Drugs that increase fetal hemoglobin levels in red blood cells

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Hemoglobinopathies

 

 

Sickle cell disease (SCD) and Cooley's anemia (CA; beta-thalassemia) are among the most common inherited diseases in humans in the U.S. and worldwide. ... Despite the fact that the molecular bases of these so-called beta-chain hemoglobinopathies have been known in many cases for decades, there are still no universal cures available for these very serious diseases that are associated with significant morbidity and in some cases mortality.   

 Currently, hydroxyurea and butyrates benefit some patients with SCD or CA, and are thought to work at least in part through fetal hemoglobin induction, but they do not benefit all patients, and they have limitations due to toxicity and route of administration (butyrate). 

Actually the National Heart, Lung, and Blood Institute (NHLBI) and the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) invite applications for research grants to pursue the unambiguous identification of transactivator proteins that regulate the expression of fetal globin chains. Both the validation of existing candidate transactivators, and gene discovery to identify new ones are encouraged. Increased understanding of the trans- acting component of developmental stage-specific hemoglobin isoform switching will facilitate the development of new approaches to cure beta-chain hemoglobinopathies such as sickle cell disease and Cooley's anemia.

(From NIH - TRANSACTIVATION OF FETAL HEMOGLOBIN GENES FOR TREATMENT OF SICKLE CELL DISEASE AND COOLEY'S ANEMIA

 

 

     
 
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