Erythropoietin stimulates spleen BMP4-dependent stress erythropoiesis and partially corrects anemia in a mouse model of generalized inflammation

Blood. 2010 Dec 23;116(26):6072-81. doi: 10.1182/blood-2010-04-281840. Epub 2010 Sep 15.

Abstract

Mouse bone marrow erythropoiesis is homeostatic, whereas after acute anemia, bone morphogenetic protein 4 (BMP4)-dependent stress erythropoiesis develops in the spleen. The aim of this work was to compare spleen stress erythropoiesis and bone marrow erythropoiesis in a mouse model of zymosan-induced generalized inflammation, which induces long-lasting anemia and to evaluate the ability of erythropoietin (Epo) injections to correct anemia in this setting. The effects of zymosan and/or Epo injections on erythroid precursor maturation and apoptosis, serum interferon-γ levels, hematologic parameters, and spleen BMP4 expression were analyzed, as well as the effect of zymosan on red blood cell half-life. We found that bone marrow erythropoiesis is suppressed by inflammation and does not respond to Epo administration, despite repression of erythroblast apoptosis. On the contrary, a robust erythropoietic response takes place in the spleen after Epo injections in both control and zymosan-induced generalized inflammation mice. This specific response implies Epo-mediated induction of BMP4 expression by F4/80(+) spleen macrophages, proliferation of stress burst-forming units-erythroid, and increased number of spleen erythroblasts. It allows only partial recovery of anemia, probably because of peripheral destruction of mature red cells. It is not clear whether similar BMP4-dependent stress erythropoiesis can occur in human bone marrow after Epo injections.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Anemia / chemically induced
  • Anemia / prevention & control*
  • Animals
  • Apoptosis
  • Blotting, Western
  • Bone Marrow / metabolism
  • Bone Morphogenetic Protein 4 / metabolism*
  • Disease Models, Animal*
  • Erythroid Precursor Cells / metabolism
  • Erythropoiesis / physiology*
  • Erythropoietin / therapeutic use*
  • Humans
  • Inflammation / etiology
  • Inflammation / prevention & control*
  • Male
  • Mice
  • Mice, Inbred C57BL
  • RNA, Messenger / genetics
  • Receptors, Erythropoietin / metabolism
  • Recombinant Proteins
  • Reverse Transcriptase Polymerase Chain Reaction
  • Signal Transduction
  • Spleen / cytology
  • Spleen / metabolism
  • Zymosan / toxicity

Substances

  • Bone Morphogenetic Protein 4
  • RNA, Messenger
  • Receptors, Erythropoietin
  • Recombinant Proteins
  • Erythropoietin
  • Zymosan