Renal CD133(+)/CD73(+) progenitors produce erythropoietin under hypoxia and prolyl hydroxylase inhibition

J Am Soc Nephrol. 2013 Jul;24(8):1234-41. doi: 10.1681/ASN.2012080772. Epub 2013 May 9.

Abstract

The identity of the peritubular population of cells with mesenchymal phenotype thought responsible for producing erythropoietin in humans remains unclear. Here, renal CD133(+)/CD73(+) progenitor cells, isolated from the human renal inner medulla and described as a population of mesenchymal progenitors, released erythropoietin under hypoxic conditions. CD133(-) cells did not synthesize erythropoietin, and CD133(+) progenitor cells stopped producing erythropoietin when they differentiated and acquired an epithelial phenotype. Inhibition of prolyl hydroxylases, using either dimethyloxalylglycine or a small hairpin RNA against prolyl hydroxylase-2, increased both hypoxia-inducible factor-2α (HIF-2α) expression and erythropoietin transcription. Moreover, under hypoxic conditions, inhibition of prolyl hydroxylase significantly increased erythropoietin release by CD133(+) progenitors. Finally, blockade of HIF-2α impaired erythropoietin synthesis by CD133(+) progenitors. Taken together, these results suggest that it is the renal CD133(+) progenitor cells that synthesize and release erythropoietin under hypoxia, via the prolyl hydroxylase-HIF-2α axis, in the human kidney. In addition, this study provides rationale for the therapeutic use of prolyl hydroxylase inhibitors in the setting of acute or chronic renal injury.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • 5'-Nucleotidase / analysis
  • AC133 Antigen
  • Antigens, CD / analysis
  • Erythropoietin / metabolism*
  • GPI-Linked Proteins / analysis
  • Glycoproteins / analysis
  • Humans
  • Hypoxia / metabolism*
  • Hypoxia-Inducible Factor 1, alpha Subunit / metabolism*
  • Kidney Medulla / metabolism*
  • Peptides / analysis
  • Procollagen-Proline Dioxygenase / antagonists & inhibitors
  • Procollagen-Proline Dioxygenase / metabolism*
  • Stem Cells / metabolism

Substances

  • AC133 Antigen
  • Antigens, CD
  • GPI-Linked Proteins
  • Glycoproteins
  • Hypoxia-Inducible Factor 1, alpha Subunit
  • PROM1 protein, human
  • Peptides
  • Erythropoietin
  • Procollagen-Proline Dioxygenase
  • 5'-Nucleotidase
  • NT5E protein, human