1. Eltrombopag in paediatric immune thrombocytopenia: Iron metabolism modulation in mesenchymal stromal cells
- Author
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Di Paola, A., Palumbo, G., Tortora, C., Argenziano, M., Catanoso, M., Di Leva, C., Ceglie, G., Perrotta, S., Locatelli, Franco, Rossi, F., Locatelli F. (ORCID:0000-0002-7976-3654), Di Paola, A., Palumbo, G., Tortora, C., Argenziano, M., Catanoso, M., Di Leva, C., Ceglie, G., Perrotta, S., Locatelli, Franco, Rossi, F., and Locatelli F. (ORCID:0000-0002-7976-3654)
- Abstract
Immune thrombocytopenia (ITP) is an autoimmune disease caused by platelet destruction mediated by auto-antibody production. It is characterized by a compromised immune system and alteration of the inflammatory response. Mesenchymal stromal cells (MSCs) play an important role in modulating immune and inflammatory processes, exerting immune-suppressing and anti-inflammatory properties. In ITP-MSCs the activity and survival are strongly impaired. Eltrombopag (ELT) is a thrombopoietin receptor agonist approved in chronic ITP for stimulating platelet production. It has immunomodulating properties by stimulating T and B regulatory cell activity and by promoting a macrophage switch from the pro-inflammatory to the anti-inflammatory phenotype. ELT also exhibits iron-chelating properties. Iron is a crucial element involved in several physiologic processes, but its intracellular accumulation determines cell damages. Therefore, for the first time we analysed the effect of ELT on ITP-MSCs demonstrating its ability to restore survival and activity of MSCs directly and to promote their survival and proliferation indirectly, by iron metabolism modulation.
- Published
- 2022