Abstract
Chronic infections, autoimmune diseases, and malignancies are frequently associated with a mild hypoplastic anemia. The causes of this so-called anemia of chronic disorders (ACD) include impaired ability of erythrocytic precursors to utilize iron for hemoglobin synthesis, inhibition of the proliferation of myeloid cells by inflammatory cytokines, hemolysis, and often bleeding. Furthermore, earlier bioassay studies showed that the plasma level of erythropoietin (Epo) is relatively low for the degree of the anemia in many patients suffering from chronic inflammation or malignancy [24, 33, 34]. Radioimmunological investigations have confirmed that there is a relative lack of Epo in rheumatoid arthritis [1, 12, 29], acquired immunodeficiency syndrome [28], and cancer [20].
This is a preview of subscription content, log in via an institution.
Buying options
Tax calculation will be finalised at checkout
Purchases are for personal use only
Learn about institutional subscriptionsPreview
Unable to display preview. Download preview PDF.
References
Baer AN, Dessypris EN, Goldwasser E, Krantz SB (1987) Blunted erythropoietin response to anaemia in rheumatoid arthritis. Br J Haematol 66: 559–564
Besarab A, Caro J, Jarrell BE, Francos G, Erslev AJ (1987) Dynamics of erythropoiesis following renal transplantation. Kidney Int 32: 526–536
Birgegárd G, Hállgren R, Caro J (1987) Serum erythropoietin in rheumatoid arthritis and other inflammatory arthritides: relationship to anaemia and the effect of anti-inflammatory treatment. Br J Haematol 65: 479–483
Blick M, Sherwin SA, Rosenblum M, Gutterman J (1987) Phase I study of recombinant tumor necrosis factor in cancer patients. Cancer Res 47: 2986–2989
Camacho J, Arnalich F, Zamorano AF,Vázquez JJ (1991) Serum erythropoietin levels in the anaemia of chronic disorders. J Intern Med 229: 49–54
Chandra M, Clemons GK, McVicar M (1988) Relation of serum erythropoietin levels to renal excretory function: evidence for lowered set point for erythropoietin production in chronic renal failure. J Pediatr 113: 1015–1021
Erslev A J, Wilson J, Caro J (1987) Erythropoietin titers in anemic, nonuremic patients. J Lab Clin Med 109: 429–433
Fandrey J, Jelkmann WEB (1991) Interleukin-1 and tumor necrosis factor-a inhibit erythropoietin production in vitro. Ann N Acad Sci 628: 250–255
Fandrey J, Seydel FP, Siegers CP, Jelkmann W (1990) Role of cytochrome P450 in the control of the production of erythropoietin. Life Sci 47: 127–134
Goldberg MA, Glass GA, Cunningham JM, Bunn HF (1987) The regulated expression of erythropoietin by two human hepatoma cell lines. Proc Natl Acad Sci USA 84: 7972–7976
Herbelin A, Nguyen AT, Zingraff J, Ureña P, Descamps-Latscha B (1990) Influence of uremia and hemodialysis on circulating interleukin-1 and tumor necrosis factor a. Kidney Int 37: 116–125
Hochberg MC, Arnold CM, Hogans BB, Spivak JL (1988) Serum immunoreactive erythropoietin in rheumatoid arthritis: impaired response to anemia. Arthritis Rheum 31: 1318–1321
Jelkmann W,Wolff M, Fandrey J (1990) Modulation of the production of erythropoietin by cytokines. In vitro studies and their clinical implications. Contrib Nephrol 87: 68–77
Johnson CS, Keckler DJ,Topper MI, Braunschweiger PG, Furmanski P (1989) In vitro hematopoietic effects of recombinant interleukin-la in mice: stimulation of granulocytic, monocytic, megakaryocyte, and early erythroid progenitors, suppression of late-stage erythropoiesis, and reversal of erythroid suppression with erythropoietin. Blood 73: 678–683
Johnson RA,WaddelowTA, Caro J, Oliff A, Roodman GD (1989) Chronic exposure to tumor necrosis factor in vivo preferentially inhibits erythropoiesis in nude mice. Blood 74: 130–138
Levine EA, Rosen AL, Sehgal LR, Gould SA, Egrie JC, Moss GS (1991) Erythropoietin deficiency after coronary artery bypass procedures. Ann Thorac Surg 51: 764–766
Lipkin GW, Kendall RG, Russon LJ,Turney JH, Norfolk DR, Brownjohn AM (1990) Erythropoietin deficiency in acute renal failure. Nephrol Dial Transplant 5: 920–922
Matsumoto K, Dowling J, Atkins RC (1988) Production of interleukin 1 in glomerular cell cultures from patients with rapidly progressive crescentic glomerulonephritis. Am J Nephrol 8: 463–470
Maury CPJ,Teppo AM (1987) Raised serum levels of cachectin/tumor necrosis factor a in renal allograft rejection. J Exp Med 166: 1132–1137
Miller CB, Jones RJ, Piantadosi S, Abeloff MD, Spivak JL (1990) Decreased erythropoietin response in patients with the anemia of cancer. N Engl J Med 322: 1689–1692
Nielsen OJ, Andersen LS, Ludwigsen E, Bouchelouche P, Hansen TM, Birgens H, Hansen NE (1990) Anaemia of rheumatoid arthritis: serum erythropoietin concentrations and red cell distribution width in relation to iron status. Ann Rheum Arthr 49: 349–353
Nielsen OJ,Thaysen JH (1990) Erythropoietin deficiency in acute tubular necrosis. J Intern Med 227: 373–380
Pagel H, Jelkmann W,Weiss C (1991) Isolated serum-free perfused rat kidneys release immunoreactive erythropoietin in response to hypoxia. Endocrinology 128: 2633–2638
Pavlovic-Kentera V, Ruvidic R, Milenkovic P, Marinkovic D (1979) Erythropoietin in patients with anaemia in rheumatoid arthritis. Scand J Haematol 23: 141–145
Rejman ASM, Grimes AJ, Cotes PM, Mansell MA, Joekes AM (1985) Correction of anaemia following renal transplantation: serial changes in serum immunoreactive erythropoietin, absolute reticulocyte count and red-cell creatine levels. Br J Haematol 61: 421–431
Schettini G, Landolfi E, Grimaldi M, Meucci O, Postiglione A, FlorioT,Ventra C (1989) Interleukin 1 beta inhibition of TRH-stimulated prolactin secretion and phosphoinositides metabolism. Biochem Biophys Res Commun 165: 496–505
Schooley JC, Kullgren B, Allison AC (1987) Inhibition by interleukin-1 of the action of erythropoietin on erythroid precursors and its possible role in the pathogenesis of hypoplastic anaemias. Br J Haematol 67: 11–17
Spivak JL, Barnes DC, Fuchs E, QuinnTC (1977) Serum immunoreactive erythropoietin in HIV-infected patients. JAMA 261: 3104–3107
Takashina N, Kondo H, Kashiwazaki S (1990) Suppressed serum erythropoietin response to anemia and the efficacy of recombinant erythropoietin in the anemia of rheumatoid arthritis. J Rheumatol 17: 885–887
Tracey KJ,Wei H, Manogue KR, Fong Y, Hesse DG, Nguyen HT, Kuo GC, Beutler B, Cotran RS, Cerami A, Lowry SF (1988) Cachectin/tumor necrosis factor induces cachexia, anemia, and inflammation. J Exp Med 167: 1211–1227
Udupa KB, Lipschitz DA (1982) Endotoxin-indueed suppression of erythropoiesis: The role of erythropoietin and a heme synthesis stimulating factor. Blood 59: 1267–1271
Walton PE, Cronin MJ (1990) Tumor necrosis factor-a and interferon-a reduce prolactin release in vitro. Am J Physiol 259: E672–E676
Ward HP, Gordon B, Pickett JC (1969) Serum levels of erythropoietin in rheumatoid arthritis. J Lab Clin Med 74: 93–97
Ward HP, Kurnick JE, Pisarczyk MJ (1971) Serum level of erythropoietin in anemias associated with chronic infection, malignancy, and primary hematopoietic disease. J Clin Invest 50: 332–335
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1992 Springer-Verlag Berlin Heidelberg
About this paper
Cite this paper
Jelkmann, W., Fandrey, J., Pagel, H. (1992). Effects of Inflammatory Cytokines on the Production of Erythropoietin. In: Pagel, H., Weiss, C., Jelkmann, W. (eds) Pathophysiology and Pharmacology of Erythropoietin. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-77074-6_32
Download citation
DOI: https://doi.org/10.1007/978-3-642-77074-6_32
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-642-77076-0
Online ISBN: 978-3-642-77074-6
eBook Packages: Springer Book Archive