Haematologica (Mar 2019)

Dyserythropoiesis evaluated by the RED score and hepcidin:ferritin ratio predicts response to erythropoietin in lower-risk myelodysplastic syndromes

  • Sophie Park,
  • Olivier Kosmider,
  • Frédéric Maloisel,
  • Bernard Drenou,
  • Nicolas Chapuis,
  • Thibaud Lefebvre,
  • Zoubida Karim,
  • Hervé Puy,
  • Anne Sophie Alary,
  • Sarah Ducamp,
  • Frédérique Verdier,
  • Cécile Bouilloux,
  • Alice Rousseau,
  • Marie-Christine Jacob,
  • Agathe Debliquis,
  • Agnes Charpentier,
  • Emmanuel Gyan,
  • Bruno Anglaret,
  • Cecile Leyronnas,
  • Selim Corm,
  • Borhane Slama,
  • Stephane Cheze,
  • Kamel Laribi,
  • Shanti Amé,
  • Christian Rose,
  • Florence Lachenal,
  • Andrea Toma,
  • Gian Matteo Pica,
  • Martin Carre,
  • Frédéric Garban,
  • Clara Mariette,
  • Jean-Yves Cahn,
  • Mathieu Meunier,
  • Olivier Herault,
  • Pierre Fenaux,
  • Orianne Wagner-Ballon,
  • Valerie Bardet,
  • Francois Dreyfus,
  • Michaela Fontenay

DOI
https://doi.org/10.3324/haematol.2018.203158
Journal volume & issue
Vol. 104, no. 3

Abstract

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Erythropoiesis-stimulating agents are generally the first line of treatment of anemia in patients with lower-risk myelodysplastic syndrome. We prospectively investigated the predictive value of somatic mutations, and biomarkers of ineffective erythropoiesis including the flow cytometry RED score, serum growth-differentiation factor-15, and hepcidin levels. Inclusion criteria were no prior treatment with erythropoiesis-stimulating agents, low- or intermediate-1-risk myelodysplastic syndrome according to the International Prognostic Scoring System, and a hemoglobin level 4 (P=0.05) and a hepcidin:ferritin ratio 2000 pg/mL and a hepcidin:ferritin ratio