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Renal Artery Stenosis and Renal Polyglobulia

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Erythropoietin

Abstract

Renal polyglobulia is characterized by an excess secretion of erythropoietin by the kidney in the absence of systemic hypoxaemia. A decrease in blood oxygen tension is the principle signal for the production of erythropoietin. The sensor is undoubtedly located in the kidney, however, neither its excact site nor the site of the production and the secretion of erythropoietin are yet fully elucidated. There is growing evidence that renal erythropoietin is produced by peritubular interstitial cells of the outer medulla and the cortex [41], although cultured mesangial cells have been found able to produce the hormone as well [40]. In detail the regulation of the production of erythropoietin is handled elsewhere in this book (Pagel et al., this volume).

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References

  1. Bacon BR, Rothman SA, Ricanati ES, Rashad FA (1980) Renal artery stenosis with erythrocytosis after renal transplantation. Arch Intern Med 140: 1206–1211

    Article  PubMed  CAS  Google Scholar 

  2. Balcerzak SP, Bromberg PA (1975) Secondary polycythemia, Semin Hematol 12: 353–382

    PubMed  CAS  Google Scholar 

  3. Basu TK, Stein RM (1974) Erythrocytosis associated with chronic renal disease. Arch Intern Med 133: 442–447

    Article  PubMed  CAS  Google Scholar 

  4. Berlin NI (1975) Diagnosis and classification of the polycythemias. Semin Hemat 12: 339–351

    PubMed  CAS  Google Scholar 

  5. Bilsel YC, Wood EJ, Lange RD (1963) Angiotensin II and erythropoiesis. Proc Soc Exp Biol Med 114: 475–479

    PubMed  CAS  Google Scholar 

  6. Bourgoignie JJ, Gallagher NI, Perry HM Jr., Kurz L, Warnecke MA, Donati RM (1968) Renin and erythropoietin in normotensive and in hypertensive patients. J Lab Clin Med 71: 523–536

    PubMed  CAS  Google Scholar 

  7. Caro J, Schuster S, Besarab A, Erslev AJ (1986) Renal biogenesis of erythropoietin In: J.N. Rich: Molecular and Cellular Aspects of Erythropoietin and Erythropoiesis NATO ASI Series H, Cell Biology 8 (1987) 329–336

    Google Scholar 

  8. Chrysant SG, Frohlich ED, Adamopoulos PN, Stein PD, Whitcomb WH, Allen EW, Neller G (1976) Pathophysiologic significance of “stress” or relative polycythemia in essential hypertension, Am J Cardiol 37: 1069

    Article  PubMed  CAS  Google Scholar 

  9. Contrera JG, Gorden AS, Weintraub AH (1966) Extraction of an erythropoietin producing factor from a particulate fraction of rat kidney. Blood 28: 330–343

    PubMed  CAS  Google Scholar 

  10. Cooper GW, Nocenti MR (1961) Unilateral renal ischaemia and erythropoietin. Proc Soc Exp Biol Med 108: 546–549

    Google Scholar 

  11. Cotes PM, Lowe RD (1963) The influence of renal ischaemia on red-cell formation. In: Wiliams PC (ed) Hormones and the kidneys. Academic, London, pp 187–194

    Google Scholar 

  12. Cotes PM, Doré CJ, Liu Yin JA, Lewis SM, Messinezy M, Pearson TC, Reid C (1986) Determination of serum immunoreactive erythropoietin in the investigation of erythrocytosis. N Engl J Med 315: 283–287

    Article  PubMed  CAS  Google Scholar 

  13. Dagher FJ, Ramos E, Erslev AJ, Alongi SV, Karmi SA, Caro J (1979) Are the native kidneys responsible for erythrocytosis in renal allografts? Transplantation 28: 496–498

    PubMed  CAS  Google Scholar 

  14. De Klerk G, Rosengarten PCJ, Vet RJWM, Goudsmit R (1981) Serum erythropoietin (ESF) titers in anemia. Blood 58: 1164–1170

    PubMed  Google Scholar 

  15. De Klerk G, Rosengarten PCJ, Vet RJWM, Goudsmit R (1981) Serum erythropoietin (ESF) titers in polycythemia. Blood 58: 1171–1174

    PubMed  Google Scholar 

  16. Erslev AJ, Caro J (1983) Pathophysiology of erythropoietin. In: Dunn CDR (ed) Current concepts in erythropoiesis. Wiley, New York, pp 1–20

    Google Scholar 

  17. Essers U, Mühlhoff G, Rahn KH, Ochs G (1977) Erhöhte Erythropoietin-Sekretion bei Phäochromozytom. Med Welt 28: 877–881

    PubMed  CAS  Google Scholar 

  18. Fisher JW, Schofield R, Porteous DD (1965) Effects of renal hypoxia on erythropoietin production. Br J Haematol 11: 382–388

    Article  PubMed  CAS  Google Scholar 

  19. Fisher JW, Samuels AI, Langston JW (1967) Effects of angiotensin and renal artery constriction on erythropoietin production. J Pharmacol Exp Ther 157: 618–625

    PubMed  CAS  Google Scholar 

  20. Frohlich ED, Tarazi RD (1968) High hematocrit in hypertension and its relationship with renal arterial disease. Ann NY Acad Sci 149: 569–569

    Article  PubMed  CAS  Google Scholar 

  21. Fyhrquist R, Rosenlöf K, Grönhagen-Riska C, Hortling L, Tikkanen I (1984) Is renin substrate an erythropoietin precursor? Nature 308: 649–652

    Article  PubMed  CAS  Google Scholar 

  22. Fyhrquist F, Rosenlöf K, Grönhagen-Riska C, Räsänen V (1986) Renin substrate (angiotensinogen) as a possible erythropoietin precursor. Contrib Nephrol 50: 167–174

    PubMed  CAS  Google Scholar 

  23. Gordon AS, Kaplan SM (1978) Erythrogenin (REF) In: Fisher JW (ed) Kidney hormones: Erythropoietin, vol 2. Academic, London, pp 187–230

    Google Scholar 

  24. Gould AB, Keighley G, Lowy PH (1968) On the presence of a renin-like activity in erythropoietin preparations. Lab Invest 18: 2–7

    PubMed  CAS  Google Scholar 

  25. Gould AB, Goodman SA, Green D (1973) An in vivo effect of renin on erythropoietin formation. Lab Invest 28: 719–722

    PubMed  CAS  Google Scholar 

  26. Gould AB, Goodman S, DeWolf R, Onesti G, Swartz C (1980) Interrelation of the renin system and erythropoietin in rats. J Lab Clin Med 96: 523–533

    PubMed  CAS  Google Scholar 

  27. Gross DM, Mujovic VM, Jubiz W, Fisher JW (1976) Enhanced erythropoietin and prostaglandin E production in the dog following renal artery constriction. Proc Soc Exp Biol Med 151: 498–510

    PubMed  CAS  Google Scholar 

  28. Gurney CW (1970) Polycythemias and anemias associated with renal diseases. In: Fisher JW (ed) Kidney hormones. Academic, London, pp 307–409

    Google Scholar 

  29. Hansen P (1964) Demonstration of erythropoietin in urine and in kidney extracts from rabbits with experimental constriction of the left renal artery. Acta Pathol Microbiol Scand 61: 514–520

    PubMed  CAS  Google Scholar 

  30. Herforth A, Binswanger U, Largiader F, Frick P (1979) Hohe Hämoglobinkonzentration und hoher Hämatokrit bei Trägern von Nierenallotransplantaten. Schweiz Med Wochenschr 109: 1293–1298

    PubMed  CAS  Google Scholar 

  31. Hudgson P, Pearce JMS, Yeates WK (1967) Renal artery stenosis with hypertension and high hematocrit. Br Med J 1: 18–21

    Article  PubMed  CAS  Google Scholar 

  32. Jacobs K, Shoemaker C, Rudersdorf R, et al. (1985) Isolation and characterization of genomic and cDNA clones of human erythropoietin. Nature 313: 806–810

    Article  PubMed  CAS  Google Scholar 

  33. Ianhez LE, Da Fonseca JA, Chocair PR, Maspes V, Sabbage E (1977) Polycythemia after kidney transplantation. Influence of the native kidneys on the production of hemoglobin. Urol Int 32: 382–392

    Article  Google Scholar 

  34. Jelkmann W (1986) Renal erythropoietin: properties and production. Rev Physiol Biochem Pharmacol 104: 139–215

    Article  PubMed  CAS  Google Scholar 

  35. Jelkmann W, Bauer C (1981) Demonstration of high levels of erythropoietin in rat kidneys following hypoxic hypoxia. Pflugers Arch 392: 34–39

    Article  PubMed  CAS  Google Scholar 

  36. Kramer K, Deetje P (1960) Beziehungen des O2-Verbrauchs der Niere zu Durchblutung und Glomerulusfiltrat bei Änderung des arteriellen Druckes. Pflugers Arch 271: 782–796

    Article  CAS  Google Scholar 

  37. Krantz SB, Jacobson LO (1970) Erythropoietin and the regulation of erythropoiesis. University of Chicago Press, Chicago

    Google Scholar 

  38. Kuratowska Z (1968) The renal mechanism of the formation and inactivation of erythropoietin. Ann NY Acad Sci 149: 128–134

    Article  PubMed  CAS  Google Scholar 

  39. Kuratowska Z, Lewartowski B, Liponski B (1964) Chemical and biologic properties of an erythropoietic generating substance obtained from perfusates of isolated anoxic kidneys. J Lab Clin Med 64: 226–237

    PubMed  CAS  Google Scholar 

  40. Kurtz A, Jelkmann W, Pfeilschifter J, Bauer C (1986) Erythropoietin production in cultures of rat renal mesangial cells. Contrib Nephrol 50: 175–187

    PubMed  CAS  Google Scholar 

  41. Lacombe C, Da Silva JL, Bruneval P, Camilleri JP, Bariety J, Tambourin P, Varet B (1988) Identification of tissues and cells producing erythropoietin in the anemic mouse. Contrib Nephrol 66: 17–24

    PubMed  CAS  Google Scholar 

  42. Luke RG, Kennedy AC, Stirling WB, McDonald GA (1965) Renal artery stenosis, hypertension and polycythemia. Br Med J 1: 164–166

    Article  PubMed  CAS  Google Scholar 

  43. Mantz JM, Cholevas M, Warter J (1960) Etudes sur l’hémopoiétine chez le rat blanc. II. Arguments en faveur de son origine rénale. C R Soc Biol 154: 1068–1071

    CAS  Google Scholar 

  44. Mitus WJ, Galbraith P, Gollekeri M, Toyama K (1964) Experimental renal erythrocytosis. I. Effects of pressure and vascular interference. Blood 24: 343–355

    PubMed  CAS  Google Scholar 

  45. Mujovic VM, Fisher JW (1974) Effects of indomethacin on erythropoietin production in dogs following renal artery constriction. I. The possible role of prostaglandins in the generation of erythropoietin by the kidney. J Pharmacol Exp Ther 191: 575–580

    PubMed  CAS  Google Scholar 

  46. Murphy GP, Mirand EA, Johnston GS, Schirmer HKA (1966) Erythropoietin release in hypertensive dogs with renal artery stenosis. Surg Forum 17: 499–500

    PubMed  CAS  Google Scholar 

  47. Murphy GP, Mirand EA, Johnston GS, Schirmer HKA (1967) Correlation of renal metabolism with erythropoietin release in hypertensive dogs with renal artery stenosis. Invest Urol 4: 372–377

    PubMed  CAS  Google Scholar 

  48. Nakanishi (1983) cited in Fyhrquist F, Rosenlöf K, Grönhagen-Riska C, Räsänen V (1986) Renin substrate (angiotensiogen) as a possible erythropoietin-precursor. Contrib Nephrol 50: 173

    Google Scholar 

  49. Nakao K, Shirakura T, Azuma M, Maekawa T (1967) Studies on erythropoietic action of angiotensin II. Blood 29: 754–760

    PubMed  CAS  Google Scholar 

  50. Samtleben W, Baldamus CA, Bommer J, Fassbinder W, Nonnast-Daniel B, Gurland HJ (1988) Blood pressure changes during treatment with recombinant human erythropoietin. Contrib Nephrol 66: 114–122

    PubMed  CAS  Google Scholar 

  51. Sherwood JB (1984) The chemistry and physiology of erythropoietin. Vitam Horm 41: 196–199

    Google Scholar 

  52. Stefanini M, Urbas JV, Urbas JE (1978) Gaisböck’s syndrome: its hematologic, biochemical and hormonal parameters. Angiology 29: 520

    Article  PubMed  CAS  Google Scholar 

  53. Takaku F, Hirashima K, Nakao K (1962) Studies on the mechanism of erythropoietin production. I. Effect of unilateral constriction of the renal artery. J Lab Clin Med 59: 815–820

    PubMed  CAS  Google Scholar 

  54. Tarazi RC, Frohlich ED, Dustan HP, Gifford RW Jr., Page HI (1966) Hypertension and high hematocrit. Another clue to renal arterial disease. Am J Cardiol 18: 855–858

    Article  PubMed  CAS  Google Scholar 

  55. Tarazi RC, Dustan HP, Frohlich ED, Gifford RW jr, Hoffman GC (1970) Plasma volume and chronic hypertension. Arch Intern Med 125: 835

    Article  PubMed  CAS  Google Scholar 

  56. Thevenod F, Radtke HW, Grützmacher P, Vincent E, Koch KM, Schoeppe W, Fassbinder W (1983) Deficient feedback regulation of erythropoesis in kidney transplant patients with polycythemia. Kidney Int 24: 227–232

    Article  PubMed  CAS  Google Scholar 

  57. Varkarakis MJ, Sampson D, Gerbas JR, Bender MA, Mirand EA, Murphy GP (1971) Polycythemia following renal transplantation unrelated to the allograft. J Surg Oncol 3: 157–161

    Article  PubMed  CAS  Google Scholar 

  58. Wardle DFH, Baker I, Malpas JS, Brighley PFM (1973) Bioassay for erythropoietin using fetal mouse liver cells. Br J Haematol 24: 49–56

    Article  PubMed  CAS  Google Scholar 

  59. Weimann DN, Williamson HE (1981) Hypoxemia increases renin secretion rate in anesthetized newborn lambs. Life Sci 29: 1887–1893

    Article  Google Scholar 

  60. Wong KK, Zanjani ED, Cooper CW, Gordon AS (1968) The renal erythropoietic factor. I. Studies on its purification. Proc Soc Exp Biol Med 128: 67–70

    PubMed  CAS  Google Scholar 

  61. Zanjani ED, McLauring WD, Gordon AS, Rappaport WA, Biggs JM, Gidari AS (1971) Biogenesis of erythropoietin: role of substrate for erythrogenin. J Lab Clin Med 77: 751–758

    PubMed  CAS  Google Scholar 

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© 1989 Springer-Verlag Berlin Heidelberg

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Grützmacher, P., Schoeppe, W. (1989). Renal Artery Stenosis and Renal Polyglobulia. In: Jelkmann, W., Gross, A.J. (eds) Erythropoietin. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-83745-6_10

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  • DOI: https://doi.org/10.1007/978-3-642-83745-6_10

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-83747-0

  • Online ISBN: 978-3-642-83745-6

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