Circulating erythropoietin levels after bone marrow transplantation: inappropriate response to anemia in allogeneic transplants
Open accessAbstract
We studied 24 recipients of autologous bone marrow transplantation (ABMT) or allogeneic BMT (BMT) to determine whether impaired erythropoietin (Epo) response to anemia could delay full erythropoietic recovery. Observed Epo levels were compared with predicted levels based on the relationship between Epo and hematocrit in 125 control subjects. Circulating Epo levels were normal during conditioning and the early posttransplant period. Between days 21 and 180, Epo levels remained normal in ABMT patients but were inappropriately low for the degree of anemia in BMT patients. Median time to full erythropoietic engraftment was longer in BMT than in ABMT recipients. Circulating Epo returned to appropriate levels after day 180, except in patients with active cytomegalovirus infection. We conclude that impaired Epo response to anemia can contribute to delayed erythropoietic recovery after allogenic BMT. Renal toxicity of ciclosporin, interaction between host and donor marrow, and cytomegalovirus infection might play a role. This study could support the use of recombinant human Epo to accelerate erythropoietic engraftment after BMT.
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Shapira, M. Y., Resnick, I. B., Tsirigotis, P. D., & Slavin, S. (2006) · Expert Opinion on Biological Therapy · doi:10.1517/14712598.6.5.467
“Erythropoietin (EPO) has been used on healthy marrow donors prior to marrow harvesting.”
BackgroundInfluentialBilgrami, S., Naqvi, B. H., Fox, J. M., Furlong, F. M., & Clive, J. M. (2001) · Journal of Pharmacy Technology · doi:10.1177/875512250101700205
Martino, M. V., Callea, I., Moscato, T., Pontari, A., Spiniello, E., & Fedele, R. (2012) · Open Journal of Blood Diseases · doi:10.4236/ojbd.2012.23012
“Elevated serum Epo levels are described after highdose chemotherapy without significantly changes in Hb [42-44].”
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KEYNOTE ADDRESS Transfusions after nonmyeloablative or reduced-intensity conditioning regimens
Baron, F., Vanstraelen, G., & Beguin, Y. P. (2006)
Self-citationDevereux, S., & Pagliuca, A. (2004) · CRC Press eBooks · doi:10.1201/b14440-47
rhEPO in hematopoietic stem cell mobilization, transplantation and in-vitro expansion
Klaesson, S. (2002) · Springer eBooks · doi:10.1007/978-3-7091-7658-0_16
Čeponis, J., Wang, C., Swerdloff, R., & Liu, P. Y. (2026) · Endocrinology · doi:10.1007/978-3-319-29456-8_11-2 · Cited by 1 · see citing works
Tang, B., Kim, G., Chen, T., & Tam, H. L. A. E. L. (2026) · IntechOpen eBooks · doi:10.5772/intechopen.1016149
- Authors
- Beguin, Y., Clemons, G., Oris, R., & Fillet, G.
- Affiliations
- University of Liège (BE)
- Department of Hematology, University of Liege, Belgium.
- ORCID
- Beguin, Y
- Venue
- Blood
- Publisher
- American Society of Hematology
- Published
- 1991-02-15
- Volume
- 77
- Issue
- 4
- Pages
- 868-873
- ISSN
- 0006-4971 (ISSN-L)
- 1528-0020
- OpenAlex
- W1592476307
- Cited by
- 78
- References
- 20
- Citations by year
- 2026: 2 · 2021: 1 · 2019: 1 · 2017: 2 · 2014: 3 · 2013: 2 · 2012: 1
- FWCI
- 7.86
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Blood (publishedVersion)
- PubMed (publishedVersion)
- Open Repository and Bibliography (University of Liège) (submittedVersion, other-oa)
- Funders
- National Institutes of Health (5r01hl022469-13)
- National Heart, Lung, and Blood Institute (HL 22469)
- Topics
- Health Sciences › Medicine › Hematology › Erythropoietin and Anemia Treatment
- Health Sciences › Medicine › Hematology › Hematopoietic Stem Cell Transplantation
- Health Sciences › Medicine › Emergency Medicine › Hematological disorders and diagnostics
- Keywords
- erythropoietin, bone marrow transplantation, anemia, allogeneic transplantation, autologous transplantation, cytomegalovirus infection, recombinant human erythropoietin
- MeSH terms
- Adolescent, Adult, Anemia, Child, Child, Preschool, Cytomegalovirus Infections, Erythropoietin, Female, Graft Survival, Graft vs Host Disease, Hematocrit, Hematologic Diseases, Humans, Male, Middle Aged, Transplantation, Autologous, Transplantation, Homologous, Bone Marrow Transplantation
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