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Arch Dis Child Fetal Neonatal Ed 1998;79:F218-F220 doi:10.1136/fn.79.3.F218
  • Original article

Effect of vitamin K1 on glucose-6-phosphate dehydrogenase deficient neonatal erythrocytes in vitro

  1. Michael Kaplana,b,
  2. Dan Waismand,
  3. Dalia Mazorc,
  4. Cathy Hammermana,b,
  5. David Baderd,
  6. Ayala Abrahamova,
  7. Naomi Meyersteinc
  1. aDepartments of Pediatrics and Neonatology, Shaare Zedek Medical Centre, Box 3235 Jerusalem 91031 Israel, bFaculty of Medicine of the Hebrew University, Jerusalem, cDr J Kaufmann Haematology Laboratory, Corob Research Centre, Faculty of Health Sciences, Ben Gurion University of the Negev, Beer Sheba, dNeonatal Department, Bnai Zion Medical Centre, Rappaport School of Medicine-Technion
  1. Dr Michael Kaplan, Department of Neonatology, Shaare Zedek Medical Centre, Box 3235, Jerusalem 91031, Israel.Email: kaplan{at}cc.huji.ac.il
  • Accepted 9 March 1997

Abstract

AIM To determine whether vitamin K1, which is routinely administered to neonates, could act as an exogenous oxidising agent and be partly responsible for haemolysis in glucose-6-phosphat-dehydrogenase (G-6-PD).

METHODS G-6-PD deficient (n=7) and control (n=10) umbilical cord blood red blood cells were incubated in vitro with a vitamin K1 preparation (Konakion). Two concentrations of Vitamin K1 were used, both higher than that of expected serum concentrations, following routine injection of 1 mg vitamin K1. Concentrations of reduced glutathione (GSH) and methaemoglobin, indicators of oxidative red blood cell damage, were determined before and after incubation, and the mean percentage change from baseline calculated.

RESULTS Values (mean (SD)) for GSH, at baseline, and after incubation with vitamin K1 at concentrations of 44 and 444 μM, respectively, and percentage change from baseline (mean (SD)) were 1.97 + 0.31 μmol/g haemoglobin, 1.89 ± 0.44 μmol/g (-4.3 ± 13.1%), and 1.69 ± 0.41 μmol/g (-14.5 ±9.3%) for the G-6-PD deficient red blood cells, and 2.27 ± 0.31 μmol/g haemoglobin, 2.09 ± 0.56 μmol/g (−7.2 ± 23.2%), and 2.12 ± 0.38 μmol/g (−6.0 + 14.1%) for the control cells. For methaemoglobin (percentage of total haemoglobin), the corresponding values were 2.01± 0.53%, 1.93 ± 0.37% (−0.6 ± 17.4%) and 2.06 ± 0.43% (5.7 ± 14.2%) for the G-6-PD deficient red blood cells, and 1.56 ± 0.74%, 1.70 ± 0.78% (12.7 ± 21.9%), and 1.78 ± 0.71% (20.6 ± 26.8%) for the control red blood cells. None of the corresponding percentage changes from baseline was significantly different when G-6-PD deficient and control red blood cells were compared.

CONCLUSIONS These findings suggest that G-6-PD deficient red blood cells are not at increased risk of oxidative damage from vitamin K1.

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