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The Role of Wheat Grass Juice in Blood

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The Role of Wheat Grass Juice in Blood Transfusion

Requirement of Intermediate Thalassemia

ARNAB BHATTACHARJEE
BARRACKPORE RASTRAGURU
SURENDRANATH COLLEGE
M.Sc Vth year
Roll Number: 06G4MMS016
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Definition:
 Thalassemia is inherited disorders
characterized by reduced or absent
amounts of hemoglobin, the oxygen-
carrying protein inside the red blood cells

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Structure of Haemoglobin

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Three Basic Groups of
Thalassemia Disorder

 Alpha Thalassemia

 Beta Thalassemia

• HbE Thalassemia

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Beta Thalassemia
 It is caused by a change in the gene for
the beta -globin component of
hemoglobin.
 It can cause variable anemia that can
range from moderate to severe.

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There are 3 types of Beta
Thalassemia

 Thalassemia Minor

 Thalassemia Intermediate.

 Thalassemia Major or Cooley's Anemia

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GENETICS OF THALLASSEMIA
α chains ß chains

Chromosome 16 chromosome 11

Translation Rate

α α
ß
α α
ß α
α

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Demographics: Thalassemia
• Beta Thalassemia trait is seen
most commonly in people with
the following ancestry:
Mediterranean (including North
African, and particularly Italian
and Greek), Middle Eastern,
Indian, African, Chinese, and
Southeast Asian (including
Vietnamese, Laotian, Thai,
Singaporean, Filipino,
Cambodian, Malaysian,
Burmese, and Indonesian

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PREVALENCE

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OUR GLOBAL POSITION

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Symptoms of Beta Thalassemia
 It is characterized by severe anemia that
can begin months after birth.
 Paleness
 Delays in growth and development
 Bone marrow expansion.
 Untreated Beta Thalassemia major can
lead to child death due to heart failure.

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Treatment of Beta Thalassemia
 Regular blood transfusion helps prevent
severe anemia and allows for more normal
growth and development.
 There are various medications that target
the production of red blood cells (i.e.
erythropoeitin)

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Body iron Distribution and
Storage

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Why we need Iron…..
 Enzymes
 Oxygen Transport

- Haemoglobin (Red Blood cells)


- Myoglobin (Muscle cells)
About 70% of body’s Iron is in these
proteins.

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We cope well with Iron
shortage……
 Iron deficiency is the most common
deficiency state in the world
- Blood Loss
- Diet
 About 1000 mg of Iron in the body is
stored as ferritin
 Intestinal Iron deficiency Increases iron
absorption.
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…..but poorly with iron excess.
 Iron is excreted by shredding of Intestinal
cells
 There is no physiologic mechanism to
excrete excess iron.

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Blood transfusions overwhelms the
Iron balance

Normal daily iron Each unit of PRBC:


flux:

1-2 mg

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WHY TOO MUCH IRON IS A BAD
THING?

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HOW DO WE KNOW IF THERE IS
TOO MUCH IRON?
 Serum Ferittin concentration

 Liver Biopsy

 Magnetic Resonance Imaging (MRI)

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LESSONS FROM THALLASSEMIA

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SUMMARY
TOO MUCH IRON IS BAD

WHAT CAN WE DO ABOUT IT?

IRON CHELATION

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WHAT IS CHELATION
THERAPY?

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HOW TO CHELATE?
 CURRENTLY LICENCED
--- Deferoxamine ( Desferal )
---- Deferasirox (ICL 670,Exjade )

 ALTERNATIVE

-----Deferiprone

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SIDE EFFECTS
 Local reactions

 Opthalmologic

 Hearing loss

 Zinc deficiency

 Reports of Kidney Failure, worsening Blood


counts

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New Lease of life

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EVEN OUR ANCESTORS KNEW
ABOUT IT……
Wheatgrass and other cereal grasses
have been thoroughly researched and
reported as a therapeutically effective
substance since the 1930’s. Traditionally,
chlorophyll, or its synthetic derivative,
chlorophyllin, has been implicated as the
biologically active substance responsible
for reported healing effects

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The Pilot study
 Dr. R. K.Marwaha et al at the Advanced Pediatric Centre,
Postgraduate Institute of Medical Education and Research,
Chandigarh, India. Entitled “Wheat grass juice reduces transfusion
requirement in patients with thalassemia major: a pilot study.”, the
study was performed between February 2000 and May 2003.
Sixteen out of 38 (42%) blood transfusion dependent thalassemics
fulfilled the trial criteria for final analysis.

 To summarise the findings during period of wheatgrass juice


ingestion:
• all participants experienced lower blood transfusion requirements
• 50% had at least 25% reduction in transfusion requirements
• the mean interval between transfusions increased 29.5%
• overall, Hemoglobin levels were not compromised by reduced
transfusion volumes

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The Inferences drawn….
 Chlorophyll is enhancing the Hemoglobin
function.

 Induction of fetal Hemoglobin (Hb F)

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So what the experts say…
 No role of chlorophyll.
 There is no measurable amount of HbF
formed
 It is basically a food supplement that
contains Oxalic and Malic acids that trap
iron in RBCs and slow down their decay
 The extract was also found to reduce
absorption of iron in the intestine.
 Anti-oxidizing properties of the juice

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The 7 Day wonder …..
th

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Added Benefits??
 It doesn’t contains appreciable amount of
Iron.
 It contains; vitamins A, C, E, K, B1, B2, B6,
B12; Niacin, Pantothenic acid, Biotin, Folic
acid; Chlorophyll, Superoxide dismutase;
Calcium, Phosphorus, Potassium,
Magnesium,iron, Selenium, Zinc, Iodine,
Copper, Cobalt, Sulphur, and other trace
minerals; and twenty amino acids.

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How can I help the cause of
Thalassemia?

 Get yourself tested for Thalassemia Minor


 For care of Thalassaemia Major children :
 Donate blood regularly.
 Provide financial support for Thalassemia
patients.

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References:
 1. Kirkman, N.F. 1939. The effect of low-porphyrin diet on erythropoiesis
and hemoglobin regeneration. J Physiol 95:508-515
 2. Kelentei, B., Fekete, I., Kun, F. 1958. Influence of copper chlorophyllin on
experimental anemia. Acta Pharm Hung28:176-180
 3. Borisenko, A.N., Sofonova, A.D. 1965. Hemopoietic effect of Na
chlorophyllin. Vrach Delo 9:44-46
 4. Gruskin, B. Chlorophyll – its therapeutic place in acute and suppurative
disease. 1940. American Journal of Surgery.
 5. Collings, G. 1945. Chlorophyll and adrenal cortical extract in the local
treatment of burns. American Journal of Surgery70:58- 63.
 6. Egner, P.A., Munoz, A., Kensler, T.W. 2003. Chemoprevention with
chlorophyllin in individuals exposed to dietaryaflatoxin. Mutat Res. 2003
Feb-Mar;523-524:209-16.
 7. Ben-Ayre, E., Goldin, E., Wengrower, D., Stamper, A., Kohn, R., Berry ,
E. 2002. Wheat grass juice in the treatment of active distal ulcerative colitis:
a randomized double-blind placebo-controlled trial. Scand J Gastroenterol
2002;37:444-449

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