XPO1 regulates erythroid differentiation and is a new target for the treatment of β-thalassemia

Haematologica. 2020 Sep 1;105(9):2240-2249. doi: 10.3324/haematol.2018.210054.

Abstract

β-thalassemia major (β-TM) is an inherited hemoglobinopathy caused by a quantitative defect in the synthesis of β-globin chains of hemoglobin, leading to the accumulation of free a-globin chains that aggregate and cause ineffective erythropoiesis. We have previously demonstrated that terminal erythroid maturation requires a transient activation of caspase-3 and that the chaperone Heat Shock Protein 70 (HSP70) accumulates in the nucleus to protect GATA-1 transcription factor from caspase-3 cleavage. This nuclear accumulation of HSP70 is inhibited in human β-TM erythroblasts due to HSP70 sequestration in the cytoplasm by free a-globin chains, resulting in maturation arrest and apoptosis. Likewise, terminal maturation can be restored by transduction of a nuclear-targeted HSP70 mutant. Here we demonstrate that in normal erythroid progenitors, HSP70 localization is regulated by the exportin-1 (XPO1), and that treatment of β-thalassemic erythroblasts with an XPO1 inhibitor increased the amount of nuclear HSP70, rescued GATA-1 expression and improved terminal differentiation, thus representing a new therapeutic option to ameliorate ineffective erythropoiesis of β-TM.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Cell Differentiation
  • Erythroblasts
  • Erythropoiesis
  • Exportin 1 Protein
  • Humans
  • Karyopherins* / genetics
  • Receptors, Cytoplasmic and Nuclear* / genetics
  • beta-Thalassemia* / drug therapy
  • beta-Thalassemia* / genetics

Substances

  • Karyopherins
  • Receptors, Cytoplasmic and Nuclear

Grants and funding

Funding: This program has received a state subsidy managed by the National Research Agency under the "Investments for the Future" program bearing the reference ANR-01-A0-IAHU.