The hematological profiles of the dromedary camels were comprehensively analyzed, focusing on the influence of age and sex and inter-parameter relationships. A total of 35 individual camel samples were included in the analysis (Table 1).
Descriptive statistics and data distributions
The distribution patterns for all 19 hematological parameters, stratified by sex and age group, are presented as density plots in (Fig 1). Visual inspection of these distributions provides initial insights into population variability and potential sub-group differences. Notably, erythrocyte indices such as Mean Corpuscular Volume (MCV) and Mean Corpuscular Hemoglobin Concentration (MCHC) exhibit distinct patterns. MCV distributions, particularly in younger animals, show a sharp, narrow peak at lower values, indicative of microcytosis, which is a physiological characteristic in dromedaries. Conversely, MCHC distributions consistently peak at higher values, suggesting a compensatory mechanism or adaptation for oxygen transport. Leukocyte counts, specifically White Blood Cell (WBC) and Platelet (PLT) counts, display broader distributions, reflecting greater individual variation. Some parameters, like MCV in females, suggest potential bimodal distributions within certain subgroups, warranting further investigation into underlying physiological states.
Inter-parameter correlations
A Spearman correlation matrix was constructed to elucidate the relationships among the hematological parameters (Fig 2). The matrix reveals a complex network of interdependencies. As expected, strong positive correlations were observed within the erythrocyte indices: Red Blood Cell Count (RBC) with Hematocrit (HCT) (= 0.95), Hemoglobin (HGB) with HCT (= 0.91) and RBC with HGB (= 0.71). Mean Corpuscular Hemoglobin (MCH) and MCHC also exhibited a strong positive correlation (= 0.99), indicative of their inherent relationship in describing cellular hemoglobin content. Similarly, strong positive correlations were evident within the platelet parameters: Platelet Count (PLT) with Plateletcrit (PCT) (= 0.96) and Mean Platelet Volume (MPV) with Platelet Distribution Width (PDW) (= 0.72).
Within the leukocyte differentials, a notable inverse relationship was found between Lymphocyte Percentage (LYM_PCT) and Granulocyte Percentage (GRAN_PCT) (= -0.90), which is physiologically anticipated given that these represent proportions of the total white blood cell count. White Blood Cell (WBC) count was positively correlated with absolute Granulocyte (GRAN) count (= 0.88), suggesting that granulocytes are often the predominant leukocyte population contributing to total WBC variations in this cohort. Furthermore, MCV displayed moderate negative correlations with MCH (= -0.50) and MCHC (= -0.38), indicating that smaller red blood cells tend to have higher hemoglobin concentrations in the dromedary, consistent with their unique erythrocyte morphology.
Principal component analysis
Principal component analysis (PCA) was employed to reduce dimensionality and identify major sources of variation within the hematological dataset. The scree plot (Fig 3) indicates that the first three principal components (PCs) account for approximately 64.2% of the total variance (PC1: 28.6%, PC2: 19.6%, PC3: 16.0%), suggesting that these components capture a substantial proportion of the underlying biological information.
The PCA biplots provide a visual representation of how individual camels cluster and how parameters contribute to these clusters based on age and sex. Fig 4 shows the PCA biplot grouped by Age Group. There is a discernible separation between Adult and Young camels along the first principal component (Dim1), which explains 28.6% of the variance. Vectors for RBC, HCT, HGB, PLT, PCT, RDW_CV, RDW_SD, MCH and MCHC point towards the Adult cluster, while LYM and LYM_PCT are more associated with the Young cluster. This suggests that age is a primary driver of variation in erythrocyte and platelet parameters. Young camels appear to be characterized by higher lymphocyte counts, whereas adults exhibit higher values for most red blood cell indices.
While (Fig 5) illustrates the PCA biplot grouped by Sex. While the ellipses for Female and Male groups largely overlap, suggesting less pronounced differentiation compared to age, a subtle separation is observed along both Dim1 and Dim2. Male camels show a slight tendency towards higher values for WBC, GRAN and MID, while females show a tendency towards higher values for MCH, MCHC and RDW_CV. This indicates that while sex contributes less to overall variance than age, there are specific leukocyte and erythrocyte morphology parameters that show some sex-specific patterns.
Comparative analysis of hematological parameters by age and sex
A detailed comparative analysis using pairwise Wilcoxon tests, with Benjamini-Hochberg p-value adjustment, was conducted to identify significant differences in hematological parameters between age groups (Adult vs. Young) within each sex. The results are summarized in (Fig 6), where significant differences are indicated by asterisks.
Erythrocytic parameters
Highly significant differences (p<0.001 to p<0.0001) were observed in most erythrocytic parameters between age groups. Young camels, both male and female, consistently presented with higher Red Blood Cell (RBC) counts, Hematocrit (HCT) and Hemoglobin (HGB) levels compared to their adult counterparts. Conversely, adult camels exhibited significantly higher mean corpuscular volume (MCV), mean corpuscular hemoglobin (MCH) and mean corpuscular hemoglobin concentration (MCHC) values. These findings suggest that young dromedaries have more numerous, but smaller red blood cells, possibly reflecting developmental changes in erythropoiesis or adaptations to growth. The Red Cell Distribution Width (RDW_CV and RDW_SD) was also significantly higher in young animals for both sexes, indicating greater heterogeneity in red blood cell size.
Leukocytic parameters
Significant age-related differences were also noted in certain leukocyte populations. Young female camels had significantly higher Granulocyte counts (GRAN) and Granulocyte percentages (GRAN_PCT) compared to adult females. A similar trend was observed for Mid-range cell counts (MID) in young males. Interestingly, Lymphocyte percentages (LYM_PCT) were significantly higher in adult females than in young females. These variations suggest age- and sex-dependent immune profiles. Overall White Blood Cell (WBC) count showed some variability but no universally significant age-or sex-related differences across all subgroups.
Thrombocytic parameters
Platelet parameters showed marked age-related differences. Both young male and female camels had significantly higher Platelet counts (PLT) and Plateletcrit (PCT) compared to adults. Conversely, adult camels exhibited significantly higher Mean Platelet Volume (MPV) and Platelet Distribution Width (PDW). This indicates that young dromedaries tend to have a greater number of smaller platelets, a pattern potentially related to active growth or different physiological demands.
Descriptive statistics and data distributions
Fig 1 illustrates the variations in hematological parameters of dromedaries according to age (young vs. adult) and sex (female vs. male). Examining these variations, several hematological aspects show significant differences according to age and sex. For example, lymphocytes (LYM, LYM_PCT) are much more present in young camels, confirming the presence of lymphocytosis in this age group
(Gaashan et al., 2020; Ghodsian et al., 1978), while the total leukocyte count (WBC) reveals a marked bimodality, signaling a clear distinction between young and adult camels. Erythrocyte indices (MCH, MCHC, MCV) show notable overlaps, indicating a low sensitivity to age variations, results obtained in Mauritania by
Chartier et al., (1986), in India by
Faye and Bengoumi, (2018). Furthermore, platelet counts (PLT, PCT) are much higher in young individuals, confirming the existence of growth-associated hyperplateletosis
(Hussein et al., 2010). Regarding sex, the data distribution reveals subtle variations, especially in males where some metrics such as PCT and RDW_SD appear more scattered. These correlations and variations reflect distinct biological mechanisms according to age and sex, such as accentuated erythropoietic activity in young individuals and differentiated immune adaptation. The higher variation indices (RDW_CV, RDW_SD) in young individuals suggest a more dynamic and diverse erythropoiesis (
Tejedor-Junco et al., 2023;
Faye and Bengoumi, (2018), while granulocyte-related parameters (GRAN, GRAN_PCT) show relatively constant stability across groups. This study highlights the importance of taking into account age and sex for an adequate interpretation of hematological parameters in dromedaries, in agreement with recent research on the biological variability of these measurements carried out by
Monaco (2025);
Tejedor-Junco et al. (2023) and
Gaashan et al., 2020).
Inter-parameter correlations
The Spearman correlation matrix (Fig 2) highlights significant relationships among the hematological characteristics of dromedaries, highlighting several distinct functional categories. The most marked positive correlations (r>0.80) are found within the white blood cell lineage, notably between LYM-PDW (r = 0.84), RDW_CV-LYM (r = 0.87), MID-MID_PCT (r = 0.88) and WBC-MID (r = 0.59), as well as for the erythrocyte indices MCH-MCV (r = 0.89) and the platelet measures PLT-PCT (r = 0.84-0.85) and MPV-PCT (r = 0.74), confirm the physiological relationships observed by
Tejedor-Junco et al. (2023) as well as
Faye and Bengoumi (2018). Moderate positive associations between HGB-RBC (r = 0.77), HGB-MCV (r = 0.71), RBC-HGB (r = 0.56) and GRAN-HCT (r = 0.75) show the interrelationship of red lineage components and their efficiency in oxygen transport. Significant negative correlations between LYM-HGB (r = -0.76), LYM_PCT-GRAN (r = -0.90), LYM_PCT-HCT (r = -0.75), PDW-MCHC (r = -0.35), PDW-HGB (r = -0.39), PDW-RBC (r = -0.51) and MCHC-MCH (r = -0.50) highlight the inversion of the ratio of lymphocytes to granulocytes, typical of immune maturation, results reported by
Gaashan et al., (2020), as well as compensatory adjustments related to cell volume and concentration, as described by
Chartier et al., (1986) and
Abdel et al., 2025. The weak or non-existent correlations between HCT and the majority of other parameters (r<0.22), as well as between GRAN_PCT and erythrocyte indices (r<-0.13), suggest a relative independence between these systems, in line with the results of
Abdalmula et al., (2019) which indicate that hematological changes in camelids are distributed according to cell lineages and are influenced differently by factors such as age, sex and physiological conditions.
Principal component analysis
The examination of hematological parameter distributions (Fig 3) highlights significant distinctions related to age and more subtle variations according to sex. Young dromedaries consistently show higher levels of red blood cells, hemoglobin, hematocrit, platelets and lymphocytes, accompanied by lower mean corpuscular volume and more pronounced red blood cell heterogeneity, reflecting dynamic erythropoiesis and a maturing immune system (
Al-Himali et al., 2020;
Gaashan et al., 2020; Tejedor-Junco et al., 2023). In adults, a more mature profile is observed, characterized by larger erythrocytes with higher hemoglobin content and granulocyte dominance, indicating completed metabolic and immune adaptation. Although less pronounced, sex-related differences emerge, with females tending to show higher erythrocyte indices, while males exhibit greater variability in leukocytes and erythrocytes, confirming differential modulation of cell lineages
(Abdalmula et al., 2019; Al-Himali et al., 2020). These findings emphasize the importance of establishing age-specific hematological reference ranges for appropriate clinical interpretation.
PCA findings indicate that age (Fig 4) has an impact on the hematological characteristics of dromedaries. Multivariate models are consistent with age-associated hematological variations observed in camelids as well as other mammalian species (
Saeed and Hussein, 2008;
Martín-Barrasa et al., 2023).
On the one hand, adult camelids showed higher values of MCV, granulocyte count, monocyte-related measures and strong relationships with hemoglobin (HGB), hematocrit (HCT) and erythrocytes. This indicates that the maturation process results in accumulated erythropoietic capacity and a proportional increase in granulocyte populations to meet metabolic and immune demands. These observations align with studies reporting that erythrocytes, HGB and hematocrit increase with aging in camelids (
Saeed and Hussein, 2008;
Elkhair, 2025).
Second, young dromedaries showed higher values for platelet indices (PLT, MPV, PCT) and RDW measurements, as well as for lymphocyte-related parameters (LYM, LYM_PCT). This could indicate hematological flexibility during their growth and a more active immune environment in young specimens. Previous studies have shown that young dromedaries tend to display higher white blood cell or lymphocyte counts than adults (
Martín-Barrasa et al., 2023).
Third, the overlap of reliability zones indicates that hematological development occurs gradually and that individual differences due to (genetics, diet and environmental factors) influence this evolution. Therefore, age alone does not fully define the hematological phenotype.
In practice, these results highlight the importance of establishing age-specific hematology reference intervals in camels. Using adult reference thresholds for young animals could lead to misidentification of various normal developmental changes as pathological. Recently, previous research has also recommended the creation of reference intervals that take into consideration age, sex and physiological status (
Martín-Barrasa et al., 2023).
PCA analysis reveals a clear differentiation between sexes (Fig 5), representing 48.2% of the total variation. Females are characterized by higher values regarding red line parameters (HCT, HGB, GRAN) as well as erythrocyte indices (MCH, MCHC, MCV), validating the findings of
Tejedor-Junco et al. (2023). On the other hand, males show a strong correlation with leukocyte parameters (LYM, LYM_PCT, WBC) and variability indices (RDW_CV, RDW_SD), in agreement with the work of
Ghodsian et al., (1978) and
Gaashan et al., (2020). The inverse orientation of the GRAN_PCT and LYM_PCT vectors demonstrates the reversal of the ratio between granulocytes and lymphocytes during the maturation of the immune system (
Faye and Bengoumi, 2018), demonstrating the transition from lymphocyte dominance in youth to granulocyte predominance in adulthood. The partial overlap of the confidence ellipses signals that despite some shared parameters, there is a significant statistical difference between the sexes, notably concerning the red lineage in females and the variability indices in males
(Abdalmula et al., 2019; Murphy, 2014).
Comparative analysis of hematological parameters by age and sex
Fig 6 illustrates the variations in hematological parameters of dromedaries according to age (young and adult) and sex (female and male). Examining these variations, several hematological aspects show significant differences according to age and sex. For example, lymphocytes (LYM, LYM_PCT) are much more present in young camels, confirming the presence of lymphocytosis in this age group
(Gaashan et al., 2020; Ghodsian et al., 1978), while the total leukocyte count (WBC) reveals a marked bimodality, signaling a clear distinction between young and adult camels. Erythrocyte indices (MCH, MCHC, MCV) show notable overlaps, indicating a low sensitivity to age variations, results obtained in Mauritania by
Chartier et al., (1986), in India by
Faye and Bengoumi, (2018). Furthermore, platelet counts (PLT, PCT) are much higher in young individuals, confirming the existence of growth-associated hyperplateletosis
(Hussein et al., 2010). Regarding sex, the data distribution reveals subtle variations, especially in males where some metrics such as PCT and RDW_SD appear more scattered. These correlations and variations reflect distinct biological mechanisms according to age and sex, such as accentuated erythropoietic activity in young individuals and differentiated immune adaptation. The higher variation indices (RDW_CV, RDW_SD) in young individuals suggest a more dynamic and diverse erythropoiesis (
Tejedor-Junco et al., 2023;
Faye and Bengoumi, 2018), while granulocyte-related parameters (GRAN, GRAN_PCT) show relatively constant stability across groups. This results are in agreementwith recent research on the biological variability of these measurements carried out by
Tejedor-Junco et al. (2023).