Hydroxyurea treatment in β-thalassemia patients: to respond or not to respond?

被引:20
作者
Banan, Mehdi [1 ]
机构
[1] Univ Social Welf & Rehabil Sci, Genet Res Ctr, Tehran, Iran
关键词
beta-thalassemia; Hydroxyurea; Pharmacogenomics; HbF; SICKLE-CELL-ANEMIA; GAMMA-GLOBIN GENE; FETAL-HEMOGLOBIN INDUCTION; HISTONE DEACETYLASE INHIBITORS; CULTURED ERYTHROID-CELLS; GENOME-WIDE ASSOCIATION; HEREDITARY PERSISTENCE; NITRIC-OXIDE; HBF LEVELS; IN-VITRO;
D O I
10.1007/s00277-012-1671-3
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Hydroxyurea (HU) is a drug that induces fetal hemoglobin production. As a result, HU is widely used to treat beta-thalassemia (beta-thal) patients. However, the response of these patients to HU varies. Some beta-thal patients respond favorably to treatment while others do not respond at all. HU has a number of side-effects and therefore its targeted prescription is beneficial. Hence, identifying the genetic determinants which lead to the differential HU response is important. This review summarizes recent findings which have shed light on this topic. Special emphasis is given to the mechanisms and genetic loci which may govern these differences. These findings have helped identify several single nucleotide polymorphisms which associate with the response to HU in both beta-thal and sickle cell disease patients.
引用
收藏
页码:289 / 299
页数:11
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