• 제목/요약/키워드: Hemoglobin concentration

검색결과 497건 처리시간 0.034초

빈혈에 대한 보중익기탕 및 그 가미방의 효과: 체계적 문헌고찰과 메타분석 (Effects of Bojungikgi-tang and its modifications for Anemia: A Systematic Review and Meta-Analysis of Randomized Controlled Trials)

  • 김미경;한창호
    • 대한한의학회지
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    • 제44권2호
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    • pp.181-200
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    • 2023
  • Objectives: This study aimed to evaluate the efficacy and safety of Bojungikgi-tang (BJIG) and its modifications for patients with anemia. Methods: The subject of analysis of this study was a parallel design randomized controlled trial in which BJIG or its modifications was administered orally to patients who met the World Health Organization's anemia criteria and the efficacy and safety were prospectively measured. Electronic databases were searched to retrieve eligible literature published from 1 January 2000 to 12 February 2023. A meta-analysis was conducted, and the risk of bias (RoB) and level of evidence of the included studies was assessed using the Cochrane RoB 2 tool and GRADE method, respectively. Results: Five studies were included in the meta-analysis. When BJIG or its modifications was administered to anemia patients receiving conventional treatment, additional benefits compared to the non-administered group were found in terms of an increase in red blood cell count (mean difference (MD) 0.46 × 1012/L, 95% confidence interval (CI) 0.17 to 0.74), hemoglobin concentration (MD 9.28 g/L, 95% CI 6.06 to 12.51), hematocrit (MD 2.57%, 95% CI 1.76 to 3.38), total effective rate (odds ratio 5.29, 95% CI 2.05 to 13.68), and traditional Chinese medicine symptom scores (standardized MD -1.51, 95% CI -2.79 to -0.24). Conclusions: This study demonstrated the clinical potential of BJIG and its modifications to provide additional benefits to patients with anemia receiving conventional treatment.

Chloride and lactate as prognostic indicators of calf diarrhea from eighty-nine cases

  • Gencay Ekinci;Emre Tufekci;Youssouf Cisse;Ilknur Karaca Bekdik;Ali Cesur Onmaz;Oznur Aslan;Vehbi Gunes;Mehmet Citil;Ihsan Keles
    • Journal of Veterinary Science
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    • 제25권3호
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    • pp.38.1-38.16
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    • 2024
  • Importance: Deaths due to neonatal calf diarrhea are still one of the most critical problems of cattle breeding worldwide. Determining the parameters that can predict diarrhea-related deaths in calves is especially important in terms of prognosis and treatment strategies for the disease. Objective: The primary purpose of this study was to determine mortality rates and durations, survival status, and predictive prognosis parameters based on vital signs, hematology, and blood gas analyses in neonatal diarrheic calves. Methods: The hospital automation system retrospectively obtained data from 89 neonatal diarrheic calves. Results: It was found that 42.7% (38/89) of the calves brought with the complaint of diarrhea died during hospitalization or after discharge. Short-term and long-term fatalities were a median of 9.25 hours and a median of 51.50 hours, respectively. When the data obtained from this study is evaluated, body temperature (℃), pH, base excess (mmol/L), and sodium bicarbonate (mmol/L) parameters were found to be lower, and hemoglobin (g/dL), hematocrit (%), lactate (mmol/L), chloride (mmol/L), sodium (mmol/L) and anion gap (mmol/L) parameters were found to be higher in dead calves compared to survivors. Accordingly, hypothermia, metabolic acidosis, and dehydration findings were seen as clinical conditions that should be considered. Logistic regression analysis showed that lactate (odds ratio, 1.429) and CI- (odds ratio, 1.232) concentration were significant risk factors associated with death in calves with diarrhea. Conclusions and Relevance: According to the findings obtained from this study, the determination of lactate and Cl- levels can be used as an adjunctive supplementary test in distinguishing calves with diarrhea with a good prognosis.

Successful Treatment of Scabies-Induced Life Threatening Anemia in a Wild Raccoon Dog (Nyctereutes procyonoides)

  • Myeongsu Kim;Phyo Wai Win;Yoon-Hee Kim;Jae-IK Han
    • 한국임상수의학회지
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    • 제41권3호
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    • pp.195-199
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    • 2024
  • A free-range wild raccoon dog (Nyctereutes procyonoides) was rescued with cachexia. Physical examination revealed generalized hyperkeratosis and alopecia typical of scabies as well as hypothermia (35.6℃). The patient was obtunded and severely dehydrated (10%). Hematological parameters included a low packed cell volume (PCV; 15%) and hemoglobin concentration, leukocytosis, and hypoglycemia. A blood smear revealed different subtypes of hypochromic leptocytes, indicating a regenerative response against severe anemia. This case was initially tentatively diagnosed as a severe anemia due to chronic external bleeding presumed to be caused by scabies-induced skin injuries. Darbepoetin alpha (DPO), iron dextran, and fluralaner were administered at the initial presentation, and supportive care including oxygen supplementation, warming, and nutritional support was provided. However, on day 5, the PCV dropped to 5.9% presumably caused by rapid rehydration due to drinking water ad libitum. DPO was boosted on days 5 and 6 along with daily iron dextran. On day 21, the PCV had recovered to 19.8%, and a blood smear evaluation showed a strong regenerative response. This case shows that even if severe anemia occurs in a raccoon dog, it can be managed with an appropriate response. In particular, since the rehydration rate due to food intake is faster than the hematopoietic response rate of raccoon dogs, the PCV may decrease rapidly in the early stage of treatment; therefore, diagnostic examination and additional medical management for hematopoiesis are necessary.

생식의 섭취가 납중독 흰쥐의 피해 경감에 미치는 영향에 관한 연구 (Protective Effect of Saengshik Supplementation on Lead Induced Toxicity in Rats)

  • 오영주;김재민;송시환;하효철;김현수
    • 한국식품영양과학회지
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    • 제34권7호
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    • pp.959-967
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    • 2005
  • 생식 제품이 납중독 흰쥐의 피해경감에 미치는 영향을 규명하기 위하여 12mg의 납을 매일 1회 쥐에게 경구 투여하면서 생식제품이 $12.5\%,\;25\%,\;50\%$ 함유된 식이로 6주간 사육 후 체중 증가율 및 사료 효율, 혈액학적 검사, 간 조직의 과산화지질함량, SOD활성, GSH 함량과 간 및 신장 조직내 납 함량을 측정하였다. 체중 증가율과 사료 효율은 납 투여시 대조군과 비교하여 유의적으로 감소되는 것으로 나타났고(p<0.05), 생식의 급여는 체중과 식이효율을 다소 증가시키는 경향을 보였으며, 특히 $12.5\%$ 생식 섭취군에서는 식이 효율이 납 단독 투여군과 비교하여 유의적으로 증가되는 것으로 나타났다(p<0.05). 납에 의한 혈액학적 독성 증상으로 납 단독 투여군에서는 RBC를 제외한 HGB, HCT, MCV, MCH, RDW에서 유의적인 손상이 나타났으며(p<0.05), HCT의 경우 $50\%$ 생식 섭취군에서 유의적으로 증가되는 것으로 나타났고(p<0.05), MCV, MCH, RDW의 경우 $25\%$$50\%$ 생식 급여 시 납에 의한 손상이 완화되는 것으로 나타났다(p<0.05). 그러나 HGB의 경우 생식 농도에 따른 수치 증가는 관찰되었지만 유의 차는 나타나지 않았다. 또한 납 투여로 간조직 의 과산화지 질 생성이 다소 증가되는 것이 관찰되었으며, $12.5\%$$50\%$ 생식 섭취군에서 과산화지질 생성이 유의적으로 감소되는 것으로 타나났다(p<0.05). 그러나 납 투여에 따른 SOD활성 변화는 관찰되지 않았으나 생식은 SOD활성을 다소 증가시키는 경향을 보였다 뿐만 아니라 납 단독 투여는 항산화 및 해독 작용 관련 물질인 GSH 수준을 유의적(p<0.05)으로 증가시켜주는 것에 반해 생식의 섭취는 증가된 GSH의 함량을 농도 의존적으로 낮추는 것으로 나타났다(P<0.05). 또한 생식은 간과 신장 조직에서의 납 축적을 억제시켜 간 조직의 경우 $25\%$$50\%$ 생식군에서 유의적인 감소 효과가 있었고, 신장 조직에서는 $25\%$ 생식군에서 유의적인 감소 효과가 있었다(p<0.05). 이상의 연구 결과에 의하면 생식의 섭취는 납중독으로 발생되는 혈액학적 및 산화적 손상을 완화시켜 주고, 조직에서의 납축적을 억제시켜 주는 것으로 나타나 생식은 납중독에 의한 피해를 경감시켜줄 수 있는 해독 기능을 갖는 것으로 사료된다. 그러나 본 연구는 생식의 유효성을 평가하기 위한 기초 자료 일환으로 동물실험 수준에서 평가된 연구로서 인체에 적용하기는 아직 무리가 있으며, 향후 용량 설정에 대한 연구 및 임상단계에서 효능을 평가하기 위한 다각적인 연구가 더 필요할 것으로 여겨지고, 이와 함께 후속 연구를 통한 생식의 납 해독 기전이 규명되어야 할 것이다.

마키베리 추출물이 정상 설치류의 혈중지질과 간기능에 미치는 영향 (Effects of Maqui Berry Extract on Blood Lipids and Liver Function in Normal Rodents)

  • 황미선;이주희;김인주;김태희;김강민
    • 생명과학회지
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    • 제30권9호
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    • pp.791-797
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    • 2020
  • 마키베리는 슈퍼푸드 중 하나로 현대인의 건강 증진에 도움이 되는 것으로 알려져있다. 본 연구에서는 마키베리 추출물이 성장기 정상 설치류에 미치는 영향을 탐색하기 위하여 2주간의 음용 후 혈액 구성 세포, 혈중 지질 등 생체변화를 측정하였다. 또한, 천연식물 소재의 위해성 여부 확인을 위해 혈액에서 확인 가능한 간과 신장 기능에 대한 생체 지표 변화도 측정하였다. 10주령 웅성 SD rat에 마키베리 추출물을 음용시킨 결과 혈중 지질 수준 변화에 있어서는 마키베리 음용군이 대조군에 비해 약 30%의 중성지질 수준 감소와 함께 약 18%의 고밀도지단백-콜레스테롤 수준 증가를 보임으로써 혈중지질 수준의 개선 효과를 가지고 있는 것으로 확인하였으며 적혈구 수준이 대조군 대비 약 10% 증가하였고 통계적 유의성은 없으나 헤모글로빈 또한 증가하는 경향을 보였고 적혈구 용적 비율 또한 약 12% 증가된 것으로 나타났다. 또한 마키베리 음용으로 인해 혈청 단백질이 대조군에 비해 약 30% 증가되는 것으로 확인되었고 마키베리 음용 후의 간손상에 대한 생체지표를 확인한 결과 GOT와 GPT 모두 대조군에 비해 약 12%의 감소가 확인되어 간기능 개선 효과에 대한 가능성을 보여주었다. 따라서 마키베리 음용은 혈액세포의 생성촉진과 함께 혈중지질개선, 간기능 개선 등 다양한 효과를 가지고 있는 것으로 보여지며 향후 기능성 식의약품 소재 또는 제품개발을 통한 고부가가치 창출 등 산업적으로의 활용 가치가 매우 높을 것이라 사료된다.

넙치 (Paralichthys olivaceus)에서의 과산화수소;($H_{2}O_{2}$) 처리 농도가 생리.생화학적 반응에 미치는 영향 (Effects of the different hydrogen peroxide ($H_{2}O_{2}$) treatment level on physiological and biochemical responses of olive flounder (Paralichthys olivaceus))

  • 최미경;여인규
    • 한국어병학회지
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    • 제20권3호
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    • pp.269-279
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    • 2007
  • 본 연구에서는 넙치(Paralichthys olivaceus)를 이용하여 과산화수소(H2O2)처리농도에 따른 체내에서의 혈액생리학적 변화, 항산화효소 및 열충격단백질(HSP)등의 변화를 조사하여 화학적 스트레스에 대한 기초자료를 제공하고자 본 실험을 수행하였다. H2O2의 실험구는 각각 0(대조구), 100, 300 및 500 ppm으로 설정하였으며, 1시간 약욕처리 후 순환시켜 1, 3 및 5시간 후에 혈액성상을 분석하였다. 그 결과, H2O2 처리에 의한 혈액성상에서의 헤마토크리트 수치인 경우에는 농도 및 시간에 의존하여 유의하게 감소되는 경향을 나타내었다. 헤모글로빈의 농도에 있어서도 대조구에 비하여 낮은 수치를 나타내었다. 또한, 적혈구 수에서도 대조구와 비교하여 3시간까지 유의하게 낮은 수치를 나타내었으나, 5시간 경과 후에는 이전 대조구 수준으로 회복되는 경향을 나타내었다. 단백질 농도는 500 ppm 처리구에서 0시간 및 1시간째 대조구와 비교하여 유의하게 낮은 수치를 나타내었으나, 3시간 경과 이후 회복되는 경향을 나타내었다. SOD 및 CAT 효소활성은 유의하게 증가되는 결과를 나타내었다. 또한, HSP70 단백질량이 대조구에 비해 전 실험구에서 유의하게 증가되었으며, HSP70 mRNA량은 500 ppm 처리구에서 유의하게 높게 발현되는 경향을 나타내었다.

노년기 여성들의 혈장 타우린의 농도와 혈장 호모시스테인 및 혈청 지질농도와의 상관관계 (Correlations of Plasma Taurine, Homocysteine and Serum Lipid Levels of Elderly Women)

  • 안창순;이연주
    • 한국식품영양학회지
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    • 제23권4호
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    • pp.501-510
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    • 2010
  • This study was conducted to assess blood components caused by metabolic syndrome increasing in postmenopausal elderly women. The blood samples of these subjects were analyzed to investigate the correlation of plasma taurine levels and plasma homocysteine levels, and serum lipid profiles. The subjects were 33 elderly women($72.8{\pm}4.4$ years). Their mean height, weight and BMI were $150.5{\pm}5.7\;cm$, $57.5{\pm}6.3\;kg$ and $25.4{\pm}2.5\;kg/m^2$. 16 women of this study subjects have been chronic diseases such as hypertension or diabetes. Their fasting blood glucose was $98.2{\pm}24.0\;mg/d{\ell}$, and their plasma total cholesterol (TC), HDL-C, LDL-C, triglyceride(TG) were $216.5{\pm}29.9$, $52.1{\pm}10.7$, $145.7{\pm}27.9$ and $141.2{\pm}59.6\;mg/d{\ell}$, respectively. Their blood lipid profiles were higher than the standard levels of metabolic syndrome, thus these levels of lipid profiles may play a role as risk factors on the elderly person. Plasma taurine level of the subjects was $278.5{\pm}48.1\;{\mu}mol/{\ell}$, and their plasma homocysteine level was $12.8{\pm}2.9\;{\mu}mol/{\ell}$. The concentration of plasma vitamin $B_{12}$ was significantly decreased by aging(p<0.05). The correlation of plasma homocysteine and plasma folate showed significantly negative(p<0.05). Thus, the decreased levels of plasma vitamin $B_{12}$ and folate by aging might affect on the plasma homocyteine concentration acting as a risk factor of cardiovascular diseases for elderly person. The correlation of plasma taurine and hemoglobin, and their platelet showed significantly positive(p<0.05). In conclusion, the diet on the elderly person is one of the important factors to prevent their health from chronic diseases. This study recommends that well balanced diets are needed for elderly person to keep their health and prevent from metabolic syndrome.

토끼 위체에서 비-아드레날린 비-콜린성 이완반응의 하행성 감소 (Downward Decrease of Non-adrenergic Non-cholinergic Relaxation in the Rabbit Gastric Body)

  • 홍은주;최지은;박미선;김명우;최수경;홍승철
    • 약학회지
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    • 제41권3호
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    • pp.389-398
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    • 1997
  • Non-adenergic non-cholinergic (NANC) innervation on the circular muscle of the rabbit gastric body was investigated by observing the magnitudy of relaxations induced by the elec trical field stimulation (EFS). Strips were cut from the greater curvature of the gastric body and stimulated with 5s trains of 0.5 ms pulses at 1-20 Hz, 40 V. The EFS induced transient frequency-dependent contractons, followed by a slowly recovering relaxation ewpecially at higher frequency of the EFS. In the presence of atropine and guanethidine, the contractions were virtually abolished, while the frequency-dependent relaxations by the EFS remained unaffected. The magnitude of relaxations progressively decreased as the location of the strips gets closer to the bottom of the gastric body. The relaxations were ablished by tetrodotoxin, indicating that their orgin is the NANC nerve stimulation. NG-nitro-L-arginine (L-NNA, 10-$100{\mu}M$), the inhibitor of nitric oxide (NO)-synthase, caused a concentration-dependent inhibition of the NANC relaxations. The inhibitory effects of L-NNA were not affected gy the location of the strips and were reversed by L-arginine, the precursor of NO-biosynthesis. Hemoglobin (20-$60{\mu}M$), a NO scavenger, inhibited the NANC relaxation s in a concentration-dependent manner. This inhibition was more prominent in the NANC relaxations observed in the lower portion of the gastric body and the relaxations induced ly lower frequencies of the EFS. Methyelne blue (10-$100{\mu}M$), an inhibitor of cytosolic guanylate cyclase, markedly inhibited the NANC relaxations, almost abolishing the response at a higher dose ($100{\mu}M$). These results suggest that NANX innervation of the rabbit gastric body progeressively decrease as he location of the strips gets closer to the bottom of the gastric body, and that the NANC relaxation is primarily mediated by NO-guanosine 3',5'-cyclic monophophate (cyclic GMP).

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구충성빈혈(鉤蟲性貧血)에 관(關)한 연구(硏究) (The Study on the Ferrokinetics and Acquired Immunity in Repeated Hookworm Infections)

  • 이문호;이필웅
    • 대한핵의학회지
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    • 제1권2호
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    • pp.61-74
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    • 1967
  • In order to confirm whether acquired immunity or resistance can be developed by the repeated hookworm infections, the 150 mature actively moving filariform ancylostoma duodenale larvae obtained from the severe hookworm anemia patients were orally given to 8 healthy volunteers in three divided doses, 50 in each, at 5 day interval. Also the hematological changes as well as several ferrokinetics using $^{59}Fe$ were done and were compared with 10 controls. The clinical symptoms and signs were checked every day for the first 3 weeks and then twice weekly until the end of the experiment. The appearance of the ova in the stool was examined by the formalin ether method and the ova was counted by the Stoll's method. The following laboratory tests were done: 1) Red blood cell count, venous blood hematocrit(micromethod), hemoglobin count (cyanomethemoglobin method) were checked every 5 to 7 day interval. 2) Plasma iron concentration (Barkan's modified method) was determined every 2 to 3 week interval. 3) Radioisotope studies: a) Ferrokinetics: Huff et al and Bothwell's method were applied. Erythropoietic Index (% of normal)=$\frac{Subject's\;turnover/100ml\;whole\;blood{\times}100}{Average\;normal\;turnover/100ml\;whole\;blood}$ of the gastrointestinal absorption of iron: Radioiron($^{59}Fe$) balance b) Quantitative measurement method was applied. c) Determination of the plasma erythropoietin activity: Fried's method was applied. Following were the results: 1) The serum iron level was lower. The red cell volume was decreased, but with relative increase of plasma volume. 2) The plasma iron disappearance time was accelerated and the plasma iron turnover rate was decreased. The red cell iron turnover rate was markedly increased, while all of the red cell iron concentration, circulating red cell iron. plasma iron pool were decreased. The daily iron pool turnover and red cell renewal rate were increased. 3) The erythropoietic index, erythropoietin activity and intestinal absorption of iron($^{59}Fe$) were markedly increased. 4) The infectivity was $9.8{\pm}1.31%$ which was lower than that observed in the single infection. 5) From these observations, it is concluded that the hookworm anemia is essentially iron deficieny in its origin and some immunity acquisition is possible with repeated infections.

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Effect of Feeding Transgenic Cottonseed vis-à-vis Non-transgenic Cottonseed on Haematobiochemical Constituents in Lactating Murrah Buffaloes

  • Singh, Maha;Tiwari, D.P.;Kumar, Anil;Kumar, M. Ravi
    • Asian-Australasian Journal of Animal Sciences
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    • 제16권12호
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    • pp.1732-1737
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    • 2003
  • An experiment was conducted to investigate the effect of feeding transgenic cottonseed (Bt.) vis-a-vis non-transgenic (non-Bt.) cottonseed on blood biochemical constituents in lactating Murrah buffaloes. Twenty Murrah buffaloes in mid-lactation were divided into 2 groups of 10 each. Animals of group I were fed with 39.5% non-transgenic cottonseed in concentrate mixture while the same percentage of transgenic (Bt.) cottonseed was included in the concentrate mixture fed to the animals of group II. Animals of both groups were fed with concentrate mixture to support their milk production requirements. Each buffalo was also offered 20 kg mixed green fodder (oats and berseem) and wheat straw ad libitum. The experimental feeding trial lasted for 35 days. There was no significant difference in the dry matter intake between the two groups of buffaloes. All the buffaloes gained body weight, however, the differences were non significant. Total erythrocyte count, hemoglobin content and packed cell volume were $9.27{\pm}0.70${\times}10^6/{\mu}l$, $13.01{\pm}0.60gdl$ and $34.87{\pm}1.47%$, respectively in group I with the corresponding figures of $8.88{\pm}0.33$, $12.99{\pm}0.52$ and $31.08{\pm}1.52$ in group II. The values of total erythrocyte count, haemoglobin content and packed cell volume did not differ significantly between the two groups of buffaloes. The concentration of plasma glucose, serum total proteins, albumin, globulin, triglycerides and high density lipoprotein were non significantly higher in buffaloes fed non-transgenic cottonseed than in buffaloes fed transgenic cottonseed. The cholesterol concentration was significantly (p<0.01) higher in buffaloes of group I ($136.84{\pm}8.40mg/dl$) than in buffaloes of group II ($105.20{\pm}1.85mg/dl$). The serum alkaline phosphotase, glutamic-oxaloacetate transaminase and glutamic-pyruate transaminase activities did not differ significantly between two groups of buffaloes. However, serum glutamic-pyruate transaminase activity was considerably high in buffaloes fed nontransgenic cottonseed as compared to buffaloes fed transgenic cottonseed. Bt. proteins in serum samples of animals of group II were not detected after 35 days of feeding trial. It was concluded that transgenic cottonseed and non-transgenic cottonseed have similar nutritional value without any adverse effects on health status of buffaloes as assessed from haematobiochemical constituents.