Minihepcidin peptides as disease modifiers in mice affected by β-thalassemia and polycythemia vera

C Casu, PR Oikonomidou, H Chen… - Blood, The Journal …, 2016 - ashpublications.org
C Casu, PR Oikonomidou, H Chen, V Nandi, Y Ginzburg, P Prasad, RE Fleming, YM Shah
Blood, The Journal of the American Society of Hematology, 2016ashpublications.org
In β-thalassemia and polycythemia vera (PV), disordered erythropoiesis triggers severe
pathophysiological manifestations. β-Thalassemia is characterized by ineffective
erythropoiesis, reduced production of erythrocytes, anemia, and iron overload and PV by
erythrocytosis and thrombosis. Minihepcidins are hepcidin agonists that have been
previously shown to prevent iron overload in murine models of hemochromatosis and
induce iron-restricted erythropoiesis at higher doses. Here, we show that in young Hbb th3/+ …
Abstract
In β-thalassemia and polycythemia vera (PV), disordered erythropoiesis triggers severe pathophysiological manifestations. β-Thalassemia is characterized by ineffective erythropoiesis, reduced production of erythrocytes, anemia, and iron overload and PV by erythrocytosis and thrombosis. Minihepcidins are hepcidin agonists that have been previously shown to prevent iron overload in murine models of hemochromatosis and induce iron-restricted erythropoiesis at higher doses. Here, we show that in young Hbbth3/+ mice, which serve as a model of untransfused β-thalassemia, minihepcidin ameliorates ineffective erythropoiesis, anemia, and iron overload. In older mice with untransfused β-thalassemia, minihepcidin improves erythropoiesis and does not alter the beneficial effect of the iron chelator deferiprone on iron overload. In PV mice that express the orthologous JAK2 mutation causing human PV, administration of minihepcidin significantly reduces splenomegaly and normalizes hematocrit levels. These studies indicate that drug-like minihepcidins have a potential as future therapeutics for untransfused β-thalassemia and PV.
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