Cited by 78Erythropoietin and Anemia TreatmentHematopoietic Stem Cell TransplantationHematological disorders and diagnostics

Circulating erythropoietin levels after bone marrow transplantation: inappropriate response to anemia in allogeneic transplants

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Beguin, Y, Clemons, GK, Oris, R, Fillet, G·1991·Blood

Abstract

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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Authors
Beguin, Y., Clemons, G., Oris, R., & Fillet, G.
Affiliations
  • University of Liège (BE)
  • Department of Hematology, University of Liege, Belgium.
Venue
Blood
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
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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