author(s): ,
Joames Leal
Affiliations:
Biochemistry,Radboud University Medical Center,Nijmegen,Netherlands;COBIO,National Council for Scientific and Technological Development ,Brasilia,Brazil
,
Dan Lazari
Affiliations:
Faculty of Life Sciences,Rhein-Waal University of Applied Sciences,Kleve,Germany;Biochemistry,Radboud University Medical Center,Nijmegen,Netherlands
,
Björn Neu
Affiliations:
Faculty of Life Sciences,Rhein-Waal University of Applied Sciences,Kleve,Germany
,
Roland Brock
Affiliations:
Biochemistry,Radboud University Medical Center,Nijmegen,Netherlands
,
Merel Adjobo-Hermans
Affiliations:
bIochemistry,Radboud University Medical Center,Nijmegen,Netherlands
Giel Bosman
Affiliations:
Biochemistry,Radboud University Medical Center,Nijmegen,Netherlands
(Abstract release date: 05/17/18) EHA Library. Leal J. 06/14/18; 216756; PB1975
Joames Leal
Joames Leal
Contributions
Abstract

Abstract: PB1975

Type: Publication Only

Background
Functional deficits and morphological abnormalities of red blood cells (RBC) become apparent when they are subjected to biochemical or mechanical stress in vitro, or to pathological conditions in vivo. Chorea-acanthocytosis (ChAc) is a rare disease characterized by degeneration of neurons in the basal ganglia and by the presence of misshapen RBC distinguished by their thorny protrusions, named acanthocytes.

Aims
Verify the rheological properties (deformability and aggregation) of ChAc samples, comparing them to healthy controls.

Methods
The deformability and aggregation of the samples were analyzed using Lorrca®. The aggregation was also accessed via microscopy by verification of rouleaux formations.

Results
Our data on the misshapen RBC of patients with ChAc suggest that their abnormal morphology is associated with alterations in rheological properties. We have observed a decrease in the capacity to aggregate with other RBC, however, it was noticed an increase in the force needed to tease these aggregates apart. Moreover, we have measured a decrease in deformability as compared to RBC from healthy subjects. 

Conclusion
The clinical implications of such alterations, in addition to oxidative and physical stress, likely not only affect the red blood cell itself but may additionally cause neuronal damage of susceptible areas in the brain due to a possible reduction in oxygen supply or clogging of the microcapillaries.

Session topic: 29. Enzymopathies, membranopathies and other anemias

Keyword(s): Aggregation, Red blood cell

Abstract: PB1975

Type: Publication Only

Background
Functional deficits and morphological abnormalities of red blood cells (RBC) become apparent when they are subjected to biochemical or mechanical stress in vitro, or to pathological conditions in vivo. Chorea-acanthocytosis (ChAc) is a rare disease characterized by degeneration of neurons in the basal ganglia and by the presence of misshapen RBC distinguished by their thorny protrusions, named acanthocytes.

Aims
Verify the rheological properties (deformability and aggregation) of ChAc samples, comparing them to healthy controls.

Methods
The deformability and aggregation of the samples were analyzed using Lorrca®. The aggregation was also accessed via microscopy by verification of rouleaux formations.

Results
Our data on the misshapen RBC of patients with ChAc suggest that their abnormal morphology is associated with alterations in rheological properties. We have observed a decrease in the capacity to aggregate with other RBC, however, it was noticed an increase in the force needed to tease these aggregates apart. Moreover, we have measured a decrease in deformability as compared to RBC from healthy subjects. 

Conclusion
The clinical implications of such alterations, in addition to oxidative and physical stress, likely not only affect the red blood cell itself but may additionally cause neuronal damage of susceptible areas in the brain due to a possible reduction in oxygen supply or clogging of the microcapillaries.

Session topic: 29. Enzymopathies, membranopathies and other anemias

Keyword(s): Aggregation, Red blood cell

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