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Article: People with blood disorders can be more vulnerable during COVID-19 pandemic: A hypothesis paper.

Aydemir, Duygu / Ulusu, Nuriye Nuray

Transfusion and apheresis science : official journal of the World Apheresis Association : official journal of the European Society for Haemapheresis

2021  Volume 60, Issue 3, Page(s) 103080

Abstract: ... of infected people by COVID-19 is increasing every day. Despite various studies conducted by researchers and ... The world has been encountered with COVID-19 pandemic since at the beginning of 2020 and the number ... studies have revealed that the COVID-19 virus can attack heme and hemoglobin metabolisms which are ...

Abstract The world has been encountered with COVID-19 pandemic since at the beginning of 2020 and the number of infected people by COVID-19 is increasing every day. Despite various studies conducted by researchers and doctors, no treatment has been developed until now, therefore self-protection and isolation are strongly recommended to stop the spread of the virus. The elderly population and people with chronic diseases such as hypertension, cardiovascular diseases, diabetes, and cancer are categorized as risk groups, however, we suggest that people with hemoglobinopathies or porphyria can be described as risk groups as well. Current in silico studies have revealed that the COVID-19 virus can attack heme and hemoglobin metabolisms which are responsible for the oxygen transport to the tissues, iron metabolism, elevated levels of oxidative stress, and tissue damage. Data of the in silico study have been supported with the biochemistry and hemogram results of the COVID-19 patients, for instance hemoglobin levels decreased and serum ferritin and C-reactive protein levels increased. Indicated biochemistry biomarkers are tightly associated with inflammation, iron overload, and oxidative stress. In conclusion, since people with hemoglobinopathies or porphyria have already impaired heme and hemoglobin metabolism, COVID-19 infection can enhance the adverse effects of impaired hemoglobin metabolism and accelerate the progression of severe symptoms in patients with hemoglobinopathies or porphyria compared to the normal individuals. Thus those people can be considered as a risk group and extra precautions should be applied for them to protect them.
MeSH term(s) COVID-19/blood ; COVID-19/epidemiology ; COVID-19/virology ; Hematologic Diseases/epidemiology ; Hematologic Diseases/virology ; Humans ; Oxidative Stress/genetics ; Pandemics ; SARS-CoV-2/pathogenicity
Language English
Publishing date 2021-02-10
Publishing country England
Document type Journal Article ; Review
ZDB-ID 2046795-3
ISSN 1878-1683 ; 1473-0502
ISSN (online) 1878-1683
ISSN 1473-0502
DOI 10.1016/j.transci.2021.103080
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