In which condition hemolysis occurs on oxidation?
High-Yield Explanation
ANSWER: (A) G6PD deficiencyREF: Harrison's 17 editions, chapter 101G6PD DeficiencyGlucose 6-phosphate dehydrogenase (G6PD) is a housekeeping enzyme critical in the redox metabolism of all aerobic cells. In red cells, its role is even more critical because it is the only source of reduced nicotinamide adenine dinucleotide phosphate (NADPH), which, directly and via reduced glutathione (GSH), defends these cells against oxidative stress. G6PD deficiency is a prime example of a hemolytic anemia due to interaction between an intra-corpuscular and an extra-corpuscular cause, because in the majority of cases hemolysis is triggered by an exogenous agent. Although in G6PD-deficient subjects there is a decrease in G6PD activity in most tissues, this is less marked than in red cells, and it does not seem to produce symptoms.