2013
DOI: 10.7150/ijms.6436
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Metabolome Analysis of Erythrocytes from Patients with Chronic Hepatitis C Reveals the Etiology of Ribavirin-Induced Hemolysis

Abstract: Ribavirin is one of the major agents used in combination therapy with interferon for chronic hepatitis C, but is often associated with hemolytic anemia as a serious adverse event. Employing metabolome analysis, we demonstrated that the concentrations of intermediate metabolites produced by glycolysis and the pentose phosphate cycle in patients' erythrocytes were significantly decreased after administration of ribavirin. Our findings suggest that hemolysis associated with ribavirin is triggered by an energy cri… Show more

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Cited by 11 publications
(6 citation statements)
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“…Details of the remaining CE‐MS‐based metabolomics applications of the past two years can be found in Table .…”
Section: Applicationsmentioning
confidence: 99%
“…Details of the remaining CE‐MS‐based metabolomics applications of the past two years can be found in Table .…”
Section: Applicationsmentioning
confidence: 99%
“…6 , our results revealed upregulated PPP in recovery processes of HAPC. Increased PPP could reduce NADP to NADPH, which plays an important role in regulating glutathione (GSH) and further protects against reactive oxygen species (ROS), repairs oxidized proteins of essential participants in carrying oxygen in RBC, promotes re-balance between pro-oxidants and antioxidants ( 16 , 17 ). Further, we validated our findings by comparing HAPC and control group directly and detected decreasing pentose phosphate pathway in HAPC subjects, which implied that PPP may be involved in the progression of hypoxia-induced erythrocytosis.…”
Section: Discussionmentioning
confidence: 99%
“…Importantly, CE also gives complementary information to HILIC [13], as well as, significantly better peak shape in many cases. It is therefore not surprising that CE-MS has already been considered for multiple metabolomics studies covering several applications, from aging [19], amino acid analysis [20,21] [46][47][48][49][50][51][52][53], CVD [54][55][56][57][58], diabetes [59][60][61][62][63][64][65], lifestyle [61][62][63][64][65][66][67][68][69][70][71], kidney disease [72,73], liver disease [74][75][76][77][78][79][80][81][82], the microbiome [83][84]…”
Section: Current Advantages and Biotechnology Applicationsmentioning
confidence: 99%