Growing experimental evidence suggests that in addition to erythropoietin's (Epo) role in stimulating erythropoiesis, Epo may function in multiple tissues by preventing cellular apoptosis under stressful conditions such as hypoxia or exposure to cytotoxins and by stimulation of proliferation. EPO and EPOR knockout experiments in mice have demonstrated that the Epo/EpoR axis is essential for normal cardiac morphogenesis. While data suggests that there is an indirect effect of Epo on cardiac myocytes through increased hematocrit or other indirect effects, it is also possible that Epo acts directly on these cells. Therefore we have investigated the expression and function of EpoR in human cardiac cells. EpoR expression profiling in multiple murine, rat, monkey and human tissues using quantitative RT-PCR and RNAse protections (RPA's) identified EpoR transcripts in hematopoietic tissues, brain, kidney, adrenal gland, pancreas, liver and heart. More specifically in heart, EpoR transcripts were detected in monkey ventricle, atrium and septum. EpoR transcripts were also detected in primary human cardiac cell cultures, demonstrating that transcript detection was not due to contaminating hematopoietic cells. To determine whether transcription of EpoR correlated with expression of protein, immunolocalization experiments using a monoclonal antibody to human EpoR detected EpoR expression in human heart, located within cardiomyocytes, and within primary cardiac myocyte cultures. Staining was specific as demonstrated by reduced staining when the antibody was pre-incubated with soluble human EpoR. These data suggest that EpoR is expressed by cardiac cells and may suggest potential new functions of Epo in the heart. This may offer new options for the treatment of heart disease with erythropietic stimulating proteins such as darbepoetin alfa. Growing experimental evidence suggests that in addition to erythropoietin's (Epo) role in stimulating erythropoiesis, Epo may function in multiple tissues by preventing cellular apoptosis under stressful conditions such as hypoxia or exposure to cytotoxins and by stimulation of proliferation. EPO and EPOR knockout experiments in mice have demonstrated that the Epo/EpoR axis is essential for normal cardiac morphogenesis. While data suggests that there is an indirect effect of Epo on cardiac myocytes through increased hematocrit or other indirect effects, it is also possible that Epo acts directly on these cells. Therefore we have investigated the expression and function of EpoR in human cardiac cells. EpoR expression profiling in multiple murine, rat, monkey and human tissues using quantitative RT-PCR and RNAse protections (RPA's) identified EpoR transcripts in hematopoietic tissues, brain, kidney, adrenal gland, pancreas, liver and heart. More specifically in heart, EpoR transcripts were detected in monkey ventricle, atrium and septum. EpoR transcripts were also detected in primary human cardiac cell cultures, demonstrating that transcript detection was not due to contaminating hematopoietic cells. To determine whether transcription of EpoR correlated with expression of protein, immunolocalization experiments using a monoclonal antibody to human EpoR detected EpoR expression in human heart, located within cardiomyocytes, and within primary cardiac myocyte cultures. Staining was specific as demonstrated by reduced staining when the antibody was pre-incubated with soluble human EpoR. These data suggest that EpoR is expressed by cardiac cells and may suggest potential new functions of Epo in the heart. This may offer new options for the treatment of heart disease with erythropietic stimulating proteins such as darbepoetin alfa.
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