%0 Journal Article %T Understanding complex disease-related mechanisms: Rational therapies for Diamond-Blackfan anaemia. %A Lipton JM %J Br J Haematol %V 204 %N 5 %D 2024 May 14 %M 38485153 %F 8.615 %R 10.1111/bjh.19404 %X The rich history surrounding Diamond-Blackfan anaemia (DBA), originally described in 1938 as congenital hypoplastic anaemia2 reflects the evolution of paediatric haematology. In their paper, the authors1 present the results of a clinical trial using the thrombopoietin-mimetic agent eltrombopag to treat red cell failure in DBA. A low response rate belies the importance of this work. Commentary on: Duncan et al. Treatment of refractory/relapsed Diamond-Blackfan anaemia with eltrombopag. Br J Haematol 2024;204:2077-2085.