Ebselen: A promising therapy protecting cardiomyocytes from excess iron in iron-overloaded thalassemia patients
Iron-overload-associated cardiomyopathy has been one of the primary causes of mortality in thalassemia patients with iron burden. There is growing evidence citing the beneficial effects of ebselen as an antioxidant selectively blocking the divalent metal transporter 1 (DMT-1) to deter iron ingress i...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
De Gruyter
2023-07-01
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| Series: | Open Medicine |
| Subjects: | |
| Online Access: | https://doi.org/10.1515/med-2023-0733 |
| _version_ | 1797778403258007552 |
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| author | Ghazaiean Mobin Aliasgharian Aily Karami Hossein Darvishi-Khezri Hadi |
| author_facet | Ghazaiean Mobin Aliasgharian Aily Karami Hossein Darvishi-Khezri Hadi |
| author_sort | Ghazaiean Mobin |
| collection | DOAJ |
| description | Iron-overload-associated cardiomyopathy has been one of the primary causes of mortality in thalassemia patients with iron burden. There is growing evidence citing the beneficial effects of ebselen as an antioxidant selectively blocking the divalent metal transporter 1 (DMT-1) to deter iron ingress into cardiomyocytes, raising internets in viewing this component in this population in order to treat and even prevent cardiomyopathy occurring from iron surplus. In this article, we reviewed the potential advantageous effects of ebselen in thalassemia patients who suffer from iron excess, susceptible to cardiomyopathy induced by iron overload. A systematic search in several databases, including PubMed, Scopus, and Web of Science, was conducted to explore the role of ebselen in controlling iron-overload-related cardiomyopathy in thalassemia patients by the keywords of Ebselen AND iron. The inclusion criteria were English-written preclinical and clinical studies investigating the efficacy and side effects of ebselen in an iron-overload context. After searching the databases, 44 articles were found. Next, of 19 published articles, 3 were included in this article. After reviewing the references of the included studies, no articles were added. In conclusion ebselen can be a promising adjuvant therapy in patients with thalassemia alongside the standard treatment with iron chelators, particularly in severe cases with cardiomyopathy, due to falling iron inflow by inhibiting DMT-1 and increasing ferroportin-1 expression and antioxidant properties. However, clinical studies need to be carried out to reach a definite conclusion. |
| first_indexed | 2024-03-12T23:16:52Z |
| format | Article |
| id | doaj.art-d6b7bbb7b92849a4a755e1c003940eaf |
| institution | Directory Open Access Journal |
| issn | 2391-5463 |
| language | English |
| last_indexed | 2024-03-12T23:16:52Z |
| publishDate | 2023-07-01 |
| publisher | De Gruyter |
| record_format | Article |
| series | Open Medicine |
| spelling | doaj.art-d6b7bbb7b92849a4a755e1c003940eaf2023-07-17T05:25:15ZengDe GruyterOpen Medicine2391-54632023-07-011814798910.1515/med-2023-0733Ebselen: A promising therapy protecting cardiomyocytes from excess iron in iron-overloaded thalassemia patientsGhazaiean Mobin0Aliasgharian Aily1Karami Hossein2Darvishi-Khezri Hadi3Student Research Committee, Mazandaran University of Medical Sciences, Sari, IranThalassemia Research Center (TRC), Hemoglobinopathy Institute, Mazandaran University of Medical Sciences, Sari, IranDepartment of Pediatric, School of Medicine, Thalassemia Research Center (TRC), Hemoglobinopathy Institute, Mazandaran University of Medical Sciences, Sari, IranThalassemia Research Center (TRC), Hemoglobinopathy Institute, Mazandaran University of Medical Sciences, Sari, IranIron-overload-associated cardiomyopathy has been one of the primary causes of mortality in thalassemia patients with iron burden. There is growing evidence citing the beneficial effects of ebselen as an antioxidant selectively blocking the divalent metal transporter 1 (DMT-1) to deter iron ingress into cardiomyocytes, raising internets in viewing this component in this population in order to treat and even prevent cardiomyopathy occurring from iron surplus. In this article, we reviewed the potential advantageous effects of ebselen in thalassemia patients who suffer from iron excess, susceptible to cardiomyopathy induced by iron overload. A systematic search in several databases, including PubMed, Scopus, and Web of Science, was conducted to explore the role of ebselen in controlling iron-overload-related cardiomyopathy in thalassemia patients by the keywords of Ebselen AND iron. The inclusion criteria were English-written preclinical and clinical studies investigating the efficacy and side effects of ebselen in an iron-overload context. After searching the databases, 44 articles were found. Next, of 19 published articles, 3 were included in this article. After reviewing the references of the included studies, no articles were added. In conclusion ebselen can be a promising adjuvant therapy in patients with thalassemia alongside the standard treatment with iron chelators, particularly in severe cases with cardiomyopathy, due to falling iron inflow by inhibiting DMT-1 and increasing ferroportin-1 expression and antioxidant properties. However, clinical studies need to be carried out to reach a definite conclusion.https://doi.org/10.1515/med-2023-0733iron-overloadedβ-thalassemiacardiomyopathy |
| spellingShingle | Ghazaiean Mobin Aliasgharian Aily Karami Hossein Darvishi-Khezri Hadi Ebselen: A promising therapy protecting cardiomyocytes from excess iron in iron-overloaded thalassemia patients Open Medicine iron-overloaded β-thalassemia cardiomyopathy |
| title | Ebselen: A promising therapy protecting cardiomyocytes from excess iron in iron-overloaded thalassemia patients |
| title_full | Ebselen: A promising therapy protecting cardiomyocytes from excess iron in iron-overloaded thalassemia patients |
| title_fullStr | Ebselen: A promising therapy protecting cardiomyocytes from excess iron in iron-overloaded thalassemia patients |
| title_full_unstemmed | Ebselen: A promising therapy protecting cardiomyocytes from excess iron in iron-overloaded thalassemia patients |
| title_short | Ebselen: A promising therapy protecting cardiomyocytes from excess iron in iron-overloaded thalassemia patients |
| title_sort | ebselen a promising therapy protecting cardiomyocytes from excess iron in iron overloaded thalassemia patients |
| topic | iron-overloaded β-thalassemia cardiomyopathy |
| url | https://doi.org/10.1515/med-2023-0733 |
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