Advancements in Hematology: Dual TKI Targeting and Iron Homeostasis

In this week's episode we'll learn about asciminib plus dasatinib in Philadelphia chromosome-positive acute leukemia. In a phase 1 study, combining two tyrosine kinase inhibitors with distinct mechanisms of action had encouraging activity in patients with de novo disease. After that: new research demonstrates that the iron exporter ferroportin contributes to the iron-sensing properties of liver endothelial cells. But is it the primary mediator of systemic iron homeostasis? Finally: anemia in pregnant patients with beta-thalassemia minor. In the third trimester, about one-third of patients have hemoglobin levels of 9 grams per deciliter or lower. This report may help to guide the appropriate diagnosis of anemia while limiting unnecessary testing and interventions. 

Featured Articles:

• Asciminib plus dasatinib and prednisone for Philadelphia chromosome–positive acute leukemia
• The hepcidin-ferroportin axis modulates liver endothelial cell BMP expression to influence iron homeostasis in mice
• β-Thalassemia minor is associated with high rates of worsening anemia in pregnancy