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570 Part V Red Blood Cells
Haute) 499,500 arise from mutations that produce extremely labile Kattamis A, Ladis V, Berdousi H, et al: Iron chelation treatment with com-
globin chains. The chains fail to pair with the complementary chain, bined therapy with deferiprone and deferioxamine: a 12-month trial.
or they precipitate and are degraded so rapidly that they never form Blood Cells Mol Dis 36:21, 2006.
tetramers. These posttranslational lesions have the same pathophysi- Kolnagou A, Economides C, Eracleous E, et al: Low serum ferritin levels are
ologic effects on Hb biogenesis as reduction of globin mRNA produc- misleading for detecting cardiac iron overload and increase the risk of
tion or function. Another group of β-globin chain variants, usually cardiomyopathy in thalassemia patients: the importance of cardiac iron
caused by mutations in exon 3 of the β-globin gene, are associated overload monitoring using magnetic resonance imaging T2 and T2*.
with inclusion body formation and a phenotype of dominant Hemoglobin 30:219, 2006.
β-thalassemia intermedia. 15,16,501 Kolnagou A, Kontoghiorghes GJ: Effective combination therapy of deferi-
prone and deferoxamine for the rapid clearance of excess cardiac iron
and the prevention of heart disease in thalassemia. The Protocol of
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Angelopoulos NG, Goula A, Rombopoulos G, et al: Hypoparathyroidism Neufeld EJ: Oral chelators deferasirox and deferiprone for transfusional iron
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Borgna-Pignatti C, Cappellini MD, De Stefano P, et al: Cardiac morbidity Pennell DJ, Berdoukas V, Karagiorga M, et al: Randomized controlled trial
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thalassemia major. Blood 107:3733, 2006. asymptomatic myocardial siderosis. Blood 107:3738, 2006.
Boulad F: Hematopoietic stem cell transplantation for the treatment of Rachmilewitz EA, Giardina PJ: How I treat Thalassemia. Blood 118:3479,
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(ICL670), a once-daily oral iron chelator, in patients with beta-thalassemia. and deferiprone on myocardial iron in thalassemia major using cardiovas-
Blood 107:3455, 2006. cular magnetic resonance. Blood 106:1017A, 2006.
Cohen A, Glimm E, Porter JB: Effect of transfusional iron intake on response Vogiatzi MG, Macklin EA, Fung EB, et al: Prevalence of fractures among the
to chelation therapy in β-thalassemia major. Blood 111:583, 2008. Thalassemia syndromes in North America. Bone 38:571, 2006.
Dodd RY: Current safety of the blood supply in the United States. Int J Voskaridou E, Anagnostopoulos A, Konstantopoulos K, et al: Zoledronic acid
Hematol 80:301, 2004. for the treatment of osteoporosis in patients with beta-thalassemia: results
Gilfillan CP, Strauss BJ, Rodda CP, et al: A randomized, double-blind, from a single-center, randomized, placebo-controlled trial. Haematologica
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Harmatz P, Grady R, Dragsten P, et al: Phase Ib clinical trial of starch- remove cardiac iron in the iron-overloaded gerbil. Transl Res 148:272,
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