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Iron overload and chelation therapy in myelodysplastic syndromes
Sally Temraz, Valeria Santini, Khaled Musallam, Ali Taher Critical Reviews in Oncology / Hematology Volume 91, Issue 1, Pages (July 2014) DOI: /j.critrevonc Copyright © 2014 Elsevier Ireland Ltd Terms and Conditions
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Fig. 1 Mechanism of action of iron chelators in the management of iron overload. TBI: transferrin bound iron; ROS: reactive oxygen species; NTBI: non-transferrin bound iron; TFR-1: transferrin receptor-1; LPI: labile plasma iron; DMT1: divalent metal transporter 1. Critical Reviews in Oncology / Hematology , 64-73DOI: ( /j.critrevonc ) Copyright © 2014 Elsevier Ireland Ltd Terms and Conditions
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Fig. 2 Suggested algorithm for the use of iron chelators in MDS patients. *Contraindications to deferasirox include: creatinine clearance<40ml/min or serum creatinine more than twice the upper limit of normal, platelet counts <50×109/L, severe hepatic impairment (Child–Pugh class C) and hypersensitivity to deferasirox. *Contraindications to deferoxamine include: severe renal failure or anuria, Clcr<10ml/min and hypersensitivity to deferoxamine. Critical Reviews in Oncology / Hematology , 64-73DOI: ( /j.critrevonc ) Copyright © 2014 Elsevier Ireland Ltd Terms and Conditions
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