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Blood, 15 October 2007, Vol. 110, No. 8, pp. 2864-2871.
Prepublished online as a Blood First Edition Paper on July 9, 2007; DOI 10.1182/blood-2007-01-065201.
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Submitted January 3, 2007
Accepted June 22, 2007
Thalidomide induces -globin gene expression through increased reactive oxygen species-mediated p38 MAPK signaling and histone H4 acetylation in adult erythropoiesis
Wulin Aerbajinai, Jianqiong Zhu, Zhigang Gao, Kyung Chin, and Griffin P Rodgers*
Molecular and Clinical Hematology Branch, National Institute of Diabetes, Digestive and Kidney Diseases/NIH, Bethesda, MD, United States
* Corresponding author; email: gr5n{at}nih.gov.
Although thalidomide has been shown to improve anemia in some patients with myelodysplastic syndromes and stimulates erythropoietin in multiple myeloma patients, thalidomide's specific effects on -globin gene expression during erythroid differentiation has not been studied. Here, we investigated the effects of thalidomide on -globin gene expression and the involved signaling pathway using an ex vivo culture system of primary human CD34+ cells. We found that thalidomide induced -globin mRNA expression in a dose-dependent manner, but had no effect on --globin expression. We also demonstrated that intracellular reactive oxygen species (ROS) levels were increased by treatment with thalidomide for 48 h (from day 3 to day 5). Western blot analysis demonstrated that thalidomide activated the p38 mitogen-activated protein kinase (MAPK) signaling pathway in a time- and dose-dependent manner and increased histone H4 acetylation. Pretreatment of cells with the anti-oxidant enzyme catalase and the intracellular hydroxyl scavenger dimethylthiourea (DMTU) abrogated the thalidomide-induced p38 MAPK activation and histone H4 acetylation. Moreover, pretreatment with catalase and DMTU diminished thalidomide-induced -globin gene expression. These data indicate that thalidomide induces increased expression of the -globin gene via ROS-dependent activation of the p38 MAPK signaling pathway and histone H4 acetylation.

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