Erythropoietin protects against diabetes through direct effects on pancreatic β cells
D Choi, SA Schroer, SY Lu, L Wang, X Wu… - Journal of Experimental …, 2010 - rupress.org
Journal of Experimental Medicine, 2010•rupress.org
A common feature among all forms of diabetes mellitus is a functional β-cell mass
insufficient to maintain euglycemia; therefore, the promotion of β-cell growth and survival is a
fundamental goal for diabetes prevention and treatment. Evidence has suggested that
erythropoietin (EPO) exerts cytoprotective effects on nonerythroid cells. However, the
influence of EPO on pancreatic β cells and diabetes has not been evaluated to date. In this
study, we report that recombinant human EPO treatment can protect against diabetes …
insufficient to maintain euglycemia; therefore, the promotion of β-cell growth and survival is a
fundamental goal for diabetes prevention and treatment. Evidence has suggested that
erythropoietin (EPO) exerts cytoprotective effects on nonerythroid cells. However, the
influence of EPO on pancreatic β cells and diabetes has not been evaluated to date. In this
study, we report that recombinant human EPO treatment can protect against diabetes …
A common feature among all forms of diabetes mellitus is a functional β-cell mass insufficient to maintain euglycemia; therefore, the promotion of β-cell growth and survival is a fundamental goal for diabetes prevention and treatment. Evidence has suggested that erythropoietin (EPO) exerts cytoprotective effects on nonerythroid cells. However, the influence of EPO on pancreatic β cells and diabetes has not been evaluated to date. In this study, we report that recombinant human EPO treatment can protect against diabetes development in streptozotocin-induced and db/db mouse models of type 1 and type 2 diabetes, respectively. EPO exerts antiapoptotic, proliferative, antiinflammatory, and angiogenic effects within the islets. Using β-cell–specific EPO receptor and JAK2 knockout mice, we show that these effects of EPO result from direct biological effects on β cells and that JAK2 is an essential intracellular mediator. Thus, promotion of EPO signaling in β cells may be a novel therapeutic strategy for diabetes prevention and treatment.
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