{"id":6234,"date":"2026-08-24T10:48:41","date_gmt":"2026-08-24T03:48:41","guid":{"rendered":"https:\/\/www2.si.mahidol.ac.th\/department\/biochemistry\/?p=6234"},"modified":"2026-08-24T10:52:48","modified_gmt":"2026-08-24T03:52:48","slug":"impaired-terminal-erythroid-maturation-in-%ce%b20-thalassemia-hbe-patients-with-different-clinical-severity","status":"publish","type":"post","link":"https:\/\/www2.si.mahidol.ac.th\/department\/biochemistry\/impaired-terminal-erythroid-maturation-in-%ce%b20-thalassemia-hbe-patients-with-different-clinical-severity\/","title":{"rendered":"Impaired Terminal Erythroid Maturation in \u03b20-Thalassemia\/HbE Patients with Different Clinical Severity"},"content":{"rendered":"<p>Thunwarat Suriyun, Pranee Winichagoon, Suthat Fucharoen, Orapan Sripichai<\/p>\n<h2 class=\"title\">Abstract<\/h2>\n<div id=\"eng-abstract\" class=\"abstract-content selected\">\n<div class=\"title\">\n<p>Anemia in \u03b2-thalassemia is associated with ineffective erythropoiesis and a shortened lifespan of erythroid cells. The limited differentiation of \u03b2-thalassemic erythroblasts has been documented, but the characteristic feature of terminal erythroid maturation and its physiological relevance are not clearly described in \u03b2-thalassemias. Here, the red blood cell and reticulocyte cellular characteristics were determined in patients with \u03b20-thalassemia\/HbE in comparison to patients with iron deficiency anemia and healthy normal subjects. Severely affected \u03b20-thalassemia\/HbE patients showed the highest increase in immature reticulocytes, but the number of total erythrocytes was the lowest. Despite similar ranges of hemoglobin levels, \u03b20-thalassemia\/HbE patients had a higher number of reticulocytes and a greater proportion of immature fraction than patients with iron deficiency anemia did. In vitro CD34+ hematopoietic progenitor cells&#8217; culture and flow cytometry analysis were conducted to investigate the erythroid maturation and mitochondrial clearance in \u03b20-thalassemia\/HbE erythroid cells as compared to normal cells. The delayed erythroid maturation and evidence of impaired mitochondria clearance were observed in \u03b20-thalassemia\/HbE cells at the terminal stage of differentiation. Additionally, increased transcript levels of genes related to erythroid mitophagy, BNIP3L and PINK1, were revealed in \u03b20-thalassemia\/HbE erythroblasts. The findings indicate that the erythroid maturation is physiologically relevant, and that the restoration of terminal maturation represents a potential therapeutic target for \u03b2-thalassemias.<\/p>\n<p><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/35407362\/\">https:\/\/pubmed.ncbi.nlm.nih.gov\/35407362\/<\/a><\/p>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Thunwarat Suriyun, Pranee Winichagoon, Suthat Fucharoen [&#8230;]\n","protected":false},"author":6,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[3],"tags":[],"class_list":["post-6234","post","type-post","status-publish","format-standard","hentry","category-3"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Impaired Terminal Erythroid Maturation in \u03b20-Thalassemia\/HbE Patients with Different Clinical Severity - \u0e20\u0e32\u0e04\u0e27\u0e34\u0e0a\u0e32\u0e0a\u0e35\u0e27\u0e40\u0e04\u0e21\u0e35 \u0e04\u0e13\u0e30\u0e41\u0e1e\u0e17\u0e22\u0e28\u0e32\u0e2a\u0e15\u0e23\u0e4c\u0e28\u0e34\u0e23\u0e34\u0e23\u0e32\u0e0a\u0e1e\u0e22\u0e32\u0e1a\u0e32\u0e25 \u0e21\u0e2b\u0e32\u0e27\u0e34\u0e17\u0e22\u0e32\u0e25\u0e31\u0e22\u0e21\u0e2b\u0e34\u0e14\u0e25<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www2.si.mahidol.ac.th\/department\/biochemistry\/impaired-terminal-erythroid-maturation-in-%ce%b20-thalassemia-hbe-patients-with-different-clinical-severity\/\" \/>\n<meta property=\"og:locale\" content=\"th_TH\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Impaired Terminal Erythroid Maturation in \u03b20-Thalassemia\/HbE Patients with Different Clinical Severity - \u0e20\u0e32\u0e04\u0e27\u0e34\u0e0a\u0e32\u0e0a\u0e35\u0e27\u0e40\u0e04\u0e21\u0e35 \u0e04\u0e13\u0e30\u0e41\u0e1e\u0e17\u0e22\u0e28\u0e32\u0e2a\u0e15\u0e23\u0e4c\u0e28\u0e34\u0e23\u0e34\u0e23\u0e32\u0e0a\u0e1e\u0e22\u0e32\u0e1a\u0e32\u0e25 \u0e21\u0e2b\u0e32\u0e27\u0e34\u0e17\u0e22\u0e32\u0e25\u0e31\u0e22\u0e21\u0e2b\u0e34\u0e14\u0e25\" \/>\n<meta property=\"og:description\" content=\"Thunwarat Suriyun, Pranee Winichagoon, Suthat Fucharoen [...]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www2.si.mahidol.ac.th\/department\/biochemistry\/impaired-terminal-erythroid-maturation-in-%ce%b20-thalassemia-hbe-patients-with-different-clinical-severity\/\" \/>\n<meta property=\"og:site_name\" content=\"\u0e20\u0e32\u0e04\u0e27\u0e34\u0e0a\u0e32\u0e0a\u0e35\u0e27\u0e40\u0e04\u0e21\u0e35 \u0e04\u0e13\u0e30\u0e41\u0e1e\u0e17\u0e22\u0e28\u0e32\u0e2a\u0e15\u0e23\u0e4c\u0e28\u0e34\u0e23\u0e34\u0e23\u0e32\u0e0a\u0e1e\u0e22\u0e32\u0e1a\u0e32\u0e25 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