Evidence map›Paper›PMID 32351032›Full record

ArticleJournal of cellular and molecular medicine2020

Smad2/3-pathway ligand trap luspatercept enhances erythroid differentiation in murine β-thalassaemia by increasing GATA-1 availability.

Pedro A Martinez, Robert Li, Harish N Ramanathan, Manoj Bhasin, R Scott Pearsall, Ravindra Kumar, Rajasekhar N V S Suragani

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Journal of cellular and molecular medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06146478 (Deciphering Effects of Thalidomide on Red Blood Cells in Transfusion Dependents Beta Thalassemia Patients), which is not on this map. Cited by 33 papers.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed
3.6field-weighted citation impact, top 6% 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.

NCT06146478 phase3completednot on this mapstarted 2022, after this paper: background citation

Deciphering Effects of Thalidomide on Red Blood Cells in Transfusion Dependents Beta Thalassemia Patients: A Pharmacodynamics and Pharmacogenetics Analysis

TypeinterventionalSponsorBlood Care ClinicRan2022 to 2023Enrolled200ConditionsTransfusion-dependent Beta-ThalassemiaArmsThalidomide
3 · Its place in the literature

Who cites it

33 citing papers in PubMed, 45 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Review
  4. Article
  5. Article
  6. Article
  7. Review
  8. Clinical Applications of Ligand Traps Targeting Activin Type II Receptors.Anti-inflammatory & anti-allergy agents in medicinal chemistry · 2026
    Review
  9. Review
  10. Article
  11. Article
  12. Targeting TGF-β: a promising strategy for cancer therapy.Medical oncology (Northwood, London, England) · 2025
    Review
  13. Article
  14. Malaria and dyserythropoiesis: a mini review.Frontiers in cellular and infection microbiology · 2025
    Review
  15. Review
  16. Iron-Loading Anemias.Advances in experimental medicine and biology · 2025
    Review
  17. Article
  18. Article
  19. The role of CoQ10 in embryonic development.Journal of assisted reproduction and genetics · 2024
    Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Pedro A MartinezAcceleron Pharma, Cambridge, MA, USA.ORCID 0000-0003-1489-9689
Robert LiAcceleron Pharma, Cambridge, MA, USA.
Harish N RamanathanAcceleron Pharma, Cambridge, MA, USA.
Manoj BhasinBIDMC Beth Israel Deaconess Medical Center, Harvard Medical School, Cambridge, MA, USA.
R Scott PearsallAcceleron Pharma, Cambridge, MA, USA.
Ravindra KumarAcceleron Pharma, Cambridge, MA, USA.
Rajasekhar N V S SuraganiAcceleron Pharma, Cambridge, MA, USA.ORCID 0000-0003-2754-1782
Acceleron Pharma (United States) · USBeth Israel Deaconess Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In β-thalassaemia, anaemia results from ineffective erythropoiesis characterized by inhibition of late-stage erythroid differentiation. We earlier used luspatercept and RAP-536 protein traps for certain Smad2/3-pathway ligands to implicate Smad2/3-pathway overactivation in dysregulated erythroid differentiation associated with murine β-thalassaemia and myelodysplasia. Importantly, luspatercept alleviates anaemia and has been shown to reduce transfusion burden in patients with β-thalassaemia or myelodysplasia. Here, we investigated the molecular mechanisms underlying luspatercept action and pSmad2/3-mediated inhibition of erythroid differentiation. In murine erythroleukemic (MEL) cells in vitro, ligand-mediated overactivation of the Smad2/3 pathway reduced nuclear levels of GATA-1 (GATA-binding factor-1) and its transcriptional activator TIF1γ (transcription intermediary factor 1γ), increased levels of reactive oxygen species, reduced cell viability and haemoglobin levels, and inhibited erythroid differentiation. Co-treatment with luspatercept in MEL cells partially or completely restored each of these. In β-thalassaemic mice, RAP-536 up-regulated Gata1 and its target gene signature in erythroid precursors determined by transcriptional profiling and gene set enrichment analysis, restored nuclear levels of GATA-1 in erythroid precursors, and nuclear distribution of TIF1γ in erythroblasts. Bone marrow cells from β-thalassaemic mice treated with luspatercept also exhibited restored nuclear availability of GATA-1 ex vivo. Our results implicate GATA-1, and likely TIF1γ, as key mediators of luspatercept/RAP-536 action in alleviating ineffective erythropoiesis.

Indexed as

Activin Receptors, Type IIbeta-ThalassemiaCell DifferentiationErythroid CellsGATA1 Transcription FactorImmunoglobulin Fc FragmentsRecombinant Fusion ProteinsSignal TransductionSmad2 ProteinSmad3 ProteinAnemiaAnimalsBone Marrow CellsCell Line, TumorCell NucleusCell SurvivalActivin Receptors, Type IIGATA1 Transcription FactorHemoglobinsImmunoglobulin Fc FragmentsLigandsluspaterceptReactive Oxygen SpeciesRecombinant Fusion ProteinsSmad2 ProteinSmad3 ProteinTranscription FactorsTrim33 protein, mouse

Identifiers

PMID32351032
PMCPMC7294138
OpenAlexW3023050097

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Registered trials

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.