Erythropoietin contrastingly affects bacterial infection and experimental colitis by inhibiting nuclear factor-κB-inducible immune pathways

Immunity. 2011 Jan 28;34(1):61-74. doi: 10.1016/j.immuni.2011.01.002. Epub 2011 Jan 20.

Abstract

Erythropoietin (EPO) is the principal cytokine regulating erythropoiesis through its receptor, EPOR. Interestingly, EPORs are also found on immune cells with incompletely understood functions. Here, we show that EPO inhibits the induction of proinflammatory genes including tumor necrosis factor (TNF)-α and inducible nitric oxide (NO) synthase in activated macrophages, which is mechanistically attributable to blockage of nuclear factor (NF)-κB p65 activation by EPO. Accordingly, in systemic Salmonella infection, treatment of mice with EPO results in reduced survival and impaired pathogen clearance because of diminished formation of anti-microbial effector molecules such as TNF-α and NO. However, neutralization of endogenous EPO or genetic ablation of Epor promotes Salmonella elimination. In contrast, in chemically induced colitis, EPO-EPOR interaction decreases the production of NF-κB-inducible immune mediators, thus limiting tissue damage and ameliorating disease severity. These immune-modulatory effects of EPO may be of therapeutic relevance in infectious and inflammatory diseases.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Cell Line
  • Colitis / chemically induced
  • Colitis / drug therapy
  • Colitis / immunology*
  • Dextran Sulfate / administration & dosage
  • Erythropoietin / administration & dosage*
  • Humans
  • Inflammation Mediators / metabolism
  • Macrophages, Peritoneal / drug effects*
  • Macrophages, Peritoneal / immunology
  • Macrophages, Peritoneal / metabolism
  • Macrophages, Peritoneal / pathology
  • Male
  • Mice
  • Mice, Inbred C57BL
  • Mice, Knockout
  • NF-kappa B / metabolism*
  • Nitric Oxide / immunology
  • Nitric Oxide / metabolism
  • Receptors, Erythropoietin / genetics
  • Receptors, Erythropoietin / metabolism*
  • Salmonella / immunology*
  • Salmonella / pathogenicity
  • Salmonella Infections / drug therapy
  • Salmonella Infections / immunology*
  • Signal Transduction / drug effects
  • Signal Transduction / genetics
  • Signal Transduction / immunology
  • Trinitrobenzenesulfonic Acid / administration & dosage
  • Tumor Necrosis Factor-alpha / genetics
  • Tumor Necrosis Factor-alpha / immunology
  • Tumor Necrosis Factor-alpha / metabolism

Substances

  • Inflammation Mediators
  • NF-kappa B
  • Receptors, Erythropoietin
  • Tumor Necrosis Factor-alpha
  • Erythropoietin
  • Nitric Oxide
  • Trinitrobenzenesulfonic Acid
  • Dextran Sulfate