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Carcinogenesis Advance Access published online on April 24, 2003

Carcinogenesis, doi:10.1093/carcin/bgg060
© 2003 by Oxford University Press
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© 2003 Oxford University Press

CARCINOGENESIS

Erythropoietin regulates tumour growth of human malignancies

Yoshiko Yasuda 1*, Yoshihiko Fujita 1, Takuya Matsuo 1, Satoshi Koinuma 1, Satoshi Hara 2, Akira Tazaki 1, Mie Onozaki 1, Mitsuhiro Hashimoto 3, Terunaga Musha 4, Kazuhiro Ogawa 5, Hiroyoshi Fujita 5, Yukio Nakamura 4, Hitoshi Shiozaki 2, Hiroshi Utsumi 3

1 Department of Anatomy, Division 1 Kinki University School of Medicine, Osaka-Sayama, Osaka 589-8511
2 Department of Surgery, Division 1 Kinki University School of Medicine, Osaka-Sayama, Osaka 589-8511
3 Research Reactor Institute of Kyoto University, Osaka 590-0451
4 Department of Obstetrics and Gynaecology, Kyorin University School of Medicine, Mitaka 181-8611
5 Laboratory of Environmental Biology, Hokkaido University School of Medicine, Hokkaido 060-8638, Japan

* Corresponding author. E-mail: y1126yas{at}med.kindai.ac.jp.

Received 30 October 2002 ; revised 31 January 2003 ; accepted 4 April 2003

Abstract

In addition to the chief function of erythropoietin in promoting erythropoiesis, some other roles have been found in the brain and uterus. We have reported that signalling pathways of erythropoietin and erythropoietin receptor are involved in the tumourigenesis of ovarian and uterine cancers. To determine whether erythropoietin plays a similar role in other malignancies, we planned a study of the expression of erythropoietin in several malignant human cell lines. We found that 24 malignant human cell lines examined express erythropoietin and erythropoietin receptor mRNA regardless of their origins, types, genetic characteristics and biological properties and secrete a very small amount of erythropoietin individually and that most of them respond to hypoxic stimuli by enhanced secretion of erythropoietin. To determine whether erythropoietin-erythropoietin receptor pathway operates in tumours of these cell lines, we transplanted several cell lines into nude mice and confirmed the presence of erythropoietin responsive sites in xenografts in which the phosphorylation of the STAT5 is detectable. Furthermore, in nude mice we blocked the erythropoietin signalling in xenografts of two representative cell lines, stomach choriocarcinoma and melanoma, by intraperitoneal injections of erythropoietin receptor antagonist and found inhibition of angiogenesis and survival of tumour cells leading to destruction of tumour masses and disturbances of phosphorylation of STAT5. In contrast, erythropoietin mimetic peptide promotes angiogenesis and tumour cell survival. These findings suggest that erythropoietin is indispensable for the growth and viability of malignant tumour and also that the deprivation of erythropoietin signalling may be a promising therapy for human malignancy.


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