[PDF][PDF] Erythropoietin preserves the endothelial differentiation capacity of cardiac progenitor cells and reduces heart failure during anticancer therapies

M Hoch, P Fischer, B Stapel, E Missol-Kolka, B Sekkali… - Cell stem cell, 2011 - cell.com
M Hoch, P Fischer, B Stapel, E Missol-Kolka, B Sekkali, M Scherr, F Favret, T Braun, M Eder…
Cell stem cell, 2011cell.com
Anticancer therapies, such as targeting of STAT3 or the use of anthracyclins (doxorubicin),
can induce cardiomyopathy. In mice prone to developing heart failure as a result of reduced
cardiac STAT3 expression (cardiomyocyte-restricted deficiency of STAT3) or treatment with
doxorubicin, we observed impaired endothelial differentiation capacity of Sca-1+ cardiac
progenitor cells (CPCs) in conjunction with attenuated CCL2/CCR2 activation. Mice in both
models also displayed reduced erythropoietin (EPO) levels in the cardiac microenvironment …
Summary
Anticancer therapies, such as targeting of STAT3 or the use of anthracyclins (doxorubicin), can induce cardiomyopathy. In mice prone to developing heart failure as a result of reduced cardiac STAT3 expression (cardiomyocyte-restricted deficiency of STAT3) or treatment with doxorubicin, we observed impaired endothelial differentiation capacity of Sca-1+ cardiac progenitor cells (CPCs) in conjunction with attenuated CCL2/CCR2 activation. Mice in both models also displayed reduced erythropoietin (EPO) levels in the cardiac microenvironment. EPO binds to CPCs and seems to be responsible for maintaining an active CCL2/CCR2 system. Supplementation with the EPO derivative CERA in a hematocrit-inactive low dose was sufficient to upregulate CCL2, restore endothelial differentiation of CPCs, and preserve the cardiac microvasculature and cardiac function in both mouse models. Thus, low-dose EPO treatment could potentially be exploited as a therapeutic strategy to reduce the risk of heart failure in certain treatment regimens.
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