rHuEPO comprises 165 amino acids (aa 28–193) with a molecular weight of ~30,400 Daltons. Key structural features include:
Disulfide bonds: Cys7-Cys160 and Cys29-Cys33 critical for conformational stability .
Glycosylation: N-linked and O-linked oligosaccharides ensure proper folding, secretion, and receptor binding .
Expression system: Produced in HEK 293 cells or Chinese Hamster Ovary (CHO) cells, with endotoxin levels ≤0.005 EU/μg .
Parameter | Value | Source |
---|---|---|
Amino Acid Sequence | 165 residues (28–193 aa) | |
Molecular Weight | ~30,400 Daltons | |
Expression System | HEK 293 or CHO cells | |
Endotoxin Level | ≤0.005 EU/μg |
rHuEPO binds to EPOR on erythroid progenitor cells, activating intracellular signaling cascades:
EPOR dimerization → JAK2 phosphorylation → STAT5/STAT3 activation .
PI3K/Akt and Ras MAPK pathways promote cell survival and proliferation .
Negative regulation by SOCS1/SOCS3 proteins limits signaling duration .
Tissue-protective receptor (TPR): EPOR/CD131 heterodimer mediates anti-inflammatory and anti-apoptotic effects in non-erythroid tissues .
rHuEPO is FDA-approved for:
Chronic kidney disease (CKD): Restores hemoglobin levels, reducing transfusion needs .
Cancer-related anemia: Enhances erythropoiesis during chemotherapy .
Perioperative settings: Mobilizes red blood cells (RBCs) pre- and post-surgery .
Dendritic cells: Inhibits maturation via SOCS1 upregulation, reducing pro-inflammatory cytokines .
T-cells: Suppresses conventional T-cell proliferation while enhancing Treg stability via SHP-1/STAT5 crosstalk .
Th17/Th1 responses: Reduced in autoimmune models (e.g., EAN rats) with non-erythropoietic EPO derivatives .
Pure red cell aplasia (PRCA): Linked to anti-EPO antibodies, particularly in HLA-DRB1*09 carriers .
Incidence: ~22% of Thai populations express HLA-DRB1*09, increasing PRCA risk .
MHC-binding mutants: Designed to disrupt HLA-DRB1*09 interactions, reducing immunogenicity in ex vivo assays .
Non-erythropoietic derivatives (e.g., ARA290): Retain TPR-binding capacity without hematopoietic effects, mitigating cardiovascular risks .
Neuroprotection: EPO reduces apoptosis and inflammation in ischemic brain models .
Wound healing: TPR-mediated angiogenesis and collagen synthesis .