Featured Research

from universities, journals, and other organizations

Key Gender Difference Found In Sickle Cell Disease

Date:
December 26, 2002
Source:
American Heart Association
Summary:
Nitric oxide, a substance that helps blood vessels dilate, is up to two times more available in women than men with the genetic condition, sickle cell anemia. This may help explain gender differences in survival, researchers report in Circulation: Journal of the American Heart Association.

DALLAS, Dec. 24 – Nitric oxide, a substance that helps blood vessels dilate, is up to two times more available in women than men with the genetic condition, sickle cell anemia. This may help explain gender differences in survival, researchers report in today's rapid access issue of Circulation: Journal of the American Heart Association.

Sickle cell anemia is an inherited blood disorder, in which normally round red blood cells become misshaped like sickles and clog vessels. These blockages cause painful episodes known as sickle cell crises. An estimated 1 in 500 African Americans have the genetic condition that occurs when someone inherits two copies of a mutated gene for hemoglobin, the oxygen carrier in red blood cells.

"Like coronary artery disease, sickle cell disease seems linked to inflammation in the arteries," says Mark Gladwin, M.D., a clinician-researcher, critical care medicine, National Institutes of Health Clinical Center. He collaborated on this study with Richard O. Cannon III, M.D., clinical director, National Heart, Lung, and Blood Institute.

Inflammation in sickle cell disease is probably due to the blocking of the blood vessel by the misshapen red blood cells. "Sickle cell disease's connection to inflammation made us want to investigate the molecule nitric oxide (NO), which is 'the WD-40' of the blood vessels," Gladwin says.

The body makes NO and uses it to dilate blood vessels, so blood can flow through them easily. When the body attempts to repair injured areas of the blood vessels – such as after blood flow is cut off in a heart attack or sickle cell crisis – NO prevents the inflammatory white cells of that repair process from sticking to the cells that line the arteries. NO also reduces clotting by keeping the platelets in the blood from sticking together. Finally, NO protects vessels by knocking out a substance called superoxide that generates highly destructive particles, "free radicals," that can damage vessels, he says.

The researchers studied 21 African-American patients (11 men and 10 women, ages 18 to 55) with sickle cell disease and 18 African Americans without sickle cell disease (controls). They measured forearm blood flow before and after administering a series of drugs known to affect vessel dilation and blood flow.

"These studies had a surprising result," Gladwin says. "The men appear to have problems both in making nitric oxide and with increased destruction of nitric oxide."

When the men were given a substance containing NO, their blood flow increased by 86 percent, while women's blood flow increased 171 percent, he says.

That may help explain results from previous studies that found that men with sickle cell disease experience more sickle cell crises after puberty than do women; and that the median age of death was 42 for men compared to 48 for women. But few studies have been done in adults with sickle cell disease, Gladwin says. Sickle cell was considered a usually fatal disease of childhood, until the use of childhood vaccinations and routine penicillin starting in infancy helped sickle cell disease patients live to adulthood.

"One of the great mysteries of sickle cell disease is that everyone has the same mutation for the most part, yet others have extremely severe disease and early death and some patients have hardly any complications or pain," he says.

During the last 20 years cardiologists have shown that the hormone estrogen, which rises in women beginning at puberty, increases the production of NO. There are also factors that can destroy NO, such as the cell-free hemoglobin released when red blood cells rupture. A lower level of estrogen could lead to more severe disease, more cell rupture and more cell-free hemoglobin to destroy the NO.

"The destructive factors probably win the battle during a sickle cell crisis and it's tempting to speculate that women with sickle cell do better in this battle for NO because of estrogen," he says.

"We're very excited about this data because a number of therapies borrowed from the cardiology field have been shown to increase the amount of NO and its survival in the body. Principal among them is the cholesterol-lowering class of drugs called the statins," he says. Recent studies have indicated that statins provide protection against heart attack that seems to extend past their ability to lower cholesterol, perhaps through anti-inflammatory effects. A trial is expected to begin 2003 to test statins' effect on sickle cell disease, he says.

Co-authors are Alan Schechter, M.D.; Frederick P. Ognibene, M.D.; Wynona A. Coles; Chistopher D. Reiter, Ph.D.; William H. Schenke; Gyorgy Csako, M.D.; Myron A. Waclawiw, Ph.D; and Julio A. Panza, M.D.


Story Source:

The above story is based on materials provided by American Heart Association. Note: Materials may be edited for content and length.


Cite This Page:

American Heart Association. "Key Gender Difference Found In Sickle Cell Disease." ScienceDaily. ScienceDaily, 26 December 2002. <www.sciencedaily.com/releases/2002/12/021226071057.htm>.
American Heart Association. (2002, December 26). Key Gender Difference Found In Sickle Cell Disease. ScienceDaily. Retrieved October 1, 2014 from www.sciencedaily.com/releases/2002/12/021226071057.htm
American Heart Association. "Key Gender Difference Found In Sickle Cell Disease." ScienceDaily. www.sciencedaily.com/releases/2002/12/021226071057.htm (accessed October 1, 2014).

Share This



More Health & Medicine News

Wednesday, October 1, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

Ebola Cases Keep Coming for Monrovia's Island Hospital

Ebola Cases Keep Coming for Monrovia's Island Hospital

AFP (Oct. 1, 2014) A look inside Monrovia's Island Hospital, a key treatment centre in the fight against Ebola in Liberia's capital city. Duration: 00:34 Video provided by AFP
Powered by NewsLook.com
Ebola Puts Stress on Liberian Health Workers

Ebola Puts Stress on Liberian Health Workers

AP (Oct. 1, 2014) The Ebola outbreak is putting stress on first responders in Liberia. Ambulance drivers say they are struggling with chronic shortages of safety equipment and patients who don't want to go to the hospital. (Oct. 1) Video provided by AP
Powered by NewsLook.com
Doctors Reassure Public Ebola Patient Won't Cause Outbreak

Doctors Reassure Public Ebola Patient Won't Cause Outbreak

Newsy (Sep. 30, 2014) After the announcement that the first U.S. patient had been diagnosed with Ebola, doctors were quick to say a U.S. outbreak is highly unlikely. Video provided by Newsy
Powered by NewsLook.com
TX Hospital Confirms Patient Admitted With Ebola

TX Hospital Confirms Patient Admitted With Ebola

AP (Sep. 30, 2014) Medical officials from Texas Health Presbyterian Hospital confirm they are treating a patient with the Ebola virus, the first case found in the US. (Sept. 30 Video provided by AP
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:

Breaking News:

Strange & Offbeat Stories


Health & Medicine

Mind & Brain

Living & Well

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile: iPhone Android Web
Follow: Facebook Twitter Google+
Subscribe: RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins