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The Nonhematopoietic Effects of Erythropoietin in Skin Regeneration and Repair: From Basic Research to Clinical Use

Identifieur interne : 000137 ( Main/Exploration ); précédent : 000136; suivant : 000138

The Nonhematopoietic Effects of Erythropoietin in Skin Regeneration and Repair: From Basic Research to Clinical Use

Auteurs : Heiko Sorg [Allemagne] ; Yves Harder [Allemagne] ; Christian Krueger [Allemagne] ; Kerstin Reimers [Allemagne] ; Peter M. Vogt [Allemagne]

Source :

RBID : ISTEX:457A3A1071180D46F61F16ECA4FCA3B09DCCA7CA

English descriptors

Abstract

Erythropoietin (EPO) is the main regulator of red blood cell production but there exists also a variety of nonhematopoietic properties. More recent data show that EPO is also associated with the protection of tissues suffering from ischemia and reperfusion injury as well as with improved regeneration in various organ systems, in particular the skin. This review highlights the mechanisms of EPO in the different stages of wound healing and the reparative processes in the skin emphasizing pathophysiological mechanisms and potential clinical applications. There is clear evidence that EPO effectively influences all wound‐healing phases in a dose‐dependent manner. This includes inflammation, tissue, and blood vessel formation as well as the remodeling of the wound. The molecular mechanism is predominantly based on an increased expression of the endothelial and inducible nitric oxide (NO) synthase with a consecutive rapid supply of NO as well as an increased content of vascular endothelial growth factor (VEGF) in the wound. The improved understanding of the functions and regulatory mechanisms of EPO in the context of wound‐healing problems and ischemia/reperfusion injury, especially during flap surgery, may lead to new considerations of this growth hormone for its regular clinical application in patients.

Url:
DOI: 10.1002/med.21259


Affiliations:


Links toward previous steps (curation, corpus...)


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<term>Antiapoptotic</term>
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<term>Apoptotic cell death</term>
<term>Arteriolar dilatation</term>
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<term>Biol</term>
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<term>Blood cell production</term>
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<term>Body weight</term>
<term>Bone marrow</term>
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<term>Buemi</term>
<term>Capillary perfusion</term>
<term>Cell death</term>
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<term>Chronic wounds</term>
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<term>Current research</term>
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<term>Nephrol dial transplant</term>
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<term>Nitric oxide</term>
<term>Nonhealing wounds</term>
<term>Nonhematopoietic</term>
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<term>Physiol</term>
<term>Pivotal role</term>
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<term>Plast reconstr surg</term>
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<term>Pleiotropic effects</term>
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<div type="abstract">Erythropoietin (EPO) is the main regulator of red blood cell production but there exists also a variety of nonhematopoietic properties. More recent data show that EPO is also associated with the protection of tissues suffering from ischemia and reperfusion injury as well as with improved regeneration in various organ systems, in particular the skin. This review highlights the mechanisms of EPO in the different stages of wound healing and the reparative processes in the skin emphasizing pathophysiological mechanisms and potential clinical applications. There is clear evidence that EPO effectively influences all wound‐healing phases in a dose‐dependent manner. This includes inflammation, tissue, and blood vessel formation as well as the remodeling of the wound. The molecular mechanism is predominantly based on an increased expression of the endothelial and inducible nitric oxide (NO) synthase with a consecutive rapid supply of NO as well as an increased content of vascular endothelial growth factor (VEGF) in the wound. The improved understanding of the functions and regulatory mechanisms of EPO in the context of wound‐healing problems and ischemia/reperfusion injury, especially during flap surgery, may lead to new considerations of this growth hormone for its regular clinical application in patients.</div>
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