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Backgroundb-thalassemic syndromes are inherited red cell disorders characterized by severe ineffective erythropoiesis and increased levels of reactive oxygen species whose contribution to b-thalassemic anemia is only partially understood.
Design and MethodsWe studied erythroid precursors from normal and b-thalassemic peripheral CD34+ cells in twophase liquid culture by proteomic, reverse transcriptase polymerase chain reaction and immunoblot analyses. We measured intracellular reactive oxygen species, heme levels and the activity of d-aminolevulinate-synthase-2. We exposed normal cells and K562 cells with silenced peroxiredoxin-2 to H2O2 and generated a recombinant peroxiredoxin-2 for kinetic measurements in the presence of H2O2 or hemin.
ResultsIn b-thalassemia the increased production of reactive oxygen species was associated with down-regulation of heme oxygenase-1 and biliverdin reductase and up-regulation of peroxiredoxin-2. In agreement with these observations in b-thalassemic cells we found decreased heme levels related to significantly reduced activity of the first enzyme of the heme pathway, d-aminolevulinate synthase-2 without differences in its expression. We demonstrated that the activity of recombinant d-aminolevulinate synthase-2 is inhibited by both reactive oxygen species and hemin as a protective mechanism in b-thalassemic cells. We then addressed the question of the protective role of peroxiredoxin-2 in erythropoiesis by exposing normal cells to oxidative stress and silencing peroxiredoxin-2 in human erythroleukemia K562 cells. We found that peroxiredoxin-2 expression is up-regulated in response to oxidative stress and required for K562 cells to survive oxidative stress. We then showed that peroxiredoxin-2 binds heme in erythroid precursors with high affinity, suggesting a possible multifunctional cytoprotective role of peroxiredoxin-2 in b-thalassemia.
ConclusionsIn b-thalassemic erythroid cells the reduction of d-aminolevulinate synthase-2 activity and the increased expression of peroxiredoxin-2 might represent two novel stress-response protective systems.Key words: b-thalassemia, heme biosynthesis, oxidative stress, ROS, peroxiredoxin-2.Citation: De Franceschi L, Bertoldi M, De Falco L, Santos Franco S, Ronzoni L, Turrini F, Colancecco A, Camaschella C, Cappellini MD, and Iolascon A. Oxidative stress modulates heme synthesis and induces peroxiredoxin-2 as a novel cytoprotective response in b-thalassemic erythropoiesis. Haematologica 2011;96(11):1595-1604. doi:10.3324/haematol.2011 This is an open-access paper.Oxidative stress modulates heme synthesis and induces peroxiredoxin-2 as a novel cytoprotective response in b-thalassemic erythropoiesis