Abstract
The kidney is the main site of erythropoietin (EPO) formation. Oxygen sensing in the kidney itself plays a major role in the control of EPO synthesis. By in situ hybridization it has been established that the EPO-producing cells are situated in the interstitium of the cortical labyrinth, but they have not been precisely identified. Morphological findings provide new insights into the location and mechanism of oxygen sensing in the kidney. In addition to causing an increase in the number of cells containing EPO messenger RNA, anemia provokes structural changes exclusively in the cortical labyrinth. Specifically, the fibroblasts become enlarged and show increased activity of 5'-nucleotidase, and the S1 segment of the proximal tubule shows similar alterations as in various models of hypoxia. Thus, structures that are situated in the close vicinity of the EPO-producing cells appear to be sensitive to decreased oxygen delivery.
MeSH Terms
Anemia/blood,pathology
Animals
Endothelium, Vascular/pathology,physiopathology
Erythropoietin/biosynthesis
Humans
Hypoxia/blood,pathology
Kidney/pathology,physiopathology
Kidney Tubules, Proximal/pathology,physiopathology
Oxygen/blood
Chemicals
Erythropoietin
Oxygen
Authors & Affiliations
5 authors, click to expand affiliations / ORCID
Le Hir M
Medizinische Universitätspoliklinik, Kantonsspital Basel.
Eckardt K U
Kaissling B
Koury S T
Kurtz A
References (26)
26 references, click to expand
-
Acute renal failure in man: pathogenesis in light of new morphological data.
Clin Nephrol. 1987 Jun;27(6):271-7
PMID: 3301119
-
Defining the resistance to oxygen transfer in tissue hypoxia.
Experientia. 1990 Dec 1;46(11-12):1180-5
PMID: 2253719
-
Peritubular cells are the site of erythropoietin synthesis in the murine hypoxic kidney.
J Clin Invest. 1988 Feb;81(2):620-3
PMID: 3339134
-
Distribution of 5'-nucleotidase in the renal interstitium of the rat.
Cell Tissue Res. 1989 Oct;258(1):177-82
PMID: 2553262
-
Oxygen-dependent erythropoietin production by the isolated perfused rat kidney.
Pflugers Arch. 1991 Apr;418(3):228-33
PMID: 1649989
-
A periarterial pathway for intrarenal distribution of renin.
Kidney Int Suppl. 1987 May;20:S51-6
PMID: 3298803
-
Immunolocalization of ecto-5'-nucleotidase in the kidney by a monoclonal antibody.
Histochemistry. 1990;95(2):165-74
PMID: 2081690
-
Substrate oxidation by isolated single nephron segments of the rat.
Kidney Int. 1981 Jul;20(1):29-35
PMID: 7300110
-
The regulated expression of erythropoietin by two human hepatoma cell lines.
Proc Natl Acad Sci U S A. 1987 Nov;84(22):7972-6
PMID: 2825172
-
Localization of erythropoietin synthesizing cells in murine kidneys by in situ hybridization.
Blood. 1988 Feb;71(2):524-7
PMID: 3337914
-
Structural characterization of natural human urinary and recombinant DNA-derived erythropoietin. Identification of des-arginine 166 erythropoietin.
J Biol Chem. 1987 Dec 15;262(35):17156-63
PMID: 3680293
-
Na-K-ATPase activity along the rabbit, rat, and mouse nephron.
Am J Physiol. 1979 Aug;237(2):F114-20
PMID: 223456
-
Erythropoietin: biology and clinical use.
Hematol Oncol Clin North Am. 1989 Sep;3(3):369-400
PMID: 2561121
-
Site of erythropoietin formation.
Contrib Nephrol. 1989;76:14-20; discussion 21-3
PMID: 2582779
-
Evidence for a preglomerular oxygen diffusion shunt in rat renal cortex.
Am J Physiol. 1990 Dec;259(6 Pt 2):F910-5
PMID: 2260684
-
Acute tubular necrosis in the rat kidney following sustained hypotension: Physiologic and morphologic observations.
Lab Invest. 1977 Oct;37(4):411-22
PMID: 909285
-
Erythropoietin in health and disease.
Eur J Clin Invest. 1989 Apr;19(2):117-27
PMID: 2499469
-
Ischemic damage and repair in the rat proximal tubule: differences among the S1, S2, and S3 segments.
Kidney Int. 1978 Jul;14(1):31-49
PMID: 682423
-
Quantitation of erythropoietin-producing cells in kidneys of mice by in situ hybridization: correlation with hematocrit, renal erythropoietin mRNA, and serum erythropoietin concentration.
Blood. 1989 Aug 1;74(2):645-51
PMID: 2752138
-
Carbohydrate structure of erythropoietin expressed in Chinese hamster ovary cells by a human erythropoietin cDNA.
J Biol Chem. 1987 Sep 5;262(25):12059-76
PMID: 3624248
-
Experimental depletion of different renal interstitial cell populations.
Am J Med Sci. 1988 Apr;295(4):252-7
PMID: 3284349
-
Anemia induces 5'-nucleotidase in fibroblasts of cortical labyrinth of rat kidney.
Ren Physiol Biochem. 1989 Sep-Dec;12(5-6):313-9
PMID: 2560235
-
Regulation of erythropoietin production is related to proximal tubular function.
Am J Physiol. 1989 May;256(5 Pt 2):F942-7
PMID: 2719123
-
Anatomy of the renal interstitium.
Kidney Int. 1991 Mar;39(3):370-81
PMID: 2062030
-
Unchanged glycolytic capacity in rat kidney under conditions of stimulated gluconeogenesis. Determination of phosphofructokinase and pyruvate kinase in microdissected nephron segments of fasted and acidotic animals.
Hoppe Seylers Z Physiol Chem. 1980;361(6):819-27
PMID: 6447101
-
Activity of (Na+K+)-stimulated adenosintriphosphatase in the rat nephron.
Pflugers Arch. 1969;306(3):219-26
PMID: 4238475