Nephrol Dial Transplant (1993) 8: 614-620
© 1993 European Renal Association-European Dialysis and Transplant Association
research-article
Long-term effects of recombinant human erythropoietin on bone marrow progenitor cells
1Service de Néphrologie, Hôpital Tenon, Faculté de Médecine Saint-Antoine Paris, France 2Laboratoire d'étude de l'hématopoïèse, Faculté de Médecine Saint-Antoine Paris, France
Correspondence and offprint requests to: Correspondence and offprint requests to: Professeur F. Mignon, Service de Néphrologie, 4, rue de la Chine, 75020 Paris, France
Eleven uraemic patients were treated with recombinant human erythropoietin (rHuEpo). Seven haemodialysis patients and four peritoneal dialysis patients received a starting dose of 80 IU/kg i.v. and 40 IU/kg s.c. respectively, thrice weekly. The number of burst-forming-unit erythroid (BFU-E), colony-forming-unit erythroid (CFU-E), granulocyte-monocyte (CFU-GM) and megakaryocyte (CFU-Mk) were assayed 2 weeks before (DO), and 1 (M1) and 6 months (M6) after the initiation of rHuEpo treatment by means of a commonly applied in-vitro clonal assay. All the patients showed the same haematopoietic response. A significant increase of CFU-E and CFU-Mk could be observed within 1 month of treatment. At this time, no significant modification was observed in BFU-E and CFU-GM number. At the 6th month the increase of CFU-E was maintained, whereas a significant fall of BFU-E, CFU-GM and CFU-Mk was observed.
These results suggest that in-vivo effects of rHuEpo are not restricted to the erythroid lineage but that erythropoietin might also act as a co-factor of megakar-yopoiesis. In the long term erythropoietin might induce erythroid differentiation in multipotent progenitor cells at the expense of the non-erythroid progenitors.
Keywords: haemopoietic progenitor cells; recombinant human erythropoietin