Polycythemia is a frequent reason for consultation, and is related to various etiologies.
Erythropoietin (EPO) plays a major role in the physiological stimulation of red blood
cell (RBC) progenitors’ differentiation and proliferation. EPO production depends
on Hypoxia-Inducible Factors (HIF), which are oxygen-sensitive [
[1]
]. In hypoxia conditions, stabilized HIF-2A promotes expression of the EPO gene. EPO
binds to the EPO-receptor (EPOR) at the surface of RBC progenitors, thus stimulating
their expansion [
[2]
].Keywords
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References
- Regulation of erythropoiesis by hypoxia-inducible factors.Blood Rev. 2013; 27: 41-53https://doi.org/10.1016/j.blre.2012.12.003
- STAT5 as a key protein of erythropoietin signalization.Int J Mol Sci. 2021; 22: 7109https://doi.org/10.3390/ijms22137109
- JAK2 unmutated erythrocytosis: current diagnostic approach and therapeutic views.Leukemia. 2021; 35: 2166-2181https://doi.org/10.1038/s41375-021-01290-6
- The 2016 WHO classification and diagnostic criteria for myeloproliferative neoplasms: document summary and in-depth discussion.Blood Cancer J. 2018; 8: 15https://doi.org/10.1038/s41408-018-0054-y
- How i treat polycythemia vera.Blood. 2019; 134: 341-352https://doi.org/10.1182/blood.2018834044
- A guideline for the diagnosis and management of polycythaemia vera. A British Society for Haematology Guideline.Br J Haematol. 2019; 184: 176-191https://doi.org/10.1111/bjh.15648
- Polycythemia vera and essential thrombocythemia: 2021 update on diagnosis, risk-stratification and management.Am J Hematol. 2020; 95: 1599-1613https://doi.org/10.1002/ajh.26008
- Efficacy and safety of low-dose aspirin in polycythemia vera.N Engl J Med. 2004; 350: 114-124https://doi.org/10.1056/NEJMoa035572
- Platelet-mediated erythromelalgic, cerebral, ocular and coronary microvascular ischemic and thrombotic manifestations in patients with essential thrombocythemia and polycythemia vera: a distinct aspirin-responsive and coumadin-resistant arterial thrombophilia.Platelets. 2006; 17: 528-544https://doi.org/10.1080/09537100600758677
- Facing erythrocytosis: results of an international physician survey.Am J Hematol. 2019; 94: E225-E227https://doi.org/10.1002/ajh.25545
Article info
Publication history
Published online: September 09, 2022
Accepted:
September 6,
2022
Received in revised form:
September 1,
2022
Received:
August 4,
2022
Identification
Copyright
© 2022 European Federation of Internal Medicine. Published by Elsevier B.V. All rights reserved.