Journal of Thrombosis and Thrombolysis

, Volume 26, Issue 3, pp 183–187

Erythropoietin in heart and vessels: focus on transcription and signalling pathways

  • Francesca Marzo
  • Alberto Lavorgna
  • Giulio Coluzzi
  • Eleonora Santucci
  • Federica Tarantino
  • Teresa Rio
  • Elena Conti
  • Camillo Autore
  • Luciano Agati
  • Felicita Andreotti
Article

DOI: 10.1007/s11239-008-0212-3

Cite this article as:
Marzo, F., Lavorgna, A., Coluzzi, G. et al. J Thromb Thrombolysis (2008) 26: 183. doi:10.1007/s11239-008-0212-3
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Abstract

Erythropoietin (Epo) is synthesized mainly under hypoxic conditions by renal and extrarenal tissues, including liver, spleen, brain, lung, bone marrow, and reproductive organs. Hypoxia abrogates the degradation of hypoxia-inducible factors (HIF)-1 and -2, that can then bind to the hypoxia response element within the Epo gene, activating its transcription. Receptors for Epo are expressed on cells known to synthesize Epo, but also on cardiomyocytes, cardiac fibroblasts, and endothelial, retinal, gastric, prostate and vascular smooth muscle cells. Epo-receptor binding triggers at least three intracellular signalling cascades: (1) janus tyrosine kinase 2 (JAK2)/signal transducer and activator of transcription 5 (STAT5); (2) phosphatidylinositol-3 kinase (PI3K)/Akt, and (3) RAS/mitogen-activated protein kinase (MAPK). Epo also enhances nitric oxide (NO) bioavailability through endothelial NO synthase transcription and activation, and exerts antiapoptotic actions through Bcl-2 and Bcl-XL. NO is a powerful vasodilator, insulin-sensitizer, inhibitor of atherothrombosis and apoptosis, and essential for progenitor mobilization. This article is a concise review of recent advances regarding the molecular and cardiovascular effects of Epo.

Keywords

Erythropoietin Erythropoietin receptor Nitric oxide Progenitor cells Apoptosis 

Copyright information

© Springer Science+Business Media, LLC 2008

Authors and Affiliations

  • Francesca Marzo
    • 1
  • Alberto Lavorgna
    • 1
  • Giulio Coluzzi
    • 1
  • Eleonora Santucci
    • 1
  • Federica Tarantino
    • 1
  • Teresa Rio
    • 1
  • Elena Conti
    • 2
  • Camillo Autore
    • 2
  • Luciano Agati
    • 2
  • Felicita Andreotti
    • 1
  1. 1.Department of Cardiovascular MedicineUniversity Hospital “A. Gemelli”RomeItaly
  2. 2.Department of Cardiology“La Sapienza” UniversityRomeItaly

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