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The non‐haematopoietic biological effects of erythropoietin
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Summary: In the haematopoietic system, the principal function of erythropoietin (Epo) is the regulation of red blood cell production, mediated by its specific cell surface receptor (EpoR). Following the cloning of the Epo gene (EPO) and characterization of the selective haematopoietic action of Epo in erythroid lineage cells, recombinant Epo forms (epoetin‐alfa, epoetin‐beta and the long‐acting analogue darbepoetin‐alfa) have been widely used for treatment of anaemia in chronic kidney disease and chemotherapy‐induced anaemia in cancer patients. Ubiquitous EpoR expression in non‐erythroid cells has been associated with the discovery of diverse biological functions for Epo in non‐haematopoietic tissues. During development, Epo–EpoR signalling is required not only for fetal liver erythropoiesis, but also for embryonic angiogenesis and brain development. A series of recent studies suggest that endogenous Epo–EpoR signalling contributes to wound healing responses, physiological and pathological angiogenesis, and the body’s innate response to injury in the brain and heart. Epo and its novel derivatives have emerged as major tissue‐protective cytokines that are being investigated in the first human studies involving neurological and cardiovascular diseases. This review focuses on the scientific evidence documenting the biological effects of Epo in non‐haematopoietic tissues and discusses potential future applications of Epo and its derivatives in the clinic.
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“Erythropoietin was originally recognized via its role in erythropoiesis [2145-2147] (hence its name, of course), but it has become evident that it has many other roles, and in particular it is observed phenomenologically that erythropoietin (and non-erthyropoetic derivatives) is protective in a number of inflammatory conditions that accompany many diseases such as those listed above [940,942,2148-”
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Research works printed but not linked: 1
- 10.1182/blood.V92.9.3218 · DOI
Cited by
Sorted by citations
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Metadata
- Authors
- Arcasoy, M. O.
- Affiliations
- Duke Medical Center (US)
- Corresponding author
- Arcasoy, Murat O.
- ORCID
- Arcasoy, Murat O.
- Venue
- British Journal of Haematology
- Publisher
- Wiley
- Published
- 2008-03-06
- Volume
- 141
- Issue
- 1
- Pages
- 14-31
- ISSN
- 0007-1048 (ISSN-L)
- 1365-2141
- OpenAlex
- W2088369648
- Cited by
- 347
- References
- 206
- Citations by year
- 2026: 3 · 2025: 6 · 2024: 6 · 2023: 5 · 2022: 8 · 2021: 9 · 2020: 11 · 2019: 12 · 2018: 15 · 2017: 15 · 2016: 12 · 2015: 12 · 2014: 18 · 2013: 38 · 2012: 28
- FWCI
- 6.51
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- British Journal of Haematology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- U.S. Department of Defense
- American Heart Association
- National Institutes of Health (5r21dk065065-02)
- National Cancer Institute (CA100844, R01CA100844)
- National Institute of Diabetes and Digestive and Kidney Diseases (DK65065)
- Topics
- Health Sciences › Medicine › Hematology › Erythropoietin and Anemia Treatment
- Life Sciences › Immunology and Microbiology › Immunology › Biosimilars and Bioanalytical Methods
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Biochemistry › Hemoglobin structure and function
- Keywords
- erythropoietin, erythropoietin receptor, epoetin alfa, epoetin beta, darbepoetin alfa, angiogenesis, wound healing, brain development, embryonic development, tissue protection, anemia of chronic kidney disease, chemotherapy-induced anemia, neuroprotection, cardioprotection
- MeSH terms
- Animals, Cardiotonic Agents, Cardiovascular Physiological Phenomena, Erythropoietin, Humans, Nervous System Physiological Phenomena, Recombinant Proteins, Wound Healing, Signal Transduction, Receptors, Erythropoietin, Neuroprotective Agents
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