Nephrol Dial Transplant (2000) 15: 1274-1277
© 2000 European Renal Association-European Dialysis and Transplant Association
Editorial Comments
Erythropoietin mimetic peptides and the future
R. W. Johnson Pharmaceutical Research Institute, Raritan, NJ, USA
Introduction
The primary regulator of the growth and survival of erythroid progenitors, which mature into red blood cells, is the glycoprotein hormone erythropoietin (Epo) [1]. Epo exerts this effect by specifically interacting with a receptor present on the surface of progenitor cells which leads to receptor activation and initiation of an intracellular signal cascade. Over the last 10 years, the availability of recombinant Epo has led to its widespread use in stimulating red cell synthesis for the treatment of severe anaemia associated with acute and chronic disease [2]. In both chronic renal failure and cancer settings, severe anaemia and associated fatigue have a significant impact on the patient's quality of life. There have been a number of controlled trials in which patients receiving Epo demonstrated a significant improvement in quality of life scores and functional capacity.
While highly safe and efficacious, a desirable improvement sought for Epo
Peptide mimics of Epo
Non-peptide mimetics
Conclusions
Notes
References
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