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Erythropoietin and erythropoietin receptor in human ischemic/hypoxic brain

Siren Al, Knerlich F, Poser W +3 more2001Acta NeuropathologicaJournal Article
10.1007/s004010000297PubMed
Neurological

Abstract

Using immunohistochemistry, expression of erythropoietin (EPO), a hypoxia-inducible neuroprotective factor, and its receptor (EPOR) were investigated in human brain tissue after ischemia/hypoxia. Autopsy brains of neuropathologically normal subjects were compared to those with ischemic infarcts or hypoxic damage. In normal brain, weak EPO/EPOR immunoreactivity was mainly neuronal. In fresh infarcts, EPO immunoreactivity appeared in vascular endothelium, EPOR in microvessels and neuronal fibers. In older infarcts reactive astrocytes exhibited EPO/EPOR immunoreactivity. Acute hypoxic brain damage was associated with vascular EPO expression, older hypoxic damage with EPO/EPOR immunoreactivity in reactive astrocytes. The pronounced up-regulation of EPO/EPOR in human ischemic/hypoxic brains underlines their role as an endogenous neuroprotective system and suggests a novel therapeutic potential in cerebrovascular disease for EPO, a clinically well-characterized and safe compound.

Key Biomarkers

Erythropoietin (EPO)Erythropoietin receptor

Symptom Clusters

Hypoxic brain injuryIschemic brain injury

Cited By (14)

  • Erythropoietin selectively attenuates cytokine production and inflammation in cerebral ischemia by targeting neuronal apoptosisThe Journal of Experimental Medicine · 2003
  • RETRACTED: Local erythropoietin signaling enhances regeneration in peripheral axonsNeuroscience · 2008
  • Hematopoietic factor erythropoietin fosters neuroprotection through novel signal; transduction cascadesJournal of Cerebral Blood Flow & Metabolism · 2002
  • Erythropoietin as an antiapoptotic, tissue-protective cytokineCell Death and Differentiation · 2004
  • Intrinsic and extrinsic erythropoietin enhances neuroprotection against ischemia and reperfusion injury in vitroJournal of Neurochemistry · 2006
  • Erythropoietin and the nervous systemBrain Research · 2004
  • Beneficial and ominous aspects of the pleiotropic action of erythropoietinAnnals of Hematology · 2004

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