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Laboratory Associations With Transcranial Doppler Categories in Sickle Cell Disease

Jain, Dipty; Kirkham, Fenella J; (2023) Laboratory Associations With Transcranial Doppler Categories in Sickle Cell Disease. Indian Pediatrics , 60 (8) pp. 622-623. 10.1007/s13312-023-2957-3. Green open access

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Abstract

This issue of Indian Pediatrics carries an article by Mahmoud, et al. [1] that provides insight into the pathophysiology of cerebrovascular pathology in children with homozygous sickle cell disease (SCD), compound heterozygotes with hemoglobin Sβthalassemia, and controls. They found that platelet-derived growth factor (PDGF-AA) and homocysteine levels were higher in patients with SCD than controls, which is in agreement with previous data [2]. High homocysteine levels have long been recognized as a risk factor for vascular disease, and the thermolabile variant of the methylene tetrahydrofolate reductase gene is associated with ischemic stroke in adults with SCD [3], and predicts recurrence in children with stroke [4]. PDGF-AA is associated with vascular remodeling in response to challenges including infection e.g., cytomegalovirus [5,6], and increased shear stress related to high flow.

Type: Article
Title: Laboratory Associations With Transcranial Doppler Categories in Sickle Cell Disease
Location: India
Open access status: An open access version is available from UCL Discovery
DOI: 10.1007/s13312-023-2957-3
Publisher version: https://doi.org/10.1007/s13312-023-2957-3
Language: English
Additional information: This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions.
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > UCL GOS Institute of Child Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > UCL GOS Institute of Child Health > Developmental Neurosciences Dept
URI: https://discovery.ucl.ac.uk/id/eprint/10177547
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