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Publication : Transferrin therapy ameliorates disease in beta-thalassemic mice.

First Author  Li H Year  2010
Journal  Nat Med Volume  16
Issue  2 Pages  177-82
PubMed ID  20098432 Mgi Jnum  J:157073
Mgi Id  MGI:4429988 Doi  10.1038/nm.2073
Citation  Li H, et al. (2010) Transferrin therapy ameliorates disease in beta-thalassemic mice. Nat Med 16(2):177-82
abstractText  Individuals with beta-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 beta-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 Hbb(th1/th1) mice, an experimental model of beta-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 beta-thalassemia.
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