Evidence map›Paper›PMID 18480424›Full record

ArticleBlood2008

Decreased differentiation of erythroid cells exacerbates ineffective erythropoiesis in beta-thalassemia.

Ilaria V Libani, Ella C Guy, Luca Melchiori, Raffaella Schiro, Pedro Ramos, Laura Breda, Thomas Scholzen, Amy Chadburn, YiFang Liu, Margrit Kernbach and 10 more

Open access · bronzeAbstract read
In one paragraph

Article in Blood, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 97 papers.

0numbers the graph read from it
0cells of the map it votes in
97citing papers in PubMed
3.7field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

97 citing papers in PubMed, 159 citations in OpenAlex.

  1. Trial
  2. bioRxiv : the preprint server for biology · 2026
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  6. Iron-Loading Anemias.Advances in experimental medicine and biology · 2025
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  9. Article
  10. Review
  11. Article
  12. Article
  13. Journal of clinical medicine · 2022
    Article
  14. Prime Editor 3 Mediated Beta-Thalassemia Mutations of theInternational journal of molecular sciences · 2022
    Article
  15. Impaired Terminal Erythroid Maturation in βJournal of clinical medicine · 2022
    Article
  16. Advancing the care of β-thalassaemia patients with novel therapies.Blood transfusion = Trasfusione del sangue · 2022
    Review
  17. Review
  18. Review
  19. Article
  20. Article

37 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

20 authors at 7 institutions in 4 countries.

Ilaria V LibaniDepartment of Pediatric Hematology-Oncology, Children's Cancer and Blood Foundation Laboratories, Weill Medical College of Cornell University, New York, NY 10021, USA.
Ella C Guy
Luca Melchiori
Raffaella Schiro
Pedro Ramos
Laura Breda
Thomas Scholzen
Amy Chadburn
YiFang Liu
Margrit Kernbach
Bettina Baron-Lühr
Matteo Porotto
Maria de Sousa
Eliezer A Rachmilewitz
John D Hood
M Domenica Cappellini
Patricia J Giardina
Robert W Grady
Johannes Gerdes
Stefano Rivella
Cornell University · USChildren's Cancer and Blood Foundation · USResearch Center Borstel - Leibniz Lung Center · DEInstituto de Biologia Molecular e CelularIstituti di Ricovero e Cura a Carattere Scientifico · ITUniversity of Milan · ITWolfson Medical Center · IL

Funding

IRON CHELATION--COMBINATION THERAPY, A BETTER APPROACHR01DK055463 · NIDDK · WEILL MEDICAL COLL OF CORNELL UNIV · PI GRADY, ROBERT W. · 1999 to 2006
$3.0M
Identification of Genes Involved in beta- ThelassemiaR21DK065169 · NIDDK · WEILL MEDICAL COLLEGE OF CORNELL UNIV · PI RIVELLA, STEFANO · 2004 to 2005
$326k
NIDDK NIH HHS R01 DK055463NIDDK NIH HHS R21 DK065169NIDDK NIH HHS R21DK065169
6 · The paper itself

Abstract

In beta-thalassemia, the mechanism driving ineffective erythropoiesis (IE) is insufficiently understood. We analyzed mice affected by beta-thalassemia and observed, unexpectedly, a relatively small increase in apoptosis of their erythroid cells compared with healthy mice. Therefore, we sought to determine whether IE could also be characterized by limited erythroid cell differentiation. In thalassemic mice, we observed that a greater than normal percentage of erythroid cells was in S-phase, exhibiting an erythroblast-like morphology. Thalassemic cells were associated with expression of cell cycle-promoting genes such as EpoR, Jak2, Cyclin-A, Cdk2, and Ki-67 and the antiapoptotic protein Bcl-X(L). The cells also differentiated less than normal erythroid ones in vitro. To investigate whether Jak2 could be responsible for the limited cell differentiation, we administered a Jak2 inhibitor, TG101209, to healthy and thalassemic mice. Exposure to TG101209 dramatically decreased the spleen size but also affected anemia. Although our data do not exclude a role for apoptosis in IE, we propose that expansion of the erythroid pool followed by limited cell differentiation exacerbates IE in thalassemia. In addition, these results suggest that use of Jak2 inhibitors has the potential to profoundly change the management of this disorder.

Indexed as

Cell DifferentiationErythropoiesisAnimalsApoptosisbeta-ThalassemiaCyclin-Dependent KinasesErythroid CellsJanus Kinase 2MiceSpleenCyclin-Dependent KinasesJak2 protein, mouseJanus Kinase 2

Identifiers

PMID18480424
PMCPMC2481539
OpenAlexW1964891662

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.