

Therapeutic Approaches: Drugs Acting on Thalassemia
Abstract
Thalassemia is a genetic blood disorder manifested by abnormal hemoglobin production, resulting in the reduction of red blood cell formation. Hydroxyurea Ian anti metabolite drug for treating Thalassemia. It performs by enhancing the production of fetal hemoglobin, which can compensate for deficient adult hemoglobin in individuals along with Thalassemia. An enhanced level of fetal hemoglobin can enhance overall red cell formation and decreasr complications related to Thalassemia. Excessive iron accumulation is a common complication in thalassemia patients who undergo frequent blood transfusions. Deferasirox is an iron chelator that binds to excess iron especially in the body. Permitting to be excreted by stopping iron overload, Deferasirox helps in mitigating the risk of organ damage, especially to the heart and liver, which can happen over time especially in thalassemia patients. Luspatercept is a new therapeutic option especially for individuals with transfusion_ dependent beta_ thalassemia. It performs by targeting a particular pathways participated in erythropoiesis, the process pf red blood cell production. By modulating this pathway. Luspatercept activates the production of mature red blood cells. Decreasing the need especially for frequent blood transfusions in some patients. An important emerging treatments for thalassemia include gene therapy approaches aimed at addressing generic mutations. Finally it is concluded that the management of thalassemia involves a multidisciplinary approach with drugs playing a critical role especially in alleviating symptoms and enhancing the overall _ well being of patients
References
He, L. N., Chen, W., Yang, Y., Xie, Y. J., Xiong, Z. Y., Chen, D. Y., ... & Sun, X. F. (2019). Elevated prevalence of abnormal glucose metabolism and other endocrine disorders in patients with-thalassemia major: a meta-analysis. BioMed research international, 2019.
Vichinsky, E., Cohen, A., Thompson, A. A., Giardina, P. J., Lal, A., Paley, C., ... & Kwiatkowski, J. L. (2018). Epidemiologic and clinical characteristics of nontransfusion‐dependent thalassemia in the United States. Pediatric Blood & Cancer, 65(7), e27067.
Ahmadpanah, M., Asadi, Y., Haghighi, M., Ghasemibasir, H., Khanlarzadeh, E., & Brand, S. (2019). In patients with minor beta-thalassemia, cognitive performance is related to length of education, but not to minor beta-thalassemia or hemoglobin levels. Iranian Journal of Psychiatry, 14(1), 47.
Jalil, T., Yousafzai, Y. M., Rashid, I., Ahmed, S., Ali, A., Fatima, S., & Ahmed, J. (2019). Mutational analysis of beta thalassaemia by multiplex ARMS-PCR in Khyber Pakhtunkhwa, Pakistan. Journal of Ayub Medical College Abbottabad, 31(1), 98-103.
Puar, N., Newell, B., & Shao, L. (2019). Blueberry Muffin Skin Lesions in an Infant With Epsilon Gamma Delta Beta Thalassemia. Pediatric and Developmental Pathology, 22(6), 599-600.
Singha, K., Taweenan, W., Fucharoen, G., & Fucharoen, S. (2019). Erythrocyte indices in a large cohort of β‐thalassemia carrier: implication for population screening in an area with high prevalence and heterogeneity of thalassemia. International journal of laboratory hematology, 41(4), 513-518.
Ansari, S., Rashid, N., Hanifa, A., Siddiqui, S., Kaleem, B., Naz, A., ... & Shamsi, T. (2019). Laboratory diagnosis for thalassemia intermedia: Are we there yet?. Journal of Clinical Laboratory Analysis, 33(1), e22647.
Jariwala, K., Mishra, K., & Ghosh, K. (2019). Comparative study of alloimmunization against red cell antigens in sickle cell disease & thalassaemia major patients on regular red cell transfusion. Indian Journal of Medical Research, 149(1), 34-40.
Sarkar, S. K., Shah, M. S., Begum, M., Yunus, A. M., Aziz, M. A., Kabir, A. L., ... & Rahman, A. (2019). Red Cell Alloantibodies in Thalassaemia Patients Who Received Ten or More Units of Transfusion. Mymensingh Medical Journal: MMJ, 28(2), 364-369.
Darvishi Khezri, H., Emami Zeydi, A., Sharifi, H., & Jalali, H. (2016). Is vitamin C supplementation in patients with β-thalassemia major beneficial or detrimental?. Hemoglobin, 40(4), 293-294.
Zhang, H., Zhabyeyev, P., Wang, S., & Oudit, G. Y. (2019). Role of iron metabolism in heart failure: From iron deficiency to iron overload. Biochimica et Biophysica Acta (BBA)-Molecular Basis of Disease, 1865(7), 1925-1937.
Benites, B. D., Cisneiros, I. S., Bastos, S. O., Lino, A. P. B. L., Costa, F. F., Gilli, S. C. O., & Saad, S. T. O. (2019). Echocardiografic abnormalities in patients with sickle cell/β-thalassemia do not depend on the β-thalassemia phenotype. Hematology, transfusion and cell therapy, 41(2), 158-163.
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