Cited by 315Erythropoietin and Anemia TreatmentIron Metabolism and DisordersHemoglobin structure and function

Anaemia in kidney disease: harnessing hypoxia responses for therapy

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Koury, Mark J., Haase, Volker H.·2015·Nature Reviews Nephrology

Abstract

Improved understanding of the oxygen-dependent regulation of erythropoiesis has provided new insights into the pathogenesis of anaemia associated with renal failure and has led to the development of novel therapeutic agents for its treatment. Hypoxia-inducible factor (HIF)-2 is a key regulator of erythropoiesis and iron metabolism. HIF-2 is activated by hypoxic conditions and controls the production of erythropoietin by renal peritubular interstitial fibroblast-like cells and hepatocytes. In anaemia associated with renal disease, erythropoiesis is suppressed due to inadequate erythropoietin production in the kidney, inflammation and iron deficiency; however, pharmacologic agents that activate the HIF axis could provide a physiologic approach to the treatment of renal anaemia by mimicking hypoxia responses that coordinate erythropoiesis with iron metabolism. This Review discusses the functional inter-relationships between erythropoietin, iron and inflammatory mediators under physiologic conditions and in relation to the pathogenesis of renal anaemia, as well as recent insights into the molecular and cellular basis of erythropoietin production in the kidney. It furthermore provides a detailed overview of current clinical experience with pharmacologic activators of HIF signalling as a novel comprehensive and physiologic approach to the treatment of anaemia.

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Crossref · 10.1038/nrneph.2015.82

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  • Upregulation of TNF family member proteins in nursing macrophages and maturing erythroblasts inhibits their differentiation and induces extrinsic apoptosis.

    “Additionally, upregulation of TNF family member proteins in nursing macrophages as well as maturing erythroblasts inhibits their differentiation even further and induces extrinsic apoptosis.31”

    From Inflammatory bone marrow microenvironment (2019) · cites this paper as [31]

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Research works printed but not linked: 4

  1. [48]Semenza GL Regulation of mammalian O2 homeostasis by hypoxia-inducible factor 1. Annu. Rev. Cell Dev. Biol 1999 15 551 578 10611972
  2. [57]Ivan M HIFα targeted for VHL-mediated destruction by proline hydroxylation: implications for O2 sensing. Science 2001 292 464 468 11292862
  3. [92]Yoon D HIF-1α-deficiency results in dysregulated EPO signaling and iron homeostasis in mouse development. J. Biol. Chem 2006 281 25703 25711 16787915
  4. [197]Edwards MS Curtis JR Use of cobaltous chloride in anaemia of maintenance hemodialysis patients. Lancet 1971 2 582 583 4106108

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Authors
Koury, M. J., & Haase, V. H.
Affiliations
Vanderbilt University Medical Center (US)
Corresponding author
Haase, Volker H.
Venue
Nature Reviews Nephrology
Published
2015-06-09
Volume
11
Issue
7
Pages
394-410
ISSN
  • 1745-8323 (ISSN-L)
  • 1759-5061
  • 1759-507X
OpenAlex
W1893364029
Cited by
313
References
239
Citations by year
2026: 20 · 2025: 28 · 2024: 26 · 2023: 39 · 2022: 45 · 2021: 36 · 2020: 31 · 2019: 20 · 2018: 22 · 2017: 20 · 2016: 20 · 2015: 5
FWCI
3.34
Type
journal article
Language
en
Open access
Locations
  • Nature Reviews Nephrology (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
Funders
  • U.S. Department of Veterans Affairs (I01 BX002348)
  • National Institute of Diabetes and Digestive and Kidney Diseases (R01DK080821, R01DK101791, R01DK081646)
Topics
  • Health Sciences › Medicine › Hematology › Erythropoietin and Anemia Treatment
  • Health Sciences › Medicine › Hematology › Iron Metabolism and Disorders
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Cell Biology › Hemoglobin structure and function
Keywords
anemia of chronic kidney disease, erythropoiesis, erythropoietin, hypoxia-inducible factor, HIF-2, iron metabolism, inflammation, iron deficiency, renal failure, hepatocytes, oxygen sensing
MeSH terms
Endothelial PAS Domain-Containing Protein 1, Anemia, Erythropoiesis, Humans, Signal Transduction, Cell Hypoxia, Renal Insufficiency, Chronic, Basic Helix-Loop-Helix Proteins, Hypoxia-Inducible Factor 1

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