Elevated growth differentiation factor 15 expression in patients with congenital dyserythropoietic anemia type I

H Tamary, H Shalev, G Perez-Avraham… - Blood, The Journal …, 2008 - ashpublications.org
H Tamary, H Shalev, G Perez-Avraham, M Zoldan, I Levi, DW Swinkels, T Tanno, JL Miller
Blood, The Journal of the American Society of Hematology, 2008ashpublications.org
Congenital dyserythropoietic anemia (CDA) is a rare group of red blood cell disorders
characterized by ineffective erythropoiesis and increased iron absorption. To determine
whether growth differentation factor 15 (GDF15) hyper-expression is associated with the
ineffective erythropoiesis and iron-loading complications of CDA type I (CDA I), GDF15
levels and other markers of erythropoiesis and iron overload were studied in blood from 17
CDA I patients. Significantly higher levels of GDF15 were detected among the CDA I patients …
Abstract
Congenital dyserythropoietic anemia (CDA) is a rare group of red blood cell disorders characterized by ineffective erythropoiesis and increased iron absorption. To determine whether growth differentation factor 15 (GDF15) hyper-expression is associated with the ineffective erythropoiesis and iron-loading complications of CDA type I (CDA I), GDF15 levels and other markers of erythropoiesis and iron overload were studied in blood from 17 CDA I patients. Significantly higher levels of GDF15 were detected among the CDA I patients (10 239 ± 3049 pg/mL) compared with healthy volunteers (269 ± 238 pg/mL). In addition, GDF15 correlated significantly with several erythropoietic and iron parameters including Hepcidin-25, Ferritin, and Hepcidin-25/Ferritin ratios. These novel results suggest that CDA I patients express very high levels of serum GDF15, and that GDF15 contributes to the inappropriate suppression of hepcidin with subsequent secondary hemochromatosis.
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