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Many patients with anemia fail to respond to treatment with erythropoietin (Epo), a commonly used hormone that stimulates erythroid progenitor production and maturation by human BM or by murine spleen. The protein product of growth arrest–specific gene 6 (Gas6) is important for cell survival across several cell types, but its precise physiological role remains largely enigmatic. Here, we report that murine erythroblasts released Gas6 in response to Epo and that Gas6 enhanced Epo receptor signaling by activating the serine-threonine kinase Akt in these cells. In the absence of Gas6, erythroid progenitors and erythroblasts were hyporesponsive to the survival activity of Epo and failed to restore hematocrit levels in response to anemia. In addition, Gas6 may influence erythropoiesis via paracrine erythroblast-independent mechanisms involving macrophages. When mice with acute anemia were treated with Gas6, the protein normalized hematocrit levels without causing undesired erythrocytosis. In a transgenic mouse model of chronic anemia caused by insufficient Epo production, Gas6 synergized with Epo in restoring hematocrit levels. These findings may have implications for the treatment of patients with anemia who fail to adequately respond to Epo.
Cell Adhesion/genetics, Erythroblasts, Erythropoietin/genetics/pharmacology/therapeutic use, Oncogene Proteins/genetics/metabolism, Cell Survival, Anemia/drug therapy/genetics, Erythroblasts/drug effects/metabolism, Drug Resistance, 616.07, 618, Mice, Proto-Oncogene Proteins, 616, Proto-Oncogene Proteins c-akt/metabolism, Cell Adhesion, Receptors, Erythropoietin, Intercellular Signaling Peptides and Proteins/genetics/metabolism/therapeutic use, Animals, Humans, Erythropoiesis, Receptors, Erythropoietin/agonists, Erythropoietin, Oncogene Proteins, c-Mer Tyrosine Kinase, Receptor Protein-Tyrosine Kinases, Anemia, Proto-Oncogene Proteins/metabolism, Erythropoiesis/genetics, Mice, Mutant Strains, Recombinant Proteins, Disease Models, Animal, Recombinant Proteins/genetics/pharmacology/therapeutic use, Intercellular Signaling Peptides and Proteins, Medicine, Receptor Protein-Tyrosine Kinases/genetics/metabolism, Cytology, Proto-Oncogene Proteins c-akt, ddc: ddc:616.07, ddc: ddc:618
Cell Adhesion/genetics, Erythroblasts, Erythropoietin/genetics/pharmacology/therapeutic use, Oncogene Proteins/genetics/metabolism, Cell Survival, Anemia/drug therapy/genetics, Erythroblasts/drug effects/metabolism, Drug Resistance, 616.07, 618, Mice, Proto-Oncogene Proteins, 616, Proto-Oncogene Proteins c-akt/metabolism, Cell Adhesion, Receptors, Erythropoietin, Intercellular Signaling Peptides and Proteins/genetics/metabolism/therapeutic use, Animals, Humans, Erythropoiesis, Receptors, Erythropoietin/agonists, Erythropoietin, Oncogene Proteins, c-Mer Tyrosine Kinase, Receptor Protein-Tyrosine Kinases, Anemia, Proto-Oncogene Proteins/metabolism, Erythropoiesis/genetics, Mice, Mutant Strains, Recombinant Proteins, Disease Models, Animal, Recombinant Proteins/genetics/pharmacology/therapeutic use, Intercellular Signaling Peptides and Proteins, Medicine, Receptor Protein-Tyrosine Kinases/genetics/metabolism, Cytology, Proto-Oncogene Proteins c-akt, ddc: ddc:616.07, ddc: ddc:618
citations This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically). | 84 | |
popularity This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network. | Top 10% | |
influence This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically). | Top 10% | |
impulse This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network. | Top 1% |