Macrophages support pathological erythropoiesis in polycythemia vera and β-thalassemia

Pedro Ramos, Carla Casu, Sara Gardenghi, Laura Breda, Bart J. Crielaard, Ella Guy, Maria Franca Marongiu, Ritama Gupta, Ross L. Levine, Omar Abdel-Wahab, Benjamin L. Ebert, Nico Van Rooijen, Saghi Ghaffari, Robert W. Grady, Patricia J. Giardina, Stefano Rivella

Research output: Contribution to journalArticlepeer-review

180 Scopus citations


Regulation of erythropoiesis is achieved by the integration of distinct signals. Among them, macrophages are emerging as erythropoietin-complementary regulators of erythroid development, particularly under stress conditions. We investigated the contribution of macrophages to physiological and pathological conditions of enhanced erythropoiesis. We used mouse models of induced anemia, polycythemia vera and β-thalassemia in which macrophages were chemically depleted. Our data indicate that macrophages contribute decisively to recovery from induced anemia, as well as the pathological progression of polycythemia vera and β-thalassemia, by modulating erythroid proliferation and differentiation. We validated these observations in primary human cultures, showing a direct impact of macrophages on the proliferation and enucleation of erythroblasts from healthy individuals and patients with polycythemia vera or β-thalassemia. The contribution of macrophages to stress and pathological erythropoiesis, which we have termed stress erythropoiesis macrophage-supporting activity, may have therapeutic implications.

Original languageEnglish
Pages (from-to)437-445
Number of pages9
JournalNature Medicine
Issue number4
StatePublished - Apr 2013


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