» Articles » PMID: 16952318

Insights into Age- and Sickle-cell-disease-interaction Using Principal Components Analysis

Overview
Publisher Biomed Central
Specialty Hematology
Date 2006 Sep 6
PMID 16952318
Authors
Affiliations
Soon will be listed here.
Abstract

Background: In the context of sickle cell anemia, peripheral blood indexes provide key information that is also potentially influenced by age. Therefore, it is necessary to understand the extent and nature of interactions between sickle cell anemia and age, especially in situations where there is a high prevalence of sickle cell anemia.

Methods: In a cross-sectional study of 374 subjects with varying hemoglobin S (HbS) status, we characterized the interaction between age and sickle hemoglobin using principal components analysis.

Results: Factor analysis in subjects with hemoglobin AA identified three orthogonal factors--normal erythropoiesis, presence of thalassemia and the aggregability potential of the blood. These three factors were differentially associated with hemoglobin status. Age influenced the association of factors #2 and #3 with hemoglobin status.

Conclusion: Our findings suggest that the interaction between age and hemoglobin status needs to be considered in both clinical and public health settings.

References
1.
Blouin M, De Paepe M, Trudel M . Altered hematopoiesis in murine sickle cell disease. Blood. 1999; 94(4):1451-9. View

2.
Ballas S, Marcolina M . Determinants of red cell survival and erythropoietic activity in patients with sickle cell anemia in the steady state. Hemoglobin. 2001; 24(4):277-86. DOI: 10.3109/03630260008993134. View

3.
RIMOLDI H, de Libonatti E . Scores and principal components: the relationship between components due to subjects and to variables. Span J Psychol. 2002; 3(1):68-75. DOI: 10.1017/s1138741600005564. View

4.
El-Hazmi M . Heterogeneity and variation of clinical and haematological expression of haemoglobin S in Saudi Arabs. Acta Haematol. 1992; 88(2-3):67-71. DOI: 10.1159/000204654. View

5.
Gill F, Sleeper L, Weiner S, Brown A, Bellevue R, Grover R . Clinical events in the first decade in a cohort of infants with sickle cell disease. Cooperative Study of Sickle Cell Disease. Blood. 1995; 86(2):776-83. View