Abstract
Background: Smoking is one of the most important public health problem, increasing the morbidity and mortality in the society. With prolonged exposure of RBCs to smoking, the deformability of RBCs is decreased, and its aggregation increases, and makes whole blood more viscous and causes microvascular complications. This decreased deformability is reflected as anisocytosis in peripheral smear. This study is aimed at comparing anisocytosis between Active and Passive smoking and educating the smoking population about the deleterious effects of active as well as passive smoking.
Materials and Methods: This study was done in 150 subjects in the age group 25 to 50 years (50 control , 50 male subjects with active smoking habit and 50 female subjects ,who were exposed to passive smoking. Peripheral smears were prepared and stained with leishman’s stain. Smears were focused under oil immersion objective, and the images were captured using a digital camera. Images were transferred to the computer system and RBC diameter was measured using UTHSCA image tool software. Variation in size of the RBCs between control and active and passive smoking subjects were compared using Pearson’s product moment correlation coefficient and Paired sample t test.
Results: Increase in the variation in the size of RBCs (anisocytosis) is observed in both active and passive smokers using Pearsons product moment correlation coefficient ,significant r value of 0.85 and0.8 are got in active and passive smoking. Using Paired sample t test, significant p value of ˂ 0.01 is got in active and passive smokers.
Conclusions: Our study concluded that variation in the RBC size, is almost equal in active and passive smokers. This clearly shows the harmful effects of smoking is equal in family members of active smokers.
Keywords: Smoking, Red Blood Cell membrane deformability, Peripheral smear, Image tool, Anisocytosis
References
- M. Metev and V. P. Veiko, Laser Assisted Microtechnology, 2nd ed., R. M. Osgood, Jr., Ed. Berlin, Germany: name of the journal, 1998.
- Breckling, Ed., The Analysis of Directional Time Series: Applications to Wind Speed and Direction, ser. Name of the journal , year, Vol..No.
- Zhang, C. Zhu, J. K. O. Sin, and P. K. T. Mok, “A novel ultrathin elevated channel low-temperature poly-Si TFT,” journal name., vol. 20, pp. 569–571, Nov. 1999.
- Prasanna N Kumar, Peripheralblood examination, Laboratory Haematology: 2005;11: 83-90.
- Satish Kumar NS, Aswini Dutt R, Maruthy KN , Dinakar Nadig ,Neevan D R Dsouza A Simple imaging method for demonstrating red cell sizes to life sciences students. National Journal of Basic Medical Sciences. 2011; Volume - I, Issue – 3 :133-36.
- Hampole CV, Mehrotra AK, Thenappan T,Gomberg-Maitland M,Shah SJ. Usefulness of red cell distribution width as a prognostic marker in pulmonary hypertension. Am J Cardiol 2009;104:868-72. [CrossRef]
- Zorlu A, Bektasoglu G, Guven FM, Dogan OT, Gucuk E, Ege MR, et al. Usefulness of admission red cell distribution width as a predictor of early mortality in patients with acute pulmonary embolism. Am J Cardiol 2012;109:128-34. [CrossRef]
- Braun E, Domany E, Kenig Y, Mazor Y, Makhoul BF, Azzam ZS. Elevated red cell distribution width predicts poor outcome in young patients with community acquired pneumonia. Crit Care 2011;15:R194.
- Kurtoğlu E, Aktürk E, Korkmaz H, Sincer I, Yılmaz M, Erdem K, Celik A,Ozdemir Elevated red blood cell distribution width in healthy smokers. Türk Kardiyol DernArş-Arch TurkSocCardiol2013;41(3):199-206. PMID:23703554.
- Carnevali S, Petruzzelli S, Longoni B, Vanacore R, Barale R, Cipollini M, et al. Cigarette smoke extract induces oxidative stress and apoptosis in human lung fibroblasts. Am J Physiol Lung Cell Mol Physiol 2003; 284:L955-63.
- Rizvi SI, Zaid MA, Anis R Mishra.N, Protective role of tea catechins against, oxidation induced damage of Type2 diabetic erythrocytes lin. Experiment. Pharmacoi Physiol.32(2005) 70.
- Schwartz RS, Madsen JW, Rybicki aC,& Nagel R L- oxidation of spectrin and deformability defects in diabetic erythrocytes, Diabetes 40(1991) 701.
- Minetti M, Agati L, Malorni W. The microenvironment can shift erythrocytes from a friendly to harmful behavior pathogenetic implications for vascular diseases. Cardiovasc Res 2007;75:21-8.
- Mladenovic J, Adamson Adrenergic modulation of erythpoiesis: in vitro studies of colony-forming cells in normal and polycythaemic man. Br J Haematol 1984;56:323-32
- Ertuğrul Kurtoğlu, M.D., Erdal Aktürk, M.D., Hasan Korkmaz, M.D., İsa Sincer, M.D.,Mücahid Yılmaz, M.D., Kenan Erdem, M.D., Ahmet Çelik, M.D., Ramazan Özdemir, M.D. Elevated red blood cell distribution width in healthy smokers. Turk Soc Cardiol 2013;41(3):199-206.
Corresponding Author
Rangarajan.R
Professor, Department of Biochemistry, Government Mohan Kumara Mangalam Medical College, Salem, Tamil Nadu, India
Phone (or Mobile) No: 9842183535, Email: This email address is being protected from spambots. You need JavaScript enabled to view it.