Abstract
Erythropoietin (Epo) is the critical regulatory factor of erythropoiesis, and recombinant human erythropoietin (rhEPO) has become a well-established treatment for chronic renal failure patients. In these subjects, endogenous serum Epo levels are very low (Erslev 1991) and the administration of rhEPO, restoring adequate levels of the hormone, permits correction of the anemia (Eschbach et al. 1987). In patients with normal kidney function, serum Epo levels increase exponentially when an anemia develops (Erslev 1991). After high-dose chemotherapy, serum Epo levels first rapidly increase to disproportionately high levels for 1–3 weeks, with peak values usually observed in the first week after the conditioning regimen (Birgegard et al. 1989; Abedi et al. 1990; Schapira et al. 1990; Beguin et al. 1991; Bosi et al. 1991a; Bosi et al. 1991b; Grace et al. 1991; Lazarus et al. 1992; Miller et al. 1992a; Beguin et al. 1993; Davies et al. 1995; Beguin et al. 1998). However, after allogeneic hematopoietic stem cell transplantation (HSCT) the Epo response to anemia then generally becomes impaired, resulting in inappropriately low levels of Epo for the degree of anemia and prolonged anemia (Ireland et al. 1990; Schapira et al. 1990; Beguin et al. 1991; Bosi et al. 1991a; Miller et al. 1992a; Beguin et al. 1993).
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Van Straelen, G., Beguin, Y. (2008). rhEPO in hematopoietic stem cell transplantation. In: Nowrousian, M.R. (eds) Recombinant Human Erythropoietin (rhEPO) in Clinical Oncology. Springer, Vienna. https://doi.org/10.1007/978-3-211-69459-6_22
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