The effect of iron overload and chelation on erythroid differentiation

Int J Hematol. 2012 Feb;95(2):149-59. doi: 10.1007/s12185-011-0988-3. Epub 2011 Dec 23.

Abstract

We investigated the mechanisms of hematopoietic disorders caused by iron overload and chelation, in particular, the inhibition of erythroblast differentiation. Murine c-kit(+) progenitor cells or human CD34(+) peripheral blood hematopoietic progenitors were differentiated in vitro to the erythroid lineage with free iron and/or an iron chelator. Under iron overload, formation of erythroid burst-forming unit colonies and differentiation to mature erythroblasts were significantly suppressed; these effects were canceled by iron chelation with deferoxamine (DFO). Moreover, excessive iron burden promoted apoptosis in immature erythroblasts by elevating intracellular reactive oxygen species (ROS). Interestingly, both DFO and a potent anti-oxidant agent reduced intracellular ROS levels and suppressed apoptosis, thus restoring differentiation to mature erythroblasts. Accordingly, intracellular ROS may represent a new therapeutic target in the treatment of iron overload.

MeSH terms

  • Animals
  • Antigens, CD34 / metabolism
  • Apoptosis / drug effects
  • Apoptosis / physiology
  • Cell Differentiation / drug effects
  • Cell Differentiation / physiology
  • Cells, Cultured
  • Deferoxamine / pharmacology*
  • Erythroblasts / cytology
  • Erythroblasts / drug effects
  • Erythroid Cells / cytology
  • Erythroid Cells / drug effects*
  • Erythropoiesis / drug effects*
  • Erythropoiesis / physiology
  • Gene Expression / drug effects
  • Gene Expression / physiology
  • Hematopoietic Stem Cells / cytology
  • Hematopoietic Stem Cells / drug effects*
  • Humans
  • Iron Chelating Agents / pharmacology*
  • Iron Overload / drug therapy*
  • Iron Overload / pathology
  • Mice
  • Mice, Inbred C57BL
  • Proto-Oncogene Proteins c-bcl-2 / genetics
  • Reactive Oxygen Species / metabolism

Substances

  • Antigens, CD34
  • Iron Chelating Agents
  • Proto-Oncogene Proteins c-bcl-2
  • Reactive Oxygen Species
  • Deferoxamine