Oxygen-carrying Capacity Research Articles

Spatial distribution and determinant factors of anemia among women age 15-49 years in Burkina Faso; using mixed-effects ordinal logistic regression model.

Anemia is a condition in which the number of healthy red blood cells/ hemoglobin (Hgb) level (and consequently their oxygen-carrying capacity) is insufficient to meet the body's physiologic needs. Thus, the current study is aimed to assess the spatial distribution and determinant factors of anemia among women aged 15-49 in Burkina Faso. A secondary data analysis was done based on 2021 Burkina Faso; Demographic and Health Surveys. Total weighted samples of 5655 women's were included. Data processing and analysis were performed using STATA 14; ArcGIS 10.1 and SaTScan 9.6 software. The spatial distribution of anemia in Burkina Faso among women aged 15-49.was found to be clustered (Global Moran's I = 0.25, p value < 0.0001). In the multivariable mixed-effect ordinal regression analysis; Age 25-29 years [AOR = 1.31 ; 95% CI: 1.06 1.61], rich wealth status [AOR = 1.32 ; 95% CI: 1.08 1.62], regions Cascades [AOR = 1.62 ; 95% CI: 1.16 2.25],Hauts-bassis [AOR = 1.40; 95% CI: 1.06 1.84], Plateau central [AOR = 0.72 ; 95% CI: -0.54 0.96 and Sahel[AOR = 0.42 ; 95% CI: 0.28 0.63], were significant predictors of anemia among women aged 15-49. A significant clustering of anemia among women aged 15-49 were found in Burkina Faso. Age, wealth index, regions Cascades, Hauts-bassins, Plateau central, and Sahel were significant predictors of anemia.

Ginseng total saponin improves red blood cell oxidative stress injury by regulating tyrosine phosphorylation and glycolysis in red blood cells

BackgroundOxidative stress is the main cause of many diseases, but because of its complex pathogenic factors, there is no clear method for treating it. Ginseng total saponin (GTS) an important active ingredients in Panax ginseng C.A. Mey (PG) and has potential therapeutic ability for oxidative stress due to various causes. However, the molecular mechanism of GTS in the treating oxidative stress damage in red blood cells (RBCs) is still unclear. PurposeThis study aimed to examine the protective effect of GTS on RBCs under oxidative stress damage and to determine its potential mechanism. MethodsThe oxidative stress models of rat RBCs induced by hydrogen peroxide (H2O2) and exhaustive swimming in vivo and in vitro was used. We determined the cell morphology, oxygen carrying capacity, apoptosis, antioxidant capacity, and energy metabolism of RBCs. The effect of tyrosine phosphorylation (pTyr) of Band 3 protein on RBCs glycolysis was also examined. ResultsGTS reduced the hemolysis of RBCs induced by H2O2 at the lowest concentration. Moreover, GTS effectively improved the morphology, enhanced the oxygen carrying capacity, and increased antioxidant enzyme activity, adenosine triphosphate (ATP) levels, and adenosine triphosphatase (ATPase) activity in RBCs. GTS also promoted the expression of membrane proteins in RBCs, inhibited pTyr of Band 3 protein, and further improved glycolysis, restoring the morphological structure and physiological function of RBCs. ConclusionsThis study shows, that GTS can protect RBCs from oxidative stress damage by improving RBCs morphology and physiological function. Changes in pTyr expression and its related pTyr regulatory enzymes before and after GTS treatment suggest that Band 3 protein is the main target of GTS in the treating endogenous and exogenous oxidative stress. Moreover, GTS can enhance the glycolytic ability of RBCs by inhibiting pTyr of Band 3 protein, thereby restoring the function of RBCs.

Identification of two miRNAs regulating cardiomyocyte proliferation in an Antarctic icefish

Identification of two miRNAs regulating cardiomyocyte proliferation in an Antarctic icefish

86 Assessment of sow hemoglobin concentration and its impact on farrowing duration

Abstract Prolonged farrowing duration may have detrimental effects on sows, leading to physical strain and potential complications post farrowing. Severe hypoxia experienced by piglets during farrowing can result in stillbirths or birth of weak piglets, increasing the likelihood of pre-weaning mortality. While the prevalence of anemia in sows has recently gained attention, the consequences of this condition are not yet well understood. Blood concentration of hemoglobin (Hb) has a role in oxygen carrying capacity and thus may influence the resilience of a sow during farrowing. Evaluating Hb in sows before farrowing could offer insights for improving sow welfare and reducing pre-weaning mortality. The primary objective of this study was to examine the relationship between sow Hb and farrowing duration. A total of 57 sows (n = 5, 6, 29, and 17 of parity 1, 2, 3, and 4, respectively) were monitored for Hb using a Hemocue Hb 201+ handheld Hb monitor where sow blood samples were collected before farrowing (on d 112) and between 40 and 48 h after farrowing (i.e., on d 2) from an ear vein using a 20 G needle. Sows were categorized as anemic (Hb &amp;lt; 10 g/dL) or non-anemic (Hb ≥ 10 g/dL) based on their Hb at d 112. Among sows that were evaluated, 25 were classified as non-anemic- and 32 were classified as anemic. Surveillance cameras were employed to record the farrowing process for each sow, accompanied by human observation. The time of birth for each piglet was recorded to calculate average birthing interval. Within 12 h of birth, all piglets were weighed individually. Stillborn piglets were identified using a lung flotation test conducted within 1 h of birth. The correlation between sow Hb, farrowing duration, stillborn piglets, and total piglets born was evaluated using the PROC CORR procedure and Proc Mixed in SAS was used to test the effect of Hb category on farrowing duration with total piglets born as a covariate. A negative correlation was observed between pre-farrow Hb and farrowing duration (r = -0.62, P &amp;lt; 0.0001). No correlation was observed between farrowing duration and total born (r = 0.22, P = 0.11). However, a significant weak correlation was found between farrowing duration and stillborn piglets (r = 0.32, P = 0.01). Anemic sows had prolonged farrowing duration (7.2 h ± 0.92 min, P = 0.0005) compared with non-anemic sows (3.5 h ± 0.88 min, P = 0.0005). There was no difference in litter size (16.41 ± 0.7 vs 16.3 ± 0.7) for anemic and non-anemic sows, respectively. These findings highlight the importance of sow Hb status at farrowing and indicate sows with decreased Hb may experience prolonged farrowing duration. Strategies to identify anemic sows before farrowing may reduce stillborn rate and improve sow resilience after farrowing.

Repeated Exposure to Mild Intermittent Hypoxia Improves Walking Endurance in OSA Patients for 4 - 8 Weeks Post Therapy

Background: Approximately one billion adults globally are diagnosed with obstructive sleep apnea (OSA). Co-morbidities associated with sleep apnea include hypertension and increased susceptibility to fatigue linked to lower oxygen bioavailability and reduced exercise performance. Previously, we reported that daily exposure to mild intermittent hypoxia (MIH) reduces blood pressure following 3 weeks of treatment. These reductions in pressure could be coupled with improvements in microvascular function, fatigability and exercise performance. Objective: Thus, in the present investigation we explored if daily exposure to MIH improves walking endurance that is sustained for 8 weeks following treatment in individuals with OSA and hypertension (HTN). We also examined if improvements in endurance were correlated to modifications in microvascular function measured using near-infrared spectroscopy. Methods: To achieve this objective, both males and females with severe OSA and hypertension were randomly assigned to receive an MIH intervention (n=9) or Sham MIH (n=10). Half of the individuals in each group were also randomly assigned to nightly CPAP use. Based on the small sample size and the similarity of responses, the groups treated with MIH or sham MIH were combined independent of CPAP use. The MIH protocol consisted of twelve 2-minute hypoxic episodes (PETO2 ~ 50 mmHg), interchanged with 2 minutes of normoxia administered each day for 15 days. PETCO2 was sustained 2 mmHg above baseline throughout the protocol. To evaluate the impact of MIH on microvascular function, oxygen carrying capacity and fatigability, 10 minute walk tests (10 MWT) and vascular occlusion tests coupled with near infrared spectroscopy (NIRS) were performed before therapy, as well as, 5 days, 4 weeks, and 8 weeks after therapy. Results: No significant difference in distance, speed, and performance fatigue was found between the two groups during the 10 MWT before therapy. However, following therapy, the MIH group was able to walk further (p = 0.005), faster (p = 0.005), and were less fatigued (p = 0.009). These improvements were maintained for up to 8 weeks following treatment with MIH but not sham MIH. As anticipated, the total distance travelled was correlated to the performance fatigue index (r = -0.734, p &lt; 0.0001). The Δ in performance fatigue index was correlated to the Δ in the maximal hyperemic response of oxygenated hemoglobin (HbO2) (r = -0.461, p = 0.021) following treatment with MIH. Likewise, the perceived fatigability index was correlated to the Δ in the amplitude of the hyperemic HbO2 response (relative to measures obtained at the end of occlusion) (r = -0.397, p = 0.0494) and the Δ in the time to achieve the maximum HbO2 hyperemic response (r = 0.412, p = 0.041) following treatment with MIH. Conclusion: Our results show that distance, speed and performance fatigue are improved following treatment with MIH and that these improvements are sustained for 8 weeks. Our results also showed that correlations between improved performance, perceived fatigue and microvascular function were evident, providing the impetus to further investigate these relationships. Overall, our findings suggest that MIH may improve muscle endurance, allowing individuals with OSA and HTN to walk faster, longer, and with less fatigue for up to 8 weeks following 15 days of treatment with MIH. I01CX000125, IK6CX002287, R01HL142757, R56HL142757. This is the full abstract presented at the American Physiology Summit 2024 meeting and is only available in HTML format. There are no additional versions or additional content available for this abstract. Physiology was not involved in the peer review process.

Exogenous erythropoietin increases hematological status, fat oxidation, and aerobic performance in males following prolonged strenuous training.

This study investigated the effects of EPO on hemoglobin (Hgb) and hematocrit (Hct), time trial (TT) performance, substrate oxidation, and skeletal muscle phenotype throughout 28 days of strenuous exercise. Eight males completed this longitudinal controlled exercise and feeding study using EPO (50 IU/kg body mass) 3×/week for 28 days. Hgb, Hct, and TT performance were assessed PRE and on Days 7, 14, 21, and 27 of EPO. Rested/fasted muscle obtained PRE and POST EPO were analyzed for gene expression, protein signaling, fiber type, and capillarization. Substrate oxidation and glucose turnover were assessed during 90-min of treadmill load carriage (LC; 30% body mass; 55 ± 5% V̇O2peak) exercise using indirect calorimetry, and 6-6-[2H2]-glucose PRE and POST. Hgb and Hct increased, and TT performance improved on Days 21 and 27 compared to PRE (p < 0.05). Energy expenditure, fat oxidation, and metabolic clearance rate during LC increased (p < 0.05) from PRE to POST. Myofiber type, protein markers of mitochondrial biogenesis, and capillarization were unchanged PRE to POST. Transcriptional regulation of mitochondrial activity and fat metabolism increased from PRE to POST (p < 0.05). These data indicate EPO administration during 28 days of strenuous exercise can enhance aerobic performance through improved oxygen carrying capacity, whole-body and skeletal muscle fat metabolism.

Detection of sickle cell disease using deep neural networks and explainable artificial intelligence

Abstract Sickle cell disease (SCD), a blood disorder that transforms the shape of red blood cells into a distinctive sickle form, is a major concern as it not only compromises the blood’s oxygen-carrying capacity but also poses significant health risks, ranging from weakness to paralysis and, in severe cases, even fatality. This condition not only underscores the pressing need for innovative solutions but also encapsulates the broader challenges faced by medical professionals, including delayed treatment, protracted processes, and the potential for subjective errors in diagnosis and classification. Consequently, the application of artificial intelligence (AI) in healthcare has emerged as a transformative force, inspiring multidisciplinary efforts to overcome the complexities associated with SCD and enhance diagnostic accuracy and treatment outcomes. The use of transfer learning helps to extract features from the input dataset and give an accurate prediction. We analyse and compare the performance parameters of three distinct models for this purpose: GoogLeNet, ResNet18, and ResNet50. The best results were shown by the ResNet50 model, with an accuracy of 94.90%. Explainable AI is the best approach for transparency and confirmation of the predictions made by the classifiers. This research utilizes Grad-CAM to interpret and make the models more reliable. Therefore, this specific approach benefits pathologists through its speed, precision, and accuracy of classification of sickle cells.

Iron Insights: Exploring Age-Specific Variations In Anaemia Prevalence In Islamabad

Background &amp; Introduction: Blood, a specialized connective tissue, facilitates the vital transport of oxygen, carbon dioxide, minerals, hormones, and salts throughout the body. Anemia, characterized by reduced oxygen-carrying capacity, often stems from factors such as diminished red blood cell (RBC) synthesis or excessive blood loss. Notably, iron deficiency stands out as a prominent cause, particularly among females of reproductive age, due to factors like inadequate dietary iron intake and menstrual blood loss. Objectives: This study aims to assess the prevalence of iron deficiency anemia (IDA) in both males and females across different age groups. Specifically, we seek to determine the frequency of IDA and its distribution among age cohorts spanning 6-12 years, 13-19 years, and 20-50 years. Methodology: Employing a cross-sectional study design, we surveyed a population of 2071 individuals, selecting a sample of 3[1]24 participants through non-probability convenient sampling methods. Descriptive statistics, facilitated by SPSS, guided our analysis. Hematological parameters including hemoglobin (HB) levels, RBC count, mean corpuscular volume (MCV), and mean corpuscular hemoglobin (MCH) were evaluated to ascertain the hematological status of the study cohort. Results: Our findings reveal notable trends in IDA prevalence across age groups. Among participants aged 16-30 years, IDA incidence stood at 51%, whereas the 31-35 years age group exhibited a 26% prevalence, and the 46-60 years age group recorded a 23% incidence of IDA. Additionally, our analysis indicates a higher prevalence of IDA among females, constituting 65% of all IDA cases, particularly pronounced in the reproductive age bracket of 16-30 years. Conclusion: The study underscores a gender-based discrepancy in IDA prevalence, with females exhibiting a higher incidence compared to males. Notably, females within the reproductive age range of 16-30 years emerge as a particularly vulnerable demographic. These findings emphasize the importance of targeted interventions to address iron deficiency, especially among at-risk populations.

Advances and Challenges in Oxygen Carriers for Chemical Looping Partial Oxidation of Methane

To cope with global warming and increasing carbon emissions, the chemical looping process has attracted attention due to its excellent ability to convert fossil fuel and capture CO2. In this case, chemical looping partial oxidation technology has become the focus of attention due to its advantages in the production of syngas and hydrogen, especially with respect to the design and selection of oxygen carriers, which directly affect the efficiency of the production of syngas and hydrogen. In particular, the conversion of methane can reach 95% in the chemical looping partial oxidation of methane, and the selectivity of syngas, in the range of 700 °C to 900 °C at atmospheric pressure, can reach 99% for twenty or more cycles. In this review, from the perspective of metal oxide selection and structure regarding the chemical looping partial oxidation process, we discuss the role of oxygen carriers in the chemical looping partial oxidation cycle, in which the specific surface area, the lattice oxygen mobility, and the thermal stability are understood as the important factors affecting reactivity. We hope to summarize the design and development of efficient oxygen carriers with high oxygen-carrying capacity and syngas selectivity, as well as contribute to the selection, design, optimization, and redox reaction mechanism of redox catalysts.

Adsorption and gas sensitive behavior of Co2+ doped TiO2(101) crystal planes

Density functional theory (DFT) and Electrochemical Impedance Spectroscopy (EIS) were used to study the molecular adsorption behavior of the Co2+ doped TiO2(101) crystal plane, and the ethanol molecular gas sensitivity test was performed. Theoretical models indicate that doping leads to oxygen defects on the crystal plane and further chemisorption of two oxygen molecules, resulting in reduced electrical conductivity and improved oxygen storage capacity on the crystal plane. Ethanol molecules do not compete with N2, O2, and H2O molecules on doped crystal planes because of their different adsorption active sites, which means that the response time of gas-sensitive detection of ethanol molecules is short and is not interfered with the air molecules in the test environment. These results were confirmed by EIS and gas sensitivity experiments. The change of electrical conductivity after the adsorption of molecules on the crystal plane was confirmed by EIS. The enhanced oxygen storage capacity of the doped crystal plane was confirmed by the expansion of the linear response range of gas-sensitive detection from 20-100 ppm before doping to 20–1200 ppm. This provides a scientific basis for effectively shortening the gas-sensitive response time, increasing the concentration range, improving the oxygen-carrying capacity, and enhancing the catalytic and gas-sensitive properties of the material.

A comparative study of ferric carboxymaltose and iron sucrose as a parenteral iron treatment in iron deficiency anemia during pregnancy in a tertiary care hospital

Background: Anemia from the Greek word (anhaima) meaning “without blood” is the deficiency of red blood cell and/or hemoglobin which result in reduced oxygen-carrying capacity of blood causing tissue hypoxia. Aims and Objectives: To study the efficacy and safety of intravenous ferric carboxymaltose (FCM) versus iron sucrose in the management of iron deficiency anemia in pregnancy. Materials and Methods: A prospective, single-center, comparative interventional randomized study was carried among 180 antenatal mother admitted to antenatal ward in the Department of Obstetrics and Gynaecology of Burdwan Medical College and Hospital, from July 1st, 2020, to December 30th, 2021. Results: A total of 180 patients, 90 patients in each FCM and iron sucrose group, were included in the study. There was significant (P=0.001) mean change in hemoglobin (Hb) level in both the groups from pre-treatment to 3 and 6-week post-treatment. There was also a significant (P=0.001) mean change in ferritin level in both the groups from pre-treatment to 3 and 6-week post-treatment. The mean change in Hb level and ferritin level was higher among patients of FCM compared to iron sucrose. The adverse reactions were lower among patients of FCM than iron sucrose. Conclusions: This study found that FCM is safer than iron sucrose. Treatment with FCM resulted in rapid replenishment of iron stores in pregnant women with significantly high rise of Hb and ferritin levels over a 6-week period with lesser adverse effects.

Perfluoropentane-based oxygen-loaded nanodroplets reduce microglial activation through metabolic reprogramming.

JOURNAL/nrgr/04.03/01300535-202504000-00032/figure1/v/2024-07-06T104127Z/r/image-tiff Microglia, the primary immune cells within the brain, have gained recognition as a promising therapeutic target for managing neurodegenerative diseases within the central nervous system, including Parkinson's disease. Nanoscale perfluorocarbon droplets have been reported to not only possess a high oxygen-carrying capacity, but also exhibit remarkable anti-inflammatory properties. However, the role of perfluoropentane in microglia-mediated central inflammatory reactions remains poorly understood. In this study, we developed perfluoropentane-based oxygen-loaded nanodroplets (PFP-OLNDs) and found that pretreatment with these droplets suppressed the lipopolysaccharide-induced activation of M1-type microglia in vitro and in vivo, and suppressed microglial activation in a mouse model of Parkinson's disease. Microglial suppression led to a reduction in the inflammatory response, oxidative stress, and cell migration capacity in vitro. Consequently, the neurotoxic effects were mitigated, which alleviated neuronal degeneration. Additionally, ultrahigh-performance liquid chromatography-tandem mass spectrometry showed that the anti-inflammatory effects of PFP-OLNDs mainly resulted from the modulation of microglial metabolic reprogramming. We further showed that PFP-OLNDs regulated microglial metabolic reprogramming through the AKT-mTOR-HIF-1α pathway. Collectively, our findings suggest that the novel PFP-OLNDs constructed in this study alleviate microglia-mediated central inflammatory reactions through metabolic reprogramming.

Fear of predators reduces body and physiological condition affecting offspring survival and the ‘quality’ of the survivors

Abstract Predators affect the survival of developing young by eating them. More recently, the fear of being eaten has been uncovered as a powerful driver of offspring survival reducing recruited offspring numbers by 53%, but the mechanisms driving these effects are not well understood. We exposed song sparrows to predator or non‐predator playbacks throughout three breeding seasons. We followed offspring as eggs through development and into maturity. We quantified the repercussions of being reared in a fearful environment on body (fat, mass, size) and physiological condition using 12 different measures categorized into six systems (oxygen carrying capacity, energy reserves, immune function, antioxidant protection, oxidative stress/damage, glucocorticoids). We further tracked offspring survival in the nest to maturity and determined which measures of condition significantly predicted survival. We report that fear of predators affected offspring condition at all stages of life, with survival consequences. Predator‐playback offspring hatched from heavier eggs (8%) but quickly lost this advantage and never regained it. Nestlings reared by ‘frightened’ parents were as heavy and much leaner than non‐predator playback nestlings. This pattern extended throughout development into maturity where offspring reared by frightened parents were up to 31% leaner and 5% lighter. Predator‐playback nestlings also were evidently in poorer physiological condition, having shorter telomeres, while late dependency stage fledglings carried relatively less uric acid and more haptoglobin perhaps indicative of chronic susceptibility to infection. Only body condition (mass and fat) predicted survival during peak mortality periods (nestling and early fledging), with the leanest lightest offspring from the predator‐playback treatment being least likely to survive. Thereafter, mass predicted survival irrespective of playback treatment. Similarly, at this later stage, offspring with less telomere loss and high uric acid levels survived best regardless of playback group. Our findings reveal that fear of predators is a potent form of early life adversity which persistently alters the condition of offspring affecting early stage survival and the ‘quality’ of the survivors throughout their life. Development is fuelled by food and fear‐induced reductions in parental provisioning at the earliest stages likely instigated these effects, with consequences on the population growth rate. Read the free Plain Language Summary for this article on the Journal blog.

Endurance training and hydroxyurea have synergistic effects on muscle function and energetics in sickle cell disease mice

Sickle cell disease (SCD) is an hemoglobinopathy resulting in the production of an abnormal Hb (HbS) which can polymerize in deoxygenated conditions, leading to the sickling of red blood cells (RBC). These alterations can decrease the oxygen-carrying capacity leading to impaired function and energetics of skeletal muscle. Any strategy which could reverse the corresponding defects could be of interest. In SCD, endurance training is known to improve multiples muscle properties which restores patient's exercise capacity but present reduced effects in anemic patients. Hydroxyurea (HU) can increase fetal hemoglobin production which can reduce anemia in patients. The present study was conducted to determine whether HU can improve the effects of endurance training to improve muscle function and energetics. Twenty SCD Townes mice have been trained for 8 weeks with (n = 11) or without (n = 9) HU. SCD mice muscle function and energetics were analyzed during a standardized rest-exercise-recovery protocol, using Phosphorus-31 Magnetic resonance spectroscopy (31P-MRS) and transcutaneous stimulation. The combination of training and HU specifically decreased fatigue index and PCr consumption while muscle oxidative capacity was improved. These results illustrate the potential synergistic effects of endurance training and HU on muscle function and energetics in sickle cell disease.

The association between hemoglobin levels and renal function parameters during normothermic machine perfusion: A retrospective cohort study using porcine kidneys.

Ex vivo normothermic machine perfusion (NMP) is a promising tool for assessing an isolated kidney prior to transplantation. However, there is no consensus on the perfusate's optimal oxygen-carrying capacity to support renal function. To investigate the association of hemoglobin levels with renal function parameters, a retrospective analysis of isolated, normothermically, perfused porcine kidneys was performed. Between 2015 and 2021, a total of 228 kidneys underwent 4 h of NMP with perfusates that varied in hemoglobin levels. A generalized linear model was used to determine the association of hemoglobin levels with time-weighted means of renal function markers, such as fractional sodium excretion (FENa) and creatinine clearance (CrCl). Stratified by baseline hemoglobin level (<4.5, 4.5-6, or >6 mmol/L), these markers were modeled over time using a generalized linear mixed-effects model. All models were adjusted for potential confounders. Until a hemoglobin level of around 5 mmol/L was reached, increasing hemoglobin levels were associated with superior FENa and CrCl. Thereafter, this association plateaued. When hemoglobin levels were categorized, hemoglobin <4.5 mmol/L was associated with worse renal function. Hemoglobin levels were neither significantly associated with proteinuria during NMP nor with ATP levels at the end of NMP. Hemoglobin levels >6 mmol/L showed no additional benefits in renal function. In conclusion, we found an association between baseline hemoglobin levels and superior renal function parameters, but not injury, during NMP of porcine kidneys. Furthermore, we show that performing a retrospective cohort study of preclinical data is feasible and able to answer additional questions, reducing the potential use of laboratory animals.

Wide spectrum of novel and rare hemoglobin variants in the multi-ethnic Indian population: A review.

The hemoglobin (Hb) variants are qualitative abnormalities due to production of structurally abnormal globin proteins. They are categorized based on the type of mutation present in the α1, α2, β, Gγ, Aγ and δ globin genes. So far, more than 1550 Hb variants are reported in the database. They could lead to Hb polymerization, Hb instability, altered oxygen affinity and decreased oxygen-carrying capacity of Hb or have no clinical manifestations. In India, ethnic diversity, consanguinity, regional variations and migration result in the presence of different Hb variants. We have compiled all the variants of α, β and δ globin chains in heterozygous, homozygous and in compound heterozygous forms reported from India in the last 52 years. Of the 63 rare and novel hemoglobin variants reported from India, 22 were α-globin chain variants, 37 were β-globin chain variants and 4 were δ-globin chain variants. Twelve novel Hb variants (Hb J Rajappan, Hb Koya Dora, Hb Rampa, Hb Godavari, Hb Chandigarh, Hb D Agri, Hb Lucknow, Hb Vellore, Hb Midnapore, Hb Bijnor, Hb A2Tianhe and Hb A2Saurashtra) were identified among persons of Indian origin. Majority of them were picked up on HPLC. Some of the variants like Hb Titusville, Hb Shimonoseki, Hb Chandigarh, Hb D Agri, Hb Yaizu and Hb Vellore eluted in the HbS window whereas variants like HbD Iran, Hb St. Louis, Hb G Coushata, HbM Saskatoon, Hb Lucknow, Hb Grange-Blanche and Hb Tianshui showed falsely elevated HbA2. Hence, careful and systematic investigations are required to identify them.

Bioassembly of hemoglobin-loaded photopolymerizable spheroids alleviates hypoxia-induced cell death

The delivery of oxygen within tissue engineered constructs is essential for cell survivability; however, achieving this within larger biofabricated constructs poses a significant challenge. Efforts to overcome this limitation often involve the delivery of synthetic oxygen generating compounds. The application of some of these compounds is problematic for the biofabrication of living tissues due to inherent issues such as cytotoxicity, hyperoxia and limited structural stability due to oxygen inhibition of radical-based crosslinking processes. This study aims to develop an oxygen delivering system relying on natural-derived components which are cytocompatible, allow for photopolymerization and advanced biofabrication processes, and improve cell survivability under hypoxia (1% O2). We explore the binding of human hemoglobin (Hb) as a natural oxygen deposit within photopolymerizable allylated gelatin (GelAGE) hydrogels through the spontaneous complex formation of Hb with negatively charged biomolecules (heparin, hyaluronic acid, and bovine serum albumin). We systematically study the effect of biomolecule inclusion on cytotoxicity, hydrogel network properties, Hb incorporation efficiency, oxygen carrying capacity, cell viability, and compatibility with 3D-bioassembly processes within melt electrowritten (MEW) scaffolds. All biomolecules were successfully incorporated within GelAGE hydrogels, displaying controllable mechanical properties and cytocompatibility. Results demonstrated efficient and tailorable Hb incorporation within GelAGE-Heparin hydrogels. The developed system was compatible with microfluidics and photopolymerization processes, allowing for the production of GelAGE-Heparin-Hb spheres. Hb-loaded spheres were assembled into MEW polycaprolactone scaffolds, significantly increasing the local oxygen levels. Ultimately, cells within Hb-loaded constructs demonstrated good cell survivability under hypoxia. Taken together, we successfully developed a hydrogel system that retains Hb as a natural oxygen deposit post-photopolymerization, protecting Hb from free-radical oxidation while remaining compatible with biofabrication of large constructs. The developed GelAGE-Heparin-Hb system allows for physoxic oxygen delivery and thus possesses a vast potential for use across broad tissue engineering and biofabrication strategies to help eliminate cell death due to hypoxia.

Consensus of the Brazilian association of hematology, hemotherapy and cellular therapy on patient blood management: Preoperative Phase – Preoperative management of the patient's anemia

Managing anemia before surgery is extremely important as it is a clinical condition that can significantly increase surgical risk and affect patient outcomes. Anemia is characterized by a reduction in the number of red blood cells or hemoglobin levels leading to a lower oxygen-carrying capacity of the blood. Proper treatment requires a multifaceted approach to ensure patients are in the best possible condition for surgery and to minimize potential complications. The challenge is recognizing anemia early and implementing a timely intervention to correct it. Anemic patients are more susceptible to surgical complications such as increased infection rates, slower wound healing and increased risk of cardiovascular events during and after surgery. Additionally, anemia can exacerbate existing medical conditions, causing greater strain on organs and organ systems. To correct anemia and optimize patient outcomes, several essential measures must be taken with the most common being identifying and correcting iron deficiency.

Successful intraoperative management of laparoscopic hysterectomy in a patient with Eisenmenger syndrome: a case report

BackgroundPatients with Eisenmenger syndrome (ES) requiring noncardiac surgery are at a significantly high risk of perioperative morbidity and mortality. However, perioperative management of patients with ES requiring laparoscopic surgery remains unclear.Case presentationWe describe the case of a patient with ES who underwent laparoscopic hysterectomy under general anesthesia with a peripheral nerve block. The objectives of the perioperative management included the following: (1) maintaining systemic vascular resistance and cardiac output through euvolemia, facilitated by the infusion of noradrenaline, and (2) preventing a reduction in oxygen-carrying capacity and factors that elevate pulmonary vascular resistance, such as pain, hypoxia, and decreased body temperature. Although laparoscopic procedures involved an increased risk in patients with ES, they are less invasive than open surgeries.ConclusionThis report describes the successful anesthetic management of a patient with ES, ensuring a balance between systemic and pulmonary vascular resistance.

The effect of chronic habitual exercise on oxygen carrying capacity and blood compartment volumes in older adults.

Absolute total hemoglobin mass (tHbmass) and blood compartment volumes are often considered to be higher in endurance athletes compared with nonathletes, yet little data support a fitness effect in older age. Therefore, we measured tHbmass and blood compartment volumes (carbon monoxide rebreathing) in 77 healthy individuals (23% female; aged, 60-87 yr). Participants were recruited into groups based upon their lifelong (>25 yr) exercise "dose": 1) 15 sedentary individuals, <2 sessions/wk; 2) 25 casual exercisers, 2-3 sessions/wk; 3) 24 committed exercisers, 4-5 sessions/wk; and 4) 13 competitive Masters athletes, 6-7 sessions/wk, plus regular competitions. Absolute (L/min) and relative (mL/kg/min) V̇o2peak were higher with increasing exercise "dose" (P = 0.0005 and P < 0.0001, respectively). Hemoglobin concentration, hematocrit, and absolute tHbmass and blood compartment volumes were not significantly different between groups (all, P > 0.1328). When scaled to body mass, tHbmass (Sedentary, 9.2 ± 1.7 mL/kg; Casual, 9.2 ± 1.3; Committed, 10.2 ± 1.4; Competitive, 11.5 ± 1.4, ANOVA P < 0.0001) and blood volume were significantly different between groups [Sedentary, 63.4 (59.2-68.5) mL/kg; Casual, 67.3 (64.4-72.6); Committed, 73.5 (67.5-80.2); Competitive, 83.4 (78.9-88.6), ANOVA P < 0.0001], whereby all values were highest in Masters athletes. However, when scaled to fat-free mass (FFM), tHbmass and blood compartment volumes were greater in Competitive compared with Casual exercisers (all, P < 0.0340) and tHbmass and erythrocyte volume were also higher in Committed compared with Casual exercisers (both, P < 0.0134). In conclusion, absolute tHbmass and blood compartment volumes are not different between groups, with dose-dependent differences only among exercisers when scaled for FFM, with the highest tHbmass and blood compartment volumes in competitive Masters athletes.NEW & NOTEWORTHY We observed that absolute oxygen carrying capacity (total hemoglobin mass, tHbmass) and blood compartment volumes were not associated with lifelong exercise dose. However, hematological adaptations associated with lifelong habitual exercise are only present among exercisers, whereby competitive Masters athletes have a greater oxygen carrying capacity (tHbmass) and expanded blood compartment volumes when scaled to fat-free mass.