The Antioxidant Effect of Erythropoietin on Thalassemic Blood Cells

Because of its stimulating effect on RBC production, erythropoietin (Epo) is used to treat anemia, for example, in patients on dialysis or on chemotherapy. In β-thalassemia, where Epo levels are low relative to the degree of anemia, Epo treatment improves the anemia state. Since RBC and platelets of...

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Main Authors: Johnny Amer, Mutaz Dana, Eitan Fibach
Format: Article
Language:English
Published: Wiley 2010-01-01
Series:Anemia
Online Access:http://dx.doi.org/10.1155/2010/978710
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author Johnny Amer
Mutaz Dana
Eitan Fibach
author_facet Johnny Amer
Mutaz Dana
Eitan Fibach
author_sort Johnny Amer
collection DOAJ
description Because of its stimulating effect on RBC production, erythropoietin (Epo) is used to treat anemia, for example, in patients on dialysis or on chemotherapy. In β-thalassemia, where Epo levels are low relative to the degree of anemia, Epo treatment improves the anemia state. Since RBC and platelets of these patients are under oxidative stress, which may be involved in anemia and thromboembolic complications, we investigated Epo as an antioxidant. Using flow-cytometry technology, we found that in vitro treatment with Epo of blood cells from these patients increased their glutathione content and reduced their reactive oxygen species, membrane lipid peroxides, and external phosphatidylserine. This resulted in reduced susceptibility of RBC to undergo hemolysis and phagocytosis. Injection of Epo into heterozygous (Hbbth3/+) β-thalassemic mice reduced the oxidative markers within 3 hours. Our results suggest that, in addition to stimulating RBC and fetal hemoglobin production, Epo might alleviate symptoms of hemolytic anemias as an antioxidant.
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spelling doaj-art-2966c6caaa4942899447d393454c22ff2025-02-03T01:29:56ZengWileyAnemia2090-12672090-12752010-01-01201010.1155/2010/978710978710The Antioxidant Effect of Erythropoietin on Thalassemic Blood CellsJohnny Amer0Mutaz Dana1Eitan Fibach2Department of Hematology, Hadassah-Hebrew University Medical Center, Ein-Kerem, 91120 Jerusalem, IsraelDepartment of Hematology, Hadassah-Hebrew University Medical Center, Ein-Kerem, 91120 Jerusalem, IsraelDepartment of Hematology, Hadassah-Hebrew University Medical Center, Ein-Kerem, 91120 Jerusalem, IsraelBecause of its stimulating effect on RBC production, erythropoietin (Epo) is used to treat anemia, for example, in patients on dialysis or on chemotherapy. In β-thalassemia, where Epo levels are low relative to the degree of anemia, Epo treatment improves the anemia state. Since RBC and platelets of these patients are under oxidative stress, which may be involved in anemia and thromboembolic complications, we investigated Epo as an antioxidant. Using flow-cytometry technology, we found that in vitro treatment with Epo of blood cells from these patients increased their glutathione content and reduced their reactive oxygen species, membrane lipid peroxides, and external phosphatidylserine. This resulted in reduced susceptibility of RBC to undergo hemolysis and phagocytosis. Injection of Epo into heterozygous (Hbbth3/+) β-thalassemic mice reduced the oxidative markers within 3 hours. Our results suggest that, in addition to stimulating RBC and fetal hemoglobin production, Epo might alleviate symptoms of hemolytic anemias as an antioxidant.http://dx.doi.org/10.1155/2010/978710
spellingShingle Johnny Amer
Mutaz Dana
Eitan Fibach
The Antioxidant Effect of Erythropoietin on Thalassemic Blood Cells
Anemia
title The Antioxidant Effect of Erythropoietin on Thalassemic Blood Cells
title_full The Antioxidant Effect of Erythropoietin on Thalassemic Blood Cells
title_fullStr The Antioxidant Effect of Erythropoietin on Thalassemic Blood Cells
title_full_unstemmed The Antioxidant Effect of Erythropoietin on Thalassemic Blood Cells
title_short The Antioxidant Effect of Erythropoietin on Thalassemic Blood Cells
title_sort antioxidant effect of erythropoietin on thalassemic blood cells
url http://dx.doi.org/10.1155/2010/978710
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