Retinoic acid regulates erythropoietin production cooperatively with hypoxia-inducible factors in human iPSC-derived erythropoietin-producing cells

Abstract Erythropoietin (EPO) is a crucial hormone for erythropoiesis and produced by adult kidneys. Insufficient EPO production in chronic kidney disease (CKD) can cause renal anemia. Although hypoxia-inducible factors (HIFs) are known as a main regulator, the mechanisms of EPO production have not...

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Main Authors: Naoko Katagiri, Hirofumi Hitomi, Shin-Ichi Mae, Maki Kotaka, Li Lei, Takuya Yamamoto, Akira Nishiyama, Kenji Osafune
Format: Article
Language:English
Published: Nature Portfolio 2021-02-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-021-83431-6
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author Naoko Katagiri
Hirofumi Hitomi
Shin-Ichi Mae
Maki Kotaka
Li Lei
Takuya Yamamoto
Akira Nishiyama
Kenji Osafune
author_facet Naoko Katagiri
Hirofumi Hitomi
Shin-Ichi Mae
Maki Kotaka
Li Lei
Takuya Yamamoto
Akira Nishiyama
Kenji Osafune
author_sort Naoko Katagiri
collection DOAJ
description Abstract Erythropoietin (EPO) is a crucial hormone for erythropoiesis and produced by adult kidneys. Insufficient EPO production in chronic kidney disease (CKD) can cause renal anemia. Although hypoxia-inducible factors (HIFs) are known as a main regulator, the mechanisms of EPO production have not been fully elucidated. In this study, we aimed to examine the roles of retinoic acid (RA) in EPO production using EPO-producing cells derived from human induced pluripotent stem cells (hiPSC-EPO cells) that we previously established. RA augmented EPO production by hiPSC-EPO cells under hypoxia or by treatment with prolyl hydroxylase domain-containing protein (PHD) inhibitors that upregulate HIF signals. Combination treatment with RA and a PHD inhibitor improved renal anemia in vitamin A-depleted CKD model mice. Our findings using hiPSC-EPO cells and CKD model mice may contribute to clarifying the EPO production mechanism and developing efficient therapies for renal anemia.
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spelling doaj.art-fb684e94675646a998a711fcfd4223f22022-12-21T18:33:09ZengNature PortfolioScientific Reports2045-23222021-02-0111111210.1038/s41598-021-83431-6Retinoic acid regulates erythropoietin production cooperatively with hypoxia-inducible factors in human iPSC-derived erythropoietin-producing cellsNaoko Katagiri0Hirofumi Hitomi1Shin-Ichi Mae2Maki Kotaka3Li Lei4Takuya Yamamoto5Akira Nishiyama6Kenji Osafune7Department of Cell Growth and Differentiation, Center for iPS Cell Research and Application (CiRA), Kyoto UniversityDepartment of iPS Stem Cell Regenerative Medicine, Kansai Medical UniversityDepartment of Cell Growth and Differentiation, Center for iPS Cell Research and Application (CiRA), Kyoto UniversityDepartment of Cell Growth and Differentiation, Center for iPS Cell Research and Application (CiRA), Kyoto UniversityDepartment of Pharmacology, Faculty of Medicine, Kagawa UniversityDepartment of Life Science Frontiers, CiRA, Kyoto UniversityDepartment of Pharmacology, Faculty of Medicine, Kagawa UniversityDepartment of Cell Growth and Differentiation, Center for iPS Cell Research and Application (CiRA), Kyoto UniversityAbstract Erythropoietin (EPO) is a crucial hormone for erythropoiesis and produced by adult kidneys. Insufficient EPO production in chronic kidney disease (CKD) can cause renal anemia. Although hypoxia-inducible factors (HIFs) are known as a main regulator, the mechanisms of EPO production have not been fully elucidated. In this study, we aimed to examine the roles of retinoic acid (RA) in EPO production using EPO-producing cells derived from human induced pluripotent stem cells (hiPSC-EPO cells) that we previously established. RA augmented EPO production by hiPSC-EPO cells under hypoxia or by treatment with prolyl hydroxylase domain-containing protein (PHD) inhibitors that upregulate HIF signals. Combination treatment with RA and a PHD inhibitor improved renal anemia in vitamin A-depleted CKD model mice. Our findings using hiPSC-EPO cells and CKD model mice may contribute to clarifying the EPO production mechanism and developing efficient therapies for renal anemia.https://doi.org/10.1038/s41598-021-83431-6
spellingShingle Naoko Katagiri
Hirofumi Hitomi
Shin-Ichi Mae
Maki Kotaka
Li Lei
Takuya Yamamoto
Akira Nishiyama
Kenji Osafune
Retinoic acid regulates erythropoietin production cooperatively with hypoxia-inducible factors in human iPSC-derived erythropoietin-producing cells
Scientific Reports
title Retinoic acid regulates erythropoietin production cooperatively with hypoxia-inducible factors in human iPSC-derived erythropoietin-producing cells
title_full Retinoic acid regulates erythropoietin production cooperatively with hypoxia-inducible factors in human iPSC-derived erythropoietin-producing cells
title_fullStr Retinoic acid regulates erythropoietin production cooperatively with hypoxia-inducible factors in human iPSC-derived erythropoietin-producing cells
title_full_unstemmed Retinoic acid regulates erythropoietin production cooperatively with hypoxia-inducible factors in human iPSC-derived erythropoietin-producing cells
title_short Retinoic acid regulates erythropoietin production cooperatively with hypoxia-inducible factors in human iPSC-derived erythropoietin-producing cells
title_sort retinoic acid regulates erythropoietin production cooperatively with hypoxia inducible factors in human ipsc derived erythropoietin producing cells
url https://doi.org/10.1038/s41598-021-83431-6
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