Cord blood red-cell enzymes and reduced glutathione in Indian neonates, normal and with pathologic jaundice

J Trop Med Hyg. 1990 Aug;93(4):290-4.

Abstract

Red-cell enzymes and reduced glutathione (GSH) were assayed on cord blood in 307 Indian neonates. On follow-up, 20 of them developed pathologic jaundice. Of these, six had red-cell enzyme/GSH deficiency, seven had associated non-enzymatic causes of jaundice, and in the remaining seven the cause could not be diagnosed. In 41 other neonates, there was enzyme/GSH deficiency without pathologic jaundice. The degree of enzyme deficiency had no relation with jaundice. Red-cell enzyme/GSH deficiency state in neonates was associated with pathologic jaundice more frequently (six of 47; 12.8%) than in the absence of such deficiency (14 of 260; 5.4%). None of the jaundiced patients had very high levels of bilirubin nor needed exchange blood transfusion. There was no reduction in haemoglobin level in the enzyme/GSH deficient group with jaundice in comparison with non-deficient jaundiced neonates or normal subjects. The incidence of red-cell enzyme/GSH deficiency appears to be high in Indian neonates; however, the majority of them do not precipitate pathologic jaundice.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Analysis of Variance
  • Bilirubin / blood
  • Erythrocytes / enzymology*
  • Fetal Blood / analysis
  • Fetal Blood / enzymology*
  • Follow-Up Studies
  • Glucosephosphate Dehydrogenase / analysis
  • Glucosephosphate Dehydrogenase Deficiency / complications
  • Glutathione / analysis*
  • Glutathione / deficiency
  • Glutathione Peroxidase / analysis
  • Glutathione Peroxidase / deficiency
  • Glutathione Reductase / analysis
  • Glutathione Reductase / deficiency
  • Hemoglobins / analysis
  • Humans
  • Infant, Newborn
  • Jaundice, Neonatal / blood*
  • Oxidation-Reduction
  • Phosphogluconate Dehydrogenase / analysis
  • Phosphogluconate Dehydrogenase / deficiency

Substances

  • Hemoglobins
  • Phosphogluconate Dehydrogenase
  • Glucosephosphate Dehydrogenase
  • Glutathione Peroxidase
  • Glutathione Reductase
  • Glutathione
  • Bilirubin