Transferrin therapy ameliorates disease in β-thalassemic mice

H Li, AC Rybicki, SM Suzuka, L Von Bonsdorff… - Nature medicine, 2010 - nature.com
H Li, AC Rybicki, SM Suzuka, L Von Bonsdorff, W Breuer, CB Hall, ZI Cabantchik
Nature medicine, 2010nature.com
Individuals with β-thalassemia develop progressive systemic iron overload, resulting in high
morbidity and mortality. These complications are caused by labile plasma iron, which is
taken up by parenchymal cells in a dysregulated manner; in contrast, erythropoiesis
depends on transferrin-bound iron uptake via the transferrin receptor. We hypothesized that
the ineffective erythropoiesis and anemia observed in β-thalassemia might be ameliorated
by increasing the amount of circulating transferrin. We tested the ability of transferrin …
Abstract
Individuals with β-thalassemia develop progressive systemic iron overload, resulting in high morbidity and mortality. These complications are caused by labile plasma iron, which is taken up by parenchymal cells in a dysregulated manner; in contrast, erythropoiesis depends on transferrin-bound iron uptake via the transferrin receptor. We hypothesized that the ineffective erythropoiesis and anemia observed in β-thalassemia might be ameliorated by increasing the amount of circulating transferrin. We tested the ability of transferrin injections to modulate iron metabolism and erythropoiesis in Hbbth1/th1 mice, an experimental model of β-thalassemia. Injected transferrin reversed or markedly improved the thalassemia phenotype in these mice. Specifically, transferrin injections normalized labile plasma iron concentrations, increased hepcidin expression, normalized red blood cell survival and increased hemoglobin production; this treatment concomitantly decreased reticulocytosis, erythropoietin abundance and splenomegaly. These results indicate that transferrin is a limiting factor contributing to anemia in these mice and suggest that transferrin therapy might be beneficial in human β-thalassemia.
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