Fetal globin stimulation during a short-term trial of erythropoietin in HbS/beta-thalassemia patients

Acta Haematologica
Konstantinos L BourantasK Seferiadis

Abstract

Six sickle cell/beta-thalassemia patients (3 males and 3 females) were treated with 500 U/kg body weight human recombinant erythropoietin (h-rEPO) along with 300 mg/day iron sulfate in two phases, for a period of 90 days. Fetal hemoglobin (HbF) was assayed every 2 weeks and the gamma-chain ratio at three successive intervals during the treatment. All patients showed a moderate to high increase in their HbF values (1.25- to 12-fold). The gamma-chain ratio, as determined by high performance liquid chromatography was found to be unaffected by the HbF increase. Two patients with the newborn gamma-chain ratio, responded faster to the h-rEPO treatment and achieved higher HbF values than the rest of the group. The h-rEPO treatment was very well tolerated and had a positive effect on the general clinical condition of all the patients.

Citations

Mar 5, 2014·Hematology/oncology Clinics of North America·Eitan Fibach, Eliezer A Rachmilewitz
Feb 1, 1997·The Journal of Laboratory and Clinical Medicine·V BellizziB Cianciaruso

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