Iron Chelation Therapy in Myelodysplastic Syndromes

Myelodysplastic syndromes (MDS) are a heterogeneous disorder of the hematopoietic stem cells, frequently characterized by anemia and transfusion dependency. In low-risk patients, transfusion dependency can be long lasting, leading to iron overload. Iron chelation therapy may be a therapeutic option...

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Main Authors: Emanuela Messa, Daniela Cilloni, Giuseppe Saglio
Format: Article
Language:English
Published: Wiley 2010-01-01
Series:Advances in Hematology
Online Access:http://dx.doi.org/10.1155/2010/756289
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author Emanuela Messa
Daniela Cilloni
Giuseppe Saglio
author_facet Emanuela Messa
Daniela Cilloni
Giuseppe Saglio
author_sort Emanuela Messa
collection DOAJ
description Myelodysplastic syndromes (MDS) are a heterogeneous disorder of the hematopoietic stem cells, frequently characterized by anemia and transfusion dependency. In low-risk patients, transfusion dependency can be long lasting, leading to iron overload. Iron chelation therapy may be a therapeutic option for these patients, especially since the approval of oral iron chelators, which are easier to use and better accepted by the patients. The usefulness of iron chelation in MDS patients is still under debate, mainly because of the lack of solid prospective clinical trials that should take place in the future. This review aims to summarize what is currently known about the incidence and clinical consequences of iron overload in MDS patients and the state-of the-art of iron chelation therapy in this setting. We also give an overview of clinical guidelines for chelation in MDS published to date and some perspectives for the future.
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spelling doaj-art-ba921c3658aa40f9adc87c898c9482ca2025-02-03T01:31:21ZengWileyAdvances in Hematology1687-91041687-91122010-01-01201010.1155/2010/756289756289Iron Chelation Therapy in Myelodysplastic SyndromesEmanuela Messa0Daniela Cilloni1Giuseppe Saglio2Division of Hematology and Internal Medicine, Department of Clinical and Biological Sciences of the University of Turin, Regione Gonzole 10, 10043 Orbassano (To), ItalyDivision of Hematology and Internal Medicine, Department of Clinical and Biological Sciences of the University of Turin, Regione Gonzole 10, 10043 Orbassano (To), ItalyDivision of Hematology and Internal Medicine, Department of Clinical and Biological Sciences of the University of Turin, Regione Gonzole 10, 10043 Orbassano (To), ItalyMyelodysplastic syndromes (MDS) are a heterogeneous disorder of the hematopoietic stem cells, frequently characterized by anemia and transfusion dependency. In low-risk patients, transfusion dependency can be long lasting, leading to iron overload. Iron chelation therapy may be a therapeutic option for these patients, especially since the approval of oral iron chelators, which are easier to use and better accepted by the patients. The usefulness of iron chelation in MDS patients is still under debate, mainly because of the lack of solid prospective clinical trials that should take place in the future. This review aims to summarize what is currently known about the incidence and clinical consequences of iron overload in MDS patients and the state-of the-art of iron chelation therapy in this setting. We also give an overview of clinical guidelines for chelation in MDS published to date and some perspectives for the future.http://dx.doi.org/10.1155/2010/756289
spellingShingle Emanuela Messa
Daniela Cilloni
Giuseppe Saglio
Iron Chelation Therapy in Myelodysplastic Syndromes
Advances in Hematology
title Iron Chelation Therapy in Myelodysplastic Syndromes
title_full Iron Chelation Therapy in Myelodysplastic Syndromes
title_fullStr Iron Chelation Therapy in Myelodysplastic Syndromes
title_full_unstemmed Iron Chelation Therapy in Myelodysplastic Syndromes
title_short Iron Chelation Therapy in Myelodysplastic Syndromes
title_sort iron chelation therapy in myelodysplastic syndromes
url http://dx.doi.org/10.1155/2010/756289
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