Human recombinant erythropoietin reduces sensorimotor dysfunction and cognitive impairment in rat models of chronic kidney disease

Neurologia (Engl Ed). 2020 Apr;35(3):147-154. doi: 10.1016/j.nrl.2017.07.016. Epub 2017 Nov 11.
[Article in English, Spanish]

Abstract

Introduction: Chronic kidney disease (CKD) can cause anaemia and neurological disorders. Recombinant human erythropoietin (rHuEPO) is used to manage anaemia in CKD. However, there is little evidence on the effects of rHuEPO on behaviour and cognitive function in CKD. This study aimed to evaluate the impact of rHuEPO in sensorimotor and cognitive functions in a CKD model.

Methods: Male Wistar rats were randomly assigned to 4 groups: control and CKD, with and without rHuEPO treatment (1050 IU per kg body weight, once weekly for 4 weeks). The Morris water maze, open field, and adhesive removal tests were performed simultaneously to kidney damage induction and treatment. Markers of anaemia and renal function were measured at the end of the study.

Results: Treatment with rHuEPO reduced kidney damage and corrected anaemia in rats with CKD. We observed reduced sensorimotor dysfunction in animals with CKD and treated with rHuEPO. These rats also completed the water maze test in a shorter time than the control groups.

Conclusions: rHuEPO reduces kidney damage, corrects anemia, and reduces sensorimotor and cognitive dysfunction in animals with CKD.

Keywords: Chronic kidney disease; Cognitive impairment; Deterioro cognitivo; Enfermedad renal crónica; Eritropoyetina; Erythropoietin; Función sensoriomotora; Sensorimotor function.

MeSH terms

  • Anemia / drug therapy*
  • Anemia / etiology
  • Animals
  • Cognitive Dysfunction / complications
  • Erythropoietin / therapeutic use*
  • Humans
  • Iron / metabolism
  • Male
  • Rats
  • Rats, Wistar
  • Recombinant Proteins / therapeutic use*
  • Renal Insufficiency, Chronic / blood
  • Renal Insufficiency, Chronic / complications*

Substances

  • Recombinant Proteins
  • Erythropoietin
  • Iron