Fujii · Free radical research 2021 · narrative review · n=?

Erythrocytes as a preferential target of oxidative stress in blood.

Cited 74 times in the scientific literature.

Level 5 - mechanism / opinion, no new human data

Narrative review of mechanisms and animal studies without direct human trial data.

PubMed 33427524 · doi:10.1080/10715762.2021.1873318 · record verified 2026-08-28

What was done

This narrative review summarizes mechanisms of oxidative stress and redox homeostasis in red blood cells (RBCs), synthesizing biochemical principles and findings from genetically modified mouse models regarding antioxidant enzymes and protein degradation systems in anemic disorders.

What was found

The abstract reports no quantitative data or numerical effect estimates. Mechanistically and qualitatively, absence of key antioxidant enzymes (specifically superoxide dismutase 1 and peroxiredoxin 2) in transgenic mice impairs erythropoiesis, reduces RBC lifespan, and causes anemia. Additionally, dysfunction of the ubiquitin-proteasome system impairs removal of damaged proteins and is associated with hemolytic processes, such as in sickle cell disease.

Why it matters

It highlights the unique vulnerability of mature enucleated erythrocytes to oxidative damage and frames antioxidant defense and proteasomal degradation as key mediators in the pathology of hemolytic anemias.

Limits

This is a narrative review summarizing mechanistic concepts and animal models with no original human clinical data. The abstract provides no systematic search strategy, study counts, or quantitative metrics.

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