Targeting Prolyl Hydroxylase to Overcome Iron Deficiency and Inflammation-Related Anemia in Rats: A Novel Therapeutic Approach

3 June 2024
The study explores the potential of small-molecule prolyl hydroxylase (PHD) inhibitors in treating anemia and functional iron deficiency (FID). A compound, JNJ-42905343, was identified and compared with recombinant human erythropoietin (rhEPO) in rats, both healthy and with inflammation-induced anemia and FID.

In healthy rats, JNJ-42905343 increased the expression of genes related to iron absorption and plasma EPO levels. Over 28 days, it elevated hemoglobin, MCH, and MCV, and showed a dose-dependent effect on serum iron levels. In the inflammation model, JNJ-42905343 corrected anemia and FID by increasing hemoglobin, MCH, and MCV, and it was found to work through increasing the expression of genes that enhance iron availability in the duodenum. In contrast, rhEPO did not affect these genes and was ineffective in the inflammation model.

The research concludes that PHD inhibition positively impacts iron metabolism and EPO release, suggesting that PHD inhibitors like JNJ-42905343 offer a unique therapeutic approach for anemia and FID, distinct from rhEPO.

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