© F e r r a t a S t o r t i F o u n d a t i o ncules might represent complementary therapeutic strategies to counteract the toxic effects of ROS in β-thalassemia. However, few of them have been shown to beneficially affect in vivo β-thalassemic red cell features and/or thalassemic ineffective erythropoiesis in vivo.
16,21
MethodsIn vitro erythropoiesis from CD34 + cells from peripheral circulation of normal and β-thalassemia-intermedia subjects Regarding cell culture, phenotypic analysis and cell sorting strategy, peripheral blood from adult normal volunteers and from transfusion independent β-thalassemia patients (β-thalassemia intermedia) was collected, after obtaining informed consent according to the guidelines established by the Ethic Committee for human subject studies of the University of Milan and the principles of the Declaration of Helsinki. Approval by the Ethic Committee of the University of Milan for human erythroid precursors studies was obtained. We analyzed 20 erythroid cultures from the peripheral blood of different normal subjects and 20 erythroid cultures from 10 homozygous β-thalassemic intermedia patients (β 0cod39 ). 11,17 Details on cell cultures are reported in the Online Supplementary Appendix. The Resveratrol concentration (5 mM; Sigma Aldrich, St. Louis, MO, USA) used in this study was selected from dose-response studies (Online Supplementary Figure 1SA) and a review of the literature. 3,5,6,[8][9][10]22 The erythroid cell antigen profile and the sorting of erythroid precursors were carried out as reported by Merry-Weather Clarke et al. 23 Details are reported in the Online Supplementary Appendix and Figure S1B).Quantitative real-time PCR was carried out as previously described. 24 Details are reported in the Online Supplementary Appendix. The primers used are listed in Online Supplementary Tables S1 and S2.For immunoblot-analysis of sorted human erythroid precursors and immunofluorescence assay for FoxO3a, 1 x 10 6 sorted CFU-E cells from both normal and β-thalassemic were solubilized as previously described. 11,20 Details on immunoblot and immunofluorescence analysis are reported in the Online Supplementary Appendix. Whenever indicated, sorted CFU-Es were separated into cytosol and nuclear fractions as previously reported. 25 The study was carried out in accordance with the Scientific Committee for Animal Experimentation (CIRSAL, University of Verona, Italy). C57B6/2J mice, wild-type controls (WT) and Hbb th3/+ mice were used as β-thalassemia models. Age-and sexmatched 2-month old mice (weight 20 g) were studied. The female/male ratio in the different groups was 1:1. Based on previous studies on resveratrol bioavailability in vivo, [26][27][28] the mice were placed either on resveratrol (2.5 mg/kg incorporated into AIN-93G diet) or standard diet (AIN-93G diet). The mice were fed with resveratrol diet for six months. Hematologic parameters and red cell indices were determined as previously reported. 16,[29][30][31][32] For cytofluorimetric analysis of mouse bone-marrow p...