Anemia in Asthmatic Females Exaggerates the Severity of Inflammation in Asthma by Inducing Dyslipidemia, High levels of IgE and Absolute Eosinophil count

Role of anemia on female asthmatic patient’s lipidemia, IgE and eosinophil count

Authors

  • Haji Muhammad Rashid Department of Medical Lab Technology, University of Haripur, Pakistan
  • Mudassar Khan Department of Medical Lab Technology, University of Haripur, Pakistan
  • Muhammad Jamal Department of Medical Lab Technology, University of Haripur, Pakistan
  • Wisal Shah Department of Environmental Sciences, University of Haripur, Pakistan

Keywords:

Asthma, Anemia, Dyslipidemia, Female asthmatic patients, IgE, eosinophil

Abstract

The objective of the study was to investigate the effects of anemia on severity of inflammation in asthmatic females with the assessment of dyslipidemia, IgE and absolute Eosinophil count. Study was performed at Pathology Lab of Asia Diagnostic Center, Blue area Islamabad Pakistan. Total 100 asthmatic Females (Group 1) and 100 normal females as control (Group 2) were enrolled in this study. Hemoglobin (Hb) levels, Total leukocyte count, Lipid profile, serum IgE and Eosinophil count were analyzed in Group 1 and Group 2. Group 1 was sub divided in to two groups. Group 1a asthmatic females with anemia and Group1b asthmatic females without anemia. Triglycerides (TG) and very low density lipoprotein (VLDL) with mean value 139.8 ± 27.9 and 23.6 ± 6 in Group 1a were not significantly different with p-value >0.05 from Group1bwith mean value of TG 137 ± 25.5 and VLDL 25.9 ± 5.8. Cholesterol and low density lipoprotein (LDL) were significantly high in Group 1a than Group1b with p-value <0.05. HDL levels in Group 1a were significantly lower than Group1b with the p-value 0.017. Markers of severity of inflammation in asthma, IgE and Absolute Eosinophil Count were also high in Group 1a with p value 0.0297 and <0.0001 respectively from Group1b. The strongest negative correlations ware observed for LDL - 0.60. IgE - 0.61 and absolute eosinophil count -0.99 with Hb levels in Group 1a ,which indicate that anemia exaggerate the severity of inflammation in asthma as well as dyslipidemia in anemic asthmatic females. From our study it was concluded that when anemia is present in asthmatic females it will exaggerate the severity of inflammation in asthma by inducing dyslipidemia, high eosinophil count and high level of IgE.

References

Sharifi, L., R. Dashti., Z. Pourpak., M.R. Fazlolihai., M. Movahedi., Z. Chavoshzadeh., H. Soheili., S. Bokaie., A. Kazemnejad, & M. Moin, Economic Burden of Pediatric Asthma: Annual Cost of Disease in Iran. Iranian Journal of Public Health, 47(2): 256 (2018).

Zein, J.G, & S.C. Erzurum. Asthma is different in women, Current allergy and asthma reports 15(6): 28 (2015).

Bateman, E.D. Global strategy for asthma management and prevention: GINA executive summary. European Respiratory Journal 31(1): 143-178 (2008).

Hammad, M.A., K.M. Alakhali., M. Hattan., D.A.M. Noor. Asthma in Saudi arabia: risk factors and pharmacotherapy, Indo American Journal of Pharmaceutical Research, 6(11): 6814-6821 (2016).

Aslam, S. K., S. Zaheer., M.S. Qureshi., S.N. Aslam, & K. Safique, Socio-economic disparities in use of family planning methods among Pakistani women: findings from Pakistan demographic and health surveys, PloS one 11(4): e0153313 (2016).

Szefler, S. J., et al. Asthma outcomes: biomarkers, Journal of Allergy and Clinical Immunology, 129(3) :S9-S23 (2012).

Brigham, E.P., F. Kolahdooz., N. Hansel., P.N. Breysse., M. Davis., S. Sharma., E.C. Matsui., G. Diette, & M.C. McCormak. Iron status is associated with asthma and lung function in US women, PLoS One, 10(2) (2015).

Brigham, E. P., et al, Association between Western diet pattern and adult asthma: a focused review. Annals of allergy, asthma & immunology, 114 (4): 273-280 (2015).

Su, X., Y. Ren., M. Li., X. Zhao., L. Kong, & J. Kang, Association between lipid profile and the prevalence of asthma: a meta-analysis and systemic review, Current medical research and opinion, 34 (3) :423-433 (2018).

Abbaspour, N., R. Hurrell, & R. Kelishadi. Review on iron and its importance for human health. The official journal of Isfahan University of Medical Sciences, 19(2):164-174 (2014).

Chen, M.H., T.P. Su., Y. Chen., J.W. Hsu., K.L. Huang., W.H. Chang., T.J. Chen, & Y.M. Bai. Association between psychiatric disorders and iron deficiency anemia among children and adolescents: a nationwide population-based study. BMC psychiatry, 13(1) :161 (2013).

Jadhav, B.N. A critical review on iron deficiency anaemia in female population of developing India. International journal of fauna and biological studies, 3(5) :116-119 (2016).

Tuleta, I., D. Skowasch., F. Aurich., N. Eckstein., R. Schueler., C. Pizzaro., N. Schahab., G. Nickenig., C. Schaefer, & S. Pingel. Asthma is associated with atherosclerotic artery changes. PLoS One, 12(10) (2017).

Lin, J, & D. Yang. Chinese expert consensus on diagnosis and management of severe asthma. Journal of Thoracic Disease, 10(12) :7020 (2018).

Seaton, A, & G. Crompton. Asthma: clinical features. Seaton A, Seaton D, Leitch AG. Crofton and Douglas’s Respiratory Diseases 5: 922-972 (2008).

Lunt, A., S.S. Sturrock, & A. Greenough.”Asthma and the outcome of sickle cell disease”. Expert Opinion on Orphan Drugs, 6 (12) :733-740 (2018).

Baig-Ansari, N., S.H. Badruddin., R. Karmaliani., H. Harris., I. Jehan., O. Pasha., N. Moss., E.M. McClure, & R.L. Goldenberg. Anemia prevalence and risk factors in pregnant women in an urban area of Pakistan. Food and nutrition bulletin, 29 (2) :132-139 (2008).

Ejaz, S., F. U. H. Nasim, & M. Ashraf. Hematological and Biochemical Profile of Patients Suffering from Non-Atopic Asthma. Insights Chest Dis, 2 (2) :6 (2017).

Brauer, M., G. Hoek., H.A. Smit., J.C. De Jongste.,J. Gerritsen., D.S. Postma., M. Kerkhof, & B. Brunekreef. Air pollution and development of asthma, allergy and infections in a birth cohort. European Respiratory Journal 29, (5) :879-888 (2007).

Brigham, E. P., C. Meredith., M.C. McCormack., M. C.Takemoto, & E. C. Matsui. Iron status is associated with asthma and lung function in US women. PLoS One, 10(2) (2015).

Vinding, R.K., J. Stokholm., B.L. Chawes, & H. Bisgaard. Blood lipid levels associate with childhood asthma, airway obstruction, bronchial hyperresponsiveness, and aeroallergen sensitization. Journal of Allergy and Clinical Immunology, 137 (1) :68-74 (2016).

Johnston, R. A, & A. S. Shore. Obesity and asthma: What have we learned from animal models?. In Mechanisms and Manifestations of Obesity in Lung Disease. Academic Press, 111-142 (2019).

Zhang, L., L. He., J. Gong, & C. Liu. Risk factors associated with irreversible airway obstruction in asthma: a systematic review and meta-analysis. BioMed research international, 2016 (2016).

Cabada, M.M., M.R. Goodrich., B. Graham., P.G Villanueva-Meyer., E.L. Deichsel., M. Lopez., E. Arque, & J.R.C. White. Prevalence of intestinal helminths, anemia, and malnutrition in Paucartambo, Peru. RevistaPanamericana de SaludPública, 37: 69-75 (2015).

Brigham, E.P., F. Kolahdooz., N. Hansel., P.N. Breysse., M. Davis., S. Sharma., E.C. Matsui., G. Diette, & M.C. McCormack. Association between Western diet pattern and adult asthma: a focused review. Annals of allergy, asthma & immunology, 114(4): 273-280 (2015).

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Published

2019-06-09

How to Cite

Rashid, H. M. ., Khan, M. ., Jamal, M., & Shah, W. . (2019). Anemia in Asthmatic Females Exaggerates the Severity of Inflammation in Asthma by Inducing Dyslipidemia, High levels of IgE and Absolute Eosinophil count: Role of anemia on female asthmatic patient’s lipidemia, IgE and eosinophil count. Proceedings of the Pakistan Academy of Sciences: B. Life and Environmental Sciences, 56(2), 9–14. Retrieved from http://www.ppaspk.org/index.php/PPAS-B/article/view/133

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Research Articles