Department of Pathology, Children's Hospital Boston and Harvard Medical School, Boston, MA 02115, USA.
Blood. 2013 Feb 14;121(7):1200-8. doi: 10.1182/blood-2012-09-453977. Epub 2012 Dec 6.
Mutations in HFE lead to hereditary hemochromatosis (HH) because of inappropriately high iron uptake from the diet resulting from decreased hepatic expression of the iron-regulatory hormone hepcidin. -thalassemia is a congenital anemia caused by partial or complete loss of -globin synthesis causing ineffective erythropoiesis, anemia, decreased hepcidin production, and secondary iron overload. Tmprss6 is postulated to regulate hepcidin production by cleaving Hemojuvelin (Hjv), a key modulator of hepcidin expression, from the hepatocyte surface. On this basis, we hypothesized that treatment of mouse models of HH (Hfe(-/-)) and -thalassemia intermedia (Hbb(th3/+)) with Tmprss6 siRNA formulated in lipid nanoparticles (LNPs) that are preferentially taken up by the liver would increase hepcidin expression and lessen the iron loading in both models. In the present study, we demonstrate that LNP-Tmprss6 siRNA treatment of Hfe(-/-) and Hbb(th3/+) mice induces hepcidin and diminishes tissue and serum iron levels. Furthermore, LNP-Tmprss6 siRNA treatment of Hbb(th3/+) mice substantially improved the anemia by altering RBC survival and ineffective erythropoiesis. Our results indicate that pharmacologic manipulation of Tmprss6 with RNAi therapeutics isa practical approach to treating iron overload diseases associated with diminished hepcidin expression and may have efficacy in modifying disease-associated morbidities of -thalassemia intermedia.
HFE 基因突变导致遗传性血色素沉着症 (HH),原因是肝脏中铁调节激素铁调素的表达减少,导致从饮食中摄取过多的铁。β-地中海贫血是一种先天性贫血,由β-珠蛋白合成部分或完全缺失引起,导致无效造血、贫血、铁调素生成减少和继发性铁过载。Tmprss6 被假设通过从肝细胞表面切割铁调素表达的关键调节剂 Hemojuvelin (Hjv)来调节铁调素的产生。在此基础上,我们假设用脂质纳米颗粒 (LNP) 包裹的 Tmprss6 siRNA 治疗 HH (Hfe(-/-)) 和β-地中海贫血中间型 (Hbb(th3/+)) 的小鼠模型,由于 LNP 优先被肝脏摄取,会增加铁调素的表达,并减轻两种模型的铁负荷。在本研究中,我们证明了 LNP-Tmprss6 siRNA 治疗 Hfe(-/-)和 Hbb(th3/+) 小鼠可诱导铁调素的表达,并降低组织和血清铁水平。此外,LNP-Tmprss6 siRNA 治疗 Hbb(th3/+) 小鼠通过改变 RBC 存活和无效造血显著改善了贫血。我们的结果表明,用 RNAi 治疗剂对 Tmprss6 进行药理操作是治疗与铁调素表达减少相关的铁过载疾病的一种实用方法,并且可能在改变β-地中海贫血中间型相关疾病的发病率方面具有疗效。
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